Comorbid Internalizing and Externalizing Symptoms Among Children with ADHD: The Influence of Parental Distress, Parenting Practices, and Child Routines
Comorbid Internalizing and Externalizing Symptoms Among Children with ADHD: The Influence of Parental Distress, Parenting Practices, and Child Routines
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DOI：
10.1007/s10578-020-01019-z
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发表时间：
2020-06-30
影响因子：
2.9
通讯作者：
Smith, Shana
中科院分区：
文献类型：
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作者：
McRae, Elizabeth;Stoppelbein, Laura;Smith, Shana
情绪/行为问题在ADHD儿童中很常见。家族因素（例如，父母的调整，父母的行为）与ADHD儿童的共病内化/外化症状的存在有关。本研究的目的是评估一个模型，其中包括多个家庭变量和他们的直接和间接影响儿童的情绪和行为问题的儿童多动症。参与者包括诊断为ADHD的儿童（6-12岁; M = 8.87，SD = 1.92）的父母（N = 300）。参与者完成了儿童情绪/行为问题，父母的痛苦，例程和养育行为的措施。路径分析显示，在控制了其他变量后，父母的痛苦，父母的行为和常规对儿童的调整直接影响。一个显着的间接关系，父母的痛苦，例程和外化行为进行了观察。这些发现突出了一个特定的路径，通过这个路径，父母的痛苦似乎会影响ADHD儿童中常见的特定行为问题。
Emotional/behavioral concerns are common among children with ADHD. Familial factors (e.g., parental adjustment, parenting behaviors) are linked to the presence of comorbid internalizing/externalizing symptoms among children with ADHD. The purpose of the present study was to evaluate a model that includes multiple familial variables and their direct and indirect effects on child emotional and behavioral problems among children with ADHD. Participants included parents of children (6-12 years of age; M = 8.87, SD = 1.92) with a diagnosis of ADHD (N = 300). Participants completed measures of child emotional/behavioral concerns, parental distress, routines, and parenting behaviors. Path analyses revealed direct effects for parental distress, parent behavior and routines on child adjustment, after controlling for the other variables. A significant indirect relation between parental distress, routines, and externalizing behavior was observed. These findings highlight one specific path through which parental distress appears to influence specific behavioral concerns that are commonly observed in children with ADHD.