探索多动症儿童母亲中与共同调节相关的因素——概念验证研究
Exploring Co-Regulation-Related Factors in the Mothers of ADHD Children-Proof of Concept Study.
作者信息
Yaacoby-Vakrat Ruth, Pade Margalit, Bar-Shalita Tami
机构信息
Department of Occupational Therapy, The Stanley Steyer School of Health Professions, Faculty of Medicine, Tel-Aviv University, Ramat-Aviv, Tel-Aviv 6997801, Israel.
出版信息
Children (Basel). 2023 Jul 26;10(8):1286. doi: 10.3390/children10081286.
BACKGROUND
Attention deficit hyperactivity disorder (ADHD) is a complex neurological condition interfering with family relationships and co-regulation capabilities. Therefore, exploring factors underpinning parental co-regulation ability is crucial for future fostering relationships in families of children with ADHD.
OBJECTIVE
This preliminary study aims to characterize and compare the executive-functions, anxiety, self-efficacy, and sensory modulation in mothers of children with and without ADHD.
METHOD
Mothers of children with (study group) and without (control-comparison, group) ADHD completed online self-reports, measuring executive-functions; parental self-efficacy; anxiety; and sensory modulation.
RESULTS
The study group (N = 40) had lower self-efficacy compared to the control group (N = 27; = 0.018), and the control group had lower sensory responsiveness ( = 0.025). Within both groups the Behavior Rating Inventory of Executive Function-Adult (BRIEF-A) Global Executive Function Composite score (GEC) and the Beck Anxiety Inventory (BAI) were moderately correlated. Further, within the study group correlations were found between the BRIEF-A-GEC and the Sensory Responsiveness Questionnaire (SRQ)-Aversive scores (r = 0.37, ≤ 0.01), and between the BRIEF-A Behavioral-Rating-Index and the parental self-efficacy scores (r = 0.31, ≤ 0.05). Within the control group, negative correlations were found between the BRIEF-A-GEC and SRQ-Hedonic scores (r= -0.44, < 0.05).
CONCLUSION
Self-efficacy, executive-functions, high sensory responsiveness and anxiety traits are interwoven and may impact parental co-regulation ability.
背景
注意力缺陷多动障碍（ADHD）是一种复杂的神经疾病，会干扰家庭关系和共同调节能力。因此，探索影响父母共同调节能力的因素对于未来改善多动症儿童家庭关系至关重要。
目的
本初步研究旨在描述和比较患有和未患有ADHD儿童的母亲的执行功能、焦虑、自我效能感和感觉调节情况。
方法
患有ADHD儿童的母亲（研究组）和未患有ADHD儿童的母亲（对照比较组）完成了在线自我报告，测量执行功能、父母自我效能感、焦虑和感觉调节。
结果
与对照组（N = 27；P = 0.018）相比，研究组（N = 40）的自我效能感较低，对照组的感觉反应性较低（P = 0.025）。在两组中，成人执行功能行为评定量表（BRIEF - A）的总体执行功能综合得分（GEC）与贝克焦虑量表（BAI）呈中度相关。此外，在研究组中，发现BRIEF - A - GEC与感觉反应性问卷（SRQ） - 厌恶得分之间存在相关性（r = 0.37，P≤0.01），以及BRIEF - A行为评定指数与父母自我效能感得分之间存在相关性（r = 0.31，P≤0.05）。在对照组中，发现BRIEF - A - GEC与SRQ - 享乐得分之间存在负相关性（r = -0.44，P < 0.05）。
结论
自我效能感、执行功能、高感觉反应性和焦虑特质相互交织，可能会影响父母的共同调节能力。
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