以結構方程式建構注意力不足過動症多測量多因果模式:重測資料

注意力不足過動症，是兒童最常見的神經行為異常。由於每一孩子的情況皆不盡相同，因此醫師在治療上所採用的方法，亦會根據個案的需求而做調整。主要原因之一是注意力不足過動症的孩子除了個人、家庭及學校等方面的潛在影響因素外，常伴隨有精神病學的共病現象。另外，父母本身的個人特質亦會影響患童病情與共病現象，進而影響父母本身的親職壓力。針對上述所提多測量多因果的問題，若能以結構方程式來建構彼此間的因果關係，將有助於兒童精神科醫師針對每一個案擬定有效之治療計畫。

關鍵字

注意力不足過動症；共病；多測量多因果；結構方程式

並列摘要

Attention-Deficit Hyperactivity Disorder (ADHD) is one of children's most common neural behavioral disorders. Due to the various situations of ADHD child, the method which the doctor adopts in treating ADHD will also be adjusted on the basis of demand for the case. One of the main reasons is that an ADHD child has not only various potential risk factors from individual, family and/or school, but also is heavily comorbid .On the other hands, the personal characteristics of parent will influence the conditions of ADHD child and/or the comorbidity. According to the aforementioned multiple indicators and multiple causes (MIMIC) problems, we will try to use the structural equation modeling (SEM) method to conduct the causal relationships among them. The results will help the children psychiatrist to establish an effective treatment plan for each ADHD child.

並列關鍵字

ADHD ； comorbidity ； MIMIC ； SEM

參考文獻

（2）Daire Hooper1, Joseph Coughlan1, and Michael R. Mullen2 1Dublin Institute of Technology, Dublin, Republic of Ireland

（3）J Biederman, M C Monuteaux, E Kendrick, K L Klein, S V Faraone (2008), “The CBCL as a screen for psychiatric comorbidity in paediatric patients with ADHD”, Archives of Disease in Childhood, V. 90;p.1010-1015.

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