关键词: 注意缺陷多动障碍, 儿童, 家庭特征, 社会功能损害, 行为问题

Abstract: Objective To explore the relationship between family environmental characteristics, behavioral problems and social function impairment in children with attention deficit hyperactivity disorder(ADHD), and to provide scientific evidence for clinical diagnosis and treatment of ADHD. Methods A total of 140 children with ADHD in Xuzhou Children′s Hospital from September 2017 to November 2018 were enrolled as the observation group, and 120 healthy children were recruited as the control group.Self-designed questionnaire, Chinese version of Family Environment Scale (FES-CV), Conners Parent Rating Scale (CPRS), Conners Teacher Rating Scale (CTRS) and Weiss Functional Deficit Scale Parental Edition (WFIRS-P), on-site Behavioral observations were used to assess children.Logistic regression model was used to predict risk factors for attention deficit hyperactivity disorder. Results The risk of ADHD in children increased with the decrease in education (OR=1.16,8.80,9.20), occupational status (OR=0.89,2.24,2.35,5.90)and emotional stability (OR=1.74); The level of occupational and educational levels, emotional state were similar to the above results.The difference in contradiction only in the ADHD Children′s Chinese Family Environment Scale (FES-CV) was statistically significant (t=4.342, P＜0.001).ADHD children showed impairment in all six Weiss Functional Deficit Scale Parental Edition (WFIRS-P) subscale tests [lowest dimension score (0.19 ± 0.22) points, healthy children highest dimension score (0.19 ± 0.20) points, P<0.001].The Conners Parental Rating Scale (CPRS) and the Conners Teacher Rating Scale (CTRS) had statistically significant differences except the dimensions of the psychosomatic disorder (P＜0.001). Conclusions Children with ADHD have a worse family environment, lower education levels, worse occupational status, and emotional instability in their parents than healthy children, which may increase children′s risk of ADHD and interact with child behavioral problems and social dysfunction.Therefore, early interventions focused on compromise factors can help improve the social behavioral function of children with ADHD.

Key words: attention deficit hyperactivity disorder, children, family characteristics, social function impairment, behavioral problems