Abstract：Objective To investigate the status quo and influencing factors of family relationships and lifestyles among children with attention deficit hyperactivity disorder (ADHD), and to provide references for clinical development of targeted interventions for ADHD. Methods We selected 184 ADHD children admitted to Hebei Children's Hospital from June 2021 to July 2022 (the ADHD group) and 184 healthy children (the control group), and investigated using the General Information Questionnaire, Family Environment Scale-Chinese version (FES-CV) and the Lifestyle Survey Scale. Multi-factor logistic regression analysis was performed to identify the influencing factors related to ADHD. Results The ADHD group had lower scores of intimacy and emotional expression and higher scores of ambivalence as compared with the control group (P<0.05). The ADHD group and the control group had statistically significant differences in eating time, outdoor activity time, and video-watching time (P<0.05). The results of logistic regression analysis revealed that single-parent families (OR=8.439, 95%CI:2.533-28.199), reconstituted families (OR=7.107, 95%CI:2.158-23.398), nannies as the primary caregivers of young children (OR=7.592, 95%CI:2.328-24.751), unemployed fathers (OR=7.602, 95%CI:2.457-23.499), being scolded ≥2 times/week (OR=8.484, 95%CI:2.268-31.724), being punished physically ≥2 times/week (OR=11.808, 95%CI:2.903-48.056), ambivalence score (OR=12.672, 95%CI:2.856-56.182), long eating time (OR=8.150, 95%CI:2.441-27.205) and long video-watching time ≥1 h/d (OR=7.414, 95%CI:2.164-25.378) were risk factors associated with ADHD. Intimacy score (OR=0.347, 95%CI:0.234-0.515), emotional expression score (OR=0.455, 95%CI:0.299-0.690), and time spent outdoors > 60 min/d (OR=0.301, 95%CI:0.161-0.563) were relevant protective factors for ADHD (P<0.05). Conclusion Family relationships of the children with ADHD are characterized by low intimacy and emotional expression, high ambivalence, and their lifestylesarecharacterized by long eating time, long video-watching time and a short period of outdoor activity. Moreover, family structure, young children's primary caregivers, fathers' occupations, the status of being scolded, the status of being punished physically, family relationships and lifestyles are the influencing factors. The relevant intervention measures in clinical practice can be formulated according to the above-mentioned results so as to improve the children's physical and mental health.
梁慧萍, 吕丽格, 张明静, 李秀琳, 田园. 儿童注意缺陷多动障碍家庭关系、生活方式的现状调查及影响因素分析[J]. 实用预防医学, 2023, 30(10): 1199-1203.
LIANG Huiping, LYU Lige, ZHANG Mingjing, LI Xiulin, TIAN Yuan. Current status and influencing factors of family relationships and lifestyles in children with attention deficit hyperactivity disorder. , 2023, 30(10): 1199-1203.
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2023, Vol. 30 
