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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Social networks, caregiver strain, and utilization of mental health services among elementary school students at high risk for ADHD.
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Social networks, caregiver strain, and utilization of mental health services among elementary school students at high risk for ADHD.

机译：基础学生在adhd风险高风险中的社交网络，护理人员应变和心理健康服务的利用。

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OBJECTIVE: This study explores whether parental support networks vary by sociodemographic factors among children at high risk for attention-deficit/hyperactivity disorder (ADHD) and whether network characteristics influence the receipt of mental health treatment for the child. METHOD: A school district-wide, two-phase screening study design was used to identify 266 children at high risk for ADHD. Parents completed standardized instruments assessing network structure and function, DSM-IV diagnoses of disruptive disorders, caregiver strain, and treatment receipt, and children self-reported internalizing symptoms. Relationships were examined with analysis of variance and multivariate prediction, adjusting for sociodemographic characteristics, psychopathology, and parental strain. RESULTS: Network characteristics varied by race and socioeconomic status (SES), but not by child gender. African-American and disadvantaged parents reported smaller network sizes, but more frequent contact and higher levels of support than their white and high-SES counterparts. High levels of instrumental support lowered the odds of ADHD treatment during the 12 months before (OR =.7, p <.001) and after (OR =.7, p <.001) the network assessment interview. In contrast, parental strain increased the likelihood of ADHD treatment during both periods. CONCLUSIONS: Clinicians should anticipate high levels of caregiver strain and low levels of instrumental support among their patients' parents and address the potential high need for respite care in treatment plans.
机译：目的：本研究探讨了父母支持网络是否因儿童的高风险（ADHD）以及网络特征是否影响儿童的心理健康治疗的社会阶段支持网络。方法：采用学区，两期筛查研究设计，用于识别266名儿童以高风险的ADHD。父母完成了标准化仪器，评估网络结构和功能，DSM-IV诊断破坏性障碍，护理人员菌株和治疗收据，以及儿童自我报告的内部化症状。通过分析方差和多变量预测来检查关系，调整社会碘治疗特征，精神病理学和父母菌株。结果：种族和社会经济地位（SES）而异的网络特征，但不是儿童性别。非裔美国人和弱势父母报告了较小的网络尺寸，但更频繁的接触和比白色和高血清同行更高的支持。高水平的仪器支持降低了在12个月内（或= .7，P <.001）和（或= .7，P <.001）网络评估访谈后的ADHD治疗的几率。相反，父母菌株在两个时期期间增加了ADHD治疗的可能性。结论：临床医生应预测其患者父母之间的高水平的照顾者菌株和低水平的仪器支持，并解决治疗计划中累伤护理的潜在高需求。

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