Anderson C A, Hinshaw S P, Simmel C
University of California, Los Angeles 90024.
J Abnorm Child Psychol. 1994 Apr;22(2):247-65. doi: 10.1007/BF02167903.
Reciprocal relationships between child characteristics and such familial factors as parental psychopathology and interaction style with the child characterize the development and maintenance of attention-deficit hyperactivity disorder (ADHD) as well as its comorbidity with antisocial behavior. Our goal was to ascertain the ability of negative maternal behavior exhibited during mother-son interactions to predict independently observed overt and covert externalizing behavior in the child, controlling for current maternal symptomatology and the boy's acting out behavior during the interaction. Participants were 49 boys with ADHD and 37 comparison boys, aged 6 to 12 years. Hierarchical multiple-regression analyses revealed that, even with maternal psychopathology and child negativity with the mother partialed, maternal negative behaviors predicted both observed noncompliance exhibited in class and play settings and laboratory stealing. Stealing was predicted from maternal negativity even with child interactional compliance controlled. Differential predictions of noncompliance were revealed in ADHD versus comparison families, yet similar patterns emerged for stealing within each group. Results are discussed in light of the high risk for antisocial behavior in ADHD children.
儿童特征与诸如父母精神病理学以及与孩子的互动方式等家庭因素之间的相互关系，是注意力缺陷多动障碍（ADHD）发展和维持的特征，以及它与反社会行为共病的特征。我们的目标是确定母子互动中表现出的母亲负面行为独立预测孩子中观察到的公开和隐蔽外化行为的能力，同时控制当前母亲的症状以及互动过程中男孩的行为失控。参与者是49名患有ADHD的男孩和37名对照男孩，年龄在6至12岁之间。分层多元回归分析显示，即使排除了母亲精神病理学和孩子对母亲的消极态度，母亲的负面行为仍能预测在课堂和游戏环境中观察到的不服从行为以及实验室偷窃行为。即使控制了孩子的互动依从性，偷窃行为也能从母亲的消极态度中预测出来。在ADHD家庭与对照家庭中，对不服从行为的预测存在差异，但每组中偷窃行为的模式相似。根据ADHD儿童反社会行为的高风险对结果进行了讨论。
