Trauma exposure among children with oppositional defiant disorder and attention deficit-hyperactivity disorder
Trauma exposure among children with oppositional defiant disorder and attention deficit-hyperactivity disorder
复制标题
DOI：
10.1037/0022-006x.67.5.786
复制
发表时间：
1999-10-01
影响因子：
5.9
通讯作者：
Sengupta, A
中科院分区：
文献类型：
--
作者：
Ford, JD;Racusin, R;Sengupta, A
通过结构化的临床访谈和家长报告，对诊断为对立违抗性障碍（ODD）、注意缺陷多动障碍（ADHD）或适应障碍的门诊儿童精神病诊所的连续入院儿童进行创伤暴露评估。控制年龄、性别、内化行为问题的严重程度、社会能力、家庭精神病理学和亲子关系质量（由父母报告评估），ODD诊断，伴或不伴共病ADHD，与先前受害（但不是非受害）创伤的可能性增加相关。ADHD单独与创伤暴露史的可能性增加无关。创伤性伤害对ODD的预测有独特的贡献，但对ADHD的诊断没有影响。接受精神病治疗的儿童被诊断为ODD，但不是那些被诊断为ADHD的儿童，可能特别需要评估和照顾创伤后后遗症。
Consecutive admissions to an outpatient child psychiatry clinic diagnosed with oppositional defiant disorder (ODD), attention deficit-hyperactivity disorder (ADHD), or adjustment disorder were assessed for trauma exposure by a structured clinical interview and parent report. Controlling for age, gender, severity of internalizing behavior problems, social competence, family psychopathology, and parent-child relationship quality (assessed by parent report), an ODD diagnosis, with or without comorbid ADHD, was associated with increased likelihood of prior victimization (but not nonvictimization) trauma. ADHD alone was not associated with an increased likelihood of a history of trauma exposure. Traumatic victimization contributed uniquely to the prediction of ODD but not ADHD diagnoses. Children in psychiatric treatment who are diagnosed with ODD, but not those diagnosed solely with ADHD, may particularly require evaluation and care for posttraumatic sequelae.