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Published Online:https://doi.org/10.1026/0049-8637.38.1.43

Zusammenfassung. In der vorliegenden Untersuchung wurde auf Grundlage von 61 Familien mit external auffälligen Kindern in einem ersten Schritt hinsichtlich der Störungsbilder Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS), Störung mit oppositionellem Trotzverhalten (OPP) sowie der Subgruppe mit beiden Störungsformen (ADHS+OPP) eine Subgruppendifferenzierung vorgenommen. Dabei erwies sich die ADHS+OPP-Subgruppe als umfangreichste Teilgruppe (50%) mit der signifikant schwersten Störungsform. Die Verhaltensprobleme der Kinder zeigten sich Subgruppen übergreifend am häufigsten im Umgang mit den Eltern und am zweit häufigsten mit Gleichaltrigen und Geschwistern. Der Umgang mit jüngeren oder älteren Kindern sowie mit fremden Personen erwies sich dem gegenüber Subgruppen übergreifend als nahezu problemlos. Die untersuchten Eltern wiesen über verschiedene Testskalen hinweg zu 18 bis 34% psychische Beeinträchtigungen auf. Varianzanalysen zeigten, dass die psychischen Beeinträchtigungen der Mütter und Väter bezüglich der Schweregrade der kindlichen Verhaltensstörungen Subgruppen übergreifend beträchtlich Varianz aufklärten. Es wird der hohe Stellenwert spezifischer Konzepte individualisierter Elternarbeit hervorgehoben.


Comorbidity and parental psychopathology in children’s disruptive behavior

Abstract. In this study a subgroup differentiation concerning disruptive behavior in childhood was carried out, focusing on 61 families and their children with attention deficit hyperactivity disorder (ADHD) and/or oppositional deviant disorder (ODD). The subgroup with both disorders, ADHD plus ODD, proved to be the largest one (50%) and showed the strongest problems. The behavioral problems of all children were shown most often in contact with parents and secondly most frequent with peers, brothers, and sisters. The contact with younger or older children as well as with foreign persons turned out to be almost free of problems. According to different scales, 18 to 34% of the parents showed mental health problems. Additionally, there was a strong relationship between parental mental health and the extent of their children’s problem behavior. The importance of individualized parental interventions is emphasized.

Literatur

  • American Academy of Child and Adolescent Psychiatry (AACAP) (1997). Practic parameters for the assessment and treatment of attention-deficit hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 85– 121 . First citation in articleCrossrefGoogle Scholar

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington, DC: American Psychiatric Association . First citation in articleGoogle Scholar

  • Angold, A. , Costello, E. J. (1996). Toward establishing an empirical basis for the diagnosis of oppositional defiant disorder. Journal of the Academy of Child and Adolescent Psychiatry, 35, 1205– 1212 . First citation in articleCrossrefGoogle Scholar

  • Barkley, R. A. (1998). Developmental course, adult outcome, and clinic-referred ADHD adults. In R. A. Barkley (Ed.), Attention-Deficit Hyperactivity Disorder: A Handboook for Diagnosis and Treatment (2nd ed., pp. 186-224). New York: Guildfort Press . First citation in articleGoogle Scholar

  • Burns, G. L. , Walsh, J. A. (2002). The influence of ADHD-hyperactivity/impulsivity symptoms on the development of oppositional defiant disorder symptoms in a 2-year longitudinal study. Journal of Abnormal Child Psychology, 30, 245– 256 . First citation in articleCrossrefGoogle Scholar

  • Byrne, J. M. , DeWolfe, N. D. , Bawden, H. N. (1998). Assessment of attention-deficit hyperactivity disorder in preschoolers. Child Neuropsychology, 4, 49– 66 . First citation in articleCrossrefGoogle Scholar

  • Campbell, S. B. (1995). Behavior problems in preschool children: A review of recent research. Journal of Child Psychology and Psychiatry, 31, 113– 149 . First citation in articleCrossrefGoogle Scholar

  • Campbell, S. B. , Pierce, E. W. , Moore, G. , Marakovitz, S. , Newby, K. (1996). Boys’ externalizing problems at elementary school age: Pathways from early behavior problems, maternal control, and family stress. Development and Psychopathology, 8, 701– 719 . First citation in articleCrossrefGoogle Scholar

  • Cunningham, C. E. , Boyle, M. H. (2002). Preschoolers at risk for attention-deficit hyperactivity disorder and oppositional defiant disorder: Family, parenting, and behavioral correlates. Journal of Abnormal Child Psychology, 30, 555– 570 . First citation in articleCrossrefGoogle Scholar

  • Döpfner, M. , Lehmkuhl, G. (2000). Diagnostik-System für Psychische Störungen im Kindes- und Jugendalter nach ICD-10 und DSM-IV (DISYPS-KJ) (2. korr. u. erg. Aufl.). Bern: Huber . First citation in articleGoogle Scholar

  • Döpfner, M. , Plück, J. , Bölte, S. , Lenz, K. , Melchers, P. , Heim, K. (1998). Elternfragebogen über das Verhalten von Kindern und Jugendlichen; deutsche Bearbeitung der Child Behavior Checklist - CBCL/4-18 (2. Aufl. mit deutschen Normen). Köln: Arbeitsgruppe Kinder-, Jugend- und Familiendiagnostik (KJFD) . First citation in articleGoogle Scholar

  • Dumas, J. E. , LaFreniere, P. J. (1995). Relationships as context: Supportive and coercive interactions in competent, aggressive, and anxious mother-child dyads. In J. McCord (Ed.), Coercion and punishment in long term perspectives (pp. 9-33). New York: Cambridge University Press . First citation in articleGoogle Scholar

  • Fahrenberg, J. , Selg, H. (1984). Das Freiburger Persönlichkeitsinventar FPI (4. rev. Aufl.). Göttingen: Hogrefe . First citation in articleGoogle Scholar

  • Hänsgen, K.-D. (1991). Berliner Verfahren zur Neurosendiagnostik (BVND) (2., erw. u. neu bearb. Aufl.). Göttingen: Hogrefe . First citation in articleGoogle Scholar

  • Hathaway, S. R. , Mc Kinley, J. C. (1987). Minnesota Multiphasic Personality Inventory - MMPI Saarbrücken (2. Aufl.; Dt. Bearbeitung von O. Spreen & N. D. Sundberg). Bern: Huber . First citation in articleGoogle Scholar

  • Hinshaw, S. (1987). On the distinction between attentional deficits/hyperactivity and conduct problems/aggression in child psychopathology. Psychological Bulletin, 101, 443– 463 . First citation in articleCrossrefGoogle Scholar

  • Ihle, W. , Esser, G. (2002). Epidemiologie psychischer Störungen im Kindes- und Jugendalter: Prävalenz, Verlauf, Komorbidität und Geschlechtsunterschiede. Psychologische Rundschau, 53, 159– 169 . First citation in articleLinkGoogle Scholar

  • Kerr, M. , Tremblay, R. E. , Pagani, L. , Vitaro, F. (1997). Boy’s behavioral inhibition and the risk of later delinquency. Archives of General Psychiatry, 54, 809– 816 . First citation in articleCrossrefGoogle Scholar

  • Laucht, M. , Esser, G. , Schmidt, M. H. (1998). Risiko- und Schutzfaktoren der frühkindlichen Entwicklung: Empirische Befunde. Zeitschrift für Kinder- und Jugendpsychiatrie, 26, 6– 20 . First citation in articleGoogle Scholar

  • Loeber, R. , Burke, J. D. , Lahey, B. B. , Winters, A. , Zera, M. (2000). Oppositional defiant and conduct disorder: A review of the past 10 years, Part I. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1468– 1484 . First citation in articleCrossrefGoogle Scholar

  • Lovejoy, M. C. , Graczyk, P. A. , O’Hare, E. , Neuman, G. (2000). Maternal Depression and Parenting Behavior: A Meta-Analytic Review. Clinical Psychology Review, 20, 561– 592 . First citation in articleCrossrefGoogle Scholar

  • Najman, J. M. , Williams, G. M. , Nikles, J. , Spence, S. , Bor, W. , O’Callaghan, M. , Le Brocque, R. , Andersen, M. J. (2000). Mothers’ mental illness and child behavior problems: Cause-effect association or observation bias?. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 592– 602 . First citation in articleCrossrefGoogle Scholar

  • Nigg, J. T. , Hinshaw, S. P. (1998). Parent personality traits and psychopathology associated with antisocial behaviors in childhood attention-deficit hyperactivity disorder. Journal of Child Psychology and Psychiatry, 39, 145– 159 . First citation in articleCrossrefGoogle Scholar

  • Offord, D. R. , Boyle, M. H. , Racine, Y. A. , Fleming, J. E. , Cadman, D. T. , Munroe Blum, H. , Byrne, C. , Links, P. S. , Lipman, E. L. , MacMillan, H. L. , Rae Grant, N. I. , Sanford, M. N. , Szatmari, P. , Thomas, H. , Woodward, C. A. (1992). Outcome, prognosis, and risk in a longitudinal follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 916– 923 . First citation in articleCrossrefGoogle Scholar

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

  • Patterson, G. R. , Reid, J. D. , Dishion, T. J. (1992). Antisocial boy . Eugene, OR: Castalia . First citation in articleGoogle Scholar

  • Petermann, F. , Döpfner, M. , Schmidt, M. H. (2001). Aggressiv-dissoziale Störungen . Göttingen: Hogrefe . First citation in articleGoogle Scholar

  • Saß, H. , Wittchen, H.-U. , Zaudig, M. (1996). Diagnostisches und statistisches Manual psychischer Störungen, DSM-IV . Göttingen: Hogrefe . First citation in articleGoogle Scholar

  • Snyder, J. , Schrepferman, L. , Peter, C. S. (1997). Origins of Antisocial Behavior. Negative Reinforcement and Affect. Dysregulation of Behavior as Socialization. Mechanisms in Family Interaction. Behavior Modification, 21, 187– 215 . First citation in articleCrossrefGoogle Scholar

  • Spieker, S. J. , Larson, N. C. , Lewis, S. M. , Keller, T. E. , Gilchrist, L. (1999). Developmental trajectories of disruptive behavior problems in preschool children of adolescent mothers. Child Development, 70, 443– 458 . First citation in articleCrossrefGoogle Scholar

  • Vitaro, F. , Gendreau, P. L. , Tremblay, R. E. , Oligny, P. (1998). Reactive and proactive aggression differentially predict later conduct problems. Journal of Child Psychology and Psychiatry, 39, 377– 385 . First citation in articleCrossrefGoogle Scholar

  • Wells, K. C. , Epstein, J. N. , Hinshaw, S. P. , Conners, C. K. , Klaric, J. , Abikoff, H. B. , Abramowitz, A. , Arnold, L. E. , Elliott, G. , Greenhill, L. L. , Hechtman, L. , Hoza, B. , Jenson, P. S. , March, J. S. , Pelham, W., Jr. , Pfiffner, L. , Severe, J. , Swanson, J. M. , Vitiello, B. , Wigal, T. (2000). Parenting and family stress treatment outcomes in Attention deficit hyperactivity disorder (ADHD): An emperical analysis in the MTA study. Journal of Abnormal Child Psychology, 28, 543– 553 . First citation in articleCrossrefGoogle Scholar

  • Whitmore, E. A. , Mikulich, S. K. , Thompson, L. L. , Riggs, P. D. , Aarons, G. A. , Crowley, T. J. (1997). Influences on adolescent substance dependence: conduct disorder, depression, attention deficit hyperactivity disorder, and gender. Drug and Alcohol Dependencies, 47, 87– 97 . First citation in articleCrossrefGoogle Scholar