Study on family environment influential factors of attention deficit hyperactivity disorder.

doi:10.11852/zgetbjzz2016-24-06-07

Abstract

Abstract: Objective To explore the family environment influential factors of school-aged children with attention deficit hyperactivity disorder (ADHD). Methods The survey was made in 103 ADHD children (ADHD group) and 103 matched normal children (control group),children surveyed by Family Environment Scale (FES),general questionnaire and self-designed questionnaire of parental harsh discipline.The relations among family environment and ADHD were analyzed. Results The FES scores of cohesion,expressiveness,intellectual-cultural orientation,active-recreational orientation,organization in ADHD group were statistically lower than those in control group (all P<0.05),while the score of conflict in ADHD group was statistically significantly higher than that in control group (P<0.01).Logistic regression analysis indicated that the FES score of cohesion (OR=0.55,P=0.004),expressiveness (OR=0.69,P=0.038) and children having more hobbies (OR=0.51,P=0.000) were protective factors influencing ADHD.Mother spanking children (OR=1.73,P=0.002),children doing homework with their parents (OR=1.66,P=0.004),parental discipline being not consistent (OR=1.55,P=0.047),children being not raised by their parents (OR=1.59,P=0.028) were risk factors influencing ADHD. Conclusion Through the survey,it revealed the existence of non-favourable family circumstances including lower scores of cohesion children having less hobbies,mother spanking children etal in ADHD family maybe closely related with the progress or the cause of ADHD,but it requires further research.

Key words: attention deficit hyperactivity disorder, family environment, school children

摘要： 目的探讨影响学龄期儿童注意缺陷多动障碍(ADHD)的家庭环境因素。方法分别对ADHD患儿(ADHD组,103例)及一般情况匹配的正常儿童(对照组,103名)进行家庭环境量表(FES)、一般情况问卷及自制的严厉管教方式问卷调查;分析家庭环境与学龄期儿童ADHD的关系。结果 ADHD组FES亲密度、情感表达、知识性、娱乐性、组织性因子分低于对照组(P均<0.05);而矛盾性因子分显著高于对照组(P<0.01)。Logistic回归分析显示,FES亲密度(OR=0.55,P=0.004)、情感表达(OR=0.69,P=0.038)因子分高及儿童课外兴趣多(OR=0.51,P=0.000)是ADHD的保护性因素;母亲体罚孩子、家长陪同完成作业(OR=1.73,P=0.002)、儿童主要抚养人不是父母(OR=1.59,P=0.028)、与父母管教态度不一致(OR=1.55,P=0.047)是ADHD的危险因素。结论 ADHD儿童家庭存在亲密度低、儿童课外兴趣少、母亲体罚孩子等不良环境因素,这些环境因素与ADHD发展有关,也可能与ADHD的发生有关,但需要进一步研究。

关键词: 注意缺陷与多动障碍, 家庭环境, 学龄期儿童

CLC Number:

:R179

WANG Feng,DU Ya-song,ZHOU Guo-quan,XIE Hong-tao,LI Ping,LI Ze-bing,
ZHOU Dan,ZHANG Yan-qiu,XIAO Wei-qin,YAN Ya-yun,SUI Ding-zhong,CHEN Yi.. Study on family environment influential factors of attention deficit hyperactivity disorder.[J]. journal1, 2016, 24(6): 579-582.

王峰,杜亚松,周国权,谢红涛,李萍,李泽兵,周丹,张艳秋,肖维琴,颜亚芸,眭定忠,陈谊. 注意缺陷多动障碍家庭环境影响因素分析[J]. 中国儿童保健杂志, 2016, 24(6): 579-582.

References

[1] American Academy of Pediatrics.Clinical practice guidelines:diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder[J].Pediatrics,2000,105(5):1158-1170.
[2] 岳亿琳,李颖,李玉芹,等.淮北市儿童注意力缺陷-多动障碍患病情况[J].中国学校卫生,2006,27(5):454.
[3] 巴军风,霍碧勇,胡炳堂.淮北地区学龄儿童注意缺陷多动障碍流行病学调查[J].河南预防医学杂志,2008,19(4):252-253.
[4] 金文岚,阿依努尔·吾买尔,杜亚松,等.上海市闸北区5~ 15岁儿童注意缺陷多动障碍患病率及其影响因素的研究[J].上海精神医学,2010,22(4):211-216.
[5] 王舒雅,叶新华,陈虹,等.兰州市区6～13岁学龄期儿童注意缺陷多动障碍的患病率及相关因素分析[J].实用临床医学,2015,16(5):90-95.
[6] 周晋波,郭兰婷,陈颖.中文版注意缺陷多动障碍SNAP-Ⅳ评定量表-父母版的信效度[J].中国心理卫生杂志,2013,27(6):424-428.
[7] 汪向东,王希林,马弘.心理卫生评定量表手册( 增订版)[M].北京:中国心理卫生杂志,1999:139-142.
[8] 朱庆庆,古桂雄,花静.注意缺陷多动障碍儿童家庭环境危险因素研究[J].中国妇幼保健杂志,2015,30(7):1074-1077.
[9] 何淑华,施玉麒,邓成,等.中山市学龄前儿童多动行为及影响因素调查[J].中国妇幼保健,2012,27(9):1365-1369.
[10] 魏宝玉,苏林雁.家庭环境与ADHD儿童行为的相关性[J].中国临床心理学杂志,2004,12(2):145-146.
[11] 任桂英,钱铭怡,王玉凤,等.家庭环境与ADHD儿童某些心理特征相关性的研究[J].中国心理卫生杂志,2002,16(4):268-272.
[12] Jester JM,Nigg JT,Adams K,et al.Inattention/hyperactivity and aggression from early childhood to adolescence:Heterogeneity of trajectories and differential influence of family environment characteristics[J].Dev Psychopathol,2005,17(1):99-125.
[13] 刘康香,钟燕,蒋耀辉,等.注意缺陷多动障碍儿童危险因素的病例对照研究[J].实用预防医学,2011,18(5):797-799.
[14] 王爱萍,王栋,骆晓萍,等.义乌市儿童注意缺陷和多动障碍影响因素调查[J].中国妇幼保健,2013,28 (6):996-998.
[15] 叶奕乾,何存道,梁宁建.普通心理学[M].上海:华东师范大学出版社,2010:52-59.