بررسي اختلال بيش‌فعالي-كم‌توجهي و اختلالات شخصيت در والدين كودكان مبتلا به اختلال بيش‌فعالي-كم‌توجهي: گزارش كوتاه

Study on attention deficit Hyperactivity and personality disorders in parents of children with the same disease: brief report

زمینه و هدف: اختلال بیش‌فعالی-كم‌توجهی Attention Deficit Hyperactivity Disorder (ADHD) در بسیاری از والدین كودكان ADHD گزارش می‌شود. هدف پژوهش تعیین ADHD و اختلالات شخصیت در والدین كودكان ADHD در مقایسه با گروه سالم بود. روش بررسی: مطالعه حاضر توصیفی-تحلیلی نوع مقطعی بود كه در سال 1394 در بیمارستان روزبه تهران انجام گرفت. نمونه‌ها 45 بزرگسال دارای كودك مبتلا و 45 كنترل انتخاب شدند. پرسشنامه‌های ADHD بزرگسالان، مصاحبه DSM-IV محور II (SCID-II) Structured Clinical Interview for DSM-IV Axis Disorders، مقیاس والدین كانرز (Conner’s Parent Rating Scales, CPRS) در دو گروه، پرسشنامه‌ی توانایی‌ها و مشكلات و اختلالات روانی در كنترل تكمیل شدند. SCID-II و مصاحبه ADHD بزرگسالان برای والدینی كه در پرسشنامه‌های مربوطه نمره بالای برش داشتند، اجرا ‌شد. یافته‌ها: میزان ابتلا به ADHD 5/6 برابر و اختلالات شخصیتB ، C، منفعل-پرخاشگر و افسرده در والدین گروه بیمار بالاتر بود (01/0P<). شایع‌ترین زیرگروه‌ها مختلط (5/%38) و كم‌توجه (8/%30) بود. نتیجه‌گیری:  ADHD در والدین كودكان مبتلا شایع و با اختلالات شخصیت همراه است.

Background: Attention deficit hyperactivity disorder (ADHD) is common in adults, and associated with comorbidities and negative consequences in many parents of children with ADHD. The aim of this study was to determine ADHD and personality disorder in parents of children with ADHD compared to the healthy group. Methods: This cross-sectional descriptive and the analytic study were conducted in 2015 in Roozbeh Psychiatric Hospital Tehran and the sample group consisted of 45 adult subjects with ADHD children and 45 healthy adults who were chosen control method. questionnaires Conner’s adult attention deficit hyperactivity disorder questionnaires, Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II), Conner’s parent’s scales between the two groups were completed, and Strengths and Difficulties Questionnaire (SDQ) and Symptom Checklist -90- Revised (SCL-90-R) were completed in the group controlling. And for parents who had a score above the cutting point for the diagnostic assessment of personality disorder Structured Clinical Interview for DSM-IV Axis II Disorders, to assess personality disorders, as well as for the diagnostic assessment of ADHD in adults Diagnostic Interview for ADHD in Adults (DIVA) was conducted. Results: The incidence of ADHD in parents of children with ADHD than parents with healthy children was 6/5 equivalent and the prevalence of B cluster disorders, C cluster disorders, passive-aggressive personality disorder and depressive personality disorder in parents of children with ADHD was higher than the cut-off point parents with healthy children (P˂0.01). The most common subtypes in parents of children with ADHD were respectively mixed (attention- hyperactivity) (38.5%) and attention deficit (30.8%). Conclusion: The prevalence of ADHD and personality disorders in parents of children with ADHD are more than parents with healthy.