The role of socio-economic disadvantage in the development of comorbid emotional and conduct problems in children with ADHD.
The role of socio-economic disadvantage in the development of comorbid emotional and conduct problems in children with ADHD.
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DOI：
10.1007/s00787-017-0940-z
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发表时间：
2017-06
影响因子：
6.4
通讯作者：
Moulton V
中科院分区：
文献类型：
--
作者：
Flouri E;Midouhas E;Ruddy A;Moulton V
先前的研究表明，与没有ADHD的儿童相比，患有ADHD的儿童有更差的社会情绪结果和更多的社会经济不利因素。在这项研究中，我们探讨了ADHD儿童所面临的情绪和行为困难增加是否以及如何可能是由于他们更不利的社会经济环境。我们的研究使用了来自千禧年队列研究的180名ADHD儿童（149名男孩）的数据，有两个目的。首先，研究在3岁，5岁，7岁和11岁的ADHD儿童的情感和行为问题的轨迹中，社会经济劣势的作用。第二，探讨家庭环境（家庭混乱）和父母教养（情感支持的质量，亲子关系的质量和严厉的父母纪律）在调解社会经济劣势和儿童情绪和行为问题之间的任何关联的作用。使用增长曲线模型，我们发现，社会经济劣势与情感和行为问题，但无论是家庭环境，也没有养育减弱这种关联。亲子关系品质较低、管教较严者，行为问题较多。看来，社会经济劣势和养育子女独立的ADHD儿童共病的精神病理学的预测。本文的在线版本（doi：10.1007/s 00787 -017-0940-z）包含补充材料，可供授权用户使用。
Previous research shows that, compared to children without ADHD, children with ADHD have worse socio-emotional outcomes and more experience of socio-economic disadvantage. In this study, we explored if and how the increased emotional and behavioural difficulties faced by children with ADHD may be accounted for by their more disadvantaged socio-economic circumstances. Our study, using data from 180 children (149 boys) with ADHD from the Millennium Cohort Study, had two aims. First, to examine the role of socio-economic disadvantage in the trajectories of emotional and conduct problems in children with ADHD at ages 3, 5, 7 and 11 years. Second, to explore the roles of the home environment (household chaos) and parenting (quality of emotional support, quality of the parent–child relationship and harsh parental discipline) in mediating any associations between socio-economic disadvantage and child emotional and conduct problems. Using growth curve models, we found that socio-economic disadvantage was associated with emotional and conduct problems but neither the home environment nor parenting attenuated this association. Lower quality of the parent–child relationship and harsher discipline were associated with more conduct problems. It appears that socio-economic disadvantage and parenting contribute independently to the prediction of comorbid psychopathology in children with ADHD. The online version of this article (doi:10.1007/s00787-017-0940-z) contains supplementary material, which is available to authorized users.