CAJ | 학술논문

目的：探讨注意缺陷多动障碍（ADHD）患儿家庭环境因素。方法：应用家庭亲密度与适应性量表（FACES）及自制家庭环境因素调查表对60例 ADHD 儿童（ADHD 组）及与其人口学资料相匹配的200名健康儿童（正常对照组）进行调查和比较。结果：ADHD 组 FACES 中亲密性及适应性得分明显低于正常对照组（t ＝3.866，P ＝0.000；t ＝2.274，P ＝0.038）；ADHD 组母孕期情绪异常、父母有类似ADHD 症状、教育方式不当、家庭经济条件差比率明显高于正常对照组（P 均﹤0.05）。Logistic 回归分析显示社会经济地位、教养方式、母亲类似症状、父亲类似症状4个因素是儿童 ADHD 的危险因素。结论：家庭环境可能在 ADHD 发病中有明显作用。
목적：탐토주의결함다동장애（ADHD）환인가정배경인소。방법：응용가정친밀도여괄응성량표（FACES）급자제가정배경인소조사표대60례 ADHD 인동（ADHD 조）급여기인구학자료상필배적200명건강인동（정상대조조）진행조사화비교。결과：ADHD 조 FACES 중친밀성급괄응성득분명현저우정상대조조（t ＝3.866，P ＝0.000；t ＝2.274，P ＝0.038）；ADHD 조모잉기정서이상、부모유유사ADHD 증상、교육방식불당、가정경제조건차비솔명현고우정상대조조（P 균﹤0.05）。Logistic 회귀분석현시사회경제지위、교양방식、모친유사증상、부친유사증상4개인소시인동 ADHD 적위험인소。결론：가정배경가능재 ADHD 발병중유명현작용。
Objective:To investigate the risk factors of family environment in children with attention-defi-cit/ hyperactivity disorder(ADHD). Method:Sixty ADHD children(ADHD group)and 200 gender,age matched normal controls(NC group)were investigated and comparied by family adaptability and cohesion eval-uation scales(FACES)and self-prepared questionnaires. Results:The intimacy and adaptability of FACES in the ADHD group were signifcantly lower than those in the NC group( t = 3. 866,P = 0. 000;t = 2. 274,P =0. 038). The proportion of abnormal emotion during pregnancy,similar symptoms of ADHD parents,critical ed-ucational method,low economic status in the ADHD group were significantly high than those in the NC group(all P ﹤ 0. 05). The Logistic regression analysis showed that the risk factors of ADHD were economic status,paren-ting styles,similar symptoms in mother and father. Conclusion:Family environment may be associated with the prevalence of ADHD.