Communication between infant boys and their mothers with ADHD symptoms.

Publisher: Human Sciences Press] Country of Publication: United States NLM ID: 8007859 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0355 (Electronic) Linking ISSN: 01639641 NLM ISO Abbreviation: Infant Ment Health J Subsets: MEDLINE

Original Publication: [New York, Human Sciences Press]

Attention Deficit Disorder with Hyperactivity*; Communication ; Female ; Humans ; Infant ; Longitudinal Studies ; Male ; Maternal Behavior ; Mothers

Aim: This preliminary longitudinal study examined timing features and type of interaction between infant boys and their mothers with attention deficit hyperactivity disorder (ADHD) symptoms METHOD: Ten infants and their mothers with ADHD symptoms and 10 control dyads were video recorded at home during free play interactions when infants were 2-, 4-, 6-, and 9-month old. Microanalysis of the video recordings was carried out to assess synchronization, turn-taking, and type of interaction. Infants' temperament was also assessed RESULTS: ADHD dyads showed shorter synchronization at 2 months and shorter duration of Joint Attention. Partial least squares regression analysis revealed that infant's ability for Joint Attention is predicted mainly by duration of maternal behavior as well as by earlier forms of communication, that is, protoconversations.
Conclusion: The data from our preliminary study suggest that mothers with ADHD symptoms may have difficulties maintaining their behavior for enough time possibly due to the core symptoms of the disorder, that is, inattention, hyperactivity, and impulsivity. This maternal deficit seems to affect temporal coordination with their infants and maybe the development of more complex forms of interaction. Clinical implications of these findings are also discussed.
(© 2020 Michigan Association for Infant Mental Health.)

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Keywords: ADHD; ADHS; Atención Compartida; Attention Commune; Intersubjectivité; Intersubjektivität; Intervention précoce; Synchronisation; TDAH; early intervention; frühzeitige Intervention; gemeinsame Aufmerksamkeitsausrichtung; intersubjectivity; intersubjetividad; intervención temprana; joint attention; sincronización; synchronization; اضطراب فرط النشاط ونقص الانتباه، الاجتهاد، الانتباه المشترك، التزامن، التدخل المبكر; 主体间性; 共同注意; 同期; 同步性; 多动症; 早期介入; 早期干预; 間主観性
Local Abstract: [Publisher, Spanish; Castilian] Propósito: Este preliminar estudio longitudinal examinó las características de tiempo y el tipo de interacción entre infantes varones y sus madres con síntomas de Trastorno con Déficit de Atención con Hiperactividad (TDAH). Método: Diez infantes y sus madres con síntomas de TDAH y 10 díadas de control fueron grabados en video en casa durante interacciones de juego libre cuando los infantes tenían 2, 4, 6 y 9 meses de edad. Se llevó a cabo un microanálisis de las grabaciones de video para evaluar la sincronización, el turnarse y el tipo de interacción. También se evaluó el temperamento de los infantes. Resultados: Las díadas TDAH mostraron una más corta sincronización a los 2 meses y una duración más corta de la Atención Compartida. El análisis de Regresión de Cuadrados Mínimos Parciales reveló que la habilidad del infante para la Atención Compartida es afirmada principalmente por la duración de la conducta materna, así como también por formas más tempranas de comunicación, v.g. protoconversaciones. Conclusión: La información de nuestro estudio preliminar sugiere que las madres con síntomas de TDAH pudieran tener dificultades para mantener su conducta por suficiente tiempo posiblemente a causa de los síntomas centrales del trastorno, v.g. falta de atención, hiperactividad e impulsividad. Este déficit materno parece afectar la coordinación temporal con sus infantes y quizás el desarrollo de más complejas formas de interacción. También se discuten las implicaciones clínicas de estos resultados. [Publisher, French] But: Cette étude longitudinale préliminaire a examiné les traits de timing et les types d'interaction entre des nourrissons garçons et leurs mères avec des symptômes de TDAH. Méthode: Dix bébés et leurs mères avec des symptômes de TDAH et 1- dyades de contrôle ont été filmés à la vidéo durant des interactions de jeu libre quand les bébés avaient 2, 4, 6, et 9 mois. Une microanalyse des enregistrements vidéo a été faite afin d’évaluer la synchronisation, les tours de role et le type d'interaction. Le tempérament des bébés a aussi été évalué. Résultats: Les dyades TDAH ont fait preuve d'une synchronisation plus courte à deux mois et d'une durée plus courte d'Attention Commune. Une analyse de régression partielle par les moindres carrés a révélé que la capacité du nourrisson à une Attention Commune est prédite essentiellement par la durée du comportement maternel ainsi que par les formes précédentes de communication, comme des protoconversations. Conclusion: Les données de notre étude préliminaire suggèrent que les mères avec des symptômes TDAH peuvent avoir des difficultés à maintenir leur comportement pour assez de temps, peut-être du fait des symptômes essentiels du trouble: inattention, hyperactivité et impulsivité. Ce déficit maternel semble affecter la coordination temporelle avec leurs bébés et peut-être le développement de formes d'interaction plus complexes. Les implications cliniques de ces résultats sont aussi discutées. [Publisher, German] KOMMUNIKATION ZWISCHEN JUNGEN IM KLEINKINDALTER UND IHREN MÜTTERN MIT ADHS-SYMPTOMEN Ziel: Diese längsschnittliche Pilotstudie untersuchte Merkmale des Timings und die Art der Interaktion zwischen Jungen im Kleinkindalter und ihren Müttern mit ADHS-Symptomen. Methode: Von der Experimentalgruppe (10 Kleinkinder und ihre Mütter mit ADHS-Symptomen) und von 10 Kontroll-Dyaden wurden zu Hause während Interaktionen des freien Spielens im Alter von 2, 4, 6 und 9 Monaten Videoaufnahmen gemacht. Um die Synchronisation, das Sich-Abwechseln und die Art der Interaktion zu bewerten, wurde eine Mikroanalyse der Videoaufzeichnungen durchgeführt. Das Temperament des Säuglings wurde ebenfalls bewertet. Ergebnisse: ADHS-Dyaden zeigten nach 2 Monaten eine kürzere Synchronisation und eine kürzere Dauer der gemeinsamen Aufmerksamkeitsausrichtung (Joint Attention). Eine PLSR (Partial Least Squares Regression) ergab, dass die Fähigkeit des Kindes zur gemeinsamen Aufmerksamkeitsausrichtung hauptsächlich durch die Dauer des mütterlichen Verhaltens sowie durch frühere Kommunikationsformen, d. h. Protokonversationen, vorhergesagt wird. Schlussfolgerung: Die Daten aus unserer Pilotstudie legen nahe, dass Mütter mit ADHS-Symptomen möglicherweise aufgrund der Kernsymptome der Störung, d. h. Unaufmerksamkeit, Hyperaktivität und Impulsivität, Schwierigkeiten haben, ihr Verhalten für eine genügend lange Zeit aufrechtzuerhalten. Dieses mütterliche Defizit scheint die zeitliche Koordination mit ihrem Kleinkind und möglicherweise die Entwicklung komplexerer Interaktionsformen zu beeinflussen. Mögliche klinischen Auswirkungen dieser Ergebnisse werden ebenfalls diskutiert. [Publisher, Japanese] 乳児男児とADHD症状のある母親間のコミュニケーション 目的:この予備的な縦断研究では、乳児男児とADHD症状のある母親間の相互交流 のタイミングの特徴とタイプについて調査した。 方法:10組の乳児とADHD症状のある母親、そして、10組の統制群に対し、乳児が 生後2ヶ月、4ヶ月、6ヶ月、9か月の時に、家庭での自由遊びの相互交流の様子を 録画した。録画ビデオのミクロ分析を行い、同期、発話の順序交代と相互交流の タイプについて評価した。乳児の気質も評価した。 結果:ADHDの組は、2ヶ月時に同期している時間がより短く、共同注意の時間が より短かった。部分的最小二乗回帰では、共同注意に関する乳児の能力は主に、 例えば原会話のような早期のコミュニケーションの形だけでなく、母親の行動の 継続時間によっても、予測され得るということが明らかになった。 結論:我々の予備研究の結果は、ADHD症状のある母親は、例えば不注意、多動性、 衝動性といった障がいの主要な症状により、自分の行動を十分に維持することに 困難さを抱えている可能性があることを示唆している。この母親の弱点は、自分 の子どもとの時間的調整、そして恐らくより複雑な相互交流様式の発達に影響し ていると思われる。これらの結果に関する臨床的意義についても議論する。. [Publisher, Chinese] 研究目的:这项初步的纵向研究考察了男婴与患有多动症症状的母亲之间的时间特征和互动类型。研究方法:在婴儿2个月、4个月、6个月和9个月大的时候, 对10组婴儿及患有多动症症状的母亲和10组对照母婴二元组, 在家中进行了自由游戏互动的视频记录。对视频记录进行微观分析, 以评估同步性、话轮转换和互动类型, 还评估了婴儿的气质。研究结果:患有多动症症状的母婴二元组在2个月时显示出较短的同步性, “共同注意”持续时间较短。偏最小二乘回归分析显示, 婴儿的“共同注意”能力主要由母亲行为的持续时间以及早期交流形式 (即原型对话) 来预测。研究结论:我们初步研究的数据表明, 患有多动症症状的母亲可能很难在足够长的时间内保持自己的行为, 这可能是由该病的核心症状造成的, 即注意力不集中、多动和冲动。这种母性缺陷似乎影响了他们与婴儿的时间协调性, 可能会影响更复杂形式的互动发展。研究还讨论了这些发现的临床意义。. [Publisher, Arabic] التواصل بين الأولاد الرضع وأمهاتهم الذين يعانون من اضطراب نقص الانتباه وفرط النشاط (ADHD) الهدف: تناولت هذه الدراسة الطولية الأولية سمات التوقيت ونوعية التفاعل بين الأولاد الرضع وأمهاتهم الذين يعانون من أعراض اضطراب فرط الحركة ونقص الانتباه. الطريقة: تم تسجيل فيديو لعدد 10 رضع وأمهاتهم الذين يعانون من أعراض اضطراب فرط الحركة ونقص الانتباه بالإضافة إلى 10 ثنائيات كمجموعة ضابطة. تم تسجيل مقاطع الفيديو في المنزل أثناء تفاعلات اللعب الحر عندما كان عمر الرضع 2 و4 و6 و9 أشهر. وتم إجراء التحليل الدقيق لتسجيلات الفيديو لتقييم التزامن ، وتبادل الحوار ونوع التفاعل. كما تم تقييم مزاج الرضع. النتائج: أظهرت ثنائيات ADHD تزامن أقصر عند عمر شهرين ومدة أقصر من الانتباه المشترك. وكشف تحليل الانحدار الجزئي أن قدرة الرضيع على الانتباه المشترك يتم التنبؤ بها بشكل رئيسي من خلال مدة سلوك الأمهات وكذلك من خلال الأنماط السابقة من التواصل. الاستنتاج: تشير البيانات المستقاة من دراستنا الأولية إلى أن الأمهات المصابات بأعراض اضطراب فرط الحركة ونقص الانتباه قد يواجهن صعوبات في الحفاظ على سلوكهن لفترة كافية ربما بسبب الأعراض الأساسية للاضطراب أي عدم الانتباه وفرط النشاط والاندفاع. ويبدو أن هذا العجز الأمومي يؤثر على التوافق الزمني مع الرضع وربما على تطوير أشكال أكثر تعقيداً من التفاعل. وتناقش الدراسة التطبيقات الإكلينيكية لهذه النتائج.

Date Created: 20201203 Date Completed: 20210906 Latest Revision: 20210906

20231215

10.1002/imhj.21897

33270275