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母亲的精神症状、情感社会化实践以及情绪调节在被诊断为注意力缺陷多动障碍儿童中的作用

The Role of Mothers' Psychiatric Symptoms, Practices of Emotion Socialization and Emotion Regulation among Children Diagnosed with Attention Deficit and Hyperactivity Disorder.

作者信息

Tarımtay Altun Feray, Yazıcı Medine, Ekinci Özalp

机构信息

Department of Clinical Psychology, University of Health Sciences, Istanbul, Turkey.

Department of Psychiatry, University of Health Sciences, Erenkoy Mental Health and Neurological Diseases Education and Research Hospital, Istanbul, Turkey.

出版信息

Child Psychiatry Hum Dev. 2025 Mar 22. doi: 10.1007/s10578-025-01808-4.

DOI:10.1007/s10578-025-01808-4
PMID:40120040
Abstract

This study investigates the mediating role of mothers' emotion socialization practices and emotion regulation difficulties in the relationship between maternal attention deficit and hyperactivity disorder (ADHD) and borderline personality disorder (BPD) symptom levels and their children's ADHD symptom levels. The study included 90 children (M = 9.71 years, SD = 1.33) diagnosed with ADHD and their mothers. Mothers completed Adult Attention Deficit and Hyperactivity Disorder Self-Report Scale, Borderline Personality Inventory, DSM-IV Based Disruptive Behavior Disorders Rating Scale, Coping with Children's Negative Emotions Scale, Difficulties in Emotion Regulation Scale-Brief Form. Children filled out Cognitive Emotion Regulation Questionnaire for Children. The findings revealed that mothers' punitive and distress reactions mediated the relationship between mothers' and their children's ADHD symptom levels. Furthermore, all unsupportive emotion socialization strategies mediated the relationship between mothers' BPD symptoms and their children's ADHD symptoms. These results indicate that unsupportive maternal responses may contribute to the severity of children's ADHD symptoms.

摘要

本研究调查了母亲情绪社会化实践和情绪调节困难在母亲注意力缺陷多动障碍(ADHD)及边缘性人格障碍(BPD)症状水平与其子女ADHD症状水平之间关系中的中介作用。该研究纳入了90名被诊断为ADHD的儿童(M = 9.71岁,SD = 1.33)及其母亲。母亲们完成了成人注意力缺陷多动障碍自评量表、边缘性人格量表、基于《精神疾病诊断与统计手册第四版》的破坏性行为障碍评定量表、应对儿童负面情绪量表、情绪调节困难量表简版。孩子们填写了儿童认知情绪调节问卷。研究结果显示,母亲的惩罚性和痛苦反应在母亲及其子女的ADHD症状水平之间起到了中介作用。此外,所有不支持性的情绪社会化策略在母亲的BPD症状与其子女的ADHD症状之间起到了中介作用。这些结果表明,母亲不支持性的反应可能会加重孩子ADHD症状的严重程度。

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本文引用的文献

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The global prevalence of attention deficit hyperactivity disorder in children and adolescents: An umbrella review of meta-analyses.全球儿童和青少年注意缺陷多动障碍的患病率:荟萃分析的伞式综述。
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