All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children.
All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children.
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所有在家庭？一项关于父母教养和家庭环境作为儿童注意力缺陷多动障碍（ADHD）危险因素的系统综述和荟萃分析。
DOI：
10.1007/s11121-022-01358-4
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发表时间：
2024-05
影响因子：
3.5
通讯作者：
Kaminski, Jennifer W
中科院分区：
文献类型：
--
作者：
Claussen, Angelika H;Holbrook, Joseph R;Hutchins, Helena J;Robinson, Lara R;Bloomfield, Jeanette;Meng, Lu;Bitsko, Rebecca H;O'Masta, Brenna;Cerles, Audrey;Maher, Brion;Rush, Margaret;Kaminski, Jennifer W
父母和家庭环境对儿童的发展有重大影响，包括执行功能、注意力和自我调节的发展，并可能影响发育障碍的风险，包括注意力缺陷/多动障碍（ADHD）。本研究旨在探讨父母教养方式及家庭环境因素与ADHD的关系。2014年对文献进行了系统综述，确定了52项纵向研究。2021年的一项后续检索发现了另外7篇文章，共计59项研究研究了养育因素与ADHD结果的关联：ADHD总体（诊断或症状），ADHD诊断具体，或注意力不集中和多动/冲动的特定ADHD症状的存在。对于三项或更多研究中存在的父母因素，分别计算二分或连续ADHD结局的合并效应量，并考虑每个研究的条件方差。有足够的信息进行分析的因素是父母的互动质量（敏感/温暖，侵入性/反应，和消极/苛刻的纪律），虐待（一般虐待和身体虐待），父母的关系状态（离婚，单亲），父母监禁，和儿童媒体曝光。所有因素均显示与ADHD结果有显著的直接相关性，但敏感性/温暖性与ADHD结果呈负相关。育儿因素预测诊断和总体症状以及测量时的注意力不集中和多动症状，但多个因素显示出显着的异质性研究。这些发现支持了父母和家庭环境影响ADHD症状的可能性，并可能影响儿童被诊断患有ADHD的可能性。支持父母的预防策略，如减少养育子女的挑战和增加获得父母行为管理培训的机会，可能会改善儿童的长期发育健康。在线版本包含补充材料，可通过10.1007/s11121-022-01358-4获得。
Parenting and family environment have significant impact on child development, including development of executive function, attention, and self-regulation, and may affect the risk of developmental disorders including attention-deficit/hyperactivity disorder (ADHD). This paper examines the relationship of parenting and family environment factors with ADHD. A systematic review of the literature was conducted in 2014 and identified 52 longitudinal studies. A follow-up search in 2021 identified 7 additional articles, for a total of 59 studies that examined the association of parenting factors with ADHD outcomes: ADHD overall (diagnosis or symptoms), ADHD diagnosis specifically, or presence of the specific ADHD symptoms of inattention and hyperactivity/impulsivity. For parenting factors that were present in three or more studies, pooled effect sizes were calculated separately for dichotomous or continuous ADHD outcomes, accounting for each study’s conditional variance. Factors with sufficient information for analysis were parenting interaction quality (sensitivity/warmth, intrusiveness/reactivity, and negativity/harsh discipline), maltreatment (general maltreatment and physical abuse), parental relationship status (divorce, single parenting), parental incarceration, and child media exposure. All factors showed a significant direct association with ADHD outcomes, except sensitivity/warmth which had an inverse association. Parenting factors predicted diagnosis and overall symptoms as well as inattentive and hyperactive symptoms when measured, but multiple factors showed significant heterogeneity across studies. These findings support the possibility that parenting and family environment influences ADHD symptoms and may affect a child’s likelihood of being diagnosed with ADHD. Prevention strategies that support parents, such as decreasing parenting challenges and increasing access to parent training in behavior management, may improve children’s long-term developmental health. The online version contains supplementary material available at 10.1007/s11121-022-01358-4.