Rostain A L, Power T J, Atkins M S
University of Pennsylvania School of Medicine, Philadelphia.
J Am Acad Child Adolesc Psychiatry. 1993 Jan;32(1):175-81. doi: 10.1097/00004583-199301000-00025.
This study investigated parents' willingness to pursue treatment for attention-deficit-hyperactivity-disorder (ADHD).
A self-administered questionnaire (the ADHD Knowledge and Opinion Scale--AKOS) was developed and administered to a sample of 116 families attending an outpatient ADHD clinic. Socioeconomic status, parenting stress, family adaptability and cohesion, degree of child's externalizing behavior, and treatment history were obtained for each family.
Parents' willingness to use medication or to pursue counseling were not related to family factors. History of the child receiving medication was mildly correlated with willingness to use medication. History of counseling was mildly correlated with willingness to use medication and to pursue counseling. Mothers who viewed their family as "enmeshed" reported significantly higher sense of competence than those viewing the family as "connected" or "disengaged."
The AKOS is an instrument that may help clinicians identify and address parents' concerns about treatment for ADHD as well as parents' perceptions about their parenting skills.
本研究调查了父母为注意力缺陷多动障碍（ADHD）患儿寻求治疗的意愿。
自行设计了一份问卷（ADHD知识与意见量表——AKOS），并对116个前来ADHD门诊就诊家庭的样本进行了调查。获取了每个家庭的社会经济状况、养育压力、家庭适应性与凝聚力、孩子外化行为的程度以及治疗史。
父母使用药物或寻求咨询的意愿与家庭因素无关。孩子接受药物治疗的历史与使用药物的意愿呈轻度相关。咨询历史与使用药物及寻求咨询的意愿呈轻度相关。认为自己家庭“纠缠不清”的母亲报告的能力感显著高于那些认为家庭“关系紧密”或“疏离”的母亲。
AKOS这一工具或许能帮助临床医生识别并解决父母对ADHD治疗的担忧以及他们对自身养育技能的认知。
