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• W2067274177 abstract "Les comportements agressifs des enfants ont un important impact sur le devenir de l’enfant et de sa famille. Parmi les déterminants des comportements agressifs chez l’enfant entre 3 et 6 ans, la littérature scientifique souligne une place importante du trouble déficitaire de l’attention/hyperactivité, ainsi que les comportements parentaux positifs et négatifs. Par ailleurs, notons que nous retrouvons également une influence bidirectionnelle entre le TDAH et les comportements parentaux positifs et négatifs. Toutefois, la plupart des études se centrent sur des populations cliniques âgées de plus de 6 ans, avec une approche catégorielle du TDAH sans distinction des difficultés d’attention et des comportements d’hyperactivité.L’objectif de notre recherche est d’étudier l’influence conjointe des comportements parentaux positifs et négatifs et de la symptomatologie du TDAH (difficultés d’attention et comportements d’hyperactivité), sur la présence des comportements agressifs chez les enfants de 3 à 6 ans.Menées auprès de 160 enfants en population générale, nos analyses montrent que la symptomatologie du TDAH et les comportements parentaux négatifs sont associés aux comportements agressifs. Les comportements parentaux positifs ne sont pas associés aux comportements agressifs. Les analyses en régressions multiples montrent qu’il y aurait une médiation partielle.La présence de comportements agressifs chez les enfants semble en partie expliquée par les comportements parentaux, mais elle est d’autant plus expliquée lorsque l’enfant a des symptômes d’hyperactivité et d’inattention. Enfin, ces résultats montrent qu’il est important pour un clinicien de tenir compte de la présence d’une symptomatologie du TDAH, même en deçà d’un diagnostic d’un TDAH, lorsqu’un jeune enfant présente des comportements agressifs et aussi et surtout de tenir compte des pratiques éducatives dans le cadre d’un travail thérapeutique engagé auprès de l’enfant et de sa famille.Children's aggressive behaviors have an important economic impact and have a significant impact on the child's and family's development. The literature emphasizes the importance of the association between aggression and deficit disorder of attention and hyperactivity. Principally studied in categorical approach in children over 6 years old, ADHD symptomatology is however present early. The literature also highlights an association between parental behavior and aggressive behavior in young children aged 3 to 6 years. A strong presence of negative parenting behaviors and a low presence of positive parenting behaviors are both associated with the presence of aggressive behavior of children. However, unlike the strength of this association considered in the literature, it seems that parental behaviors account for about 4 to 6 % of the child's aggressive behavior. ADHD is also associated with parental behavior in a bidirectional way. The symptomatology of ADHD would then be associated with a greater presence of negative parenting behaviors and a lower presence of positive parenting behaviors. For all these associations and variables, we find that most studies focus on clinical populations older than 6 years, with a psychopathology approach of aggressiveness (conduct disorder), and with a categorical approach to ADHD without distinction of inattention symptomatology and hyperactivity symptomatology. Our aim is to study the joint influence of positive and negative parental behaviors and symptoms of ADHD or inattention symptomatology or hyperactive behaviors, in a dimensional approach, on the presence of aggressive behaviors in children from 3 to 6 years old.Parents of 160 children evaluated aggressive behaviors, inattention symptomatology and hyperactivity symptomatology by a modified version of the “Childhood Behavior Questionnaire”. Parental behaviors were assessed using a French adaptation of “Parenting Practices Scale”. The statistical analyzes performed were mainly regressions (simple, multiple and with interactions) according to the negative-binomial law derived from the Poisson's law.Our analyzes show that the symptoms of ADHD, inattention symptomatology or hyperactivity symptomatology and negative parenting behaviors were associated with aggressive behavior. positive parenting behaviors have not been associated with aggressive behavior. Multiple regression analyzes show that there is partial mediation but no moderation effect. The most explanatory models are those in multiple regression (negative and positive parental behaviors, symptomatology of ADHD or inattention symptomatology or hyperactivity symptomatology) without the interaction's terms.The presence of aggressive behaviors in children seems to be partly explained by parental behaviors, but it is all the more explained when the child has hyperactivity and inattention symptomatology. Finally, these results show that it is important for a clinician to consider the presence of ADHD symptomatology, even below a diagnosis of ADHD, when a young child exhibits aggressive behaviors and thus take this into account in the therapeutic work undertaken with the child and his family. These results also show the interest of working according to a dimensional approach of aggressive behavior, but also and especially ADHD. Finally, we discuss this involvement in the current debate on the etiology of ADHD." @default.
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• W2067274177 date "2003-05-01" @default.
• W2067274177 modified "2023-09-23" @default.
• W2067274177 title "Emergency psychiatric detentions in a Scottish health region—the use of Sections 24 and 25 of the Mental Health (Scotland) Act 1984" @default.
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• W2067274177 doi "https://doi.org/10.1016/s0160-2527(03)00036-0" @default.
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