摘要
目的:探讨注意缺陷多动障碍(ADHD)共患对立违抗障碍(ODD)的儿童家庭环境特点及家庭危险因素。方法:选取符合DSM-5诊断的140例ADHD儿童(伴ODD亚组34例、不伴ODD亚组106例),正常对照儿童45例,由父母填写一般情况问卷和家庭环境量表中文版(FES-CV)。采取多重回归分析探讨ADHD、ADHD共患ODD的家庭相关因素。结果:多重回归分析显示,儿童月龄越低(β=-0.03,P<0.01)、家庭亲密度(β=-0.50,P<0.05)和组织性(β=-0.49,P<0.01)越低、矛盾性(β=0.30,P<0.05)越高,患ADHD的风险越大;儿童家庭矛盾性(β=0.21,P<0.05)和控制性(β=0.20,P<0.05)越高,ADHD儿童共患ODD的风险越大。结论:儿童月龄低、家庭亲密度和组织性低、矛盾性高是ADHD的危险因素。家庭矛盾性和控制性高是ADHD共患ODD的危险因素。
Objective: To investigate the characteristics of family environment of children with attention-deficit/hyperactivity disorder (ADHD) and comorbid oppositional defiant disorder (ODD),and to analyze the risk factors for ADHD and ODD. Methods: Totally 140 children with ADHD (34 cases in ADHD with ODD group,106 in ADHD without ODD group) meeting the diagnostic criteria of DSM -5 and the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (K-SADS-PL), and 45 normal children were selected. The general information questionnaire and Family Environment Scale-Chinese Version (FES-CV) were reported by parents. Results: M ultiple regression analysis showed that children age (β=- 0. 03,P < 0. 01),family cohesion (β=- 0. 50,P < 0. 05),and organization (β=- 0. 49,P < 0. 01) had negative association with ADHD diagnosis,while family conflict had positive association (β= 0. 30,P < 0. 01). Family conflict (β= 0. 21,P < 0. 05) and control (β= 0. 20,P < 0. 05) had positive association with comorbidity of ADHD and ODD. Conclusion: It suggests that younger age,lower family cohesion and organization may be risk factors for ADHD,and higher family conflict and control may be risk factors for comorbidity of ADHD and ODD.
作者
高兵玲
吴赵敏
江家靖
钟苑心
王鹏
钱英
杨斌让
王玉凤
GAO Bingling;WU Zhaomin;JIANG Jiajing;ZHONG Yuanxin;WANG Peng;QIAN Ying;YANG Binrang;WANG Yufeng(Shougang Hospital, Peking University, Beijing 100144,China;Shenzhen Children's Hospital, Shenzhen 518038,Guangdong Province,China;Peking University Sixth Hospital,Peking University Institute of Mental Health, Key Laboratory of Mental Health,Ministry of Health (Peking University),National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital),Beijing 100191,China)
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2019年第6期425-430,共6页
Chinese Mental Health Journal
基金
深圳市医疗卫生三名工程项目(SZSM201612036)
关键词
注意缺陷多动障碍
对立违抗障碍
家庭环境
危险因素
attention-deficit/hyperactivity disorder
oppositional defiant disorder
family environment
risk factor