注意缺陷多动障碍儿童及其父母攻击行为相互作用的网络分析

目的 应用网络分析的方法探讨注意缺陷多动障碍(ADHD)儿童攻击性以及父母攻击性的相互影响。方法 2019年1—12月选择符合美国《精神障碍诊断与统计手册(第5版)》(DSM-5)诊断标准的ADHD儿童108人为ADHD组，正常儿童110人为对照组，两组儿童及其父母均完成攻击问卷。通过构建网络的方法对ADHD及对照组儿童攻击性行为与其父母的攻击性行为之间的相关性进行研究。结果 ADHD组儿童躯体攻击性、言语攻击性、易怒得分高于对照组儿童，差异有统计学意义(t=5.03、2.94、5.92,P<0.001)。ADHD父母的攻击性显著高于对照组，其分量表显示ADHD组父母易怒(t=3.83、3.70)、父母敌意(t=2.69、3.06)均高于对照组，差异有统计学意义(P<0.05)。相关分析显示父母的攻击性和ADHD儿童的攻击性有显著相关(P<0.01);网络分析显示ADHD儿童与正常对照组儿童存在不同的攻击性网络结构，其网络全局强度高于对照组(Z=2.06,P<0.05)。结论 ADHD儿童和其父母较正常儿童均具有较高水平的攻击行为，父母的攻击性和ADHD儿童的攻...

Network comparison of aggressive behavior in children with attention deficit hyperactivity disorder and their parents

Objective To analyze the interaction between aggression in children with attention deficit hyperactivity disorder(ADHD) and parental aggression by network analysis. Methods From January to December 2019,108 children diagnosed with ADHD according to Diagnostic and Statistical Manual of Mental Disorders(Fifth Edition)(DSM-5) were enrolled as ADHD group. Another 110 typical development children were included in control group. Children in two groups filled out Aggression Questionnaire(AQ) and their parents completed Vanderbilt ADHD Parent Rating Scale(VADPRS). The aggressive behaviors of children and parents between ADHD group and control group were compared and their correlation was analyzed. Results The scores of physical aggression,verbal aggression and irritability of children in ADHD group were significantly higher than those of control group(t=5.03,2.94,5.92, P<0.01). Parents of ADHD children were significantly more aggressive than the control group,and their scores of parental irritability(t=3.83,3.70) and parental hostility(t=2.69,3.06) were significantly higher(P<0.01). There was a significant correlation between parental aggression and ADHD children's aggression(P<0.05). Network analysis showed that there were different aggressive network structures between ADHD children and normal control children,and the global network intensity was significantly stronger in ADHD group(Z=2.06,P<0.05). Conclusions Both ADHD children and their parents have a higher level of aggressive behavior than normal children. Aggression of parents and ADHD children affect each other,and aggression of ADHD children is significantly more influenced by parents than controls.