Structural Equation Modeling (SEM): Childhood aggression and irritable ADHD Associated with Parental Psychiatric Symptoms
學年 110
學期 1
出版（發表）日期 2021-09-25
作品名稱 Structural Equation Modeling (SEM): Childhood aggression and irritable ADHD Associated with Parental Psychiatric Symptoms
作品名稱（其他語言）
著者 Ruu-Fen Tzang; Yue-Cune Chang; Chuan-Hsin Chang
單位
出版者
著錄名稱、卷期、頁數 International Journal of Environmental Research and Public Health 18(19), 10068
摘要 Background: Children with attention deficit hyperactivity disorder (ADHD) co-occurring with Oppositional Defiant Disorder (ODD) further present aggressive behavior and may have a depressive parent. A child with co-occurring ADHD and ODD has differentially higher levels of behavioral and emotional difficulties. Little is known about how the irritable subtype of ADHD in children mediates the development of parental symptomatology. This study aims to elucidate the direct or indirect influence of childhood disruptive ADHD with aggressive behavior on their parental symptom using Structural Equation Modeling (SEM). Methods: A total of 231 ADHD children and their parents completed the Swanson, Nolan, and Pelham Version IV questionnaire for symptoms of ADHD, Oppositional Defiant Disorder (ODD) scale for irritable symptoms, Child Behavior Check List (CBCL) for aggression, and Symptom Checklist (SCL) for parental symptom. Results: The three-factor confirmatory factor analysis (CFA) model found symptoms of inattention, hyperactivity/impulsivity, irritable ODD, and aggression were inter-related. Mediational analyses demonstrated ODD mediates symptoms directly predicting the risk of increasing ADHD severity. Disruptive child symptoms (ADHD + ODD + aggression) may increase the risk of depression-related symptoms in the parent. When the child’s aggression increases by one standard deviation (SD), parental psychiatric symptoms increase by 0.235 SD (p < 0.001). Conclusions: By this SEM pathway analysis, there is the correlation between the disruptive, more aggressive subtype of ADHD in children/adolescents and the existence of psychopathological symptomatology of their parents. ADHD + ODD + aggression in children should be classified as an irritable subtype of ADHD, warranting early diagnosis and intensive treatment.
關鍵字 ADHD;ODD;aggression;parental depression;structural equation modeling(SEM)
語言 en_US
ISSN 1660-4601
期刊性質 國外
收錄於 SCI Scopus
產學合作
通訊作者 Ruu-Fen Tzang
審稿制度 是
國別 CHE
公開徵稿
出版型式 ,電子版
相關連結

機構典藏連結 ( http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/121510 )