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| Executive function of primary caregivers in preschool children with attention-deficit hyperactivity disorder |
| LI Wei1,2, ZHANG Jinsong1,2, SHUAI Lan1, PAN Jingxue1,2, ZHANG Huifeng1,2, XIA Weiping1, WANG Zhouye1 |
| 1. Department of Medical Psychology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China; 2. Ministry of Education and Shanghai Key Laboratory of Children's Environment Health, Shanghai 200092, China |
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Abstract Objective To explore the symptoms and executive function of preschool children with attention-deficit hyperactivity disorder (ADHD) and their primary caregivers, and to analyze the correlation between children's and parents' executive function. Methods Research subjects were 225 ADHD preschool children diagnosed by Diagnostic and Statistical Manual of Mental Disorders，fifth edition(DSM-5) and 115 normal preschool children. The executive functions of preschool children with ADHD and their primary caregivers were evaluated using behavior rating scale of executive function-preschool version (BRIEF-P), adult ADHD self-rating scale(ASRS), and behavior rating inventory of executive function-adult version (BRIEF-A). The results of the two groups were compared. Results ① The differences of symptom scores between the parents of children in ADHD group and normal group had no statistical significance (P>0.05), but the numbers of items of inattention and sum had statistical significance(P<0.05). ② The scores of the children's ecological executive function in the ADHD group were significantly higher than those in the control group (P<0.05), and the scores of emotional control, organization orderliness, behavior management index factor and total scores in parents of children with ADHD were statistically significant compared with those of parents in the control group (P<0.05). ③ BRIEF-P scores of children in the ADHD group were low to moderate positive correlated with their parents' BRIEF-A scores (r=0.189-0.453, P<0.01). The results of multiple linear regression analysis showed that the total scores of executive function of primary caregivers of ADHD children affected the total scores of executive function of children by 20.1%. Conclusion Executive function of some parents of preschool children with ADHD is impaired. Executive function of children with ADHD and their parents' executive function have certain relevance. Parents may affect their children through genetic or environmental factors.
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