Psychosocial problems in attention-deficit hyperactivity disorder with oppositional defiant disorder
Psychosocial problems in attention-deficit hyperactivity disorder with oppositional defiant disorder
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DOI：
10.1046/j.1440-1819.2002.01024.x
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发表时间：
2002-08-01
影响因子：
11.9
通讯作者：
Saitoh, K
中科院分区：
文献类型：
--
作者：
Harada, Y;Yamazaki, T;Saitoh, K
本研究的目的是阐明与单独的 ADHD 或 ODD 相比，注意力缺陷多动障碍 (ADHD) 和对立违抗性障碍 (ODD) 合并症的心理社会特征。将31例ADHD合并ODD患者与23例单独ADHD患者和10例单独ODD患者进行客观评估量表等各项检查项目的比较。共病组的儿童抑郁量表和儿童状态特质焦虑量表（状态焦虑）得分高于ADHD组或ODD组，与老师的关系比ADHD组多，与朋友的关系比ADHD组或ODD组多，与母亲的关系比ADHD组多，比ODD组少。共病组拒绝上学的发生率高于 ADHD 组，低于 ODD 组。共病组比 ADHD 组和 ODD 组有更多的心理社会问题。这些问题可以分为三类：（一）源于ODD的问题，与老师的关系问题； (ii) 源自 ODD 但由于 ADHD 共存而减少的人、与母亲的关系问题； (iii) ADHD 和 ODD 合并症、与朋友的关系问题以及焦虑和抑郁倾向。在共病群体中观察到的与老师和朋友关系的困难可能会导致拒绝上学。
The purpose of this study is to clarify psychosocial characteristics of the comorbidity of attention-deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in comparison with ADHD or ODD alone. Thirty-one patients with ADHD comorbid with ODD were compared with 23 ADHD alone and 10 with ODD alone, in terms of various examination items including objective assessment scales. The comorbid group demonstrated higher Children Depression Inventory score and State-Trait Anxiety Inventory for Children (state-anxiety) score than the ADHD or the ODD group, possessing more problems in the relationship with teachers than the ADHD group, with friends more than the ADHD or the ODD group, and with their mothers more than the ADHD group and less than the ODD group. School refusal occurred more frequently in the comorbid group than the ADHD group and less than the ODD group. The comorbid group had more psychosocial problems than the ADHD group and the ODD group. These problems could be classified into three types: (i) those derived from ODD, problems in the relationship with teachers; (ii) those derived from ODD but reduced by the coexistence of ADHD, problems in the relationship with their mothers; and (iii) those resulting from the comorbidity of ADHD and ODD, problems in the relationship with friends and anxious and depressive tendency. The difficulties in the relationship with teachers and friends observed in the comorbid group may lead to school refusal.