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Dunst CJ. Meta-Analyses of the Relationships between Family Systems Practices, Parents' Psychological Health, and Parenting Quality. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6723. [PMID: 37754583 PMCID: PMC10530758 DOI: 10.3390/ijerph20186723] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 06/05/2023] [Accepted: 08/31/2023] [Indexed: 09/28/2023]
Abstract
(1) Background: Family systems theories include assertations that both personal and environmental factors are determinants of parents' psychological health, well-being, and parenting quality. Applied family systems theories focus on determinants that can be operationalized as intervention practices. The analyses described in this paper focused on the direct and indirect effects of four family systems practices (family needs, resources, supports, and strengths), parents' psychological health (depression, well-being, etc.), and parenting quality (parenting beliefs, involvement, and practices) in families of children with identified disabilities, medical conditions, or at-risk conditions for poor outcomes; (2) Methods: Data from previously completed meta-analyses of the relationships between family systems practices and parents' psychological health outcomes and parenting quality outcomes were reanalyzed. Next, a meta-analysis of the relationships between parents' psychological health and parenting quality was completed to identify which predictors were related to which parenting quality outcomes. Both main effects and mediated effects were examined; (3) Results: The four family systems practices were each related to six different psychological health measures and three parenting quality measures. The six different parental psychological health measures were also related to the three parenting quality measures. The relationships between family systems practices and parenting quality were partially mediated by parents' psychological health; (4) Conclusions: The effects of family systems practices and parents' psychological health on parenting quality were primarily direct and independent. The relationships between family systems practices and parenting quality were partially mediated by parents' psychological health. Future research should focus on the identification of other mediator variables found to be important for explaining the indirect effects of family systems practices measures on parenting beliefs, behavior, and practices.
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Affiliation(s)
- Carl J Dunst
- Orelena Hawks Puckett Institute, Asheville, NC 28730, USA
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2
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Zhang Q, Li JJ. Explaining the Prospective Association of Positive and Negative Parenting Behaviors and Child ADHD Symptoms: Pathways Through Child Executive Function and Reward Responsivity. J Atten Disord 2022; 26:1774-1787. [PMID: 35676827 PMCID: PMC9960170 DOI: 10.1177/10870547221104079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: Parenting behavior is a well-established correlate of offspring ADHD. However, little is known about how parenting exerts its effects on offspring ADHD symptomatology. We examined whether prospective associations between positive and negative parenting behaviors and child ADHD symptoms are mediated by deficits in child executive function (EF) and reward responsivity (RR). Method: One hundred and thirty-five children with and without ADHD were assessed across two Waves, when children were mean ages 6 and 8 respectively. Children completed tasks on EF, and parents completed questionnaires about their parenting behaviors and their children's RR and ADHD symptoms. Results: Negative parenting behavior at Wave 1 was indirectly associated with offspring ADHD symptoms at Wave 2 via offspring EF. Conclusion: Individual differences in EF, but not RR, during early childhood may constitute a potential pathway by which negative parenting behaviors exerts its effects on subsequent offspring ADHD symptomatology. Treatment implications are discussed.
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Affiliation(s)
- Qi Zhang
- University of Wisconsin-Madison, USA
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3
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Trumello C, Ballarotto G, Ricciardi P, Paciello M, Marino V, Morelli M, Tambelli R, Babore A. Mothers and fathers of pre-school children: a study on parenting stress and child's emotional-behavioral difficulties. CURRENT PSYCHOLOGY 2022; 42:1-12. [PMID: 36035250 PMCID: PMC9395769 DOI: 10.1007/s12144-022-03599-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 07/31/2022] [Accepted: 08/01/2022] [Indexed: 11/29/2022]
Abstract
The present study aimed to analyze the differences between maternal and paternal parenting stress and children's behavioral functioning, as determined by teacher and parent reports. In addition, it sought to evaluate the presence of clusters based on parenting stress and to determine whether perceptions of children's behavioral functioning varied across these clusters. The sample was composed of the parents and teachers of N = 201 children. Parents completed a self-report questionnaire on parenting stress and parents and teachers filled out report-form questionnaires assessing children's emotional and behavioral functioning. The results showed that mothers had higher levels of parenting stress than fathers, and both parents reported more prosocial behavior in children than did teachers. Furthermore, middle stressed parents had children who expressed more prosocial behavior than did parents in other clusters. The findings also showed that parenting stress influenced partners' perceptions of children's behavioral functioning. The multiplicity of child observers facilitated a better understanding of how parenting stress, linked to parent-child interactions, may play an important role in shaping parents' perceptions of their children.
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Affiliation(s)
- Carmen Trumello
- Department of Psychological, Health and Territorial Sciences, University G. d’Annunzio of Chieti, Chieti, Italy
| | - Giulia Ballarotto
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, via degli Apuli 1, 00185 Rome, Italy
| | - Piera Ricciardi
- Department of Psychological, Health and Territorial Sciences, University G. d’Annunzio of Chieti, Chieti, Italy
| | - Marinella Paciello
- Faculty of Psychology, International Telematic University Uninettuno, Rome, Italy
| | - Valentina Marino
- Department of Psychological, Health and Territorial Sciences, University G. d’Annunzio of Chieti, Chieti, Italy
| | - Mara Morelli
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, via degli Apuli 1, 00185 Rome, Italy
| | - Renata Tambelli
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, via degli Apuli 1, 00185 Rome, Italy
| | - Alessandra Babore
- Department of Psychological, Health and Territorial Sciences, University G. d’Annunzio of Chieti, Chieti, Italy
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Goodrum NM, Carroll J, Dubrow I, Armistead LP, Masyn K, Schulte M, Murphy DA. Parenting stress predicts longitudinal change in parental involvement among mothers living with HIV. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2022; 36:725-735. [PMID: 34472939 PMCID: PMC8888772 DOI: 10.1037/fam0000909] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Mothers living with HIV (MLH) face unique challenges that may compound parenting stress and impede effective parenting practices. Among the general population, research has demonstrated bidirectional longitudinal relations between parenting stress and parenting practices; yet, despite the additional stressors faced by MLH, these processes have not been examined longitudinally in this population. Utilizing the process model of parenting, the present study examined the longitudinal relations between parenting stress and parental involvement among a sample of MLH with children aged 6-14 years (N = 174). MLH completed self-report measures on their parenting stress and parental involvement at four timepoints spanning 15 months. Latent change score modeling was employed to examine how changes in parenting stress and changes in parental involvement were related across time. Results revealed that increases in parenting stress-specifically distress within the parental role-predicted subsequent decreases in parental involvement. The effects were unidirectional; parental involvement did not predict subsequent changes in parenting stress. Other aspects of parenting stress (perceptions of dysfunctional parent-child interactions and perceptions of the child's temperament as difficult) did not have significant longitudinal associations with changes in parental involvement. Results highlight the central role of parenting stress for MLH as a potential driving factor of parenting quality. Beyond supporting the use of effective parenting skills, clinical prevention and intervention efforts with families affected by HIV should also incorporate stress reduction techniques to increase MLH's capacity for active parental involvement and thereby support positive outcomes for their children. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Nada M. Goodrum
- Department of Psychology, University of South Carolina
- National Crime Victims Research and Treatment Center, Medical University of South Carolina
| | | | - Isabella Dubrow
- National Crime Victims Research and Treatment Center, Medical University of South Carolina
| | | | | | - Marya Schulte
- Department of Psychiatry, University of California, Los Angeles
| | - Debra A. Murphy
- Department of Psychiatry, University of California, Los Angeles
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5
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Bucsea O, Kosmerly S, Rogers MA. Effects of Mothers’ Parenting Sense of Competence and Child Gender on Academic Readiness in Preschool Children with Symptoms of ADHD. JOURNAL OF APPLIED SCHOOL PSYCHOLOGY 2022. [DOI: 10.1080/15377903.2021.2012862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Oana Bucsea
- York University, Toronto, Ottawa, ON, Canada
| | - Stacey Kosmerly
- School of Psychology, University of Ottawa, Ottawa, ON, Canada
| | - Maria A. Rogers
- School of Psychology, University of Ottawa, Ottawa, ON, Canada
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6
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Musabelliu G, Wiener J, Rogers M. Parental Involvement in Education and Academic Achievement in Adolescents With Attention Deficit Hyperactivity Disorder. CANADIAN JOURNAL OF SCHOOL PSYCHOLOGY 2022. [DOI: 10.1177/08295735221092959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study examined the relationship between parental involvement in education (PIE) and adolescent academic achievement in 99 adolescents with and without ADHD. PIE was measured by two parent-report questionnaires. A standardized test was used to measure academic achievement. Adolescent ADHD status predicted academic achievement. Maternal PIE did not predict adolescent achievement over and above adolescent ADHD status. Fathers’ self-efficacy, supportive involvement, and aspirations moderated the association between adolescent ADHD status and adolescent achievement. These PIE variables were positively associated with achievement in adolescents with ADHD. Paternal self-efficacy was not associated with achievement in adolescents without ADHD, and paternal supportive involvement and paternal aspirations predicted lower achievement in these adolescents. These results suggest the importance of paternal involvement in the learning of adolescents with ADHD and have implications for involving fathers in interventions aimed at improving their academic achievement.
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7
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Examining daily parent involvement in caregivers of children with ADHD using electronic diaries. J Sch Psychol 2022; 91:195-208. [DOI: 10.1016/j.jsp.2022.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 10/12/2021] [Accepted: 01/14/2022] [Indexed: 11/20/2022]
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Condo JS, Chan ESM, Kofler MJ. Examining the effects of ADHD symptoms and parental involvement on children's academic achievement. RESEARCH IN DEVELOPMENTAL DISABILITIES 2022; 122:104156. [PMID: 35007980 PMCID: PMC8944944 DOI: 10.1016/j.ridd.2021.104156] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 11/23/2021] [Accepted: 12/20/2021] [Indexed: 05/17/2023]
Abstract
OBJECTIVE Our understanding of the role of parental involvement in academic outcomes for children with ADHD is limited, with mixed evidence suggesting a positive association between parental involvement and academic achievement for pediatric ADHD but limited evidence regarding how this varies based on ADHD symptom severity, ADHD symptom domains, or co-occurring ODD symptoms. In this context, the present study aimed to examine the effects of parental involvement, ADHD symptoms, and comorbid ODD on children's overall, reading, and math achievement. METHOD A well-characterized clinically-evaluated sample of 162 children recruited through a university-based children's learning/behavioral health clinic and community resources (ages 8-13; 50 girls; 69% Caucasian/Non-Hispanic) were administered standardized academic achievement tests, with parents and teachers completing measures of parental involvement and ADHD symptoms, respectively. RESULTS Inattention, but not hyperactivity-impulsivity, was associated with lower academic achievement in all tested models (β= -.16 to -.22, all p < .03). Surprisingly, parental involvement had significant negative associations with math and overall academic achievement (β= -.13 to -.26, both p< .05) and did not moderate the relations between ADHD symptoms and academic achievement in any tested model. Comorbid ODD symptoms did not significantly predict academic achievement or interact with parental involvement in any tested model. These findings were robust to control for child IQ, age, sex, SES, anxiety, and depression. CONCLUSION Parental involvement may not serve as a protective factor against academic underachievement for children with clinically elevated ADHD symptoms, and may predict lower rather than higher academic achievement for clinically evaluated children in general.
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Affiliation(s)
- Jaida S Condo
- Florida State University, Department of Psychology, United States
| | | | - Michael J Kofler
- Florida State University, Department of Psychology, United States.
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9
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Meyer A, Kegley M, Klein DN. Overprotective Parenting Mediates the Relationship Between Early Childhood ADHD and Anxiety Symptoms: Evidence From a Cross-Sectional and Longitudinal Study. J Atten Disord 2022; 26:319-327. [PMID: 33402046 DOI: 10.1177/1087054720978552] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Attention Deficit/Hyperactivity Disorder (ADHD) is often comorbid with anxiety disorders in children. Both ADHD and anxiety in childhood has been linked to overprotective parenting styles. In the current study we examine a model wherein early ADHD symptoms predict overprotective parenting, which in turn predicts anxiety symptoms later in childhood. In Study 1 we utilize cross-sectional data in 102 child/parent dyads between the ages of 5 and 7 years old and Study 2 extends these findings by examining this same mediation model longitudinally in 376 child/parent dyads who were assessed when children were 3, 6, and 9 years old. Results from both studies supported a mediation model wherein the relationship between child ADHD symptoms and child anxiety symptoms was mediated by parental overprotection. This is the first study, to our knowledge, to examine overprotective parenting as a mechanism underlying the heterotypic continuity or sequential comorbidity of ADHD to anxiety symptoms.
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Affiliation(s)
| | - Molly Kegley
- Medical University of South Carolina, Columbia, USA
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10
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Sellers R, Harold GT, Smith AF, Neiderhiser JM, Reiss D, Shaw D, Natsuaki MN, Thapar A, Leve LD. Disentangling nature from nurture in examining the interplay between parent-child relationships, ADHD, and early academic attainment. Psychol Med 2021; 51:645-652. [PMID: 31839017 PMCID: PMC7295681 DOI: 10.1017/s0033291719003593] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
BACKGROUND Attention deficit hyperactivity disorder (ADHD) is highly heritable and is associated with lower educational attainment. ADHD is linked to family adversity, including hostile parenting. Questions remain regarding the role of genetic and environmental factors underlying processes through which ADHD symptoms develop and influence academic attainment. METHOD This study employed a parent-offspring adoption design (N = 345) to examine the interplay between genetic susceptibility to child attention problems (birth mother ADHD symptoms) and adoptive parent (mother and father) hostility on child lower academic outcomes, via child ADHD symptoms. Questionnaires assessed birth mother ADHD symptoms, adoptive parent (mother and father) hostility to child, early child impulsivity/activation, and child ADHD symptoms. The Woodcock-Johnson test was used to examine child reading and math aptitude. RESULTS Building on a previous study (Harold et al., 2013, Journal of Child Psychology and Psychiatry, 54(10), 1038-1046), heritable influences were found: birth mother ADHD symptoms predicted child impulsivity/activation. In turn, child impulsivity/activation (4.5 years) evoked maternal and paternal hostility, which was associated with children's ADHD continuity (6 years). Both maternal and paternal hostility (4.5 years) contributed to impairments in math but not reading (7 years), via impacts on ADHD symptoms (6 years). CONCLUSION Findings highlight the importance of early child behavior dysregulation evoking parent hostility in both mothers and fathers, with maternal and paternal hostility contributing to the continuation of ADHD symptoms and lower levels of later math ability. Early interventions may be important for the promotion of child math skills in those with ADHD symptoms, especially where children have high levels of early behavior dysregulation.
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Affiliation(s)
- R Sellers
- School of Psychology, Andrew and Virginia Rudd Centre for Adoption Research and Practice, University of Sussex, Brighton, UK
- Institute of Psychological Medicine and Clinical Neurosciences, School of Medicine, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK
| | - G T Harold
- School of Psychology, Andrew and Virginia Rudd Centre for Adoption Research and Practice, University of Sussex, Brighton, UK
- Institute of Psychological Medicine and Clinical Neurosciences, School of Medicine, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK
- School of Psychology, Trinity College Dublin, The University of Dublin, Ireland
| | - A F Smith
- School of Psychology, Andrew and Virginia Rudd Centre for Adoption Research and Practice, University of Sussex, Brighton, UK
| | - J M Neiderhiser
- Department of Psychology, The Pennsylvania State University, University Park, PA, USA
| | - D Reiss
- Yale Child Study Center, New Haven, CT, USA
| | - D Shaw
- University of Pittsburgh, Pittsburgh, PA, USA
| | | | - A Thapar
- Institute of Psychological Medicine and Clinical Neurosciences, School of Medicine, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK
| | - L D Leve
- Prevention Science Institute, University of Oregon, Eugene, ORUSA
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11
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Wendel M, Ritchie T, Rogers MA, Ogg JA, Santuzzi AM, Shelleby EC, Menter K. The Association Between Child ADHD Symptoms and Changes in Parental Involvement in Kindergarten Children’s Learning During COVID-19. SCHOOL PSYCHOLOGY REVIEW 2020. [DOI: 10.1080/2372966x.2020.1838233] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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12
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Reducing homework stress by increasing adoption of need-supportive practices: Effects of an intervention with parents. LEARNING AND INDIVIDUAL DIFFERENCES 2020. [DOI: 10.1016/j.lindif.2020.101921] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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13
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Shelleby EC, Ogg J. Longitudinal Relationships Between Parent Involvement, Parental Warmth, ADHD Symptoms, and Reading Achievement. J Atten Disord 2020; 24:737-749. [PMID: 31282242 DOI: 10.1177/1087054719859075] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: This study examined potential bidirectional relationships between parental warmth, parent involvement in education, child symptoms of ADHD, and achievement between ages five and nine. Method: Using data from the Fragile Families and Child Wellbeing Study, a nationally representative, longitudinal study, associations between ADHD symptoms, parental warmth, parental involvement, and reading achievement in a cross-lagged panel model were analyzed with a sample of 3,386 children. Results: Parental warmth at the age of 5 years was a negative predictor of ADHD symptoms at the age of 9 years; ADHD symptoms at the age of 5 years negatively predicted parental warmth at the age of 9 years. ADHD symptoms at the age of 5 years negatively predicted later parental involvement, but involvement did not predict later ADHD symptoms. Conclusion: Findings provide support for bidirectional associations between parental warmth and ADHD symptoms across time but unidirectional effects from ADHD to parental involvement. These findings have implications for informing intervention efforts to consider both parenting and child-evocative effects.
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Affiliation(s)
| | - Julia Ogg
- Northern Illinois University, DeKalb, USA
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14
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Leitch S, Sciberras E, Post B, Gerner B, Rinehart N, Nicholson JM, Evans S. Experience of stress in parents of children with ADHD: A qualitative study. Int J Qual Stud Health Well-being 2019; 14:1690091. [PMID: 31713473 PMCID: PMC6853214 DOI: 10.1080/17482631.2019.1690091] [Citation(s) in RCA: 39] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/21/2019] [Indexed: 11/01/2022] Open
Abstract
Purpose: Qualitative research aimed at understanding the stress of parents of children with ADHD is limited and few interventions have been designed to directly target their stress. The study aim was to explore the stress of parents of children with ADHD using qualitative methodology.Methods: Thirteen parents of children with ADHD participated in two focus groups. Open-ended questions explored parents' experiences of stress. Focus groups were recorded, transcribed, and coded using thematic analysis. Parents also completed the Parenting Stress Index-Short Form.Results: Four primary themes were identified: The child's behaviour feels like a "wrecking ball"; Coping with the "war at home"; A divided family: "relationships don't survive"; and Craving support: "it's goddamn hard work". Five of eleven participants who completed the PSI-SF scored in the clinically significant range indicating levels of stress that require professional support.Conclusions: Parents attribute their high stress to their children's behaviour, unmet needs for support, and social stigma. Parents request support to enable them to cope and appear to represent a clinical population who require mental health care and support themselves. Future interventions directly targeting the stress of parents of children with ADHD may provide wide-ranging benefits for their children and families.
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Affiliation(s)
- Sophie Leitch
- School of Psychology, Deakin University, Burwood, Australia
| | - Emma Sciberras
- School of Psychology, Deakin University, Burwood, Australia
- Murdoch Children’s Research Institute, Royal Children’s Hospital, Parkville, Australia
| | - Brittany Post
- School of Psychology, Deakin University, Burwood, Australia
| | - Bibi Gerner
- School of Psychology, Deakin University, Burwood, Australia
| | | | - Jan M. Nicholson
- Murdoch Children’s Research Institute, Royal Children’s Hospital, Parkville, Australia
- Judith Lumley Centre, La Trobe University, Bundoora, Australia
| | - Subhadra Evans
- School of Psychology, Deakin University, Burwood, Australia
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15
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Capodieci A, Re AM, Fracca A, Borella E, Carretti B. The efficacy of a training that combines activities on working memory and metacognition: Transfer and maintenance effects in children with ADHD and typical development. J Clin Exp Neuropsychol 2019; 41:1074-1087. [PMID: 31401917 DOI: 10.1080/13803395.2019.1651827] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Introduction: It has been demonstrated that children with attention deficit and hyperactivity disorder (ADHD) have impairments in working memory (WM), and particularly its visuospatial component, responsible for academic underachievement. Furthermore, children with ADHD have difficulty in metacognition, and consequently use inappropriate strategies to control attention and impulsive behavior. The aim of the present study was to devise a training that combined individual exercises on visuospatial WM and group metacognitive activities capable of helping children with ADHD to ameliorate their performance in executive functioning tasks, and to contain their inattentive and hyperactive/impulsive behavior. Method: A combined training that focused on visuospatial WM and metacognition was administered to 12 children with a diagnosis of ADHD and 15 typically-developing children. Tasks on executive functions and questionnaires for parents and teachers were administered before and at the end of the training, and one month after the post-test. Specific short- and long-term training gains and transfer effects were examined. Effects of the training on parents' and teachers' ratings were also considered. Results: Specific gains and transfer effects were found at the post-test and long-term assessments in both typically-developing children and those with ADHD. Parents' and teachers' ratings also indicated an improvement in the symptomatic behavior of children with ADHD. Conclusion: The results of this study have clinical and educational implications. A training that combines individual computerized visuospatial WM activities with metacognitive group reflection about useful strategies seems to produce promising results, helping children with ADHD to improve their executive functioning and behavioral problems.
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Affiliation(s)
- Agnese Capodieci
- Department of General Psychology, University of Padua , Padua , Italy
| | - Anna Maria Re
- Department of Developmental and Education Psychology, University of Padua , Padua , Italy
| | - Alessandra Fracca
- Department of General Psychology, University of Padua , Padua , Italy
| | - Erika Borella
- Department of General Psychology, University of Padua , Padua , Italy
| | - Barbara Carretti
- Department of General Psychology, University of Padua , Padua , Italy
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Holly LE, Fenley AR, Kritikos TK, Merson RA, Abidin RR, Langer DA. Evidence-Base Update for Parenting Stress Measures in Clinical Samples. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2019; 48:685-705. [DOI: 10.1080/15374416.2019.1639515] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
| | - Alicia R. Fenley
- Department of Psychological and Brain Sciences, Boston University
| | | | - Rachel A. Merson
- Department of Psychological and Brain Sciences, Boston University
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17
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Einziger T, Zilberman‐Hayun Y, Atzaba‐Poria N, Auerbach JG, Berger A. How important is early home environment in the prediction of attention‐deficit hyperactivity disorder in adolescence? The protective role of early cognitive stimulation. INFANT AND CHILD DEVELOPMENT 2019. [DOI: 10.1002/icd.2138] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- Tzlil Einziger
- Department of PsychologyBen‐Gurion University of the Negev Beer Sheva Israel
- Zlotowski Center for NeuroscienceBen‐Gurion University of the Negev Beer Sheva Israel
| | | | - Naama Atzaba‐Poria
- Department of PsychologyBen‐Gurion University of the Negev Beer Sheva Israel
| | - Judith G. Auerbach
- Department of PsychologyBen‐Gurion University of the Negev Beer Sheva Israel
| | - Andrea Berger
- Department of PsychologyBen‐Gurion University of the Negev Beer Sheva Israel
- Zlotowski Center for NeuroscienceBen‐Gurion University of the Negev Beer Sheva Israel
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18
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Ogg J, Anthony CJ. Parent involvement and children's externalizing behavior: Exploring longitudinal bidirectional effects across gender. J Sch Psychol 2019; 73:21-40. [PMID: 30961879 DOI: 10.1016/j.jsp.2019.02.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Revised: 11/15/2018] [Accepted: 02/11/2019] [Indexed: 10/27/2022]
Abstract
The current study longitudinally examined potential bidirectional associations between parents' home-based involvement, school-based involvement, and home-school communication and their children's externalizing behavior across child gender. Using the Early Childhood-Longitudinal Study - Kindergarten Cohort of 1998-99, three sets of analyses were conducted examining home involvement (n = 16,555), school involvement (n = 12,011), and home-school communication (n = 16,555). Cross-lagged panel analyses indicated a small effect of school-based involvement in kindergarten on externalizing behavior in the first grade but no other significant effects with no differences in patterns across gender. The utilized methodology also enabled an examination of longitudinal trends in different types of parent involvement across gender, which revealed important developmental differences in average parent involvement. Ultimately, the results of this study did not indicate robust unidirectional or bidirectional effects between parent involvement and student externalizing behavior. These findings are an important step forward in understanding the family variables influencing student behavior at school.
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Affiliation(s)
- Julia Ogg
- Northern Illinois University, Department of Psychology, DeKalb, IL 60115, USA.
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19
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Rogers M, Tannock R. Are Classrooms Meeting the Basic Psychological Needs of Children With ADHD Symptoms? A Self-Determination Theory Perspective. J Atten Disord 2018; 22:1354-1360. [PMID: 24327276 DOI: 10.1177/1087054713508926] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Domsch H, Kläpker L, Kärtner J. Zur Wirksamkeit des Marburger Konzentrationstrainings (MKT). KINDHEIT UND ENTWICKLUNG 2018. [DOI: 10.1026/0942-5403/a000261] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Unkonzentriertes Verhalten tritt besonders im schulischen Kontext sowie in der Hausaufgabensituation auf. Das Marburger Konzentrationstraining stellt als Gruppentraining eine etablierte kognitiv-verhaltenstherapeutische Maßnahme zur Förderung eines konzentrierten Arbeitsstils bei Kindern dar. An einer Schulpsychologischen Beratungsstelle wurde das Training an 25 Kindern durchgeführt und die Veränderung mit einer Kontrollstichprobe verglichen. Das Training erstreckte sich über zehn Trainingssitzungen mit zwei begleitenden Elternabenden. Auf der Basis von Lehrereinschätzungen ließ sich eine Verbesserung der Unaufmerksamkeitssymptome belegen. Zudem zeigte sich im Elternurteil eine signifikante Verbesserung der Hausaufgabensituation und im Lehrerurteil eine Verbesserung im Arbeitsverhalten. Die Ergebnisse bestätigen eine Wirksamkeit des Trainings.
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Affiliation(s)
- Holger Domsch
- Fachhochschule Münster, Fachbereich Sozialwesen, Münster
| | - Lena Kläpker
- Westfälische Wilhelms-Universität Münster, Institut für Psychologie, Münster
| | - Joscha Kärtner
- Westfälische Wilhelms-Universität Münster, Institut für Psychologie, Münster
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Association Between Parenting Style and Social Outcomes in Children with and Without Attention-Deficit/Hyperactivity Disorder: An 18-Month Longitudinal Study. J Dev Behav Pediatr 2018; 38:369-377. [PMID: 28661954 DOI: 10.1097/dbp.0000000000000453] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE In a community-based sample of children with attention-deficit/hyperactivity disorder (ADHD) (n = 179) and non-ADHD controls (n = 212), this longitudinal study explored changes in parenting style over time; and whether parenting style prospectively predicts child functional outcomes. METHODS Attention-deficit/hyperactivity disorder diagnosis was assessed using the Conners ADHD index and Diagnostic Interview Schedule for Children IV. Children (70.3% boys) were assessed at baseline (mean age: 7.3 yr) and after 18 months (mean age: 8.9 yr) using a range of parent- and teacher-reported measures of child socioemotional and academic functioning. Parenting style was assessed through parent-reported measures of warmth, consistency, and anger. RESULTS At 18-month follow-up, there was a small significant decline in parenting warmth and parenting anger, and an increase in parenting consistency across groups. In the ADHD group, parenting warmth at baseline was positively related to 18-month prosocial behavior and responsibility by parent report, whereas parenting consistency predicted these child outcomes by teacher report. Parenting anger was positively associated with peer problems and negatively associated with prosocial behavior, self-control, and responsibility by parent report. Associations were similar for non-ADHD controls and all associations held after adjusting for a range of family, child, and parent factors. After additional adjustment of baseline levels of child functioning, parenting warmth and consistency continued to be associated with 18-month child outcomes. Parenting style was unrelated to emotional problems and academic competence over time. CONCLUSION Parenting style is independently related to aspects of future social outcomes of children with ADHD. Results hold implications for parenting interventions aimed at managing ADHD-related social impairments over time.
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Musabelliu G, Wiener J, Rogers M. Parental involvement in the learning of adolescents with and without ADHD. SCHOOL PSYCHOLOGY INTERNATIONAL 2018. [DOI: 10.1177/0143034318766374] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
This study examined parental involvement in adolescents' learning of parents of 108 adolescents 13- to 18-years of age (54 mothers of adolescents with ADHD, 44 mothers of adolescents without ADHD; 42 fathers of adolescents with ADHD and 35 fathers of adolescents without ADHD). Compared to mothers and fathers of adolescents without ADHD, both mothers and fathers of adolescents with ADHD reported lower self-efficacy in their ability to help their teens on the Parent Involvement Project Questionnaire-Modified (PIPQ-M). On the Parental Support for Learning Scale (PSLS), mothers of adolescents with ADHD perceived themselves as being less supportive and having fewer aspirations regarding their adolescents' future, compared with mothers of adolescents without ADHD. There were no differences between parents of adolescents with and without ADHD in any other aspects of involvement beliefs, experiences, and behaviors according to parent and adolescent report. Implications for school psychology practice are discussed.
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Affiliation(s)
- Gladiola Musabelliu
- University of Toronto, Ontario Institute of Studies in Education, Toronto, Ontario, Canada
| | - Judith Wiener
- University of Toronto, Ontario Institute of Studies in Education, Toronto, Ontario, Canada
| | - Maria Rogers
- School of Psychology, University of Ottawa, Ottawa, Ontario, Canada
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Chen YC, Hwang-Gu SL, Ni HC, Liang SHY, Lin HY, Lin CF, Tseng YH, Gau SSF. Relationship between parenting stress and informant discrepancies on symptoms of ADHD/ODD and internalizing behaviors in preschool children. PLoS One 2017; 12:e0183467. [PMID: 29016602 PMCID: PMC5634535 DOI: 10.1371/journal.pone.0183467] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2017] [Accepted: 08/04/2017] [Indexed: 12/02/2022] Open
Abstract
Parent and teacher ratings of child behaviors are often discrepant, and these discrepancies may be correlated with parenting stress. The present study explored whether various parenting stress factors are associated with discrepancies between parent and teacher ratings of attention-deficit/hyperactivity disorder and oppositional defiant disorder (ODD) as well as internalizing symptoms in preschool children. We recruited 299 Taiwanese preschool children (aged 4-6 years) from the community or via clinical referrals. A structural equation modeling was used to analyze the relationships among three factors derived from the Parenting Stress Index-Short Form and informant discrepancies on symptoms of inattention, hyperactivity/impulsivity, ODD, and internalizing behaviors. Scores reported by parents were higher for each of the symptoms examined than those reported by teachers, and the degree of agreement between informants ranged from low to moderate. The parental distress factor of parenting stress was associated only with parent ratings, whereas other factors of parenting stress-parent-child dysfunctional interaction and parents' stress resulted from their child's temperament-were correlated with both parent and teacher ratings. Only parental distress factor predicted informant discrepancies for all behavioral symptoms assessed. Our findings suggest that parental distress should be considered when parent rating scores show significant discrepancies from that of teacher rating scores.
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Affiliation(s)
- Yu-Chi Chen
- Division of Clinical Psychology, Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan
| | - Shoou-Lian Hwang-Gu
- Division of Clinical Psychology, Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan
- Department of Child Psychiatry, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan
| | - Hsing-Chang Ni
- Department of Child Psychiatry, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan
| | - Sophie Hsin-Yi Liang
- Department of Child Psychiatry, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan
| | - Hsiang-Yuan Lin
- Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan
| | - Chiao-Fan Lin
- Department of Child Psychiatry, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan
| | - Yu-Han Tseng
- Department of Psychology, Soochow University, Taipei, Taiwan
| | - Susan Shur-Fen Gau
- Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan
- Graduate Institute of Brain and Mind Sciences, College of Medicine, National Taiwan University, Taipei, Taiwan
- Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
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Syriopoulou-Delli CK, Polychronopoulou SA. Organization and management of the ways in which teachers and parents with children with ASD communicate and collaborate with each other. INTERNATIONAL JOURNAL OF DEVELOPMENTAL DISABILITIES 2017; 65:31-48. [PMID: 34141322 PMCID: PMC8115487 DOI: 10.1080/20473869.2017.1359355] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Objectives: This study empirically investigates critical issues relating to prevailing views and perceptions of teachers and parents with children with Autism Spectrum Disorders (ASD) towards the organization and management of approaches to their efficient collaboration and communication. Methods: A total sample of 171 teachers and 50 parents with children with ASD attending primary mainstream or special school units in Greece were randomly selected and were subsequently invited to answer a structured questionnaire. Results: The key empirical results indicate 50.9% of teachers believe teacher-parent meetings for communication and information purposes should be arranged by the schools once a month; 49.1% of teachers once a week; and, the majority of parents (98%) every month. The majority of teachers (90.6%) are seen to contain the view that meetings with children's parents are critical; 90.1% of them feel respect for their students' parents; and, 69.6% of them take parents' views on their children's performance and behavior very seriously. All parents consider it very important to get to know children's teachers; the majority (82%) feel respect for their children's teachers; 76% of them take teachers' views on their children's performance and behavior into serious consideration; 39.2% of teachers and 88.0% of parents recognize their children's special educational needs. Conclusion: The critical factors found to play a fundamental role in teachers' views include: the work unit; previous experience of ASD; and, relevant postgraduate studies.
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Affiliation(s)
- Christine K. Syriopoulou-Delli
- Department of Educational & Social Policy, University of Macedonia, Thessaloniki, Greece
- Correspondence to: Christine K Syriopoulou-Delli, Department of Educational and Social Policy, University of Macedonia, 156, Egnatia st., 54636 Thessaloniki, Greece.
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Zaidman-Zait A, Most T, Tarrasch R, Haddad E. Mothers’ and fathers’ involvement in intervention programs for deaf and hard of hearing children. Disabil Rehabil 2017; 40:1301-1309. [DOI: 10.1080/09638288.2017.1297491] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Anat Zaidman-Zait
- Department of School Counseling and Special Education, Tel Aviv University, Tel Aviv, Israel
| | - Tova Most
- Department of School Counseling and Special Education, Tel Aviv University, Tel Aviv, Israel
| | - Ricardo Tarrasch
- Department of School Counseling and Special Education, Tel Aviv University, Tel Aviv, Israel
| | - Eliana Haddad
- Department of School Counseling and Special Education, Tel Aviv University, Tel Aviv, Israel
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Oram R, Ryan J, Rogers M, Heath N. Emotion regulation and academic perceptions in adolescence. EMOTIONAL AND BEHAVIOURAL DIFFICULTIES 2017. [DOI: 10.1080/13632752.2017.1290896] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Rylee Oram
- School of Psychology, University of Ottawa, Ottawa, ON, Canada
| | - Julia Ryan
- School of Psychology, University of Ottawa, Ottawa, ON, Canada
| | - Maria Rogers
- School of Psychology, University of Ottawa, Ottawa, ON, Canada
| | - Nancy Heath
- Department of Educational & Counselling Psychology, McGill University, Montréal, QC, Canada
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Perez Algorta G, MacPherson HA, Youngstrom EA, Belt CC, Arnold LE, Frazier TW, Taylor HG, Birmaher B, Horwitz SM, Findling RL, Fristad MA. Parenting Stress Among Caregivers of Children With Bipolar Spectrum Disorders. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2017; 47:S306-S320. [PMID: 28278600 DOI: 10.1080/15374416.2017.1280805] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Caregivers of psychiatrically impaired children experience considerable parenting stress. However, no research has evaluated parenting stress within the context of pediatric bipolar spectrum disorders (BPSD). Thus, the aim of this investigation was to identify predictors and moderators of stress among caregivers in the Longitudinal Assessment of Manic Symptoms study. Participants included 640 children and their caregivers in the Longitudinal Assessment of Manic Symptoms cohort. Children had a mean age of 9.4 ± 1.9 years (68% male, 23% BPSD); parents had a mean age of 36.5 ± 8.3 years (84% mothers). Children with BPSD had more service utilization, psychiatric diagnoses, mood and anxiety symptoms, and functional impairment but fewer disruptive behavior disorders. Caregivers of children with BPSD were more likely than caregivers of children without BPSD to have a partner, elevated depressive symptoms, antisocial tendencies, and parenting stress (Cohen's d = .49). For the whole sample, higher child IQ, mania, anxiety, disruptive behavior, and caregiver depression predicted increased parenting stress; maternal conduct disorder predicted lower stress. Child anxiety and disruptive behavior were associated with elevated caregiver stress only for non-BPSD children. Caregivers of children with BPSD experience significant burden and thus require specialized, family-focused interventions. As stress was also elevated, to a lesser degree, among depressed caregivers of children with higher IQ, mania, anxiety, and disruptive behavior, these families may need additional supports as well. Although parents with conduct/antisocial problems evidenced lower stress, these difficulties should be monitored. Thus, parenting stress should be evaluated and addressed in the treatment of childhood mental health problems, especially BPSD.
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Affiliation(s)
- Guillermo Perez Algorta
- a Spectrum Centre for Mental Health Research/Division of Health Research , Lancaster University
| | | | - Eric A Youngstrom
- c Department of Psychology , University of North Carolina at Chapel Hill
| | | | - L Eugene Arnold
- e Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center
| | | | - H Gerry Taylor
- g Department of Pediatrics , Case Western Reserve University and Rainbow Babies & Children's Hospital
| | - Boris Birmaher
- h Department of Psychiatry , University of Pittsburgh Medical Center
| | - Sarah McCue Horwitz
- i Department of Child and Adolescent Psychiatry , New York University School of Medicine
| | - Robert L Findling
- j Department of Psychiatry , Johns Hopkins University/Kennedy Krieger Institute
| | - Mary A Fristad
- e Department of Psychiatry and Behavioral Health , The Ohio State University Wexner Medical Center.,k The LAMS Team
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Wiener J, Daniels L. School Experiences of Adolescents With Attention-Deficit/Hyperactivity Disorder. JOURNAL OF LEARNING DISABILITIES 2016; 49:567-581. [PMID: 25795542 DOI: 10.1177/0022219415576973] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
This article reports on a qualitative study of the school experiences of adolescents with attention-deficit/hyperactivity disorder (ADHD) in the context of quantitative research on teacher attitudes and practices, adolescent self-appraisals, and social and family relationships. Twelve adolescents with ADHD participated in in-depth, semistructured interviews addressing major aspects of school life. Using a modified grounded theory framework, researchers coded these interviews. Three themes emerged: (a) support for a performance deficit, (b) academic and social engagement, and (c) moving from dependence to independence. What is most striking is the low level of agency students demonstrated; that is, rather than acting with purpose on their environments, they seemed to react to things that happened to them. These findings suggest that teachers of adolescents with ADHD know about the nature of the disorder, understand that students' difficulties with organization and academic performance are not typically intentional, use evidence-based interventions to support students, and provide the monitoring and scaffolding needed for academic achievement. The students also provide specific suggestions for parents and peers regarding the supports they need to be successful.
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Rogers M, Boggia J, Ogg J, Volpe R. The Ecology of ADHD in the Schools. CURRENT DEVELOPMENTAL DISORDERS REPORTS 2015. [DOI: 10.1007/s40474-015-0038-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Tarver J, Daley D, Sayal K. Beyond symptom control for attention-deficit hyperactivity disorder (ADHD): what can parents do to improve outcomes? Child Care Health Dev 2015; 41:1-14. [PMID: 24910021 DOI: 10.1111/cch.12159] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/30/2014] [Indexed: 01/08/2023]
Abstract
Attention-deficit hyperactivity disorder (ADHD) and its associated behavioural manifestations develop and progress as the result of complex gene-environment interactions. Parents exert a substantial influence and play a major role in their child's social environment. Despite this, recent evidence has suggested that adapting the child's environment via parenting interventions has minimal effects on child ADHD symptoms when analysing data from informants who are probably blind to treatment allocation. However, adverse parenting and family environments may act as a source of environmental risk for a number of child outcomes beyond ADHD symptoms. This is a narrative review that critically discusses whether parenting interventions are beneficial for alternative functioning outcomes in ADHD including neuropsychological, academic and social functioning and disruptive behaviour and how parenting and familial environments may be associated with these outcomes. In addition, the review explores how parental depression and parenting efficacy impact on capacity for optimal parenting and whether parenting interventions benefit parents too. A review of the evidence suggests that with modification, parenting interventions are beneficial for a number of outcomes other than ADHD symptom reduction. Improving the parent-child relationship may have indirect benefits for disruptive behaviour. Furthermore, parenting behaviours may directly benefit child neuropsychological, academic and social functioning. Parenting interventions can have therapeutic benefits for parents as well as children, which is important as parent and child well-being is likely to have a transactional relationship. Evaluation of the clinical success of parenting interventions should focus on a wider range of outcomes in order to aid understanding of the multifaceted benefits that they may be able to offer. Parenting interventions should not be seen as a redundant adjunct to medication in multi-modal treatment approaches for ADHD; they have the potential to target outcomes that, at present, medication seems less able to improve.
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Affiliation(s)
- J Tarver
- Division of Psychiatry and Applied Psychology, University of Nottingham, Nottingham, UK; Centre for ADHD and Neuro-developmental Disorders across the Life Span (CANDAL), Institute of Mental Health, University of Nottingham, Nottingham, UK
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Haack L, Villodas MT, McBurnett K, Hinshaw S, Pfiffner L. Parenting Mediates Symptoms and Impairment in Children With ADHD-Inattentive Type. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2014; 45:155-66. [PMID: 25411896 PMCID: PMC4465882 DOI: 10.1080/15374416.2014.958840] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The current study investigates potential pathways between inattentive symptom severity, positive and negative parenting practices, and functional impairment (i.e., academic, social, and home impairment) in a sample of children diagnosed with attention-deficit/hyperactivity disorder, Predominantly Inattentive Type (ADHD-I). Participants included 199 children and their parents and teachers enrolled in a randomized clinical trial investigating the efficacy of an integrated psychosocial intervention for children with ADHD-I. Boys constituted slightly more than half the sample; children averaged 8.6 years of age (range = 7-11) and were from varied ethnic/racial backgrounds. As part of the initial screening and assessment procedures, parents and teachers completed questionnaires assessing child behavior and parent/family functioning. Results supported both main effects of symptoms and parenting on impairment, as well as a mediational path between symptoms and impairment via parenting, as observed by parents in the home setting. Specifically, higher severity of inattention was associated with higher rates of homework, social, and home impairment. Negative parenting contributed to homework and home impairment, and positive and negative parenting contributed to social impairment, incrementally above and beyond the impact of inattention symptom severity alone. Negative parenting partially mediated the relationship between inattentive symptom severity and impairment, such that higher rates of inattention were associated with higher rates of negative parenting, which in turn was associated with higher rates of homework, social, and home impairment. Results provide support for underlying mechanisms for associations between symptoms and impairment in children with ADHD-I and identify potential intervention targets to improve impairment experienced by these children.
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Affiliation(s)
- Lauren Haack
- University of California, San Francisco, 401 Parnassus Avenue G06, San Francisco, CA 94143
| | - Miguel T. Villodas
- University of California, San Francisco - Psychiatry, 401 Parnassus Ave 0948-CAS/HALP Clinic, San Francisco, California 94143
| | - Keith McBurnett
- University of California, San Francisco - Psychiatry, UCSF-LPPI CAS Rm 217 401 Parnassus Ave, San Francisco, California 94143
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Weiss B, Dang M, Trung L, Nguyen MC, Thuy NTH, Pollack A. A Nationally-Representative Epidemiological and Risk Factor Assessment of Child Mental Health in Vietnam. ACTA ACUST UNITED AC 2014; 3:139-153. [PMID: 25328817 DOI: 10.1037/ipp0000016] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
As part of the global mental health movement's focus on identifying and reducing international disparities, this study conducted the first nationally representative child mental health epidemiological survey in Vietnam. We assessed as risk/protective factors several family social structure characteristics (e.g., presence of grandparents, number of siblings in the home) of particular relevance to non-Western countries. Epidemiological data using the Child Behavior Checklist and the Strengths and Difficulties Questionnaire were collected at 60 sites in 10 of Vietnam's 63 provinces selected to provide a nationally representative sample, which included 1,314 adult informants of children 6-16 years of age, and 591 children aged 12-16. Vietnamese children's mental health functioning was reported overall to be better by approximately a third standard deviation than the international average; this international difference was particularly large for externalizing (behavior) problems as compared to internalizing (emotional) problems, suggesting that a cultural problem suppression model may be operating in Vietnam. Significant variability in mental health problems was found across provinces, emphasizing the need for nationally representative samples when conducting child mental health epidemiological surveys. Contrary to many other studies, in Vietnam higher SES was found to be a risk factor for attention/hyperactivity problems.
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van Steijn DJ, Oerlemans AM, de Ruiter SW, van Aken MAG, Buitelaar JK, Rommelse NNJ. Are parental autism spectrum disorder and/or attention-deficit/Hyperactivity disorder symptoms related to parenting styles in families with ASD (+ADHD) affected children? Eur Child Adolesc Psychiatry 2013; 22:671-81. [PMID: 23564208 DOI: 10.1007/s00787-013-0408-8] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2012] [Accepted: 03/20/2013] [Indexed: 10/27/2022]
Abstract
An understudied and sensitive topic nowadays is that even subthreshold symptoms of autism spectrum disorder (ASD) and attention-deficit/Hyperactivity disorder (ADHD) in parents may relate to their parenting styles. The aim of this study was to explore the influence of (the combined) effect of child diagnosis (ASD or ASD + ADHD affected/unaffected children) and parental ASD and/or ADHD on parenting styles. Ninety-six families were recruited with one child with a clinical ASD (+ADHD) diagnosis, and one unaffected sibling. Parental ASD and ADHD symptoms were assessed using self-report. The Parenting Styles Dimensions Questionnaire (PSDQ) self- and spouse-report were used to measure the authoritative, authoritarian, and permissive parenting styles. Fathers and mothers scored significantly higher than the norm data of the PSDQ on the permissive style regarding affected children, and lower on the authoritative and authoritarian parenting style for affected and unaffected children. Self- and spouse-report correlated modestly too strongly. Higher levels of paternal (not maternal) ADHD symptoms were suboptimally related to the three parenting styles. Further, two parent-child pathology interaction effects were found, indicating that fathers with high ADHD symptoms and mothers with high ASD symptoms reported to use a more permissive parenting style only towards their unaffected child. The results highlight the negative effects of paternal ADHD symptoms on parenting styles within families with ASD (+ADHD) affected offspring and the higher permissiveness towards unaffected offspring specifically when paternal ADHD and/or maternal ASD symptoms are high. Parenting training in these families may be beneficial for the well-being of all family members.
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Affiliation(s)
- Daphne J van Steijn
- Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, 6525 GC, Nijmegen, The Netherlands,
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Zablotsky B, Boswell K, Smith C. An evaluation of school involvement and satisfaction of parents of children with autism spectrum disorders. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2012; 117:316-330. [PMID: 22809077 DOI: 10.1352/1944-7558-117.4.316] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Parental school involvement and satisfaction are unstudied in families raising a child with an autism spectrum disorder (ASD). To fill this gap, the current study utilized a national sample of families (N = 8,978) from the 2007 Parent and Family Involvement in Education survey ( U.S. Department of Education, National Center for Education Statistics, 2006-2007 ). Parents of children with ASDs were found to be more likely than parents of children without the disorder to attend parent-teacher conferences, meet with school guidance counselors, and help with homework. Parents of children with ASD were also more dissatisfied with the level of communication provided by the school. There was a significant positive correlation between parental school involvement and parental school satisfaction. These findings have important implications for how schools interact with families with children with ASD.
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Affiliation(s)
- Benjamin Zablotsky
- Johns Hopkins Bloomberg School of Public Health, Mental Health, Baltimore, MD 21205, USA.
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Rackensperger T. Family influences and academic success: the perceptions of individuals using AAC. Augment Altern Commun 2012; 28:106-16. [PMID: 22670728 DOI: 10.3109/07434618.2012.677957] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Positive family influences have a significant impact on addressing school barriers to academic success for students from socially disadvantaged backgrounds. Due to inequities and attitudes toward people with complex communication needs, positive family influences may be critical in the academic success of students using AAC. This study asked the following question of eight United States high school graduates who have used augmentative and alternative communication (AAC): How do family influences positively affect the ability of students who use AAC to succeed in the secondary academic environment? Five themes emerged from the qualitative analysis of participants' narratives: (a) the impact of the family in seeking appropriate education, (b) homework as a challenge that was made easier through the involvement of the family, (c) the role of the family in communicating the importance of education, (d) mothers as driving forces of support, and (e) family encouragement for self-determination. This research allows families and schools to recognize the needs of students and to take action to meet them. It identifies the needs of families and schools in establishing relationships with each other, in terms of supporting requirements for accommodation, learning, motivation, and self-determination of students with complex commmunication needs.
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Affiliation(s)
- Tracy Rackensperger
- Public Service Faculty, Institute on Human Development and Disability, University of Georgia, Athens, Georgia 30605, USA.
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Beernink ACE, Swinkels SHN, Van der Gaag RJ, Buitelaar JK. Effects of attentional/ hyperactive and oppositional/ aggressive problem behaviour at 14 months and 21 months on parenting stress. Child Adolesc Ment Health 2012; 17:113-120. [PMID: 32847294 DOI: 10.1111/j.1475-3588.2011.00616.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND To evaluate effects of attentional/ hyperactive (Att/Hi) and oppositional/ aggressive (Opp/Agg) behaviours of children at 14 and 21 months of age on parenting stress at 21 months. METHOD 107 children from the general population with low, intermediate, and high levels of disruptive behaviours at 14 months, as evaluated by parents on a 55-item checklist, participated. Parents completed the Child Behaviour Checklist 1.5-5 and the Dutch version of Parenting Stress Index (NOSI) at 21 months. Effects of problem behaviours were examined in a 2 (Att/Hi and Opp/Agg) by 2 (not high versus high) by 2 (14 and 21 months) multivariate design with parental stress as dependent variable. RESULTS Oppositional/ aggressive behaviour at 14 months had a strong main effect on parenting stress, but not at 21 months. There was a significant interaction between parenting stress and Att/Hi behaviour at 14 and 21 months, indicating that increase in these behaviours over time was associated with parenting stress. Both Opp/Agg behaviour and an interaction between Att/Hi behaviour and parenting stress contributed to maternal role restriction and social isolation. Oppositional/ aggressive behaviour led to higher scores for parental competence and depression, whereas Att/Hi behaviour led to lower scores for attachment. CONCLUSIONS Early Opp/Agg and Att/Hi behaviour had differential effects on parenting stress at 21 months. The increase in parenting stress associated with early Opp/Agg behaviour may be linked to overall feelings of parental competence, whereas the course of Att/Hi behaviour may be associated with increased demands on parent-child interactions and attachment. Our results have implications for development of early intervention programmes.
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Affiliation(s)
- Anne-Claire E Beernink
- Department of Cognitive Neurosciences (204), Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, the Netherlands.
| | - Sophie H N Swinkels
- Department of Cognitive Neurosciences (204), Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, the Netherlands. .,Karakter Child and Adolescent Psychiatry University Centre, Radboud University Nijmegen Medical Centre, the Netherlands
| | - Rutger Jan Van der Gaag
- Karakter Child and Adolescent Psychiatry University Centre, Radboud University Nijmegen Medical Centre, the Netherlands
| | - Jan K Buitelaar
- Department of Cognitive Neurosciences (204), Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, the Netherlands. .,Karakter Child and Adolescent Psychiatry University Centre, Radboud University Nijmegen Medical Centre, the Netherlands
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Pimentel MJ, Vieira-Santos S, Santos V, Vale MC. Mothers of children with attention deficit/hyperactivity disorder: relationship among parenting stress, parental practices and child behaviour. ACTA ACUST UNITED AC 2011; 3:61-8. [DOI: 10.1007/s12402-011-0053-3] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2010] [Accepted: 01/30/2011] [Indexed: 11/24/2022]
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