The Role of Family Experiences and ADHD in the Early Development of Oppositional Defiant Disorder
The Role of Family Experiences and ADHD in the Early Development of Oppositional Defiant Disorder
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DOI：
10.1037/a0025672
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发表时间：
2011-12-01
影响因子：
5.9
通讯作者：
Fanton, John H.
中科院分区：
文献类型：
--
作者：
Harvey, Elizabeth A.;Metcalfe, Lindsay A.;Fanton, John H.
目的：本研究探讨家庭经历在学龄前行为问题儿童对立违抗障碍（ODD）症状早期发展和维持中的作用。方法：对199名有行为问题的3岁儿童进行4次年度儿童及家庭评估。结果：有行为问题的儿童暴露于过度反应的父母做法、母亲抑郁、婚姻冲突和家庭收入较低的环境中，3年后出现更多的ODD症状。此外，父亲过度反应的初始变化和母亲抑郁的初始变化对应于ODD症状的初始变化。在6岁时符合注意缺陷/多动障碍标准的儿童在3 - 6岁时表现出ODD症状改善的可能性较小，并且他们更有可能在学龄前接触到消极的父母做法、婚姻冲突和父母抑郁。母亲抑郁和过度反应介导了早期多动与后期ODD症状的关系。结论：结果表明早期家庭功能在ODD发展中的重要性。
Objective: The present study examined the role of family experiences in the early development and maintenance of oppositional defiant disorder (ODD) symptoms in preschool-age children with behavior problems. Method: Participants were 199 3-year-old children with behavior problems who took part in 4 annual child and family assessments. Results: Children with behavior problems who were exposed to overreactive parenting practices, maternal depression, marital conflict, and lower family income tended to have more ODD symptoms 3 years later. Moreover, initial changes in paternal overreactivity and changes in maternal depression corresponded to initial changes in ODD symptoms. Children who met criteria for attention-deficit/hyperactivity disorder at 6 years of age were less likely to show improvement in ODD symptoms from 3 to 6 years of age, and they were more likely to have been exposed to negative parenting practices, marital conflict, and parental depression during the preschool years. Maternal depression and overreactivity mediated the relation between early hyperactivity and later ODD symptoms. Conclusions: Results point to the importance of early family functioning in the development of ODD.