Self-esteem in special education children with ADHD: Relationship to disorder characteristics and medication use
Self-esteem in special education children with ADHD: Relationship to disorder characteristics and medication use
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DOI：
10.1097/00004583-200010000-00013
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发表时间：
2000-10-01
影响因子：
13.3
通讯作者：
Perwien, AR
中科院分区：
文献类型：
--
作者：
Bussing, R;Zima, BT;Perwien, AR
目标：描述研究人群的自尊水平，检查自尊评级如何因疾病特征和药物使用而变化，并在调整社会人口统计学因素时确定低自尊的预测因素。方法：在学区范围内接受特殊教育项目的儿童样本中，作者使用 Piers-Harris 自我概念量表对 1995 学年 143 名注意力缺陷/多动障碍 (ADHD) 高危学生的自尊进行了评估，访谈参与率为 73%。使用多个知情者和标准化措施来评估疾病特征和药物使用。结果：平均自尊得分在正常范围内。然而，在 ADHD 合并症概况中，与单独患有 ADHD 或合并破坏性行为障碍的儿童相比，患有 ADHD 和内化症状的儿童的自尊得分显着较低，尤其是在焦虑和受欢迎程度方面。自尊心较低的独立预测因素是白人、高度功能障碍和共病内化状况，但不包括药物使用。结论：研究结果表明，针对多动症的干预措施应具有文化敏感性，并旨在改善儿童的功能水平和相关的内化症状。这个年轻患者群体的药物使用与自尊得分无关。
Objectives: To describe the level of self-esteem among the study population, to examine how self-esteem ratings may vary by disorder characteristics and medication use, and to identify predictors of low self-esteem while adjusting for sociodemographic factors. Method: In a school district-wide sample of children in special education programs, the authors assessed self-esteem with the Piers-Harris Self-Concept Scale among 143 students at high risk for attention-deficit/hyperactivity disorder (ADHD) in the school year 1995, with an interview participation rate of 73%. Disorder characteristics and medication use were assessed using multiple informants and standardized measures. Results: Self-esteem scores, on average, were in the normal range. However, across ADHD comorbidity profiles, children with ADHD and internalizing symptoms had significantly lower self-esteem scores, especially in the areas of anxiety and popularity, than children with ADHD alone or those with comorbid disruptive behavior disorders. Independent predictors of lower self-esteem were being white, high functional impairment, and comorbid internalizing conditions, but not medication use. Conclusions: Findings suggest that interventions for ADHD should be culturally sensitive as well as aimed at improving a child's functional level and associated internalizing symptoms. Medication use among this younger patient group was not related to self-esteem scores.