淡江大學機構典藏:Item 987654321/121510
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    Please use this identifier to cite or link to this item: http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/121510


    Title: Structural Equation Modeling (SEM): Childhood aggression and irritable ADHD Associated with Parental Psychiatric Symptoms
    Authors: Tzang, Ruu-Fen;Chang, Yue-Cune;Chang, Chuan-Hsin
    Keywords: ADHD;ODD;aggression;parental depression;structural equation modeling(SEM)
    Date: 2021-09-25
    Issue Date: 2021-10-16 12:10:45 (UTC+8)
    Publisher: MDPI AG
    Abstract: 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.
    Relation: International Journal of Environmental Research and Public Health 18(19), 10068
    DOI: 10.3390/ijerph181910068
    Appears in Collections:[Graduate Institute & Department of Mathematics] Journal Article

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