Association between family environment and attention deficit hyperactivity disorder in children – mothers’ and teachers’ views

BMC Psychiatry

Simone Gonçalves de Assis²  Cosme Marcelo Furtado Passos da Silva¹  Thiago de Oliveira Pires² 

[1] Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil;Latin-American Centre for Studies on Violence and Health (CLAVES), National School of Public Health, Oswaldo Cruz Foundation, Av. Brasil 4036 - sala 700, Manguinhos, 21040-361 Rio de Janeiro, RJ, Brazil

关键词: Hierarchical model;    Perinatal period;    Family environment;    ADHD;   

Others  :  1123978
DOI  :  10.1186/1471-244X-13-215

 received in 2013-04-17, accepted in 2013-08-23,  发布年份 2013

【 摘 要 】

Background

To ascertain whether factors of the family environment and gestational period are associated with the appearance of ADHD in children, as reported by various different informants (mothers and teachers).

Methods

This paper presents results from the dataset of a longitudinal study to evaluate behavioral problems among schoolchildren in São Gonçalo, Rio de Janeiro State, in 2005 and 2006. The cross-section considered for this paper comprises records of exposure factors and ADHD. In all, 370 schoolchildren of the public school system were assessed by 3-stage cluster sampling. The Child Behavior Checklist (CBCL) and the Teacher Report Form (TRF) were used to measure outcomes. The exposure factors examined were: profile of child and mother, variables relating to the family environment, and perinatal considerations. The questions were answered by mothers and teachers. A hierarchical logistic regression model was used.

Results

Precariously functioning families, lack of social support for mothers, adverse life events and discord during pregnancy were the factors associated with mother-reported ADHD. When ADHD was reported by teachers, the variables selected were: Intelligence quotient (IQ) and sex, with children with low IQ scores and boys more likely to display the disorder.

Conclusions

Assessment of ADHD by teachers or mothers reveals specific characteristics that reflect how each of these informants understands the children. This highlights the importance of using informants from different environments in diagnosing the disorder.

【 授权许可】

   
2013 Pires et al.; licensee BioMed Central Ltd.

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