Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.
Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
BMC Psychiatry. 2022 Sep 8;22(1):596. doi: 10.1186/s12888-022-04224-3.
Attention Deficit Hyperactivity Disorder (ADHD) constitutes a prevalent behavioral problem. The present study examined the parent-child relationship model and investigated strategies to cope with behavioral problems in children with ADHD.
This descriptive study selected 300 children with ADHD using convenience sampling. The data collected using the child behavior checklist, the parent-child relationship scale (PCRS), the Billings and Moos Coping Checklist, the socioeconomic status questionnaire, the general health questionnaire-28 (GHQ-28) and a demographic checklist were analyzed in SPSS-25 and LISREL 8.8.
According to the results of the path analysis on the relationship model among parent-child relationship domains, coping responses and children's behavioral problems, parent-child dependency domain (B = 0.22) in the direct path, disease duration (B = 0.085) in the indirect path, and conflicts in the domain of parent-child relationship (B = 0.366) in both direct and indirect paths had the most positive causal effect on behavioral problems. Furthermore, intimacy in the said domain (B = -0.42) had the most negative causal effect in both direct and indirect paths. The extent to which parents used coping responses via the direct path had a positive causal effect on behavioral problems (B = 0.12). Based on the path analysis test findings in the relationship model among positive parent-child relationship, coping responses and children's behavioral problems, the positive parent-child relationship score had the most negative causal effect via the direct path (B = -0.56). Conversely, the child's age had the highest positive causal effect via the indirect path (B = 0.1) on behavioral problems in children.
Based on findings, there is a causal and significant relationship between the parent-child relationship and the extent to which coping responses are used. It is recommended that training programs be developed to strengthen communication skills, coping responses and problem-solving techniques in parents.
注意缺陷多动障碍（ADHD）构成了一种普遍存在的行为问题。本研究考察了亲子关系模式，并调查了应对 ADHD 儿童行为问题的策略。
本描述性研究采用便利抽样选择了 300 名患有 ADHD 的儿童。使用儿童行为检查表、亲子关系量表（PCRS）、比林斯和穆斯应对检查表、社会经济地位问卷、一般健康问卷-28（GHQ-28）和人口统计清单收集的数据在 SPSS-25 和 LISREL 8.8 中进行了分析。
根据亲子关系领域、应对反应和儿童行为问题之间关系模型的路径分析结果，亲子关系领域的亲子依赖（B=0.22）在直接路径中、疾病持续时间（B=0.085）在间接路径中、亲子关系领域的冲突（B=0.366）在直接和间接路径中对行为问题具有最积极的因果效应。此外，该领域的亲密感（B=-0.42）在直接和间接路径中均具有最负的因果效应。父母通过直接路径使用应对反应的程度对行为问题具有积极的因果效应（B=0.12）。根据亲子关系、应对反应和儿童行为问题之间关系模型的路径分析测试结果，积极的亲子关系评分通过直接路径（B=-0.56）对儿童行为问题具有最负的因果效应。相反，儿童的年龄通过间接路径（B=0.1）对儿童行为问题具有最高的正因果效应。
基于研究结果，亲子关系与应对反应的使用程度之间存在因果关系。建议制定培训计划，以加强父母的沟通技巧、应对反应和解决问题的技巧。
