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注意缺陷多动障碍是否会恶化家庭功能和养育方式?一项病例对照研究。

Does attention deficit hyperactivity disorder worsen family functioning and parenting styles? A case control study.

机构信息

Department of Child and Adolescent Psychiatry, Gaziantep University, Gaziantep, Turkey.

Department of Child and Adolescent Psychiatry, Medicine Faculty of Dicle University, Diyarbakir, Turkey.

出版信息

Int J Psychiatry Clin Pract. 2024 Mar;28(1):2-8. doi: 10.1080/13651501.2023.2283221. Epub 2023 Nov 28.

Abstract

OBJECTIVE

A bidirectional relationship between family functioning and parenting styles and Attention Deficit and Hyperactivity Disorder (ADHD) is proposed. The aim of this study is to examine the effect of ADHD symptoms on parenting styles and the general functionality of the family as well as symptoms of depression and anxiety.

METHODS

73 children with ADHD (56%) and 56 controls (43%) (a total of 129 participants, 31% female, 69% male) with a mean age of 11.3 (7-17, n: 129) were included in the study, which was conducted in Gaziantep University Hospital Child Psychiatry Department in 2022. The participants completed psychometric scales.

RESULTS

Parents of children with ADHD showed higher positive parenting scores than the control group ( < 0.05). Inconsistent discipline scores were substantially higher in the ADHD combined subtype (14.38 ± 5.2) than in the attention deficit dominant group (17.59 ± 3.96) In addition, a strong correlation was found between familial functionality scores and ADHD severity in the ADHD attention deficit dominant subtype (r:0.601; p:0.027) and as ADHD severity increased, family functionality decreased.

CONCLUSIONS

This study shows that parents of children with ADHD have different parenting styles and ADHD affects the overall functionality of the family in the Turkish sample.

摘要

目的

提出家庭功能和养育方式与注意缺陷多动障碍(ADHD)之间存在双向关系。本研究旨在检验 ADHD 症状对养育方式和家庭整体功能以及抑郁和焦虑症状的影响。

方法

本研究共纳入 2022 年在加济安泰普大学医院儿童精神病学系就诊的 73 名 ADHD 儿童(56%)和 56 名对照组儿童(43%)(共 129 名参与者,31%为女性,69%为男性,平均年龄为 11.3 岁[7-17 岁,n:129])。参与者完成了心理测量量表。

结果

ADHD 儿童的父母表现出比对照组更高的积极养育评分(<0.05)。ADHD 混合型亚型的不一致纪律评分明显高于注意力缺陷主导型组(14.38±5.2)(17.59±3.96)。此外,在 ADHD 注意力缺陷主导型亚型中,家庭功能评分与 ADHD 严重程度之间存在很强的相关性(r:0.601;p:0.027),并且随着 ADHD 严重程度的增加,家庭功能下降。

结论

本研究表明,ADHD 儿童的父母有不同的养育方式,ADHD 会影响土耳其样本家庭的整体功能。

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