| 学龄期注意缺陷多动障碍儿童症状与母亲抑郁、焦虑状况的相关性研究 |
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| 引用本文： | 蒋婷婷,王雨晴,朱萍,王军,朱梅,刘国栋.学龄期注意缺陷多动障碍儿童症状与母亲抑郁、焦虑状况的相关性研究[J].蚌埠医学院学报,2020,45(10):1422-1425. |
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| 作者姓名： | 蒋婷婷 王雨晴 朱萍 王军 朱梅 刘国栋 |
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| 作者单位： | 1.徐州医科大学附属徐州儿童医院 儿童保健科, 江苏 徐州 2210062.徐州医科大学附属医院 儿科, 江苏 徐州 221002 |
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| 基金项目： | 江苏省妇幼保健协会科研项目FYX201806 |
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| 摘 要： | 目的分析学龄期注意缺陷多动障碍（ADHD）儿童症状与母亲抑郁、焦虑状况之间的相关性。方法选取符合精神障碍诊断与统计手册（第5版）诊断标准的学龄期ADHD儿童120例作为病例组，选择正常学龄期儿童120名作为对照组。采用抑郁自评量表（SDS）和焦虑自评量表（SAS）对2组儿童母亲的焦虑、抑郁状况进行评价及比较；采用SNAP-Ⅳ评定量表对病例组儿童的ADHD症状进行评估，结合症状的首次发现时间及持续时间，对儿童ADHD症状与母亲抑郁、焦虑评分进行相关性分析。结果病例组儿童母亲SDS、SAS标准分均明显高于对照组（P < 0.01），抑郁、焦虑严重程度均明显高于对照组（P < 0.01）。学龄前发现症状ADHD儿童母亲的SDS标准分及抑郁程度均明显高于学龄期发现症状者（P < 0.01）。学龄前发现症状ADHD儿童的SNAP-Ⅳ多动冲动因子得分及总分与母亲SAS标准分均呈正相关关系（P < 0.01和P < 0.05）；学龄期发现症状ADHD儿童除注意缺陷因子得分与母亲SAS标准分无明显相关性（P>0.05），其余各因子得分及总分与母亲SDS、SAS标准分均呈正相关关系（P < 0.05~P < 0.01）。结论学龄期ADHD儿童母亲易出现抑郁、焦虑情绪，根据发现症状的不同时间，儿童ADHD症状与母亲抑郁、焦虑呈不同程度相关性。
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| 关 键 词： | 注意缺陷多动障碍 学龄期 儿童 母亲情绪 抑郁 焦虑 |
| 收稿时间： | 2019-08-25 |
A study on the correlation between the symptoms of school-age children with attention deficit hyperactivity disorder and maternal depression and anxiety |
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| Affiliation: | 1.Department of Child Healthcare, Xuzhou Children's Hospital, Xuzhou Medical University, Xuzhou Jiangsu 2210062.Department of Pediatrics, The Affiliated Hospital of Xuzhou Medical University, Xuzhou Jiangsu 221002, China |
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| Abstract: | ObjectiveTo analyze the correlation between the symptoms of school-age children with attention deficit hyperactivity disorder(ADHD) and maternal depression and anxiety.MethodsAccording to the diagnostic criteria of diagnostic and statistical manual of mental disorders(DSM-V), 120 school-age children with ADHD and 120 normal school-age children were divided into the case group and control group, respectively.The anxiety and depression in two groups were evaluated and compared by the self-rating depression scale(SDS) and self-rating anxiety scale(SAS).The symptoms and behavior problems of ADHD children were assessed using SNAP-IV.The correlations between children's ADHD symptoms and their mothers' depression and anxiety were analyzed.In combination with the time and duration of the first discovery of symptoms, the correlation between children's ADHD symptoms and maternal depression and anxiety scores were analyzed.ResultsThe standard scores of SDS and SAS of mothers in case group were significantly higher than those in control group(P < 0.01), and the severity of depression and anxiety of mothers in case group were significantly higher than those in control group(P < 0.01).The standard scores of SDS and severity of depression of mothers in preschool age subgroup were higher than those in school-age subgroup(P < 0.01).The SNAP-IV hyperactivity factor score and total score were positively correlated with the standard scores of SAS in preschool age subgroup(P < 0.01 and P < 0.05).There was not significant correlation between the scores of attention deficit factors in ADHD children and standard score of SAS of mothers(P>0.05), and the scores of other factors and total score in ADHD children were positively correlated with the standard scores of SDS and SAS of mothers in school-age subgroup(P < 0.05 to P < 0.01).ConclusionsThe mothers of schoo-age children with ADHD are prone to have depression and anxiety.According to the time of the discovery of symptoms, the symptoms of school-age children with ADHD are correlated with maternal depression and anxiety to varying degrees. |
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