Abstracts
Résumé
Selon l’American Psychiatric Association (APA, 1994), le trouble déficitaire de l’attention/hyperactivité (TDA/H) se divise en trois profils : inattention prédominante (TDA/H-I), hyperactivité-impulsivité prédominante (TDA/H-H) et mixte (TDA/H-M). L’objectif de cette étude est d’identifier les caractéristiques familiales associées aux trois profils du TDA/H en exerçant un contrôle statistique sur les variables de sexe et d’âge des enfants, ainsi que sur la prise de médication et la co-occurrence de troubles extériorisés et intériorisés. Les participants sont 110 familles d’enfants d’âge primaire présentant un TDA/H (TDA/H-I : n = 31, TDA/H-H : n = 11, TDA/H-M : n = 68) et prenant tous une médication appropriée. Les résultats d’une analyse de covariance multiple démontrent que les familles des trois profils se différencient uniquement au niveau du stress parental : les parents d’enfants ayant un TDA/H-I ressentent moins de stress que les parents d’enfants ayant un TDA/H-H ou un TDA/H-M. Par ailleurs, les résultats suggèrent qu’il est important de considérer la présence du trouble oppositionnel et la prise de médication dans l’étude des profils diagnostiques du TDA/H.
Mots-clés :
- trouble déficitaire de l’attention/hyperactivité (TDAH),
- profils diagnostiques,
- familles
Abstract
Attention deficit hyperactivity disorder (ADHD; American Psychiatric Association, 1994) is divided into three different subtypes : predominantly inattentive type (ADHD-I), predominantly hyperactive (ADHD-H), and combined type (ADHD-C). Whereas several studies have shown differences between these three subtypes in children’s individual characteristics, less is known about differences in their family characteristics. The purpose of this study was to examine whether there were differences in the families of children with ADHD with their diagnostic subtypes when statistically controlling children’s age, gender, medication and co-occurrence with exteriorized and interiorized disorders. Participants were 110 families of children with ADHD (ADHD-I: n=31, ADHD-H: n=11, ADHD-C: n= 68). Children were all in elementary school and were receiving appropriate medication. Results revealed that the three subtypes of children only differed with respect to parental stress, revealing that parents of children with ADHD-I experience less stress than parents with ADHD-H or ADHD-C.
Keywords:
- attention deficit hyperactivity disorder (ADHD),
- subtypes,
- family
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Appendices
Bibliographie
- American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
- American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (Text Revision). Washington, DC: Author.
- Barkley, R. A. (1998). ADHD: A handbook for diagnoses and treatment (2nd Ed.). New York, NY: Guilford.
- Bauermeister, J. J., Matos, M. Reina, G., Salas, C. S., Martìnez, J. V., Cumba, E., & Barkley, R. A. (2005). Comparison of the DSM-IV combined and inattentive types of ADHD in a school-based sample of Latino-Hispanic children. Journal of Child Psychology and Psychiatry, 46, 166-179.
- Bauermeister, J. J., Shrout, P. E., Chàvez, L., Rubio-Stipec, M., Ramirez, R., Padilla, L., … Canino, G. (2007). ADHD and gender: Are risk and sequela of ADHD the same for boys and girls? Journal of Child and Psychiatry, 48, 831-839.
- Beck, A. T., Steer, R. A., & Brown, G. K. (1998). BDI-II: Inventaire de dépression de Beck, 2ième édition. Manuel. Éditions du Centre de psychologie appliquée.
- Bigras, M., Lafrenière, P. J., & Abidin, R. R. (1998). Indice de stress parental : Manuel francophone en complément de l’édition américaine. Toronto, Ontario: Multi-Health Systems.
- Bor, W., Sanders, M. R., & Markie-Dadds, C. (2002). The effects of the Triple P-Positive Parenting Program on preschool children with co-occurring disruptive behaviour and attentional/hyperactive difficulties. Journal of Abnormal Child Psychology, 30, 571-587.
- 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.
- Dumka, L. E., Stoerzinger, H. D., Jackson, K. M., & Roosa, M. W. (1996). Examination of the cross-cultural and cross-language equivalence of the parenting self-agency measure. Family Relations, 45, 216-222.
- Edwards, M. C., Schultz, E. G., & Long, N. (1995). The role of the family in the assessment of attention deficit hyperactivity disorder. Clinical Psychology Review, 15, 375-394.
- Gadow, K. D., Drabick, D. A. G., Loney, J., Sprafkin, J., Salisbury, H., Azizian, A., & Schwartz, J. (2004). Comparison of ADHD symptom subtypes as source-specific syndromes. Journal of Child Psychology and Psychiatry, 45, 1135-1149.
- Hoza, B., Owens, J. S., Pelham, W. E., Swanson, J. M., Conners, K. C., Hinshaw, S. P., Arnold, L. E., … Kraemer, H. C. (2000). Parent cognitions as predictors of child treatment response in attention-deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 28, 569-583.
- Kabacoff, R. I., Miller, I. W., Bishop, D. S., Epstein, N. B., & Keitner, G. L. (1990). A psychometric study of the McMaster Family Assessment Device in psychiatric, medical, and nonclinical samples. Journal of Family Psychology, 3, 431-439.
- Lahey, B. B., Applegate, B., McBurnett, K., Biederman, J., Greenhill, L., Hynd, G. W., … Shaffer, D. (1994). DSM-IV field trails for attention deficit hyperactivity disorder in children and adolescents. American Journal of Psychiatry, 151, 1673-1685.
- Lemelin, G., Lafortune, D., & Fortier, I. (2006). Les caractéristiques familiales des enfants présentant un trouble déficitaire de l’attention avec ou sans hyperactivité: recension critique des écrits. Canadian Psychology/Psychologie Canadienne, 47, 211-228.
- Locke, J., & Wallace, K. M. (1959). Short marital adjustment and prediction tests: Their reliability and validity. Marriage and Family Living, 21, 251-255.
- Ministères de l’Éducation, de la santé et des services sociaux (2003). TDAH, agir ensemble pour mieux soutenir les jeunes, Document de soutien à la formation: Connaissances et interventions. Retrieved from http://www.meq.gouv.qc.ca/dassc/cdtdah/index.html
- Milich, R., Balentine, A. C., & Lynam, D. R. (2001). ADHD combined type and ADHD predominantly inattentive type are distinct and unrelated disorders. Clinical Psychology: Science and Practice, 8, 463-488.
- Miller, I., Epstein, N., Bishop, D., & Keitner, G. (1985). The McMaster family assessment device: Reliability and validity. Journal of Marital and Family Therapy, 11, 345-356.
- Paternite, C. E., Loney, J., & Roberts, M. A. (1996). A preliminary validation of subtypes of DSM-IV attention-deficit/hyperactivity disorder. Journal of Attention Disorders, 1, 70-86.
- Pelham, W. E., & Gnagy, E. M. (1999). Psychosocial and combined treatments for ADHD. Mental Retardation & Developmental Disabilities Research Reviews, 5, 225–236.
- Pelham, W. E., Gnagy, E. M., Greiner, A. R., Hoza, B., Hinshaw, S. P.; Swanson, J. M., … McBurnett, K. (2000). Behavioral versus behavioral and pharmacological treatment in ADHD children attending a summer treatment program. Journal of Abnormal Child Psychology, 28, 507-525.
- Peris, T. S., & Hinshaw, S. P. (2003). Family dynamics and preadolescent girls with ADHD: The relationship between expressed emotion, ADHD symptomatology and comorbid disruptive disorder. Journal of Child Psychology and Psychiatry, 44, 1177-1190.
- Podolski, C. L., & Nigg, J. T. (2001). Parent stress and coping in relation to child ADHD severity and associated child disruptive behavior problems. Journal of Clinical Child Psychology, 30, 503-513.
- Power, T. J., & Dupaul, G. J. (1996). Attention-deficit hyperactivity disorder: The reemergence of subtypes. School Psychology Review, 25, 284-297.
- Rutter, M., Cox, A., Tupling, C., Berger, M., & Yule, W. (1975). Attainment and adjustment in two geographical areas: Vol. 1- The prevalence of psychiatric disorders. British Journal of Psychiatry, 126, 493-509.
- Serketich, W. J. et Dumas, J. E. (1996). The effectiveness of behavioral parent training to modify antisocial behavior in children: A meta-analysis. Behavior Therapy, 27, 171-186.
- Schachar, R., & Tannock, R. (1993). Childhood hyperactivity and psychostimulants: A review of extended treatment studies. Journal of Child and Adolescent Psychopharmacology, 3, 81–97.
- Shaffer, D., Fischer, P., Lucas, D. P., Dulcan, M. K., & Schwab-Stone, W. E. (2000). NIMH diagnostic interview schedule for children version IV (NIMH DISC IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28-38.
- Treacy, L., Tripp, G., & Baird, A. (2005). Parent stress management training for attention-deficit/hyperactivity disorder. Behavior Therapy, 36, 223-233.
- Webster-Stratton, C. (1998). Preventing conduct problems in Head Start children: Strengthening parenting competencies. Journal of Consulting and Clinic Psychology, 66, 715-730.
- Wells, K. C., Epstein, J. N., Hinshaw, S. P., Conners, K., Klaric, J., Abikoff, H. B., Wigal, T. (2000). Parenting and stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): An empirical analysis in the MTA Study. Journal of Abnormal Child Psychology, 28, 543-553.
- Wells, K. C., Hinshaw, S. P., Pfiffner, L., Owens, E. B., Abikoff, H. B., Elliott, G. R., Wigal, T. (2006). Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention deficit hyperactivity disorder. Journal of Consulting and Clinical Psychology, 74, 649-657.
- Wright, J. et Sabourin, S. (1985). L’intervention auprès des couples: diagnostic et traitement. Saint-Damase, Québec: Les Éditions Consultations.