Objective To explore the relationship between the interparental conflict and comorbidity in children who have attention deficit hyperactivity disorder(ADHD) with oppositional defiant disorder(ODD). Methods According to DSM-Ⅳ diagnostic criteria,the study involved 33(55%) ADHD children with ODD(combined group) and 27(45%) ADHD without ODD(ADHD group).The Children's Perception of Interparental Conflict Scale (CPIC) was completed by those children.Their parents completed Achenbach's Child Behavior Checklist (CBCL).Then the data were analysed with t-test,correlation analysis and Logistic regression. Results 1)The scores of each factor and the total in CPIC of combined group were all higher than those of the ADHD group (P＜0.05).The scores of behavior problems in anxiety/depression,disobeying,attacking,extroversion and total of combined group were higher than those of the ADHD group (P＜0.05).2) Correlation analysis discovered that the social problems,attention problems,delinquent behavior,aggressive behavior and externalizing were related with interparental conflict.3)Logistic regression analysis showed that self-blame(P=0.005,OR=1.489),coping efficacy(P=0.026,OR=1.329) and conflict frequency(P=0.019,OR=1.254) were left in the model. Conclusions Children with ADHD combine ODD have more behavior problems,which are associated with interparental conflict.Self-blame,coping efficacy and conflict frequency are risk factors of ADHD comorbid with ODD.It prompts,it not only pay attention to adjusting relationship between the parents but also emphasize on how to guide the children to look reality in the inter-parental conflict in the treatment of children ADHD combine ODD.
Key words
attention deficit hyperactivity disorder /
oppositional defiant disorder /
interparental conflict /
behavior problem
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References
[1] Polanczyk G,de Lima MS,Horta BL,et al.The worldwide prevalence of ADHD:a systematic review and metaregression analysis[J].Am J Psychiatry,2007,164(6):942-948.
[2] Ghanizadeh A.Psychiatric comorbidity differences in clinic-referred children and adolescents with ADHD according to the subtypes and gender[J].J Child Neurol,2009,24(6):679-684.
[3] Buehler C,Anthony C,Krishnakumar A,et al.Interparental conflict and youth problem behaviors:a meta-analysis[J].Journal of Child and Family Studies,1997,6(2):233-247.
[4] Nikolas M,Klump KL,Burt SA.Etiological contributions to the covariation between children's perceptions of inter-parental conflict and child behavioral problems[J].J Abnorm Child Psychol,2013,41(2):239-251.
[5] 苏英,洪炜,崔轶.目睹父母间冲突与儿童行为问题[J].中国临床心理学杂志,2013,21(3):486-489.
[6] Grych JH,Seid M,Fincham FD.Assessing marital conflict from the child's perspective:the children's perception of interparental conflict scale[J].Child Dev,1992,63(3):558-572.
[7] Nigg JT,Nikolas M,Miller T,et al.Factor structure of the Children's Perception of Interparental Conflict Scale for studies of youths with externalizing behavior problems[J].Psychol Assess,2009,21(3):450-456.
[8] 张厚粲.韦氏儿童智力量表第四版(WISC-Ⅳ)中文版的修订[J].心理科学,2009,32(5):1177-1179.
[9] 池丽萍,辛自强.儿童对婚姻冲突的感知量表修订[J].中国心理卫生杂志,2003,17(8):554-556.
[10] 刘春梅,罗学荣,叶海森,等.伴对立违抗障碍的注意缺陷多动障碍儿童行为特征[J].中国行为医学科学,2008,17(12):1089-1090.
[11] Wymbs BT,Pelham WJ,Gnagy EM,et al.Mother and adolescent reports of interparental discord among parents of adolescents with and without attention-deficit hyperactivity disorder[J].J Emot Behav Disord,2008,16(1):29-41.
[12] Rhoades KA.Children's responses to interparental conflict:a meta-analysis of their associations with child adjustment[J].Child Dev,2008,79(6):1942-1956.
[13] 刘津,王玉凤.儿童注意缺陷多动障碍共患对立违抗性障碍的危险因素研究[J].北京大学学报:医学版,2007,39(3):257-260.
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