Contributions of Attachment and Cognitive Functioning on ADHD Symptoms in Children.

IF 2.3 3区医学 Q2 PSYCHIATRY

Child Psychiatry & Human Development Pub Date : 2024-11-21 DOI:10.1007/s10578-024-01784-1

Jean-Francois Wylock, Ayala Borghini, Veronique Delvenne, Hichem Slama

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Abstract

ADHD is a neurodevelopmental disorder with multifactorial origins. Several studies have shown that parent-child attachment impacts the expression of ADHD symptoms, while others have highlighted the influence of cognitive impairments on ADHD symptoms. However, few studies have simultaneously examined the respective contributions of child attachment and cognitive functions to ADHD, which is the aim of this study. We included 45 children with ADHD from a university hospital and 44 typically developing children from regular schools. Child attachment was evaluated using a self-report questionnaire, the French Attachment Security Scale (ASS-Fr), and a narrative interview, the Cartes pour l'évaluation de l'Attachement et de la Mentalisation chez l'Enfant (CAME). Cognitive assessment involved both objective and subjective measures. Perceived attachment security to both parents and disorganized attachment were significantly associated with ADHD symptoms, but these relationships were mediated by externalizing symptoms and executive function difficulties. The relationships between attachment and ADHD symptoms are indirect and mediated by the presence of externalizing symptoms and executive function impairments.

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依恋和认知功能对儿童多动症症状的影响。

多动症是一种多因素导致的神经发育障碍。一些研究表明，亲子依恋会影响多动症症状的表现，而另一些研究则强调了认知障碍对多动症症状的影响。然而，很少有研究同时探讨儿童依恋和认知功能对多动症的影响，而这正是本研究的目的所在。我们的研究对象包括来自一所大学医院的 45 名患有多动症的儿童和来自普通学校的 44 名发育正常的儿童。我们使用自我报告问卷 "法国依恋安全量表（ASS-Fr）"和叙述性访谈 "儿童依恋和心理评估问卷（CAME）"对儿童依恋进行了评估。认知评估包括客观和主观测量。对父母双方的依恋安全感和无组织依恋与多动症症状有显著相关性，但这些关系受到外化症状和执行功能困难的影响。依恋与多动症状之间的关系是间接的，并受到外化症状和执行功能障碍的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Psychiatry & Human Development Multiple-

CiteScore

0.50

自引率

3.40%

发文量

174

期刊介绍： Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.