期刊
JOURNAL OF ATTENTION DISORDERS
卷 27, 期 2, 页码 124-144出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/10870547221132793
关键词
ADHD; risk factors; familial factors; psychosocial factors; symptom severity; meta-analysis; review
This systematic review and meta-analysis examined the association between familial factors and symptom severity in children with ADHD. The findings suggest that psychosocial familial factors have small but significant associations with ADHD symptom severity.
Objective: Both genetic and environmental factors contribute to the development of ADHD, but associations between risk factors and ADHD symptom severity in affected children remain unclear. This systematic review and meta-analysis synthesizes evidence on the association between familial factors and symptom severity in children with ADHD (PROSPERO CRD42020076440). Method: PubMed and PsycINFO were searched for eligible studies. Results: Forty-three studies (N = 11,123 participants) were meta-analyzed. Five additional studies (N = 2,643 participants) were considered in the supplemental review. Parenting stress (r = .25), negative parenting practices (r = .19), broken parental partnership (r = .19), critical life events (r = .17), parental psychopathologies (r = .14-.16), socioeconomic status (r = -.10), and single-parent family (r = .10) were significantly associated with ADHD symptom severity. Conclusion: These results suggest that psychosocial familial factors show small but significant associations with symptom severity in children with ADHD. Implications are discussed.
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