Chinese Journal of Evidence -Based Pediatric ›› 2018, Vol. 13 ›› Issue (2): 102-106.

• Original Papers • Previous Articles     Next Articles

The case-control study of relationship between heterogeneous executive function and parenting stress in school boys with attention deficit hyperactivity disorder

 LI Meng-yao1,LI Yan2,JIANG Wen-qing2,DU Ya-song2   

  1.  1.Children's Hospital of Fudan University, Shanghai 201102, China; 2.Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, China
  • Received:2018-03-28 Revised:2018-04-25 Online:2018-04-25 Published:2018-04-25
  • Contact: DU Ya-song
  • Supported by:
     

Abstract: Objective:The relationship between heterogeneous executive function (EF) and parenting stress among school boys with attention deficit hyperactivity disorder(ADHD) was explored. Methods:In this case-control study, boys with ADHD were chosen as case group (subgroup of Children with EF deficits and subgroup of Children with intact EF), boys with normal development were chosen as control group. We used the STROOP color-word test, Wisconsin Card Sorting Task (WCST), Cambridge Neuropsychological Test Automatic Battery (CANTAB), Wechsler Intelligence Scale for Children-Fourth Edition (WISC-Ⅳ) to evaluate the executive function, and used Swanson Nolan and Pelham, Version Ⅳ(SNAP-Ⅳ) inattention and hyperactivity/impulsivity subscales to assess the ADHD symptom, SNAP-Ⅳ oppositional defiant subscale and Parent Symptom Questionnaire (PSQ) for the comorbidity, and Parenting Stress Index (PSI) for parenting stress. Results:Data from 104 drug-naive boys diagnosed with ADHD (mean age 9.95) and 47 boys showing normal development (mean age 10.79) were collected. Their age was statistically different. The differences in SNAP-Ⅳ scores, PSQ scores were all statistically significant. The EF differences between ADHD intact EF subgroup and EF deficit subgroup were all statistically significant, but there were no significant difference between intact EF subgroup and control group. Compared to control group, the PSI total scores and all the factor scores of ADHD group and both of the subgroups were significantly higher, but there were no difference between ADHD intact EF subgroup and EF deficit subgroup except for distractibility/hyperactivity factor. Conclusion:Overall, increased stress was found in ADHD boys' parents regardless of the EF subgroup. Having intact EF didn't improve the stress of parenting.

 

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