【摘要】 目的 :探索注意缺陷多动障碍(attention-deficit/hyperactivity disorder,ADHD)患儿与正常儿童相比受到虐待的频率差异及其相关的独立危险因素。方法 :2018年6月至2020年1月采用SNAP-Ⅳ评定量表(父母版)、自编的儿童虐待问卷及自编的人口学资料问卷对140例ADHD患儿及130例正常儿童进行施测。结果 :ADHD组共收集有效问卷134份,正常儿童组127份,两组除独生子女人数外,在人口学资料上差异无统计学意义(P> 0.05),ADHD组SNAP-Ⅳ量表总评分、总体的躯体虐待、情感虐待、忽视频率方面评分均显著高于正常儿童组(P <0.05)。是否患有ADHD,SNAP-Ⅳ对立违抗得分、家庭经济条件对儿童受虐程度具有预测效果。结论 :ADHD患儿比正常儿童受到的虐待频率更高,未来需要更多关注ADHD诊断中的虐待史,开展社区家长培训,从而为这类儿童提供更好的治疗策略。更多还原

【Abstract】 Objective: To explore the difference in frequency of abuse and related independent risk factors between children with attention-deficit/hyperactivity disorder(ADHD) and normal children. Methods: From June 2018 to January 2020, 140 children with ADHD and 130 normal children were tested using the SNAP-IV rating scale(parental version), self-compiled child abuse questionnaire and self-compiled demographic data questionnaire. Results: A total of 134 valid questionnaires were collected in ADHD group, a total of 127 valid questionnaires in the normal children group, there was no significant difference in demographic data between the two groups except the number of only child(P>0.05), and the total score of the SNAP-IV scale, the overall physical abuse, emotional abuse, and frequency of neglect in the ADHD group were significantly higher than those in the normal child group(P<0.05). Whether suffering from ADHD, SNAP-IV oppositional defiant score, and family economic conditions had predictive effects on the degree of child abuse. Conclusion: ADHD children are more frequently abused than normal children, and in the future, it is necessary to pay more attention to the history of abuse in ADHD diagnosis and carry out community parent training to provide better treatment strategies for such children.更多还原