Ou Zixin,Yang Cuiying,Fu Tong,Yang Letian,Peng Junyuan,Dang Caiping,Yang Chanjuan,Cheng Daomeng,Shang Herui,Hong Danping,Yin Weizhen,Effect of core symptoms of attention deficit hyperactivity disorder on behavioral problems in children with ADHD propensity[J].SICHUAN MENTAL HEALTH,2022,35(6):518-523

Effect of core symptoms of attention deficit hyperactivity disorder on behavioral problems in children with ADHD propensity

DOI：10.11886/scjsws20220613002

English keywords:Attention deficit hyperactivity disorder ADHD propensity Behavioral problems Attention deficit

Fund projects:国家重点研发计划（项目名称：注意缺陷多动障碍的综合干预策略研究，项目编号：2016YFC1306100）；广州医科大学2021年度校级质量工程项目（项目名称：大学生社会实践项目，项目编号：01-408-2201054）；广州医科大学高水平大学建设项目（项目编号：02-410- B205001186）

Author Name	Affiliation	Postcode
Ou Zixin	Department of Applied Psychology， Guangzhou Medical University， Guangzhou 511436， China	511436
Yang Cuiying	Department of Applied Psychology， Guangzhou Medical University， Guangzhou 511436， China	511436
Fu Tong	The Affiliated Brain Hospital of Guangzhou Medical University， Guangzhou 510370， China	510370
Yang Letian	Department of Applied Psychology， Guangzhou Medical University， Guangzhou 511436， China	511436
Peng Junyuan	Department of Applied Psychology， Guangzhou Medical University， Guangzhou 511436， China	511436
Dang Caiping	Department of Applied Psychology， Guangzhou Medical University， Guangzhou 511436， China The Affiliated Brain Hospital of Guangzhou Medical University， Guangzhou 510370， China	510370
Yang Chanjuan	The Affiliated Brain Hospital of Guangzhou Medical University， Guangzhou 510370， China	510370
Cheng Daomeng	The Affiliated Brain Hospital of Guangzhou Medical University， Guangzhou 510370， China	510370
Shang Herui	Department of Applied Psychology， Guangzhou Medical University， Guangzhou 511436， China	511436
Hong Danping	The Affiliated Brain Hospital of Guangzhou Medical University， Guangzhou 510370， China	510370
Yin Weizhen^*	The Affiliated Brain Hospital of Guangzhou Medical University， Guangzhou 510370， China	510370

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English abstract:

Objective To explore the influence of the core symptoms of attention deficit hyperactivity disorder （ADHD） on behavioral problems of children with ADHD propensity， so as to provide references for early identification and targeted intervention for children with ADHD propensity.Methods From July to August 2021， 25 children with ADHD propensity were screened as the ADHD propensity group， and 25 children matched for age， gender and grade were included as the normal group in an elementary school in Guangzhou. ADHD core symptoms were assessed by the Chinese version of the Swanson Nolan and Pelham， version IV-parent form for ADHD （SNAP-IV）， and behavioral problems were assessed by Questionnaire-Children with Difficulties （QCD） and Conners Parental Symptom Questionnaire （PSQ）. Spearman correlation analysis was used to examine the correlation between ADHD core symptoms and QCD and PSQ scores， and hierarchical linear regression analysis was used to explore the effect of ADHD core symptoms on behavioral problems.Results ① The differences between the groups showed that both attention deficit and hyperactivity-impulsivity factor scores were higher in the ADHD propensity group than those in the normal group （t=7.771， 6.726， P<0.01）. ② Correlation analysis showed that the attention deficit factor score was negatively correlated with QCD total score （r=-0.440， P<0.05）， and positively correlated with the learning problem factor score of PSQ （r=0.457， P<0.05）. The score of hyperactivity-impulsivity was negatively correlated with score of anxiety factor in PSQ （r=-0.457， P<0.05）， and positively correlated with impulse-hyperactivity factor score （r=0.552， P<0.01）. ③ Hierarchical linear regression analysis showed that the attention deficit factor score negatively predicted the total score of QCD （B=-0.682， P<0.05， R²=0.468）. The hyperactivity-impulsivity factor score had a negative predictive effect on the anxiety factor score of PSQ （B=-0.048， P<0.05， R²=0.367）， and had a positive predictive effect on the impulsivity-hyperactivity factor score （B=0.077， P<0.01， R²=0.424）.Conclusion Children with ADHD propensity have significant attention deficit symptoms， hyperactivity-impulsivity symptoms and behavioral problems， and the attention deficit may be the main cause of their daily behavioral problems， while hyperactivity-impulsivity may be the main cause of their impulsive-hyperactivity problems.

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