Abstract: Objective To study the correlation of interparental conflict and parental harsh discipline with parent-child attachment in school-age children with attention deficit hyperactivity disorder (ADHD). Methods The survey was made in 103 ADHD children (ADHD group) and 103 matched normal children (control group) by kerns security scale (KSS),Children's Perception of Interparental Conflict Scale (CPIC) and self-designed questionnaire of parental harsh discipline.The relationship between interparental conflict,parental harsh discipline and parent-child attachment in children with ADHD was analyzed. Results 1)The KSS scores of mother-child and father-child in ADHD group [(2.66±0.33),(2.68±0.46)] were statistically lower than those in control group [(2.97±0.32),(2.88±0.40)](all P<0.01).2)The CPIC scores of frequency,strength,solution,content and self-blame in ADHD group were statistically higher than those in control group (all P<0.01).3)The scores of mother scolding children were negatively correlated with the KSS scores of mother-child,and the scores of father scolding and spanking children were negatively correlated with the KSS scores of father-child in ADHD group (r=-0.240,-0.234,-0.276,P<0.05 or <0.01).4)Multiple linear regression analysis showed that mother scolding children was significant influential factor of mother-child attachment security (P<0.05),and CPIC frequency and solution were significant influential factors of father-child attachment security (P<0.05 or <0.01). Conclusion sThe poor parent-child attachment of ADHD Children is under the influence of interparental conflict and parental harsh discipline.To establish harmonious marriages of ADHD children's parents and reduce harsh parental discipline are conducive to the improvement of parent-child attachment of ADHD children.

Key words: attention deficit hyperactivity disorder, parent-child attachment, interparental conflict, parental harsh discipline

摘要： 目的 研究学龄期注意缺陷多动障碍(ADHD)患儿父母婚姻冲突、严厉管教与亲子依恋的关系。方法 分别对ADHD患儿(ADHD组,103例)及一般情况匹配的正常儿童(对照组,103名)进行依恋安全性量表(KSS)、儿童感知婚姻冲突量表(CIPC)及自制的严厉管教方式问卷调查;分析ADHD患儿父母婚姻冲突、严厉管教与亲子依恋的关系。结果 1)ADHD组母子及父子依恋安全性量表(KSS)分[(2.66±0.33),(2.68±0.46)]低于对照组[(2.97±0.32),(2.88±0.40)]( P均<0.01);2)ADHD组CIPC冲突频率、冲突强度、冲突解决、自我归因、冲突内容因子分高于对照组,差异均具有统计学意义(P均<0.05);3)ADHD患儿母亲责骂评分与母子依恋安全性评分间呈负相关(r=-0.240;P<0.05),ADHD患儿父亲责骂和体罚评分与父子依恋安全性评分间呈负相关(r=-0.234、-0.276;P<0.05或<0.01);4)多元线性回归分析显示母亲责骂是ADHD患儿母子依恋安全性的重要影响因素(P<0.05),而CPIC冲突频率、冲突解决是ADHD患儿父子依恋安全性的重要影响因素(P<0.05或<0.01)。结论 ADHD患儿不良亲子依恋关系受到父母婚姻冲突及严厉管教方式的影响;建立和谐的父母婚姻关系,减少不良的父母管教方式有利于改善ADHD患儿亲子依恋关系。

关键词: 注意缺陷多动障碍, 亲子依恋, 父母婚姻冲突, 父母严厉管教