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

doi:10.11852/zgetbjzz2021-0338

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (8): 845-850.DOI: 10.11852/zgetbjzz2021-0338

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

柴润玉¹, 王康程², 林华伟³, 张俊英⁴, 邢婕⁵, 张华⁶, 曹爱华¹

1.山东大学齐鲁医院儿科,山东济南 250012;
2.山东师范大学心理学院;
3.山东医学高等专科学校;
4.山东大学;
5.德州市妇幼保健院;
6.东营市人民医院

收稿日期:2021-03-09 修回日期:2021-07-29 发布日期:2022-08-17 出版日期:2022-08-10
通讯作者: 曹爱华,E-mail:xinercah@163.com
作者简介:柴润玉(1984-),女,山东人,本科学历,主要从事儿科护理、儿童保健等。
基金资助:
山东大学青年团队创新项目(IFYT18037):山东省自然科学基金(ZR2020MH162)

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

CHAI Run-yu^*, WANG Kang-cheng, LIN Hua-wei, ZHANG Jun-ying, XING Jie, ZHANG Hua, CAO Ai-hua

^*Department of Pediatrics,Qilu Hospital of Shandong University,Jinan,Shandong 250012,China

Received:2021-03-09 Revised:2021-07-29 Online:2022-08-10 Published:2022-08-17
Contact: CAO Ai-hua,E-mail:xinercah@163.com

摘要/Abstract

摘要： 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儿童的攻击性之间相互影响,ADHD儿童攻击性受到父母的影响显著大于对照组。

关键词: 注意缺陷多动障碍, 父母, 攻击性, 网络比较分析

Abstract: 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.

Key words: attention deficit hyperactivity disorder, parents, aggression, network comparison test

中图分类号:

R749.94

柴润玉, 王康程, 林华伟, 张俊英, 邢婕, 张华, 曹爱华. 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[J]. 中国儿童保健杂志, 2022, 30(8): 845-850.

CHAI Run-yu, WANG Kang-cheng, LIN Hua-wei, ZHANG Jun-ying, XING Jie, ZHANG Hua, CAO Ai-hua. Network comparison of aggressive behavior in children with attention deficit hyperactivity disorder and their parents[J]. Chinese Journal of Child Health Care, 2022, 30(8): 845-850.

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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

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

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