摘要
目的探讨注意缺陷多动障碍(ADHD)伴学习障碍(LD)儿童父母教养方式及家庭亲密度和适应性的特点。方法 2005年9月至12月采用两阶段流行病学调查方法对湖南省9495名儿童及其家长进行问卷调查,对符合DSM-Ⅳ诊断标准的ADHD伴LD患儿123例(ADHD伴LD组)和正常儿童142名(对照组),采用父母教养方式评价量表及家庭亲密度和适应性量表做进一步调查。结果 ADHD伴LD组父母惩罚、拒绝、过度干涉、过度保护及偏爱被试明显高于对照组,差异均有统计学意义(P<0.05);而母亲的情感温暖低于对照组,差异均有统计学意义(P<0.05)。ADHD伴LD组实际亲密度、理想亲密度、实际适应性和理想适应性均明显低于对照组,差异有统计学意义(P<0.01)。结论 ADHD伴LD患儿父母养育方式存在诸多问题。对该类患儿避免不良的家庭教育方式,采取干预措施尤为重要。
Objective To further explore the characteristics of family rearing pattern in ADHD with learning disabilities （LD）. Methods From Sep. to Dec. 2005, a total of 9495 children and their parents were sampled at random in Hunan province using two-stage investigation. Those who were diagnosed with ADHD with LD and the normal control filled out Egna Minnen av Barndoms Uppfostran （EMBU） and family adaptability and cohesion scale （FACESII--CV） by themselves. Results The parents＇ punishments, rejection, excessive intervention, excessive protection and preference of ADHD with LD were lower than the normal children（P 〈 0.05）. The actual family cohesion, ideal family cohesion, actual family adaptation, ideal family adaptation and affectionate warmth of ADHD with LD were lower than the normal children （P 〈 0.05 or P 〈 0.01 ）. Conclusion There are some problems in the parental rearing pattern of ADHD with learning disabilities. It is important to avoid bad rear/ng pattern and find effective interventions.
出处
《中国实用儿科杂志》
CSCD
北大核心
2010年第9期685-687,共3页
Chinese Journal of Practical Pediatrics
基金
美国中华医学基金会项目资助[Small Grants Program #02-777]
关键词
注意缺陷多动障碍
学习障碍
养育方式
亲密度和适应性
attention-deficit hyperactivity disorder
learning disabilities
rearing styles of parents
cohesion adaptability
