Mediators and Moderators of the Relation between Parental ADHD Symptomatology and the Early Development of Child ADHD and ODD Symptoms
Mediators and Moderators of the Relation between Parental ADHD Symptomatology and the Early Development of Child ADHD and ODD Symptoms
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DOI：
10.1007/s10802-016-0213-1
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发表时间：
2017-04-01
影响因子：
3.6
通讯作者：
Harvey, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Breaux, Rosanna P.;Brown, Hallie R.;Harvey, Elizabeth A.
本研究考察了父母的ADHD症状与儿童注意力缺陷/多动障碍(ADHD)和对立违抗障碍(ODD)症状之间关系的中介和调节因素。参与者包括258名(138名男孩)3岁儿童(男=44.13个月，SD=3.39)，他们有行为问题和没有行为问题，他们的父母参加了一项为期3年的纵向研究。母亲的ADHD症状预测儿童以后的ADHD症状，控制儿童早期症状。ADHD的家族史和父亲的共病精神病理都能预测儿童以后的ADHD和奇怪的症状，但它们没有考虑到母亲和儿童ADHD症状之间的联系。虽然父亲的ADHD症状与3岁的儿童ADHD症状相关，但它们并不能显著预测控制早期症状的以后的儿童ADHD症状。家庭逆境对母亲ADHD和儿童ADHD症状之间的关系有调节作用，逆境越少的家庭母婴ADHD症状之间的关系越强。母亲过度反应的父母教养方式在母亲ADHD症状与后来的儿童ADHD和奇怪症状之间的关系中起中介作用。我们的发现表明，针对父亲的共病心理病理和母亲的养育方式有望减轻父母ADHD对儿童ADHD的影响。
The present study examined mediators and moderators of the relation between parental ADHD symptomatology and the development of child attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms across the preschool years. Participants included 258 (138 boys) 3-year-old children (M = 44.13 months, SD = 3.39) with and without behavior problems and their parents who took part in a 3-year longitudinal study. Maternal ADHD symptoms predicted later ADHD symptoms in children, controlling for early child symptomatology. Both family history of ADHD and paternal comorbid psychopathology predicted later child ADHD and ODD symptoms, but they did not account for the association between maternal and child ADHD symptoms. Although paternal ADHD symptoms were associated with age 3 child ADHD symptoms, they did not significantly predict later child ADHD symptoms controlling for early symptomatology. Family adversity moderated the relation between maternal ADHD and child ADHD symptoms, such that the relation between maternal and child ADHD symptoms was stronger for families with less adversity. Maternal overreactive parenting mediated the relation between maternal ADHD symptoms and later child ADHD and ODD symptoms. Our findings suggest that targeting paternal comorbid psychopathology and maternal parenting holds promise for attenuating the effects of parental ADHD on children's ADHD.