| 共患对立违抗障碍的注意缺陷多动障碍儿童社会功能特征 |
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| 引用本文： | 陈强,李德欣,李静,齐洋洋,刘慧,陈淑梅,廖远航,钟洁琼,李秀红.共患对立违抗障碍的注意缺陷多动障碍儿童社会功能特征[J].中国学校卫生,2023,44(2):191-194. |
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| 作者姓名： | 陈强 李德欣 李静 齐洋洋 刘慧 陈淑梅 廖远航 钟洁琼 李秀红 |
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| 作者单位： | 1.广东省珠海市妇幼保健院儿童心理卫生科, 519001 |
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| 基金项目： | 广东省医学科学技术基金项目A2020479 |
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| 摘 要： | 目的 探索共患对立违抗障碍(ODD)的注意缺陷多动障碍(ADHD)儿童社会功能特征，为改善ADHD儿童社会功能提供参考。方法 采用中文版注意缺陷多动障碍评定量表-父母版(SNAP-Ⅳ)、Weiss功能缺陷量表父母版(WFIRS-P)及儿童困难问卷(QCD),对首次就诊于珠海市妇幼保健院儿童心理卫生科的192名单纯ADHD儿童、243名共患ODD的ADHD儿童，以及珠海市某学校118名正常对照儿童进行评估分析。结果 3组儿童SNAP-Ⅳ量表注意缺陷因子得分分别为1.9(1.7,2.1),1.8(1.6,1.9),1.0(0.6,1.2)],多动冲动因子得分分别为1.8(1.4,2.1),1.6(1.1,1.8),0.7(0.2,1.0)],对立违抗因子得分分别为1.6(1.5,1.9),1.0(0.8,1.1),0.8(0.5,1.0)],组间差异均有统计学意义(H值分别为268.44,237.97,418.66,P值均<0.01)。3组儿童WFIRS-P量表各维度及总分分别为家庭0.8(0.6,1.1),0.6(0.3,0.8),0.3(0.1,0.6)];学习和学校0...
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| 关 键 词： | 注意力缺陷障碍伴多动 精神卫生 回归分析 儿童 |
| 收稿时间： | 2022-06-02 |
Social functioning characteristics of children with co-occurrence of attention deficit hyperactivity disorder and oppositional defiant disorder |
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| Affiliation: | 1.Department of Children Psychological Health, Zhuhai Maternal and Child Health Care Hospital, Zhuhai(519001), Guangdong Province, China |
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| Abstract: | Objective To explore the social functioning characteristics of children with co-ocurrence of attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) for intervention reference. Methods The Chinese Version of Swanson Nolan and Pelham, Version Ⅳ Scale-Parent Form(SNAP-Ⅳ), the Chinese Version of Weiss Functional Impairment Scale-Parent(WFIRS-P), and the Questionnaire-Children with Difficulties (QCD) were applied to 192 children with ADHD, 243 children with co-occurrence of ADHD and ODD, who firstly visited the Department of Children Psychological Health of Zhuhai Maternal and Child Health Care Hospital, and 118 healthy control children from a school in Zhuhai. Results The scores of attention deficit factor in SNAP-Ⅳ scale of children in three groups were1.9(1.7, 2.1), 1.8(1.6, 1.9), 1.0(0.6, 1.2)], the scores of hyperactive impulsivity were1.8(1.4, 2.1), 1.6(1.1, 1.8), 0.7(0.2, 1.0)] the scores of oppositional defiant were1.6(1.5, 1.9), 1.0(0.8, 1.1), 0.8(0.5, 1.0)], the differences were statistically significant(H=268.44, 237.97, 418.66, P < 0.01). The dimensions and total scores of the three groups of children's WFIRS-P scale were family0.8(0.6, 1.1), 0.6(0.3, 0.8), 0.3(0.1, 0.6)]; learning and school0.8(0.5, 1.1), 0.8(0.5, 1.0), 0.3(0.1, 0.5)]; life skills1.0(0.7, 1.2), 0.8(0.6, 1.0), 0.6(0.4, 0.8)]; self-management 1.0(0.3, 1.0), 0.7(0.3, 1.0), 0.3(0.0, 0.7)]; social activities 0.7(0.4, 1.0), 0.6(0.3, 0.9), 0.3(0.0, 0.4)]; adventure activities0.3(0.2, 0.5), 0.2(0.1, 0.4), 0.1(0.0, 0.2)]; the total score0.8(0.6, 1.0), 0.6(0.5, 0.8), 0.4(0.2, 0.6)], the difference between the groups was statistically significant(H=108.82, 122.45, 60.17, 40.58, 96.17, 76.57, 138.30, P < 0.01). The difference between the QCD scale scores of children in the three groups was statistically significant30.0(24.0, 37.0), 32.0(27.0, 40.0), 47.0(37.0, 52.3), H=124.65, P < 0.01). Multiple regression analysis showed that attention deficit, and oppositional defiant symptoms were associated with both the total WFIRS-P score and the QCD score of children(R2=0.40, 0.25, P < 0.05). Conclusion Children with co-occurrence of ADHD and ODD have more severe deficits in all dimensions of social functioning than children with ADHD, which might be associated with attention deficit and oppositional defiant symptoms. |
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