Maternal Depression History Moderates Parenting Responses to Compliant and Noncompliant Behaviors of Children with ADHD.
Maternal Depression History Moderates Parenting Responses to Compliant and Noncompliant Behaviors of Children with ADHD.
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DOI：
10.1007/s10802-014-9957-7
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发表时间：
2015-10
影响因子：
3.6
通讯作者：
Chronis-Tuscano A
中科院分区：
文献类型：
--
作者：
Thomas SR;O'Brien KA;Clarke TL;Liu Y;Chronis-Tuscano A
母亲抑郁和父母教养方式是注意力缺陷/多动障碍(ADHD)儿童发育结果的有力预测因素。然而，在这些家庭中，通常用于检查亲子互动的方法并没有考虑到孩子和父母行为之间的时间关联，这些行为已经被理论上认为是为了维持负面的孩子行为。此外，在患有ADHD儿童的家庭中，研究母亲抑郁和养育方式之间的关系的研究并没有比较那些目前患有抑郁症、病情缓解和从未临床上患有抑郁症的母亲。这项研究利用序贯分析来检验母亲对顺从和不顺从儿童行为的强化是如何随着母亲抑郁史的不同而不同的。在82名参与研究的母子二人组中，21名母亲目前患有抑郁症，29名母亲有终生抑郁史，但病情至少缓解了1个月，32名母亲从未患过临床抑郁症。6~12岁(男8.7，SD=2.0)为ADHD的女孩24例(29.6%)，男孩57例(70.4%)。结果表明，在观察到的亲子互动中，所有母亲都不太可能对孩子顺从和不顺从行为做出最优反应；然而，目前抑郁的母亲最不可能加强孩子的顺从行为，与其他组相比，对孩子不顺从行为的反应最强制。在这一样本中，缓解的母亲比从未患过临床抑郁症的母亲更具强制性，但比从未患过临床抑郁症的母亲更有可能执行命令。讨论了旨在为患有ADHD儿童的抑郁母亲进行技能发展的行为父母培训计划的含义。
Maternal depression and parenting are robust predictors of developmental outcomes for children with attention-deficit/hyperactivity disorder (ADHD). However, methods commonly used to examine parent-child interactions in these families do not account for temporal associations between child and parent behavior that have been theorized to maintain negative child behavior. Moreover, studies examining associations between maternal depression and parenting in families of children with ADHD have not compared mothers who were currently depressed, remitted, and never clinically depressed. This study utilized sequential analysis to examine how maternal reinforcement of compliant and noncompliant child behavior differs as a function of maternal depression history. Within the 82 participating mother-child dyads, 21 mothers were currently depressed, 29 mothers had a lifetime history of depression but were in remission for at least 1 month, and 32 mothers had never been clinically depressed. 24 girls (29.6%) and 57 boys (70.4%) between the ages of 6–12 year old (M = 8.7, SD = 2.0) and were diagnosed with ADHD. Results indicated that all mothers were less likely to respond optimally than non-optimally to child compliant and noncompliant behaviors during observed parent-child interactions; however, currently depressed mothers were least likely to reinforce child compliance and responded most coercively to child noncompliance relative to the other groups. Remitted mothers in this sample were more coercive than never clinically depressed mothers, but were more likely to follow through with commands than never clinically depressed mothers. Implications for behavioral parent training programs aimed at skill development for depressed mothers of children with ADHD are discussed.
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影响因子：
5.9
作者：
Harvey, Elizabeth A.;Metcalfe, Lindsay A.;Fanton, John H.
通讯作者：
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影响因子：
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影响因子：
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作者：
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通讯作者：
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