ODD and ADHD symptoms in ukrainian children: External validators and comorbidity
ODD and ADHD symptoms in ukrainian children: External validators and comorbidity
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DOI：
10.1097/01.chi.0000120019.48166.1e
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发表时间：
2004-06-01
影响因子：
13.3
通讯作者：
Bromet, EJ
中科院分区：
文献类型：
--
作者：
Drabick, DAG;Gadow, KD;Bromet, EJ
目的：检查潜在的外部验证对立违抗性障碍（ODD）和注意力缺陷多动障碍（ADHD）的症状在乌克兰社区为基础的样本600名儿童年龄10至12岁，并评估共同发生的ODD和ADHD症状的性质使用母亲和教师定义的组。方法：在1997年，家长，儿童和教师参加了广泛的临床评估，采用标准的西方措施。四个方面的功能进行了评估：儿童心理健康，父母与子女的互动，父母的福祉，和学校/认知性能。结果如下：母亲定义的ODD与ADHD症状组的区别是过度活跃和发脾气的历史，在学校的行为，母亲的焦虑和敌意。教师定义的群体进行了区分的行为问题，内化症状，母子互动，和父亲的酒精使用。共同发生的ODD和ADHD症状的影响大于基于其对行为问题，内化症状，社会问题，学习成绩，亲子关系和婚姻不和的单独影响的预期。结论：对于大多数检查的变量，ODD与ADHD症状的儿童彼此之间没有显著差异，组间差异取决于用于定义症状组的评分者。
Objective: To examine potential external validators for oppositional defiant disorder (ODD) and attention-deficient/hyperactive disorder (ADHD) symptoms in a Ukrainian community-based sample of 600 children age 10 to 12 years old and evaluate the nature of co-occurring ODD and ADHD symptoms using mother- and teacher-defined groups. Method: In 1997, parents, children, and teachers participated in extensive clinical assessments using standard Western measures. Four areas of functioning were assessed: child mental health, parent-child interactions, parental well-being, and school/cognitive performance. Results: Mother-defined ODD versus ADHD symptom groups were differentiated by a history of overactivity and tantrums, behavior in school, and maternal anxiety and hostility. Teacher-defined groups were differentiated by conduct problems, internalizing symptoms, mother-child interactions, and paternal alcohol use. The effects of co-occurring ODD and ADHD symptoms were greater than would be expected based on their separate effects for conduct problems, internalizing symptoms, social problems, academic performance, parent-child relations, and marital discord. Conclusions: Children with ODD versus ADHD symptoms were not significantly different from each other for the majority of variables examined, and group differences were dependent on the rater used to define symptom groups.