Self-Reported Maternal Parenting Stress From 9 m Is Longitudinally Associated With Child ADHD Symptoms at Age 12: Findings From a Population-Based Birth Cohort Study.
Self-Reported Maternal Parenting Stress From 9 m Is Longitudinally Associated With Child ADHD Symptoms at Age 12: Findings From a Population-Based Birth Cohort Study.
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DOI：
10.3389/fpsyt.2022.806669
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发表时间：
2022
影响因子：
4.7
通讯作者：
Nishida, Atsushi
中科院分区：
文献类型：
--
作者：
Endo, Kaori;Stanyon, Daniel;Yamasaki, Syudo;Nakanishi, Miharu;Niimura, Junko;Kanata, Sho;Fujikawa, Shinya;Morimoto, Yuko;Hosozawa, Mariko;Baba, Kaori;Oikawa, Nao;Nakajima, Naomi;Suzuki, Kazuhiro;Miyashita, Mitsuhiro;Ando, Shuntaro;Hiraiwa-Hasegawa, Mariko;Kasai, Kiyoto;Nishida, Atsushi
注意力缺陷/多动障碍（ADHD）在儿童早期发展并带来终身影响，但早期识别和干预可确保最佳临床结果。长期或过度的养育压力可能是对婴儿行为差异的反应，这些行为差异是发育障碍（如ADHD）的前因，因此在常规的早期生活评估中具有潜在的价值。为了探讨将母亲自我报告的养育压力作为儿童ADHD风险标志的可行性，本研究调查了分娩后1至36个月的母亲养育压力与青春期早期儿童ADHD之间的纵向关联。样本包括来自东京青少年队列基于人口的出生队列研究的2,638名儿童（1,253名女孩）。母亲们在《母婴健康手册》中记录了分娩后1至36个月的五次育儿压力，该手册是日本用于日常早期生活评估的工具。九年后，母亲们使用力量和困难问卷中的多动/注意力不集中子量表评估孩子12岁时的ADHD症状。大约7.5%的父母报告说，他们有育儿压力，在36个月后分娩。6.2%的儿童在12岁时被评估为高于ADHD症状的截止值。1和3-4个月的父母压力与12岁的儿童ADHD症状无关。然而，12岁时的儿童多动症症状与9-10岁时的育儿压力显着相关（未校正OR = 1.42，p = 0.047，95% CI [1.00，2/00]），18个月（未校正OR = 1.57，p = 0.007，95% CI [1.13，2.19]）和36 m（未校正OR = 1.67，p = 0.002，95% CI [1.20，2.31]）。在调整了儿童的性别、月龄和家庭收入后，这些关联仍然存在。我们确定了分娩后9-10，18和36个月的育儿压力与12岁儿童ADHD症状之间的关联。自我报告的育儿压力数据可能作为ADHD风险的早期指标。应促进参与早期健康检查，评估养育压力，并根据家庭需求提供定制支持，以早期识别和干预ADHD。
Attention-deficit/hyperactivity disorder (ADHD) develops in early childhood and carries lifelong impact, but early identification and intervention ensure optimal clinical outcomes. Prolonged or excessive parenting stress may be a response to infant behavioral differences antecedent to developmental disorders such as ADHD, and therefore represents a potentially valuable inclusion in routine early-life assessment. To investigate the feasibility of using routinely-collected self-reported maternal parenting stress as a risk marker for child ADHD, this study investigated the longitudinal association between maternal parenting stress from 1 to 36 months after childbirth and child ADHD in early adolescence. The sample comprised 2,638 children (1,253 girls) from the Tokyo Teen Cohort population-based birth cohort study. Mothers recorded parenting stress five times from 1 to 36 months following childbirth in the Maternal and Child Health Handbook, a tool used for routine early-life assessment in Japan. Nine years later, mothers evaluated their child's ADHD symptoms at 12 y using the hyperactivity/inattention subscale from the Strength and Difficulties Questionnaire. Approximately 7.5% of parents reported that they had parenting stress at 36 m after childbirth. 6.2% of children were evaluated as above the cut-off for ADHD symptoms at 12 y. Parenting stress at 1 and 3–4 m was not associated with child ADHD symptoms at 12 y. However, child ADHD symptoms at 12 y was significantly associated with parenting stress at 9–10 m (unadjusted OR = 1.42, p =.047, 95% CI [1.00, 2/00]), 18 m (unadjusted OR = 1.57, p =.007, 95% CI [1.13, 2.19]) and 36 m (unadjusted OR = 1.67, p =.002, 95% CI [1.20, 2.31]). These associations remained after adjustment for child's sex, age in months and family income. We identified associations between parenting stress at 9–10, 18 and 36 m after childbirth and child ADHD symptoms at 12 years old. Self-reported parenting stress data may have utility as an early indicator for ADHD risk. Participation in early-life health checks, assessment of parenting stress, and tailoring support to family needs should be promoted for early identification and intervention for ADHD.
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影响因子：
4.1
作者：
Forehand R;Parent J;Peisch VD;Sonuga-Barke E;Long N;Breslend NL;Abikoff HB
通讯作者：
Abikoff HB
影响因子：
6.4
作者：
Algorta, Guillermo Perez;Dodd, Alyson Lamont;Youngstrom, Eric A.
通讯作者：
Youngstrom, Eric A.
影响因子：
3.7
作者：
Hall, Charlotte L.;Guo, Boliang;Hollis, Chris
通讯作者：
Hollis, Chris
影响因子：
8
作者：
Barbaresi, William J.;Colligan, Robert C.;Katusic, Slavica K.
通讯作者：
Katusic, Slavica K.
影响因子：
3
作者：
Coates, Janine;Taylor, John A.;Sayal, Kapil
通讯作者：
Sayal, Kapil