Family Functioning in Attention Deficit Hyperactivity Disorder with or without Oppositional Defiant Disorder/Conduct Disorder Comorbidity

被引：0

作者：

Imren, Sebla Gokce ^{[1
]}

Arman, Ayse Rodopman ^{[2
]}

Gumustas, Funda ^{[3
]}

Yulaf, Yasemin ^{[4
]}

Cakici, Ozlem ^{[5
]}

机构：

[1] Recep Tayyip Erdogan Univ, Rize Egitim & Arastirma Hastanesi, Cocuk Ruh Sagligi & Hastaliklari Klin, Rize, Turkey

[2] Marmara Univ, Tip Fak, Pendik Egitim & Arastirma Hastanesi, Cocuk Ruh Sagligi & Hastaliklari Anabilim Dali, Istanbul, Turkey

[3] Adiyaman Egitim & Arastirma Hastanesi, Cocuk Ruh Sagligi & Hastaliklari Klin, Adiyaman, Turkey

[4] Tekirdag Devlet Hastanesi, Cocuk Ruh Sagligi & Hastaliklari Klin, Tekirdag, Turkey

[5] Diyarbakir Egitim & Arastirma Hastanesi, Ruh Sagligi & Hastaliklari Klin, Diyarbakir, Turkey

来源：

CUKUROVA MEDICAL JOURNAL | 2013年 / 38卷 / 01期

关键词：

Adolescent; Attention Deficit Hyperactivity Disorder ( ADHD); Children; Comorbidity; Conduct Disorder ( CD); Family; Oppositional Defiant Disorder ( ODD);

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose: The purpose of the study was to examine and compare family functioning in attention deficit and hyperactivity disorder (ADHD) and ADHD comorbid with oppositional defiant disorder (ODD) or conduct disorder (CD) with control subjects. Method: Forty nine children and adolescents diagnosed with ADHD and forty eight controls (aged 8-16 years) were assessed with Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version; Parents completed the McMaster Family Assessment Device (FAD) for family functioning which assesses 6 dimensions of family functioning (problem solving, communication, behavior control, affective involvement, affective responsiveness, and roles and also includes a general functioning subscale. Results: 34.7 % of the ADHD children had comorbid psychiatric disorders, and the major comorbidity was ODD (24.5 %). ADHD families scored high at the level of "unhealthy functioning" in the problem solving, roles, affective involvement, general functioning, and behavior control subscales of FAD. Besides, problem solving behavior and general functioning were significantly poorer than control families and they had more difficulties in area of roles. When DEHB was comorbid with ODD or DB, all areas of family functioning as measured by FAD were scored high at the level of "unhealthy functioning ". Additionally, general functioning and affective responsiveness were significantly poorer than ADHD without ODD or DB comorbidity. Conclusion: Recent studies revealed that ADHD and especially ADHD comorbid with ODD or DB may disrupt family functioning in many ways. In this study, the families of children and adolescents with ADHD and ADHD comorbid with ODD or DB had poorer family functioning in most of the subscales of FAD. Treatment of children and adolescents diagnosed with ADHD especially comorbid with ODD or DB should include parental treatment and intervention addressing parental skills, and family functioning.

引用

页码：22 / 30

页数：9