摘要
目的探讨不同临床亚型注意力缺陷多动障碍(ADHD)儿童的依恋特点以及依恋与ADHD的关系。方法2006-05在济南和濮阳的5所小学2～4年级共2045人中用DSM-Ⅳ诊断标准进行筛查和诊断,对89例ADHD儿童与150例正常儿童实施儿童依恋量表测试,进行对照研究。结果ADHD组儿童的母亲依赖度、父亲依赖度、母亲亲近度、父亲亲近度及母子依恋和父子依恋总分均显著低于对照组(P<0.01),各临床亚型间,ADHD-C儿童母子依恋总分低于ADHD-H儿童,差异具有显著性(P<0.05);ADHD-I组儿童的父亲依赖度、父亲亲近度和父子依恋得分又显著低于母亲依赖度、母亲亲近度和母子依恋得分;父亲依赖度为ADHD的危险预示因子。结论ADHD儿童对父母依恋安全性低于正常儿童,且ADHD-C儿童的母亲安全性依恋最差;ADHD-I儿童的对父亲依恋安全性低于对母亲依恋安全性,父亲依赖度为ADHD的危险预示因子。
Objective To investigate the features of attachment in children with different clinical subtypes of attention deficit/hyperactivity disorder（ADHD） and the relationship between attachment and ADHD. Methods The Attachment Security Scale was conducted among 89 children with ADHD（ DSM-Ⅳ criteria） and 150 normal children;children with ADHD were divided into three groups：ADHD-I group （ n =47） ,ADHD-H group （ n = 10） and ADHD-C group （ n = 32）. Results Mother-dependence, father-dependence, mother-intimacy, father-intimacy, mother-child attachment and father-child attachment of the ADHD children were all lower than the controls（ P 〈 0. 01 ） ;in three subtype groups, motherchild attachment in ADHD-C was lower than ADHD-H （ P 〈 0. 05 ）. Father-dependence,father-intimacy and father-child attachment in ADHD-I children were higher than mother-dependence,mother-intimacy and mother-child attachment;dangerous force-factor of ADHD was father-dependence. Conclusion Attachment security of ADHD child is lower than the controls;mother-child attachment security in ADHD-C is worst;father-child attachment is lower than mother-child attachment in ADHD child;dangerous force-factor of ADHD is father-dependence.
出处
《中国实用儿科杂志》
CSCD
北大核心
2007年第11期837-840,共4页
Chinese Journal of Practical Pediatrics
作者简介
通讯作者：张红静，E-mail：keqing027@yahoo．com．cn
