目的:探讨维吾尔族(维族)儿童的家庭环境因素与注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)症状的关系.方法:于2020年4月至2021年1月在克拉玛依市3所小学和1所中学采用中文版注意缺陷多动障碍评定量表-父母版(Chinese version of Swan-son Nolan and Pelham,version Ⅳ scale-parent form,SNAP-Ⅳ)评估687名维族学龄期儿童是否具有ADHD症状及其严重程度,并将其分为ADHD组(60例)和健康对照组(627名).采用家庭环境量表中文版(family environment scale Chinese version,FES-CV)评估家庭环境因素,使用二元Logistic回归分析以及线性回归分析分析家庭环境因素与ADHD及其症状的关系.结果:在控制年龄、胎次等混杂因素情况下,留守儿童-母亲离开、家庭矛盾性与注意力不足、多动/冲动、对立违抗及SNAP-Ⅳ总分均呈正相关(P均<0.05).结论:家庭矛盾性高与母亲离开型留守维族儿童呈现出更严重的ADHD症状,这些结果能为干预和治疗维族儿童ADHD提供潜在靶标.
A study on the association between attention deficit hyperactivity disorder and family environment among Uyghur children
Objective:To investigate the influence of family environmental factors on symptoms of attention deficit hyperactivity disorder(ADHD)in Uighur children.Method:From April 2020 to January 2021 in three primary schools and one secondary school in Karamay City,Chinese version of Swan-son Nolan and Pelham,version Ⅳ scale-parent form(SNAP-Ⅳ)was used to test whether the 687 Uighur school-age children have ADHD symptoms and their severity,and divided them into the ADHD group(60 cases)and the healthy control group(627 cases).Family environment scale Chinese version(FES-CV)was used to assess family environmental factors.The relationship between family environmental factors and ADHD and its symptoms was analyzed by using binary Logistic regression analysis and linear regression analysis.Results:Under the control of age,parity and other confounding factors,left-behind child-mother's absence and family conflict score were all positively correlated with attention deficit,hyperactivity/impulsivity,oppositional defiance,and SNAP-Ⅳ total score(all P<0.05).Conclusion:Uyghur children with high family conflicts and left behind mothers exhibit more severe ADHD symptoms,which can provide potential targets for intervention and treatment of ADHD in Uyghur children.