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Clinical child psychology and psychiatry最新文献

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Attachment and comorbid anxiety in ADHD. ADHD患者的依恋和共病焦虑。
Pub Date : 2024-01-01 Epub Date: 2023-09-25 DOI: 10.1177/13591045231204052
Hazal Akman, Nihal Serdengeçti, Mesut Yavuz, Muhammed Tayyib Kadak, Oya Ercan, Burak Doğangün

Anxiety comorbidity is quite common in children with attention-deficit hyperactivity disorder (ADHD). What is known about the relationship between anxiety, attachment and emotion regulation in such children is still limited. We aimed to investigate the associations between attachment, emotion regulation and comorbid anxiety in children with ADHD. 100 children with ADHD and 100 children without any diagnosis aged 8-13 years were included. After the participants were clinically evaluated, Turgay ADHD Scale, Emotion Regulation Checklist, Revised Child Anxiety and Depression Scale-Child Version (RCADS-CV) and Kerns' Security Scale were completed. According to the RCADS-CV scores, ADHD/ANX(+), ADHD/ANX(-), and control groups were formed. The emotional lability/negativity levels were higher in the ADHD groups compared to the non-ADHD controls. Paternal and maternal attachment security levels were lower in the ADHD/ANX(+) group compared to the controls. The regression analysis indicated that higher hyperactivity/impulsivity symptom levels and lower maternal attachment quality were associated with higher anxiety in children with ADHD. These results suggest that focusing on attachment quality and emotion regulation problems may be significant in management of core symptoms and comorbid anxiety problems in children with ADHD.

焦虑共病在注意力缺陷多动障碍(ADHD)儿童中很常见。关于这些儿童的焦虑、依恋和情绪调节之间的关系,目前所知的还很有限。我们旨在研究多动症儿童的依恋、情绪调节和共病焦虑之间的关系。包括100名患有多动症的儿童和100名8-13岁的无任何诊断的儿童。在对参与者进行临床评估后,完成了Turgay ADHD量表、情绪调节检查表、修订的儿童焦虑和抑郁量表儿童版(RCADS-CV)和Kerns安全感量表。根据RCADS-CV评分,形成ADHD/ANX(+)、ADHD/ANX(-)和对照组。与非ADHD对照组相比,ADHD组的情绪不稳定/消极水平更高。与对照组相比,ADHD/ANX(+)组的父亲和母亲依恋安全水平较低。回归分析表明,多动症儿童多动/冲动症状水平越高,母亲依恋质量越低,焦虑程度越高。这些结果表明,关注依恋质量和情绪调节问题可能对多动症儿童的核心症状和共病焦虑问题的管理具有重要意义。
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引用次数: 0
Resilience and family quality of life in parents of children with autism spectrum disorders. 自闭症谱系障碍儿童父母的复原力和家庭生活质量。
Pub Date : 2024-01-01 Epub Date: 2023-11-01 DOI: 10.1177/13591045231208577
Federico Cardelle-Pérez, Cristina Banacloig-Delgado, Lorena García-García

Introduction: Resilience and quality of life (QOL) can involve a positive approach in group interventions for parents of children with autism spectrum disorders (ASD). This study aims to evaluate resilience and family QOL at the start of a psychoeducational group.

Methods: Cross-sectional assessment of resilience and family QOL used the Family Quality of Life Scale (ECVF) and 14-item Resilience Scale (RS-14).

Results: The study group showed high levels of resilience. Parents considered the resources/support domain crucial, although satisfaction in this area was comparatively lower. Concerns about low satisfaction with available resources and support were notable. Gender differences were observed but not statistically significant.

Discussion: The study's findings support prior research on parental resilience in families of children with ASD. The literature on the QOL for these families presents mixed findings. The importance of parental involvement in service planning is highlighted.

Conclusions: This study emphasizes the importance of resilience in parents of children with ASD, suggesting it as a potential therapeutic target. The findings underscore the need to address the perceived low quality of available resources and support. Further investigation is needed.

引言:韧性和生活质量(QOL)可以涉及到对自闭症谱系障碍(ASD)儿童父母的群体干预的积极方法。本研究旨在评估心理教育小组开始时的复原力和家庭生活质量。方法:采用家庭生活质量量表(ECVF)和14项复原力量表(RS-14)对复原力和家庭生活质量进行横断面评估。结果:研究组表现出较高的恢复力。家长们认为资源/支持领域至关重要,尽管这方面的满意度相对较低。值得注意的是,人们对现有资源和支助的满意度很低。观察到性别差异,但没有统计学意义。讨论:该研究结果支持了先前关于自闭症儿童家庭父母适应力的研究。关于这些家庭生活质量的文献呈现出喜忧参半的结果。强调了父母参与服务规划的重要性。结论:这项研究强调了ASD儿童父母恢复力的重要性,表明它是一个潜在的治疗靶点。调查结果强调,有必要解决现有资源和支持质量低的问题。需要进一步调查。
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引用次数: 0
Parent attributions and attention deficit/hyperactivity disorder knowledge as predictors of specific help-seeking interests. 父母归因和注意力缺陷/多动障碍知识作为特定求助兴趣的预测因素。
Pub Date : 2024-01-01 Epub Date: 2023-11-03 DOI: 10.1177/13591045231205972
Ashley Bazier, Liz O'Laughlin, Jessica Feinstein

Many children diagnosed with attention deficit/hyperactivity disorder (ADHD) do not receive appropriate services following diagnosis. Although information about ADHD is widely available and abundant, sometimes conflicting information may impede parent help-seeking. The present study examined parent knowledge of ADHD and attributions of child behavior as predictors of interest in formal and informal help seeking at the point of child evaluation for possible ADHD. Participants (89 caregivers of children ages 5-12) completed a measure of ADHD knowledge, rated attributions of child behavior in response to vignettes depicting ADHD symptoms, and indicated their interest in a range of formal and informal services that could be recommended following the child's evaluation. Parents reported strongest interest in academic services followed by medication, child focused therapy, and informal services (e.g., seeking information about ADHD). Family income, ADHD knowledge and attributions that child behavior will persist over time were associated with all types of help-seeking interest except academic services. Perceptions of child control over behavior predicted greater interest in medication. Findings suggest that increasing parent knowledge of ADHD and exploring parent goals and preferences for treatment may increase service utilization for children following assessment/diagnosis of ADHD.

许多被诊断为注意力缺陷/多动障碍(ADHD)的儿童在诊断后没有得到适当的服务。尽管有关多动症的信息广泛且丰富,但有时相互矛盾的信息可能会阻碍家长寻求帮助。本研究在儿童评估可能的多动症时,检验了父母对多动症的知识和儿童行为的归因,作为正式和非正式求助兴趣的预测因素。参与者(89名5-12岁儿童的看护人)完成了对多动症知识的测量,对描述多动症症状的小插曲对儿童行为的归因进行了评级,并表示他们对儿童评估后可能推荐的一系列正式和非正式服务感兴趣。家长们报告说,他们对学术服务最感兴趣,其次是药物治疗、以儿童为中心的治疗和非正式服务(例如,寻求有关多动症的信息)。家庭收入、多动症知识以及儿童行为会随着时间的推移而持续的归因与除学术服务外的所有类型的寻求兴趣的帮助有关。对儿童行为控制的感知预测了对药物的更大兴趣。研究结果表明,增加父母对多动症的了解,探索父母的治疗目标和偏好,可能会增加儿童在评估/诊断为多动症后的服务利用率。
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引用次数: 0
Book review 'Finding a Way to the Child: Selected Clinical Papers1983-2021' by Margaret Rustin (eds Kate Stratton, Simon Cregeen). Routledge 2022. 书评“找到一条通往儿童的道路:选定的临床论文1983-2021”,作者玛格丽特·鲁斯汀(编辑凯特·斯特拉顿,西蒙·格林)。劳特利奇2022。
Pub Date : 2023-11-17 DOI: 10.1177/13591045231213016
Sebastian Kraemer
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引用次数: 0
期刊
Clinical child psychology and psychiatry
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