中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2009年
5期
409-411
,共3页
梁亚勇%邹小兵%岑超群%李建英
樑亞勇%鄒小兵%岑超群%李建英
량아용%추소병%잠초군%리건영
注意缺陷多动障碍%共患病%影响因素%儿童
註意缺陷多動障礙%共患病%影響因素%兒童
주의결함다동장애%공환병%영향인소%인동
Attention-deficit/hyperactivity disorder%Comorbidity%Influential factors%Child
目的 考察性别、家庭教养方式、学校教育方式、注意缺陷多动障碍(ADHD)临床亚型等因素对ADHD共患病类型的影响.方法 应用Vanderbilt ADHD家长和教师评定量表及自制的一般情况调查表确诊门诊ADHD患者224例,其中男205例,女19例,确定其临床分型及共患病,获取家庭和学校教养方式的相关信息.根据共患病类型分为ADHD组(n=118)、ADHD共患内化性行为障碍组(ADHD+焦虑/抑郁)(n=10)、ADHD共患外化性行为障碍组(ADHD+ODD/CD)(n=89)及ADHD共患内化和外化性行为障碍组(n=7),以无共患病为参照水平做无序多分类Logistic回归.结果 混合型ADHD患儿(ADHD-CT)患外化性行为障碍概率比注意缺陷型(ADHD-PI)和多动冲动型ADHD患儿(ADHD-HI)高,分别是ADHD-PI和ADHD-HI患外化性行为障碍的概率的4.76倍(偏回归系数为1.58,P＜0.05)及6.25倍(偏回归系数为1.83,P＜0.05),即风险增加,均差异有统计学意义.接受负性家庭教养方式的患儿患外化性行为障碍的概率是接受正性家庭教养方式的患儿的2.01倍(偏回归系数为0.7,P＜0.05).结论 混合型ADHD儿童相对于注意缺陷为主型和多动冲动型ADHD儿童共患外化性行为障碍风险增高.接受负性的家庭教养方式的ADHD儿童患外化性行为障碍的风险增加.
目的 攷察性彆、傢庭教養方式、學校教育方式、註意缺陷多動障礙(ADHD)臨床亞型等因素對ADHD共患病類型的影響.方法 應用Vanderbilt ADHD傢長和教師評定量錶及自製的一般情況調查錶確診門診ADHD患者224例,其中男205例,女19例,確定其臨床分型及共患病,穫取傢庭和學校教養方式的相關信息.根據共患病類型分為ADHD組(n=118)、ADHD共患內化性行為障礙組(ADHD+焦慮/抑鬱)(n=10)、ADHD共患外化性行為障礙組(ADHD+ODD/CD)(n=89)及ADHD共患內化和外化性行為障礙組(n=7),以無共患病為參照水平做無序多分類Logistic迴歸.結果 混閤型ADHD患兒(ADHD-CT)患外化性行為障礙概率比註意缺陷型(ADHD-PI)和多動遲動型ADHD患兒(ADHD-HI)高,分彆是ADHD-PI和ADHD-HI患外化性行為障礙的概率的4.76倍(偏迴歸繫數為1.58,P＜0.05)及6.25倍(偏迴歸繫數為1.83,P＜0.05),即風險增加,均差異有統計學意義.接受負性傢庭教養方式的患兒患外化性行為障礙的概率是接受正性傢庭教養方式的患兒的2.01倍(偏迴歸繫數為0.7,P＜0.05).結論 混閤型ADHD兒童相對于註意缺陷為主型和多動遲動型ADHD兒童共患外化性行為障礙風險增高.接受負性的傢庭教養方式的ADHD兒童患外化性行為障礙的風險增加.
목적 고찰성별、가정교양방식、학교교육방식、주의결함다동장애(ADHD)림상아형등인소대ADHD공환병류형적영향.방법 응용Vanderbilt ADHD가장화교사평정량표급자제적일반정황조사표학진문진ADHD환자224례,기중남205례,녀19례,학정기림상분형급공환병,획취가정화학교교양방식적상관신식.근거공환병류형분위ADHD조(n=118)、ADHD공환내화성행위장애조(ADHD+초필/억욱)(n=10)、ADHD공환외화성행위장애조(ADHD+ODD/CD)(n=89)급ADHD공환내화화외화성행위장애조(n=7),이무공환병위삼조수평주무서다분류Logistic회귀.결과 혼합형ADHD환인(ADHD-CT)환외화성행위장애개솔비주의결함형(ADHD-PI)화다동충동형ADHD환인(ADHD-HI)고,분별시ADHD-PI화ADHD-HI환외화성행위장애적개솔적4.76배(편회귀계수위1.58,P＜0.05)급6.25배(편회귀계수위1.83,P＜0.05),즉풍험증가,균차이유통계학의의.접수부성가정교양방식적환인환외화성행위장애적개솔시접수정성가정교양방식적환인적2.01배(편회귀계수위0.7,P＜0.05).결론 혼합형ADHD인동상대우주의결함위주형화다동충동형ADHD인동공환외화성행위장애풍험증고.접수부성적가정교양방식적ADHD인동환외화성행위장애적풍험증가.
Objective To investigation the effect of gender, family parenting style,school education style, the subtype of ADHD to the comorbidity types of attention deficithyperactivity disorder(ADHD). Method Using the Vanderbilt ADHD Rating Scales and self-designed questionnaire diagnosised 224 ADHD children (male 205,female 19) in out-patient clinic, definited their clinical subtype and comorbidity. Through the rating scales to screen for the information about their family parenting styles and school education styles. According to their comorbidity type, they were divided into four groups:pure ADHD group(n=118), ADHD+ internalizing disorders (anxiety/depression) group(n=10),ADHD+ externalizing disorders (ODD/CD)(n=89),ADHD+ internalizing disorders+ externalizing disorders(n=7). Results The probability of comorbidity externalizing disorders in ADHD-CT children was 4.76 times(partial regression coefficient=1.58,P＜0.05) as in ADHD-PI children, and 6.25 times(partial regression coefficient=1.83,P＜0.05) as in ADHD-PI children. The probability of comorbidity externalizing disorders in ADHD children who received positive family parenting style was 2.01 times(partial regression coefficient=0.7,P＜0.05) as in children who received negative family parenting style.Conclusion ADHD-CT children have higher risk of co-existi externalizing disorders than ADHD-PI and ADHD-HI children. The ADHD children who received negative family parenting style have higher risk to have Externalizing disorders.
