A Preliminary Study of the Socialization Process in Toddlers at Risk of ADHD

罹患注意力缺陷過動症風險幼童之社會化歷程初探

黃惠玲(Huei-Lin Huang) ； 黃囇莉(Li-Li Huang) ； 趙家琛(Chia-Chen Chao) ； 蘇詠絮(Yung-Hsu Su)

《臨床心理學刊》 5卷2期 (2011/12) Pp. 25-36

https://doi.org/10.6550/ACP.201112_5(2).0002

摘要

目的：以訪談的方式，探討當孩子表現出類似注意力缺陷過動症（ADHD）行為，例如衝動、過動及注意力不足時，華人父母會如何管教。並藉此發展出注意力缺陷過動症（ADHD）的社會化模式。方法：以人際衝突/和諧模式與華人“忍＂的概念編纂而成的半結構式問卷，訪談37位擁有一歲半至三歲孩子的母親。問卷內容包含孩子出現的行為、母親對於孩子行為的想法、情緒反應與應對方式。結果：找出160個細項行為的編碼，15個分類大項與4個上層概念。並建立幼兒期社會化內在抑制與控制的系統模式。結論：以華人社會的社會化過程為基礎，討論認知行為治療在注意力缺陷過動症（ADHD）兒童上的運用，並探討社會化內在抑制與控制系統模式在未來研究與應用的方向。

關鍵字

注意力缺陷過動症 ； 忍 ； 人際衝突/和諧模式 ； 半結構式問卷

並列摘要

Objective: The purpose of the current study was to explore how Chinese parents deal with children who exhibit ADHD behaviors such as impulsiveness, hyperactivity and inattention. Based on interviews with parents of toddlers, this study developed a model for the socialization process of toddlers with ADHD. Methods: A semi-structured questionnaire, based on the dynamic model of interpersonal conflict/harmony and the concept of ”Ren,” was used to interview 37 mothers of 1.5- to 3-year-olds. The interviews were analyzed to determine the behavior of the children, the emotions and thoughts of the mothers and the mothers' responses to their children's behavior.Results: One hundred and sixty behavior codes, 15 categories and 4 higher hierarchical concepts were identified, and a model for internal inhibition and control in the socialization process was developed. Conclusions: Cognitive behavior therapy has been discussed for toddlers with ADHD, based on the model of the socialization process and modified for use in Chinese society. We have also proposed further study of the socialization processes of internal inhibition and control.

並列關鍵字

Attention-Deficit/Hyperactivity Disorder ； "Ren" ； interpersonal- harmony/conflict model ； semi-structured questionnaire