Faculty of Medicine and University Hospital Cologne, School for Child and Adolescent Cognitive Behavior Therapy (AKiP), University of Cologne, Pohligstr. 9, 50969, Cologne, Germany.
Faculty of Medicine and University Hospital Cologne, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Cologne, Robert-Koch-Str. 10, 50931, Cologne, Germany.
Child Psychiatry Hum Dev. 2024 Aug;55(4):916-928. doi: 10.1007/s10578-022-01462-0. Epub 2022 Oct 28.
This study analyzes whether the association between parental internalizing symptoms (depression, anxiety, stress) and child symptoms of attention-deficit/hyperactivity disorder (ADHD) or oppositional defiant disorder (ODD) is mediated by positive and negative parenting behaviors. Cross-sectional data of 420 parents of children (age 6-12 years) with elevated levels of externalizing symptoms were collected in a randomized controlled trial. Measures included parent ratings of their internalizing symptoms and parenting behaviors and of their child's externalizing symptoms. Two mediation models were examined, one including ADHD symptoms and one including ODD symptoms as the dependent variable. Parental internalizing symptoms were modeled as the independent variable and positive and negative parenting behaviors were modeled as parallel mediators. Regression analyses support negative parenting behavior as a mediator of the association between parental internalizing symptoms and child ODD symptoms. For the ADHD model, no significant mediator could be found. Future studies should use prospective designs and consider reciprocal associations.
本研究分析了父母的内化症状（抑郁、焦虑、压力）与儿童注意缺陷/多动障碍（ADHD）或对立违抗性障碍（ODD）症状之间的关联是否通过积极和消极的教养行为来介导。在一项随机对照试验中，收集了 420 名有较高外化症状儿童（6-12 岁）的父母的横断面数据。测量包括父母对自己的内化症状和教养行为以及孩子的外化症状的评价。检验了两个中介模型，一个将 ADHD 症状作为因变量，一个将 ODD 症状作为因变量。将父母的内化症状作为自变量，将积极和消极的教养行为作为平行的中介变量进行建模。回归分析支持消极的教养行为是父母内化症状与儿童 ODD 症状之间关联的中介。对于 ADHD 模型，没有发现显著的中介变量。未来的研究应该使用前瞻性设计，并考虑相互关联。
