文章摘要
父母教养方式对伴与不伴对立违抗性障碍注意缺陷多动障碍患儿的影响
Effect of parenting styles on children with symptoms of attention-deficit/hyperactivity disorder with and without oppositional defiant disorder
投稿时间:2018-04-13  
DOI:10.3969/j.issn.1000-0399.2018.08.033
中文关键词: 注意缺陷多动障碍  对立违抗性障碍  父母教养方式  调查问卷
英文关键词: Attention-deficit/hyperactivity disorder  Oppositional defiant disorder  Parenting style  Egna Minnen Barndoms Uppfostran
基金项目:芜湖市科技惠民计划基金(项目编号:2015zd15)
作者单位
方萍 230022 合肥 安徽省精神卫生防治中心精神科 
朱文礼 241007 安徽省芜湖市第四人民医院精神科 
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中文摘要:
      目的 探讨父母教养方式对伴与不伴对立违抗性障碍(ODD)的注意缺陷多动障碍(ADHD)患儿的影响。方法 选择2015年1月至2016年12月安徽省精神卫生防治中心就诊的ADHD患儿124例,根据有无ODD症状,分为单纯ADHD患儿82例,合并ODD的ADHD患儿42例,按照分层抽样的方法选取合肥某小学同时期110例健康儿童作为对照组;使用父母教养方式调查问卷(EMBU)对3组儿童目前的父母教养方式进行调查评分,比较3组对象的父亲因子、母亲因子差异。结果 3组儿童父亲因子Ⅱ、Ⅲ、Ⅴ和母亲因子Ⅱ、Ⅲ、Ⅳ的差异有统计学意义(F=32.096,11.195,10.467,13.957,7.343,29.081,P均<0.001);单纯ADHD组患儿的父亲因子Ⅱ、Ⅲ、Ⅴ和母亲因子Ⅱ、Ⅲ、Ⅳ得分高于对照组,差异有统计学意义(t=7.481,4.479,4.406,5.252,3.847,7.292,P均<0.001);合并ADD的ADHD组患儿的父亲因子Ⅱ、Ⅲ和母亲因子Ⅱ、Ⅳ得分高于单纯ADHD,差异有统计学意义(t=2.221,P=0.028;t=2.553,P=0.012;t=2.921,P=0.004;t=3.737,P<0.001)。结论 父母教养方式的极端化对ADHD患儿有着重要影响,惩罚严厉、过分干涉的教养方式是ADHD患儿出现ODD的危险教养方式。
英文摘要:
      Objective To investigate the effect of parenting styles on children with symptoms of attention-deficit/hyperactivity disorder(ADHD) with and without oppositional defiant disorder (ODD). Methods From Jan 2015 to Dec 2016, 124 cases of children with symptoms of ADHD in Anhui Mental Health Center were collected as the study objectives and divided into the simply ADHD group (n=82) and the ADHD with ODD group (n=42) according to their complications with or without ODD. According to the stratified sampling, 110 healthy children in a primary school of Hefei were selected as the control group. Parenting styles of them were assessed by Egna Minnen Barndoms Uppfostran(EMBU). Results There was significant difference among three groups in the father's factor Ⅱ, Ⅲ, Ⅴ and mother's factor Ⅱ, Ⅲ, Ⅳ of the EMBU(F=32.096, 11.195,10.467, 13.957, 7.343, 29.081, P<0.001). The father's factor Ⅱ, Ⅲ, Ⅴ and mother's factor Ⅱ, Ⅲ, Ⅳ of the EMBU scale of the ADHD group was higher than those of the controls, and the difference between two groups was significant(t=7.481,4.479,4.406,5.252,3.847,7.292, P<0.001). The father's factor Ⅱ, Ⅲ and mother's factor Ⅱ, Ⅳ of the EMBU scale of the ADHD with ODD group was higher than those of the simply ADHD group, and the difference between two groups was significant(t=2.221, P=0.028; t=2.553, P=0.012; t=2.921, P=0.004; t=3.737, P<0.001). Conclusion Children with symptoms of ADHD have extreme tendency in parenting styles. Parenting styles of excessive interference and severe punishment are the risk factors for ADHD children with ODD.
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