Social functioning characteristics of children with co-occurrence of attention deficit hyperactivity disorder and oppositional defiant disorder

CHEN Qiang; LI Dexin; LI Jing; QI Yangyang; LIU Hui; CHEN Shumei; LIAO Yuanhang; ZHONG Jieqiong; LI Xiuhong

doi:10.16835/j.cnki.1000-9817.2023.02.007

Volume 44 Issue 2

Feb. 2023

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(2): 191-194

CHEN Qiang, LI Dexin, LI Jing, QI Yangyang, LIU Hui, CHEN Shumei, LIAO Yuanhang, ZHONG Jieqiong, LI Xiuhong. Social functioning characteristics of children with co-occurrence of attention deficit hyperactivity disorder and oppositional defiant disorder[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(2): 191-194. doi: 10.16835/j.cnki.1000-9817.2023.02.007

Citation:

CHEN Qiang, LI Dexin, LI Jing, QI Yangyang, LIU Hui, CHEN Shumei, LIAO Yuanhang, ZHONG Jieqiong, LI Xiuhong. Social functioning characteristics of children with co-occurrence of attention deficit hyperactivity disorder and oppositional defiant disorder[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(2): 191-194. doi: 10.16835/j.cnki.1000-9817.2023.02.007

Citation:

CHEN Qiang, LI Dexin, LI Jing, QI Yangyang, LIU Hui, CHEN Shumei, LIAO Yuanhang, ZHONG Jieqiong, LI Xiuhong. Social functioning characteristics of children with co-occurrence of attention deficit hyperactivity disorder and oppositional defiant disorder[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(2): 191-194. doi: 10.16835/j.cnki.1000-9817.2023.02.007

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Social functioning characteristics of children with co-occurrence of attention deficit hyperactivity disorder and oppositional defiant disorder

doi: 10.16835/j.cnki.1000-9817.2023.02.007

1.
Department of Children Psychological Health, Zhuhai Maternal and Child Health Care Hospital, Zhuhai(519001), Guangdong Province, China

Received Date: 2022-06-02
Rev Recd Date: 2022-08-27

Available Online: 2023-03-02

Publish Date: 2023-02-25

Abstract

Abstract

Objective To explore the social functioning characteristics of children with co-ocurrence of attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) for intervention reference. Methods The Chinese Version of Swanson Nolan and Pelham, Version Ⅳ Scale-Parent Form(SNAP-Ⅳ), the Chinese Version of Weiss Functional Impairment Scale-Parent(WFIRS-P), and the Questionnaire-Children with Difficulties (QCD) were applied to 192 children with ADHD, 243 children with co-occurrence of ADHD and ODD, who firstly visited the Department of Children Psychological Health of Zhuhai Maternal and Child Health Care Hospital, and 118 healthy control children from a school in Zhuhai. Results The scores of attention deficit factor in SNAP-Ⅳ scale of children in three groups were[1.9(1.7, 2.1), 1.8(1.6, 1.9), 1.0(0.6, 1.2)], the scores of hyperactive impulsivity were[1.8(1.4, 2.1), 1.6(1.1, 1.8), 0.7(0.2, 1.0)] the scores of oppositional defiant were[1.6(1.5, 1.9), 1.0(0.8, 1.1), 0.8(0.5, 1.0)], the differences were statistically significant(H=268.44, 237.97, 418.66, P < 0.01). The dimensions and total scores of the three groups of children's WFIRS-P scale were family[0.8(0.6, 1.1), 0.6(0.3, 0.8), 0.3(0.1, 0.6)]; learning and school[0.8(0.5, 1.1), 0.8(0.5, 1.0), 0.3(0.1, 0.5)]; life skills[1.0(0.7, 1.2), 0.8(0.6, 1.0), 0.6(0.4, 0.8)]; self-management [1.0(0.3, 1.0), 0.7(0.3, 1.0), 0.3(0.0, 0.7)]; social activities [0.7(0.4, 1.0), 0.6(0.3, 0.9), 0.3(0.0, 0.4)]; adventure activities[0.3(0.2, 0.5), 0.2(0.1, 0.4), 0.1(0.0, 0.2)]; the total score[0.8(0.6, 1.0), 0.6(0.5, 0.8), 0.4(0.2, 0.6)], the difference between the groups was statistically significant(H=108.82, 122.45, 60.17, 40.58, 96.17, 76.57, 138.30, P < 0.01). The difference between the QCD scale scores of children in the three groups was statistically significant[30.0(24.0, 37.0), 32.0(27.0, 40.0), 47.0(37.0, 52.3), H=124.65, P < 0.01). Multiple regression analysis showed that attention deficit, and oppositional defiant symptoms were associated with both the total WFIRS-P score and the QCD score of children(R²=0.40, 0.25, P < 0.05). Conclusion Children with co-occurrence of ADHD and ODD have more severe deficits in all dimensions of social functioning than children with ADHD, which might be associated with attention deficit and oppositional defiant symptoms.
- Attention deficit disorder with hyperactivity,
- Mental health,
- Regression analysis,
- Child

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References

[1]	YOUNG S, MOSS D, SEDGWICK O, et al. A Meta-analysis of the prevalence of attention deficit hyperactivity disorder in incarcerated populations[J]. Psychol Med, 2015, 45(2): 247-258. doi: 10.1017/S0033291714000762
[2]	FRANKE B, MICHELINI G, ASHERSON P, et al. Live fast, die young?A review on the developmental trajectories of ADHD across the lifespan[J]. Eur Neuropsychopharmacol, 2018, 28(10): 1059-1088. doi: 10.1016/j.euroneuro.2018.08.001
[3]	WALDMAN I D, ROWE R, BOYLAN K, et al. External validation of a bifactor model of oppositional defiant disorder[J]. Mol Psychiatry, 2021, 26(2): 682-693. doi: 10.1038/s41380-018-0294-z
[4]	NOORDERMEER S, LUMAN M, WEEDA W D, et al. Risk factors for comorbid oppositional defiant disorder in attention-deficit/hyperactivity disorder[J]. Eur Child Adolesc Psychiatry, 2017, 26(10): 1155-1164. doi: 10.1007/s00787-017-0972-4
[5]	ESKANDER N. The psychosocial outcome of conduct and oppositional defiant disorder in children with attention deficit hyperactivity disorder[J]. Cureus, 2020, 12(8): e9521.
[6]	American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5[M]. Washington, DC: American Psychiatric Publishing, 2013.
[7]	周晋波, 郭兰婷, 陈颖. 中文版注意缺陷多动障碍SNAP-Ⅳ评定量表-父母版的信效度[J]. 中国心理卫生杂志, 2013, 27(6): 424-428. doi: 10.3969/j.issn.1000-6729.2013.06.005 ZHOU J B, GUO L T, CHEN Y. Reliability and validity of the Chinese Version of Attention Deficit Hyperactivity Disorder SNAP-Ⅳ Scale-Parent Version[J]. Chin Ment Health J, 2013, 27(6): 424-428. (in Chinese) doi: 10.3969/j.issn.1000-6729.2013.06.005
[8]	THOMPSON T, LLOYD A, JOSEPH A, et al. The Weiss Functional Impairment Rating Scale-Parent Form for assessing ADHD: evaluating diagnostic accuracy and determining optimal thresholds using ROC analysis[J]. Q Life Res, 2017, 26(7): 1879-1885. doi: 10.1007/s11136-017-1514-8
[9]	钱英, 杜巧新, 曲姗, 等. Weiss功能缺陷量表父母版的信效度[J]. 中国心理卫生杂志, 2011, 25(10): 767-771. doi: 10.3969/j.issn.1000-6729.2011.10.012 QIAN Y, DU Q X, QU S, et al. Reliability and validity of the Parental Version of Weiss Functional Disability Scale[J]. Chin Ment Health J, 2011, 25(10): 767-771. (in Chinese) doi: 10.3969/j.issn.1000-6729.2011.10.012
[10]	ZHENG Y, DU Y, SU L Y, et al. Reliability and validity of the Chinese Version of Questionnaire-Children with Difficulties for Chinese children or adolescents with attention-deficit/hyperactivity disorder: a cross-sectional survey[J]. Neuropsychiatr Dis Treat, 2018, 14: 2181-2190. doi: 10.2147/NDT.S166397
[11]	杜亚松. 促进注意缺陷多动障碍患儿社会功能的改善[J]. 中国儿童保健杂志, 2010, 18(4): 265-266. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201004003.htm DU Y S. Promoting the improvement of social functioning in children with attention deficit hyperactivity disorder[J]. Chin J Child Health Care, 2010, 18(4): 265-266. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201004003.htm
[12]	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. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202007010.htm YANG L. Attention deficit hyperactivity disorder research status and outlook 2017-2019[J]. Chin Ment Health J, 2020, 34(7): 594-601. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202007010.htm
[13]	KOK F M, GROEN Y, FUERMAIER A B, et al. Problematic peer functioning in girls with ADHD: a systematic literature review[J]. PLoS One, 2016, 11(11): e0165119. doi: 10.1371/journal.pone.0165119
[14]	FARAONE S V, ASHERSON P, BANASCHEWSKI T, et al. Attention-deficit/hyperactivity disorder[J]. Nat Rev Dis Prim, 2015, 1: 15020. doi: 10.1038/nrdp.2015.20
[15]	GREENE R W, BIEDERMAN J, FARAONE S V, et al. Toward a new psychometric definition of social disability in children with attention-deficit hyperactivity disorder[J]. J Am Acad Child Adolesc Psychiatry, 1996, 35(5): 571-578. doi: 10.1097/00004583-199605000-00011
[16]	STEIN M A, SZUMOWSKI E, BLONDIS T A, et al. Is ADHD social disability really comorbidity?[J]. J Am Acad Child Adolesc Psychiatry, 1996, 35(12): 1570-1571.
[17]	陈强, 李静, 袁滨, 等. 是否共患阿斯伯格综合征的注意缺陷多动障碍儿童社会功能特征[J]. 中国学校卫生, 2019, 40(8): 1258-1260. doi: 10.16835/j.cnki.1000-9817.2019.08.039 CHEN Q, LI J, YUAN B, et al. Characteristics of social functioning in children with attention deficit hyperactivity disorder with or without co-occurring asperger's syndrome[J]. Chin J Sch Health, 2019, 40(8): 1258-1260. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.08.039
[18]	刘璐, 高倩, 李海梅, 等. 共患对立违抗障碍影响NET1基因与注意缺陷多动障碍的关联[J]. 中华医学杂志, 2015, 95(41): 3351-3356. doi: 10.3760/cma.j.issn.0376-2491.2015.41.008 LIU L, GAO Q, LI H M, et al. Influence of ODD diagnosis on the association between NET1 and attention-deficit/hyperactivity disorder[J]. Natl Med J China, 2015, 95(41): 3351-3356. (in Chinese) doi: 10.3760/cma.j.issn.0376-2491.2015.41.008
[19]	高兵玲, 吴赵敏, 江家靖, 等. 注意缺陷多动障碍共患对立违抗障碍儿童的家庭环境因素[J]. 中国心理卫生杂志, 2019, 33(6): 425-430. doi: 10.3969/j.issn.1000-6729.2019.06.006 GAO B L, WU Z M, JIANG J J, et al. Family environment factors in children with attention-deficit/hyperactivity disorder and comorbid oppositional defiant disorder[J]. Chin Ment Health J, 2019, 33(6): 425-430. (in Chinese) doi: 10.3969/j.issn.1000-6729.2019.06.006
[20]	熊伟, 张恩, 杨永春, 等. 家庭环境对伴对立违抗的注意缺陷多动障碍患儿的影响[J]. 临床精神医学杂志, 2020, 30(5): 349-351. doi: 10.3969/j.issn.1005-3220.2020.05.018 XIONG W, ZHANG E, YANG Y C, et al. Influences of family environment on children with attention deficit hyperactivity disorder comorbid oppositional defiant disorder[J]. J Clin Psychiatry, 2020, 30(5): 349-351. (in Chinese) doi: 10.3969/j.issn.1005-3220.2020.05.018
[21]	SCOTT S, BRISKMAN J, O'CONNOR T G, et al. Early prevention of antisocial personality: long-term follow-up of two randomized controlled trials comparing indicated and selective approaches[J]. Am J Psychiatry, 2014, 171(6): 649-657. doi: 10.1176/appi.ajp.2014.13050697
[22]	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 PAN J X, ZHANG J S, SHUAI L, et al. A study of executive functioning in preschool children with co-occurring oppositional defiant disorder in attention deficit hyperactivity disorder[J]. Chin J Psychiatry, 2018, 51(3): 182-187. (in Chinese) doi: 10.3760/cma.j.issn.1006-7884.2018.03.005
[23]	苏程, 刘军, 汤姿英, 等. 家庭沙盘游戏治疗注意缺陷多动障碍共患对立违抗障碍儿童长期疗效研究[J]. 中国实用儿科杂志, 2013, 28(12): 938-939, 942. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK201312020.htm SU C, LIU J, TANG Z Y, et al. Long-term effect of family sandplay on children with attention deficit hyperactivity disorder and oppositional defiant disorder[J]. Chin J Pract Pediatr, 2013, 28(12): 938-939, 942. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK201312020.htm
[24]	MORDRE M, GROHOLT B, KJELSBERG E, et al. The impact of ADHD and conduct disorder in childhood on adult delinquency: a 30 years follow-up study using official crime records[J]. BMC Psychiatry, 2011, 11: 57. doi: 10.1186/1471-244X-11-57
[25]	GADOW K D, NOLAN E E. Differences between preschool children with ODD, ADHD, and ODD+ADHD symptoms[J]. J Child Psychol Psychiatry, 2002, 43(2): 191-201. doi: 10.1111/1469-7610.00012
[26]	JIANG X, LIU L, JI H, et al. Association of affected neurocircuitry with deficit of response inhibition and delayed gratification in attention deficit hyperactivity disorder: a narrative review[J]. Front Hum Neuros, 2018, 12: 506.
[27]	JIANG W, LI Y, DU Y, et al. Emotional regulation and executive function deficits in unmedicated Chinese children with oppositional defiant disorder[J]. Psychiatry Invest, 2016, 13(3): 277-287.