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Child/Adolescent’s ADHD and Parenting Stress: The Mediating Role of Family Impact and Conduct Problems

机译:儿童青少年多动症和父母压力:家庭影响和行为问题的中介作用

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摘要

>Objective: The demands of parenting are usually associated with some stress, and elevated levels of stress may affect the parent–child relationships and parenting practices. This is especially the case of families where children have special needs conditions or disorders, like Attention Deficit Hyperactivity Disorder (ADHD).>Method: This study examined parenting stress among mothers of children and adolescents with ADHD. The sample comprised 126 mothers of girls (36; 29%) and boys (90; 71%) aged 6–17 years old.>Results: Mothers reported their own stress levels as well as the children and adolescents’ variables (severity of their ADHD symptoms, conduct, and emotional problems) and family–contextual variables (negative impact on family’s social life, impact on couple relationship, and perceived social support). Hierarchical multiple regression showed that (a) negative impact on social life and conduct problems were the strongest predictors of mother’s stress. Bootstrap mediation analyses revealed that (b) the association between child and adolescent’s ADHD and parenting stress was mediated by children’s conduct problems and by negative impact on family’s social life, and not by children’s emotional problems nor by mother’s perceived social support. The mediation analysis also suggested (c) a pathway from child/adolescent’s ADHD through children’s conduct problems and then through their negative impact on family’s social life to mother’s parenting stress.>Conclusion: These results suggest that both child/adolescent’s and family factors should be considered in the designing of interventions for reducing parenting stress in families of children and adolescents with ADHD.
机译:>目标:育儿的需求通常与一些压力相关,压力的升高可能会影响父母与子女的关系和育儿习惯。这对于儿童有特殊需求状况或疾病的家庭尤其如此,例如注意力缺陷多动障碍(ADHD)。>方法:该研究调查了患有ADHD的儿童和青少年母亲的父母压力。样本包括126位年龄在6-17岁之间的女孩(36%; 29%)和男孩(90%; 71%)的母亲。>结果:母亲报告了自己的压力水平,以及儿童和青少年变量(ADHD症状,行为和情感问题的严重程度)和家庭背景变量(对家庭社交生活的负面影响,对夫妻关系的影响以及所感知的社会支持)。分层多元回归分析表明:(a)对社会生活和品行问题的负面影响是母亲压力最大的预测指标。 Bootstrap调解分析显示,(b)儿童和青少年的多动症与父母压力之间的关联是由儿童的行为问题和对家庭社交生活的负面影响所介导的,而不是由儿童的情感问题或母亲所感知的社会支持所引起的。中介分析还建议(c)从儿童/青少年的多动症开始,通过儿童的行为问题,然后通过其对家庭社交生活的负面影响,再到母亲的父母教养压力,进行干预。>结论:这些结果表明,儿童/儿童在设计干预措施以减少多动症儿童和青少年家庭的父母压力时,应考虑青少年和家庭因素。

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