Influencia de factores familiares y personales en la evolución negativa del tdah

Conteúdo do artigo principal

Carla Colomer
Jéssica Mercader
Mª Jesús Presentanción
Ana Miranda

Resumo

Objetivo. Estudiar la influencia del efecto acumulado de riesgo en la disfuncionalidad general y en la evolución de los síntomas de TDAH y problemas asociados en niños con TDAH. Método. Se evaluó a 61 familias de niños con un diagnóstico clínico de TDAH subtipo combinado en dos momentos temporales con una diferencia de dos años y medio entre ambas (media de edad Fase I = 8.7, media de edad Fase II = 11 años). Se creó un índice de riesgo personal (altos niveles de sintomatología de TDAH, elevado número de problemas asociados, presencia de oposicionismo, características estresantes del niño y antecedentes familiares de TDAH), un índice de riesgo familiar (presencia de psicopatología de la madre, elevado estrés parental y estilo de disciplina disfuncional) y un índice de riesgo total. Resultados. El índice de riesgo general predijo significativamente la sintomatología de TDAH, los problemas comórbidos y la disfuncionalidad en la adolescencia. El índice de riesgo personal estuvo más relacionado con los problemas externalizantes futuros. Mientras que el índice de riesgo familiar estuvo más relacionado con la evolución de la sintomatología de inatención. Conclusiones. Existe un efecto de riesgo acumulado de factores personales y familiares que influye negativamente en la evolución del TDAH.

Downloads

Não há dados estatísticos.

Detalhes do artigo

Como Citar
Colomer, C., Mercader, J., Presentanción, M. J., & Miranda, A. (2014). Influencia de factores familiares y personales en la evolución negativa del tdah. Revista INFAD De Psicología. International Journal of Developmental and Educational Psychology., 4(1), 415–424. https://doi.org/10.17060/ijodaep.2014.n1.v4.629
Seção
Artículos

Referências

Abidin, R. (1990). Parenting Stress Index (3ª ed.). Charlosteville, VA: Pediatric Psychology Press.

Ackerman, B. P., Izard C. E., Schoff, K., Youngstrom, E. A. & Kogos, J. (1999). Contextual risk, caregiver emotionality, and the problem behaviors of six and seven year old children from economically disadvantaged families. Child Development, 70, 1415-1427.

Arnold, D., O’Leary, S. Wolf, L. & Acker, M. (1993). The parenting scale: A measure of dysfunctional parenting in discipline situations. Psychological Assessment, 15, 137-144.

Asherson, P., Image Consortium. (2004). Attention-Deficit Hyperactivity Disorder in the postgenomic era. European Child and Adolescescent Psychiatry, 13, 150-170.

Asociación Americana de Psiquiatría (APA). (2002). Manual Diagnóstico y Estadístico de los Trastornos Mentales DSM-IV-TR. Barcelona: Masson.

Barkley, R. A., Murphy, K. R., & Fischer, M. (2008). ADHD in adults: What the Science Says. New York, NY: Guilford Press.

Biederman, J., Faraone, S. V., & Monuteaux, M. C. (2002). Differential effect of environmental adversity by gender: Rutter’s index of adversity in a group of boys and girls with and without ADHD. The American Journal of Psychiatry, 159, 1556-1562.

Biederman, J., Monuteaux, M. C., Mick, E., Spencer, T., Wilens, T. E., Silva, J. M., Snyder, L. E. & Faraone, S. V. (2006). Young adult outcome of attention deficit hyperactivity disorder: A controlled 10-year follow-up study. Psychological Medicine, 36, 167-179.

Biederman, J., Petty, C. R., Clarke, A., Lomedico, A., & Faraone, S. V. (2011). Predictors of persistent ADHD: An 11-year follow-up study. Journal of Psychiatric Research, 45(2), 150-155.

Biederman, J., Petty, C. R., Dolan, C., Hughes, S., Mick, E., Monuteaux, M. C., & Faraone, S. V. (2008). The long-term longitudinal course of oppositional defiant disorder and conduct disorder in ADHD boys: Findings from a controlled 10-year prospective longitudinal follow-up study. Psychological Medicine, 38(7), 1027-1036.

Cherkasova, M., Sulla, E. M., Dalena K. L., Pondé, M. P., & Hechtman, L. (2013). Developmental course of attention deficit hyperactivity disorder and its predictors. Journal of Canadian Academy of Child and Adolescent Psychiatry, 22, 47-54.

Conners, C. K. (2001). Conners’ Parent Rating Scale-Revised: long version (CPRS-R:L). Canada: MHS.

Counts, C. A., Nigg, J. T., Stawicki, J. A., Rappley, M .D. & Von Eye, A. (2005). Family adversity in DSM-IV ADHD combined and inattentive subtypes and associated disruptive behavior problems. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 690–698.

Deault, L. D. (2010). A systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit/hyperactivity disorder (ADHD). Child Psychiatry and Human Development, 41, 168-192.

Faraone, S., Biederman, J. & Mick, E. (2006). The age-dependent decline of attention deficit hyperactivity disorder: A meta-analysis of follow-up studies. Psychological Medicine, 36, 159-165.

Grau Sevilla, M. D. (2007). Análisis del Contexto Familiar en Niños con TDAH. Tesis doctoral. Universidad de Valencia, Valencia.

Jensen, P. S., Martin, D. y Cantwell, D. P. (1997). Comorbidity in ADHD: implications for research, practice, and DSMIV. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1065-1079.

Jones, D. J., Forehand, R., Brody, G. & Armistead, L. (2002). Psychosocial Adjustment of African American Children in Single-Mother Families: A Test of Three Risk Models. Journal of Marriage and the Family, 64, 105-115.

Kim, D. K. & Yoo, I. Y. (2013). Relationship between attention deficit hyperactive disorder symptoms and perceived parenting practices of school-age children. Journal of Clinical Nursery, 22, 1133-1139.

Klassen, A. F., Miller, A. & Fine, S. (2005). Health-related quality of life in children and adolescents who have a diagnosis of attention-deficit/hyperactivity disorder. Pediatrics, 114, 541-547.

Kutner, M. H., Nachtsheim, C. J., & Neter, J. (.2004). Applied Linear Regression Models. New York: Mcgraw-Hill Irwin.

Miranda, A., Marco, R. & Grau, M. (2007). Parenting stress in families of children with attentiondeficit/ hyperactivity disorder. The impact of ADH subtype and oppositional defiant disorder comorbidity. En T. E. Scruggs y M. A. Mastropiere (Eds), Advances in learning and behavioral disabilities. (Vol 20, pp. 139-162).New York: Elsevier JAI Press.

Moffitt, T.E. & Caspi, A. (2001). Childhood predictors differentiate life-course persistent and adolescence limited antisocial pathways, among males and females. Developmental Psychopathology, 13, 355-75.

Nigg, J., Nikolas, M., Friderici, K., Park, L. & Zucker, R. A. (2007). Genotype and neuropsychological response inhibition as resilience promoters for attention-deficit/hyperactivity disorder, oppositional defiant disorder, and conduct disorder under conditions of psychosocial adversity. Development and Psychopathology, 19, 767-786.

Rutter, M. (1979). Protective factor in children´s responses to stress and disadvantage. En M. W. Kent & J. E. Rolf (Eds.), Primary prevention of psychopathology (Vol.3. Social competence in children (pp. 49-74).N.H, Hanover: University Press of New England.

Sameroff, A. J. (2000). Dialectical Processes in Developmental Psychopathology. En A. Sameroff, M. Lewis & S. Miller (Eds.), Handbook of Developmental Psychopathology (2ª ed, pp.23-40). New York: Kluwer Academic/Plenum Publishers.

Sciberras, E., Roos, L. E., & Efron, D. (2009). Review of prospective longitudinal studies of children with ADHD: Mental health, educational, and social outcomes. Current Attention Disorders Reports, 1, 171-177.