Skip to main content
Originalarbeiten / Original communications

Mutter-Kind-Interaktion und externalisierende Störungen bei Kindern im Grundschulalter

Published Online:https://doi.org/10.1024//1422-4917.29.4.263

Zusammenfassung:Fragestellung: Das Verhalten von achtjährigen Kindern mit externalisierenden Störungen (hyperkinetische Störung und Störung des Sozialverhaltens) in der Interaktion mit ihren Müttern wurde untersucht. Methodik/Ergebnisse: Im univariaten Vergleich waren Mütter in der Interaktion mit ihren hyperkinetischen Kindern restriktiver, abwertender und weniger angemessen als Mütter unauffälliger Kinder, während sich die Kinder unaufmerksamer und impulsiver sowie weniger assertiv und hilflos verhielten. Kinder mit einer Störung des Sozialverhaltens waren in der Interaktion mit ihren Müttern abwertender, aggressiver und provokativer als unauffällige Kinder, während die Mütter mehr Ungeduld zeigten. Schlussfolgerung: Eine Interaktion zwischen aggressivem Kindverhalten und Restriktivität der Mutter trug zu vermehrten dissozialen Symptomen bei. Eine höhere Zahl hyperkinetischer Symptome wurde durch die Interaktion zwischen impulsivem Kindverhalten und mütterlicher Aversivität begünstigt.


Abstract:Mother-child interaction and externalizing disorders in elementary school children

Objectives: The behavior of eight-year-old children with externalizing disorders (ADHD and CD) in interaction with their mothers was examined. Methods/Results: Mothers of ADHD children were more restrictive and negative towards their children and showed less adaquate control than did mothers of normal children. ADHD children paid less attention, were less assertive and helpless, and were more impulsive than controls. CD children were more negative towards their mothers, and were more aggressive and provocative than normal children, while their mothers were more impatient. Conclusions: An interaction between aggressive child behavior and maternal restrictiveness contributed to increased conduct problems. Hyperactivity was enhanced by the interaction between the impulsive behavior of the child and the aversive maternal response.

Literatur

  • Anastopoulos, A. , Guevremont, D. , Shelton, T. , DuPaul, G. Parenting stress among families of children with attention deficit hyperactivity disorder.. Journal of Abnormal Child Psychology, 20, 503– 520 (1992). First citation in articleCrossref MedlineGoogle Scholar

  • Anderson, C. , Hinshaw, S. , Simmel, C. Mother-Child Interaction in ADHD and comparison boys: Relationships with overt and covert externalizing behavior.. Journal of Abnormal Child Psychology, 22, 247– 265 (1994). First citation in articleCrossref MedlineGoogle Scholar

  • August, G. , MacDonald, A. , Realmuto, G. , Skare, S. Hyperactive and aggressive pathways: Effects of demographic, family and child characteristics on children's adaptative functioning.. Journal of Clinical Child Psychology, 25, 341– 351 (1996). First citation in articleCrossrefGoogle Scholar

  • Barkley, R. Attention deficit hyperactivity disorder. A handbook for diagnosis and treatment.. Guilford Press, New York (1990). First citation in articleGoogle Scholar

  • Biederman, J. , Milberger, S. , Faraone, S. , Kiely, K. , Guite, J. , Mick, E. , Ablon, S. , Warburton, R. , Reed, E. Family-environment risk factors for attention deficit hyperactivity disorder: a test of Rutter's indicators of adversity.. Archives of General Psychiatry, 52, 464– 470 (1995). First citation in articleCrossref MedlineGoogle Scholar

  • Comings, D. Genetic aspects of childhood behavioral disorders.. Child Psychiatry and Human Development, 27, 139– 150 (1997). First citation in articleCrossref MedlineGoogle Scholar

  • Cunningham, C.E. , Barkley, R.A. The interactions of normal and hyperactive children with their mothers in free play and structured tasks.. Child Development, 50, 217– 224 (1979). First citation in articleCrossref MedlineGoogle Scholar

  • Danforth, J.S. , Barkley, R.A. , Stokes, T.F. Observations of interactions between parents and their hyperactive children: an analysis of reciprocal influence.. Clinical Psychology Review, 11, 703– 727 (1991). First citation in articleCrossrefGoogle Scholar

  • Denham, S. , Workman, E. , Cole, P. , Weissbrod, C. , Kendziora, K. , Zahn-Waxler, C. Prediction of externalizing behavior problems from early to middle childhood: The role of parental socialisation and emotion expression.. Development and Psychopathology, 12, 23– 45 (2000). First citation in articleCrossref MedlineGoogle Scholar

  • Dinter-Jörg, M. , Polowczyk, M. , Herrle, J. , Esser, G. , Laucht, M. , Schmidt, M.H. Mannheimer Beobachtungsskalen zur Analyse der Mutter-Kind-Interaktion im Kleinkindalter.. Zeitschrift für Kinder- und Jugendpsychiatrie, 25, 207– 217 (1997). First citation in articleGoogle Scholar

  • Dishion, T. , Patterson, G. , Stoolmiller, M. , Skinner, M. Family, school and behavioral antecedents to early adolescent involvement with antisocial peers.. Developmental Psychology, 27, 172– 180 (1991). First citation in articleCrossrefGoogle Scholar

  • Dodge, K.A. , Bates, J.E. , Pettit, G.S. Mechanisms in the cycle of violence.. Science, 250, 1678– 1683 (1990). First citation in articleCrossref MedlineGoogle Scholar

  • Döpfner, M. , Schürmann, S. , Frölich, J. Therapieprogramm für Kinder mit hyperkinetischem und oppositionellem Problemverhalten THOP.. Beltz, Weinheim (1997). First citation in articleGoogle Scholar

  • Döpfner, M. , Plück, J. , Berner, W. , Englert, E. , Fegert, J.M. , Huss, M. , Lenz, K. , Schmeck, K. , Lehmkuhl, G. , Lehmkuhl, G. , Poustka, F. Psychische Auffälligkeiten und psychosoziale Kompetenzen von Kindern und Jugendlichen in den neuen und alten Bundesländern - Ergebnisse einer bundesweit repräsentativen Studie.. Zeitschrift für Klinische Psychologie, 27, 9– 19 (1998). First citation in articleGoogle Scholar

  • Dumas, J. , LaFreniere, P. Mother-child relationships as sources of support or stress: a comparison of competent average, aggressive and anxious dyads.. Child Development, 64, 264– 275 (1993). First citation in articleCrossrefGoogle Scholar

  • Esser, G. , Blanz, B. , Geisel, B. , Laucht, M. Mannheimer Elterninterview - Strukturiertes Interview zur Erfassung von kinderpsychiatrischen Auffälligkeiten.. Beltz, Weinheim (1989). First citation in articleGoogle Scholar

  • Fisher, M. , Barkley, R. , Fletcher, K. , Smallish, L. The adolescent outcome of hyperactive children: predictors of psychiatric, academic, social and emotional adjustment.. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 324– 332 (1993). First citation in articleCrossref MedlineGoogle Scholar

  • Frick, P. , Lahey, B. , Kamphaus, R. , Loeber, R. Academic underachivement and the disruptive behavior disorders.. Journal of Consulting and Clinical Psychology, 59, 289– 294 (1991). First citation in articleCrossref MedlineGoogle Scholar

  • Frick, P. , Lahey, B.B. , Loeber, R. , Stouthamer-Loeber, M. , Christ, M.A.G. , Hanson, K. Familial risk factors to oppositional defiant disorder and conduct disorder: Parental psychopathology and maternal parenting.. Journal of Consulting and Clinical Psychology, 60, 49– 55 (1992). First citation in articleCrossref MedlineGoogle Scholar

  • Frick, P. Family dysfunction and the disruptive behavior disorders.. A review of recent empirical findings. Advances in Clinical Child Psychology, 16, 203– 226 (1994). First citation in articleCrossrefGoogle Scholar

  • Geller, J. , Johnston, Ch. Predictors of mother's responses to child noncompliance: attributions and attitudes.. Journal of Clinical Child Psychology, 24, 272– 278 (1995). First citation in articleCrossrefGoogle Scholar

  • Gill, M. , Daly, G. , Heron, S. , Hawi, Z. , Fitzgerald, H. Confirmation of association between attention deficit hyperactivity disorders and dopamin transporter polymorphism.. Biological Psychiatry, 2, 311– 313 (1997). First citation in articleGoogle Scholar

  • Hinshaw, S. , Lahey, B. , Hart, E. Issues of taxonomy and comorbidity in the development of conduct disorder.. Development and Psychopathology, 5, 31– 49 (1993). First citation in articleCrossrefGoogle Scholar

  • Jörg, M. , Rose, F. , Dinter, R. , Villalba-Yantorno, P. , Esser, G. , Schmidt, M.H. , Laucht, M. Kategoriensystem zur Mikroanalyse der frühen Mutter-Kind-Interaktion.. Zeitschrift für Kinder- und Jugendpsychiatrie, 22, 97– 106 (1994). First citation in articleMedlineGoogle Scholar

  • Klein, R. , Manuzza, S. Long-term outcome of hyperactive children: a review.. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 383– 387 (1991). First citation in articleCrossref MedlineGoogle Scholar

  • Kratzer, L. , Hodgins, S. Adult outcome of child conduct problems: A cohort study.. Journal of Abnormal Child Psychology, 25, 65– 81 (1997). First citation in articleCrossref MedlineGoogle Scholar

  • Landry, S. , Smith, K. , Miller-Loncar, C. , Swank, P. The relation of change in maternal interactive styles to the developing social competence of full-term and preterm children.. Child Development, 69, 105– 123 (1998). First citation in articleCrossref MedlineGoogle Scholar

  • Laucht, M. , Esser, G. , Schmidt, M. Längsschnittforschung zur Entwicklungsepidemiologie psychischer Störungen: Zielsetzung, Konzeption und zentrale Befunde der Mannheimer Risikokinderstudie.. Zeitschrift für klinische Psychologie und Psychotherapie, 29, 246– 262 (2000a). First citation in articleLinkGoogle Scholar

  • Laucht, M. , Esser, G. , Schmidt, M. Entwicklung von Risikokindern im Schulalter: Die langfristigen Folgen frühkindlicher Belastungen.. Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie, 32, 59– 69 (2000b). First citation in articleLinkGoogle Scholar

  • Mash, E.J. , Johnston, C. A comparison of the mother-child interactions of younger and older hyperactive and normal children.. Child Development, 53, 1371– 1381 (1982). First citation in articleCrossref MedlineGoogle Scholar

  • Maughan, B. , Rutter, M. Continuities and discontinuities in antisocial behavior from childhood to adult life.. Advances in Clinical Child Psychology, 20, 1– 47 (1998). First citation in articleCrossrefGoogle Scholar

  • Patterson, G. Coercive family process.. Castalia, Eugene, OR (1982). First citation in articleGoogle Scholar

  • Patterson, G. , DeGarmo, D. , Knutson, N. Hyperactive and antisocial behaviors: Comorbid or two points in the same process?. Development and Psychopathology, 12, 91– 106 (2000). First citation in articleCrossref MedlineGoogle Scholar

  • Polowczyk, M. , Trautmann-Villalba, P. , Dinter-Jörg, M. , Gerhold, M. , Laucht, M. , Schmidt, M. , Esser, G. Auffällige Mutter-Kind-Interaktion im Vorschulalter bei Kindern mit hyperkinetischen und Sozialverhaltensauffälligkeiten.. Zeitschrift für klinische Psychologie und Psychotherapie, 29, 293– 304 (2000). First citation in articleLinkGoogle Scholar

  • Schmeck, K. , Poustka, F. Biologische Grundlagen von impulsiv-aggressivem Verhalten.. Kindheit und Entwicklung, 9, 3– 13 (2000). First citation in articleLinkGoogle Scholar

  • Stormshak, E. , Bierman, K. The Conduct Problems Prevention Research Group: The implications of different developmental patterns of disruptive behavior problems for school adjustment.. Development and Psychopathology, 10, 451– 467 (1998). First citation in articleCrossref MedlineGoogle Scholar

  • Stormshak, E. , Bierman, K. , McMahon, R. , Lengua, L. The Conduct Problems Prevention Research Group: Parenting practices and child disruptive behavior problems in early elementary school.. Journal of Clinical Child Psychology, 29, 17– 29 (2000). First citation in articleCrossref MedlineGoogle Scholar

  • Whalen, C. , Henker, B. The child with attention-deficit/hyperactivity disorder in family contexts.. In Quay and Hogan (Eds.) Handbook of disruptive behavior disorders. Kluwer Academic Plenum Publishers, New York (1999). First citation in articleCrossrefGoogle Scholar