父母教养压力、儿童内化问题行为对ADHD儿童体格生长影响的交互作用分析  

Analysis of the interaction between parental pressure and children’s internalized problem behavior on physical growth of ADHD children

作　　者：杨艳飞[1] 崔继华[1] 宋玉[1] 李抒瑾 孙艳会 凌昱[1] YANG Yanfei;CUI Jihua;SONG Yu;LI Shujin;SUN Yanhui;LING Yu(Kunming Children’s Hospital,Children’s Hospital Affiliated to Kunming Medical University,Kunming,Yunnan 650000,China)

机构地区：[1]昆明市儿童医院(昆明医科大学附属儿童医院),云南昆明650000

出　　处：《中国优生与遗传杂志》2023年第8期1571-1574,共4页Chinese Journal of Birth Health & Heredity

基　　金：昆明市卫生健康委员会卫生科研课题(2021-06-04-003)。

摘　　要：目的 探讨父母教养压力、儿童内化问题行为对注意缺陷多动障碍(ADHD)儿童体格生长影响的交互作用。方法 选取2021年9月至2022年9月昆明医科大学附属儿童医院收治的124例ADHD患儿,根据患儿体格生长是否落后分为落后组、非落后组,比较两组基线资料、教养压力问卷-简版(PSI-SF)、儿童行为量表(CBCL)评分及体格生长情况,Pearson分析PSI-SF、CBCL评分与体格生长情况的相关性,采用Logistic回归分析体格生长落后的相关影响因素,交互作用系数γ和OR值分析父母教养压力、儿童内化问题行为对ADHD儿童体格生长影响的交互作用。结果 常驻地农村、PSI-SF、CBCL评分是体格生长落后的独立相关危险因素(P<0.05);PSI-SF、CBCL评分与身高、体质量呈负相关;儿童内化问题行为对父母教养压力引起体格生长落后的效应具有正向交互作用(P<0.05)。结论 常驻地农村、父母教养压力、儿童内化问题行为是ADHD儿童体格生长的影响因素,且父母教养压力、儿童内化问题行为对ADHD儿童体格生长存在交互作用。Objective To explore the interaction of parental pressure and children’s internalized problem behaviors on physical growth of children with attention deficit hyperactivity disorder(ADHD).Methods A total of 124 ADHD children admitted to the Children’s Hospital Affiliated to Kunming Medical University from September 2021 to September 2022 were selected and divided into backward group and non-backward group according to whether the children’s physical growth was backward or not.Parental stress instrument-simple version(PSI-SF),child behavior checklist(CBCL)score and physical growth were compared between the two groups.Pearson analyzed the correlation between PSI-SF and CBCL scores and physical growth,Logistic regression was used to analyze the related influencing factors of physical growth lag,and interaction coefficientγand OR values were used to analyze the interaction of parental pressure and children’s internalized problem be-havior on physical growth of ADHD children.Results Resident rural,PSI-SF,and CBCL scores were independently associated risk factors for physical growth lag(P<0.05).PSI-SF and CBCL scores were negatively associated with height and weight,and there was a positive interaction between children’s internalized problem behaviours and the effect of parenting stress on physical growth lag(P<0.05).Conclusion The interaction between rural residence,parenting stress,and internalised problem behaviour on the physical growth of children with ADHD and parenting stress and internalised problem behaviour on the physical growth of children with ADHD.

关 键 词：教养压力 体格生长 注意缺陷多动障碍 交互作用 

分 类 号：R749.94[医药卫生—神经病学与精神病学]