Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder

주의력결핍 과잉행동장애 위험요인에 따른 어머니의 양육스트레스, 우울 및 아동문제행동 간의 관계분석

  • Shin, Hee-Sun (The Environmental Health Center, Dankook University Medical Center.Department of Nursing, Dankook University) ;
  • Kim, Jeong-Mee (Department of Social Welfare, Baekseok Arts University)
  • 신희선 (단국대학교의료원 환경보건센터.단국대학교 간호학과) ;
  • 김정미 (백석예술대학 사회복지학부)
  • Received : 2010.04.02
  • Accepted : 2010.06.15
  • Published : 2010.06.30
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Abstract

Purpose: In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression, and child behavioral problems according to ADHD symptoms were explored. Methods: Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale. Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients, and regression analysis. Results: 1) The ADHD risk group showed higher levels of behavioral problems, parenting stress, and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55), but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child's internal behavioral problems, mediated by maternal depression ($\beta$=.29, p<.001). Conclusion: The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems. Also, parenting stress and depression influence child's behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.

Keywords

References

  1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Press.
  2. Baron, M. A., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research. Journal of Personality and Social Psychology, 51, 1173-1182.
  3. Cho, S., Kim, B., Kim, J., Rohde L. A., Hwang, J., Chungh, D., et al. (2009). Full syndrome and subthreshold attention-deficit/hyperactivity disorder in a Korean community sample: Comorbidity and temperament findings. European Child and Adolescent Psychiatry, 18, 447-457. https://doi.org/10.1007/s00787-009-0755-7
  4. Cho, S. C. (2001). Attention-deficit and hyperactive disorder. Seoul: Seoul National University Publishing.
  5. Choi, M. R. (2000). The moderating and mediating effects of self-esteem on the relationship between life stress and depression. Unpublished doctoral dissertation, Chung-Ang University, Seoul.
  6. Choi, Y., Kim, J., Cho, S., Hong, S., & Oh, E. (2002). The effect of ADHD child mother's depressive mood, parenting stress, and parenting related attitude on parenting behavior. Korean Journal of Child and Adolescent Psychiatry, 13, 153-162.
  7. Daley, D. (2006). Attention deficit hyperactive disorder: A review of the essential facts. Child: Care, Health & development, 32, 193-204. https://doi.org/10.1111/j.1365-2214.2006.00572.x
  8. Derks, E. M., Hudziak, J. J., Dolan, C. V., Ferdinand, R. F., & Boomsma, D. I. (2006). The relations between DISC-IV DSM diagnoses of ADHD and multi-informant CBCL-AP syndrome scores. Comprehensive Psychiatry, 47, 116-122. https://doi.org/10.1016/j.comppsych.2005.05.006
  9. Froehlich, T. E., Lanphear, B. P., Epstein, J. N., Barbaresi, W. J., Katusic, S. K., & Kahn, R. S. (2007). Prevalence, recognition, and treatment of attention-deficit/hyperactivity disorder in a national sample of US children. Archives of Pediatric and Adolescence Medicine, 161, 857-864. https://doi.org/10.1001/archpedi.161.9.857
  10. Gonzalez, L. O., & Sellers, E. W. (2002). The effects of a stressmanagement program on self-concept, locus of control, and the acquisition of coping skills in school-age children diagnosed with attention deficit hyperactivity disorder. Journal of Child and Adolescent Psychiatric Nursing, 15, 5-15. https://doi.org/10.1111/j.1744-6171.2002.tb00318.x
  11. Harrison, C., & Sofronoff, K. (2002). ADHD and parental psychological distress: Role of demographics, child behavioral characteristics, and parental cognitions. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 703-711. https://doi.org/10.1097/00004583-200206000-00010
  12. Johnston, C., & Mash, E. J. (2001). Families of children with attention-deficit/hyperactivity disorder: Review and recommendations for future research. Clinical Child and Family Psychology Review, 4, 183-207. https://doi.org/10.1023/A:1017592030434
  13. Kendall, J., & Shelton, K. (2003). A typology of management styles in families with children with ADHD. Journal of Family Nursing, 9, 257-280. https://doi.org/10.1177/1074840703255446
  14. Kim, E. J. (2008). Report about prevalence of ADHD in children. In H. J. Kwon (Chair), Endocrine disruptive substance and children's health. Symposium conducted at the meeting of First Academic Symposium of Environmental Health Center, Dankook University Medical Center.
  15. Kim, E. Y. (2005) The path analysis of the relationship of maternal parenting stress, parenting efficacy and dysfunctional discipline practice to child's adjust problems. Unpublished master's thesis, Ewha Womans University, Seoul.
  16. Larsson, J. O., Larsson, H., & Lichtenstein, P. (2004). Genetic and environmental contributions to stability and change of ADHD symptoms between 8 and 13 years of age: A longitudinal twin study. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 1267-1275. https://doi.org/10.1097/01.chi.0000135622.05219.bf
  17. Lee, Y., Song, W., Choi, Y., & Shin, Y. (2003). The relationship among child's behavior problems, maternal depression, and parenting stress. Korean Journal of Child and Adolescent Psychiatry, 14, 218-228.
  18. Lee, Y. J. (2006). The relations between mothers depression, parenting stress, and children's behavior problems. Unpublished masters thesis, Seoul Woman's University, Seoul.
  19. Lin, Y., & Chung, H. (2002). Parenting stress and parent's willing-ness to accept treatment in relation to behavioral problems of children with attention-deficit hyperactive disorder. Journal of Nursing Research, 10, 43-56. https://doi.org/10.1097/01.JNR.0000347582.54962.04
  20. Luteijin, E. F., Serra, M., Jackson, S., Steenhuis, M. P., Althaus, M., Volkmar, F., et al. (2000). How unspecified are disorders of children with a pervasive developmental disorder not otherwise specified? European Child &Adolescent Psychiatry, 9, 168-179. https://doi.org/10.1007/s007870070040
  21. Oh, K., Ha, E., Lee, H., & Hong. K. (2007). Korea child behavior checklist. Seoul: HUNO Counsulting.
  22. Oh, W. O. (2008). Factor influencing family quality of life among mothers of children with ADHD. Journal of Korean Academy of Child Health Nursing, 14, 396-404.
  23. Oh, W. O., & Park, E. S. (2007). Parenting experience of parents of children with ADHD. Journal of Korean Academy of Nursing, 37, 91-104.
  24. Park, J., Lee, K., & Shin, Y. (2009). Effects of mother-child relationship and mother's parenting stress on preschoolers' behavior problems. The Korean Journal of Woman Psychology, 14, 549-566.
  25. Park, H. S., & Choi, E. J. (2005). The difference of temperament, goodness of fit and behavioral problems in ADHD subtypes of adolescent high risk group. Korean Journal of Child and Adolescent Psychiatry, 16, 106-116.
  26. Sayal, K., Hornsey, H., Warren, S., MacDiarmid, F., & Taylor, E. (2006). Identification of children at risk of attention deficit/hyperactive disorder: A school-based intervention. Social Psychiatry and Psychiatric Epidemiology, 41, 806-813. https://doi.org/10.1007/s00127-006-0100-0
  27. Seo, M., Chang, E., Jung, C., & Chei, S. (2003). The study of the parenting stress, depression and parenting efficacy on the mother of attention deficit hyperactivity disorder children. The Korean Journal of Woman Psychology, 8, 69-81.
  28. Shin, S. J. (1997). The influence of parenting stress, social support, and mother's efficacy on mother's rearing behavior. Unpublished doctoral dissertation, Yonsei University, Seoul.
  29. So, Y. K., Noh, J. S., Kim, Y. S., Ko, S. G., & Koh, Y. J. (2002). The reliability and validity of Korean parent and teacher ADHD rating scale. Journal of the Korean Neuropsychiatric Association, 41, 283-289.
  30. Sonuga-Barke, E. J. S., Daley, D., Thompson, M., Weeks, A., & Laver-bradbury, C. (2001). Parent based therapies for preschool attention deficit/hyperactivity disorder: A randomized controlled trial with a community sample. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 402-408. https://doi.org/10.1097/00004583-200104000-00008

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