Externalizing and Internalizing Behaviors in Children with ADHD during Lockdown for COVID-19: The Role of Parental Emotions, Parenting Strategies, and Breaking Lockdown Rules.
Externalizing and Internalizing Behaviors in Children with ADHD during Lockdown for COVID-19: The Role of Parental Emotions, Parenting Strategies, and Breaking Lockdown Rules.
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DOI：
10.3390/children9060923
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发表时间：
2022-06-20
期刊：
影响因子：
2.4
通讯作者：
Mammarella, Irene
中科院分区：
文献类型：
--
作者：
Melegari, Maria Grazia;Muratori, Pietro;Bruni, Oliviero;Donolato, Enrica;Giallonardo, Martina;Mammarella, Irene
2019冠状病毒病大流行的封锁经验严重影响了患有注意力缺陷/多动障碍（ADHD）的儿童和青少年，加剧或促进了外化和内化症状的发作。然而，很少有研究考虑如何外化和内化行为的变化与父母的情绪和养育策略。在本研究中，992名5至18岁ADHD儿童和青少年的照顾者接受了一项在线调查，评估青少年的外化和内化行为，他们不遵守锁定规则，以及与父母情绪和养育策略相关的父母因素。两个分层线性回归模型进行了研究儿童的不遵守封锁规则，父母的情绪和父母的策略对儿童的外化和内化行为的贡献。结果显示，ADHD儿童和青少年的外化行为更高，不遵守锁定规则。此外，积极的育儿策略可以调节不遵守封锁规则与外化行为之间的关系。然而，在父母报告更多消极情绪和积极养育策略的ADHD儿童中观察到更高的内化行为。在这种情况下，父母的负面情绪在内化行为和不遵守封锁措施之间的关联中具有调节作用。这两种不同模式的关系的临床意义进行了讨论。
Lockdown experience for COVID-19 pandemic significantly affected children and adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) exacerbating or promoting the onset of externalizing and internalizing symptoms. However, few studies have considered how externalizing and internalizing behaviors changed in relation to parental emotions and parenting strategies. In the present study, 992 caregivers of children and adolescents with ADHD from 5 to 18 years were presented with an online survey evaluating youths’ externalizing and internalizing behaviors, their non-compliance with lockdown rules, and parental factors related to parental emotions and parenting strategies. Two hierarchical linear regression models were performed to examine the contribution of children’s non-compliance with lockdown rules, parental emotions, and parenting strategies on children’s externalizing and internalizing behaviors. Results revealed that externalizing behaviors were higher in children and adolescents with ADHD non-compliant with lockdown rules. Moreover, positive parenting strategies moderated the relationship between non-compliance with lockdown rules and externalizing behaviors. Differently, higher internalizing behaviors were observed in children with ADHD who had parents reporting more negative emotions and positive parenting strategies. In this case, parents’ negative emotions had a moderator effect in the association between internalizing behaviors and non-compliance to lockdown measures. The clinical implications of these two different patterns of relations are discussed.
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影响因子：
2.4
作者：
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通讯作者：
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影响因子：
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DOI：
10.1097/00004583-200010000-00013
发表时间：
2000-10-01
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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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