A multidomain cascade model of early childhood risk factors associated with oppositional defiant disorder symptoms in a community sample of 6-year-olds.
A multidomain cascade model of early childhood risk factors associated with oppositional defiant disorder symptoms in a community sample of 6-year-olds.
复制标题
与社区 6 岁儿童样本中的对立违抗性障碍症状相关的早期儿童危险因素的多域级联模型。
DOI：
10.1017/s0954579415001194
复制
发表时间：
2016
影响因子：
3.3
通讯作者：
Bryant,FredB
中科院分区：
文献类型：
--
作者：
Lavigne,JohnV;Gouze,KarenR;Hopkins,Joyce;Bryant,FredB
本研究以不同社区796名儿童为样本，考察了4岁和5岁时环境、父母、父母教养和儿童因素对6岁时对立违抗障碍（ODD）症状的级联模型。环境因素包括社会经济地位、家庭压力和冲突；父母因素包括父母抑郁；教养因素包括父母的敌意、支持和支撑技能；儿童因素包括儿童努力控制（EC）、消极影响（NA）和感觉调节。冲突、敌意、脚手架、EC和NA对5岁儿童有直接影响。4岁的社会经济地位通过5岁的冲突和脚手架技能对6岁的ODD症状水平产生了显著的间接级联效应；4岁父母抑郁通过5岁儿童NA；4岁时父母的敌意和支持；4岁通过5岁EC支持；4岁到5岁的依恋关系父母对ODD有影响，5岁时EC对随后ODD症状水平的影响与5岁时父母的影响不同。脚手架和ODD症状可能有相互关系。这些结果强调了使用多领域模型在儿童小学阶段早期检查与ODD症状相关的因素的重要性。
The present study examined a cascade model of age 4 and 5 contextual, parent, parenting, and child factors on symptoms of oppositional defiant disorder (ODD) at age 6 in a diverse community sample of 796 children. Contextual factors include socioeconomic status, family stress, and conflict; parent factors included parental depression; parenting factors included parental hostility, support, and scaffolding skills; child factors included child effortful control (EC), negative affect (NA), and sensory regulation. Direct effects of age 5 conflict, hostility, scaffolding, EC, and NA were found. Significant indirect, cascading effects on age 6 ODD symptom levels were noted for age 4 socioeconomic status via age 5 conflict and scaffolding skills; age 4 parental depression via age 5 child NA; age 4 parental hostility and support via age 5 EC; age 4 support via age 5 EC; and age 4 attachment via age 5 EC. Parenting contributed to EC, and the age 5 EC effects on subsequent ODD symptom levels were distinct from age 5 parental contributions. Scaffolding and ODD symptoms may have a reciprocal relationship. These results highlight the importance of using a multidomain model to examine factors associated with ODD symptoms early in the child's grammar school years.