Association between oppositional defiant disorder and parenting style in children with attention deficit hyperactivity disorder

KOU Cong, WU Zhao-Min, LIU Juan, CAO Xiao-Lan, YANG Bin-Rang

Chinese Journal of Contemporary Pediatrics ›› 2022, Vol. 24 ›› Issue (8) : 869-873.

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Chinese Journal of Contemporary Pediatrics ›› 2022, Vol. 24 ›› Issue (8) : 869-873. DOI: 10.7499/j.issn.1008-8830.2203066
CLINICAL RESEARCH

Association between oppositional defiant disorder and parenting style in children with attention deficit hyperactivity disorder

  • KOU Cong, WU Zhao-Min, LIU Juan, CAO Xiao-Lan, YANG Bin-Rang
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Abstract

Objective To study the association between oppositional defiant disorder (ODD) and parenting style in children with attention deficit hyperactivity disorder (ADHD). Methods A case-control study was performed on 482 children with ADHD, among whom 322 did not have ODD (simple ADHD group) and 160 had ODD (ADHD+ODD group). General demographic data and the Parenting Style Scale assessment scores were collected from the two groups. A multivariate logistic regression analysis was used to identify the association between parenting style and ODD in children with ADHD. Results There was no significant difference in parenting style scores (including rejection factor, emotional warmth factor, overprotection factor, and preference factor) and general demographic data between the simple ADHD and ADHD+ODD groups (P>0.05). Among the children with the predominantly inattentive type of ADHD, the older the child or the lower the father's educational level, the higher the risk of ODD (P<0.05), while there was no significant association between parenting style and the development of ODD (P>0.05). Conclusions Parenting style is not significantly associated with the development of ODD in children with ADHD. In clinical practice, it is necessary to eliminate the stereotype that the parents of children with ADHD and comorbid ODD have a poor parenting style and look for the causes of development of ODD from multiple perspectives, so as to provide reasonable intervention recommendations.

Key words

Attention deficit hyperactivity disorder / Oppositional defiant disorder / Parenting style / Child

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KOU Cong, WU Zhao-Min, LIU Juan, CAO Xiao-Lan, YANG Bin-Rang. Association between oppositional defiant disorder and parenting style in children with attention deficit hyperactivity disorder[J]. Chinese Journal of Contemporary Pediatrics. 2022, 24(8): 869-873 https://doi.org/10.7499/j.issn.1008-8830.2203066

References

1 刘寰忠, 钟怡. 2018版加拿大儿科学会《儿童青少年注意缺陷多动障碍诊疗指南》解读[J]. 中国全科医学, 2019, 22(14): 1641-1647. DOI: 10.12114/j.issn.1007-9572.2018.00.452.
2 Wang T, Liu K, Li Z, et al. Prevalence of attention deficit/hyperactivity disorder among children and adolescents in China: a systematic review and meta-analysis[J]. BMC Psychiatry, 2017, 17(1): 32. PMID: 28103833. PMCID: PMC5244567. DOI: 10.1186/s12888-016-1187-9.
3 杨莉. 注意缺陷多动障碍2017-2019年研究现状与展望[J]. 中国心理卫生杂志, 2020, 34(7): 594-601. DOI: 10.3969/j.issn.1000-6729.2020.7.008.
4 中华医学会儿科学分会发育行为学组. 注意缺陷多动障碍早期识别、规范诊断和治疗的儿科专家共识[J]. 中华儿科杂志, 2020, 58(3): 188-193. PMID: 32135589. DOI: 10.3760/cma.j.issn.0578-1310.2020.03.006.
5 翟倩, 丰雷, 张国富. 对立违抗性障碍的研究现状[J]. 神经疾病与精神卫生, 2019, 19(10): 964-969. DOI: 10.3969/j.issn.1009-6574.2019.10.009.
6 Mohammadi MR, Zarafshan H, Khaleghi A, et al. Prevalence of ADHD and its comorbidities in a population-based sample[J]. J Atten Disord, 2021, 25(8): 1058-1067. PMID: 31833803. DOI: 10.1177/1087054719886372.
7 黄广文, 苏林雁, 王伯兰, 等. 伴ADHD的对立违抗性障碍儿童行为特征分析[J]. 中国心理卫生杂志, 2005, 19(4): 259-261. DOI: 10.3321/j.issn:1000-6729.2005.04.014.
8 潘景雪, 张劲松, 帅澜, 等. 学龄前儿童注意缺陷多动障碍共患对立违抗障碍执行功能的研究[J]. 中华精神科杂志, 2018, 51(3): 182-187. DOI: 10.3760/cma.j.issn.1006-7884.2018.03.005.
9 Pederson CA, Fite PJ. The impact of parenting on the associations between child aggression subtypes and oppositional defiant disorder symptoms[J]. Child Psychiatry Hum Dev, 2014, 45(6): 728-735. PMID: 24500326. DOI: 10.1007/s10578-014-0441-y.
10 李君, 王玉凤, 周儒伦, 等. 5-HT1D基因多态与共患破坏性行为障碍的儿童注意缺陷多动障碍的相关性[J]. 北京大学学报(医学版), 2006, 38(5): 492-495. PMID: 17068621. DOI: 10.3321/j.issn:1671-167X.2006.05.011.
11 Liu L, Cheng J, Li H, et al. The possible involvement of genetic variants of NET1 in the etiology of attention-deficit/hyperactivity disorder comorbid with oppositional defiant disorder[J]. J Child Psychol Psychiatry, 2015, 56(1): 58-66. PMID: 24942521. DOI: 10.1111/jcpp.12278.
12 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV[M]. 4th ed. Washington, DC, USA: American Psychiatric Association, 1994: 78-85.
13 Kaufman J, Birmaher B, Brent D, et al. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data[J]. J Am Acad Child Adolesc Psychiatry, 1997, 36(7): 980-988. PMID: 9204677. DOI: 10.1097/00004583-199707000-00021.
14 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV[M]. 4th ed. Washington, DC, USA: American Psychiatric Association, 1994: 91-94.
15 杨秀玲, 尹磊. 学龄前儿童行为问题与其父母养育方式的相关性[J]. 青岛大学医学院学报, 2009, 45(6): 511-513. DOI: 10.3969/j.issn.1672-4488.2009.06.004.
16 李颖, 寇聪, 谢惠清, 等. 父母养育方式量表(父母填写版)在学龄前儿童中应用的效度和信度[J]. 中华实用儿科临床杂志, 2019, 34(24): 1897-1899. DOI: 10.3760/cma.j.issn.2095-428X.2019.24.014.
17 方萍, 朱文礼. 父母教养方式对伴与不伴对立违抗性障碍注意缺陷多动障碍患儿的影响[J]. 安徽医学, 2018, 39(8): 1011-1013. DOI: 10.3969/j.issn.1000-0399.2018.08.033.
18 Harvey EA, Metcalfe LA, Herbert SD, et al. The role of family experiences and ADHD in the early development of oppositional defiant disorder[J]. J Consult Clin Psychol, 2011, 79(6): 784-795. PMID: 21942501. PMCID: PMC3227539. DOI: 10.1037/a0025672.
19 孙黎, 王玉凤, 何华, 等. 伴与不伴对立违抗性障碍的注意缺陷多动障碍儿童脑α波竞争图比较[J]. 北京大学学报(医学版), 2007, 39(3): 252-256. PMID: 17572779. DOI: 10.3321/j.issn:1671-167X.2007.03.010.
20 Noordermeer SDS, Luman M, Buitelaar JK, et al. Neurocognitive deficits in attention-deficit/hyperactivity disorder with and without comorbid oppositional defiant disorder[J]. J Atten Disord, 2020, 24(9): 1317-1329. PMID: 26486602. PMCID: PMC4838536. DOI: 10.1177/1087054715606216.
21 Ezpeleta L, Navarro JB, de la Osa N, et al. First incidence, age of onset outcomes and risk factors of onset of DSM-5 oppositional defiant disorder: a cohort study of Spanish children from ages 3 to 9[J]. BMJ Open, 2019, 9(3): e022493. PMID: 30928923. PMCID: PMC6475188. DOI: 10.1136/bmjopen-2018-022493.
22 Rieppi R, Greenhill LL, Ford RE, et al. Socioeconomic status as a moderator of ADHD treatment outcomes[J]. J Am Acad Child Adolesc Psychiatry, 2002, 41(3): 269-277. PMID: 11886021. DOI: 10.1097/00004583-200203000-00006.
23 Joseph HM, Farmer C, Kipp H, et al. Attendance and engagement in parent training predict child behavioral outcomes in children pharmacologically treated for attention-deficit/hyperactivity disorder and severe aggression[J]. J Child Adolesc Psychopharmacol, 2019, 29(2): 90-99. PMID: 30592635. PMCID: PMC6442260. DOI: 10.1089/cap.2018.0119.
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