DOI QR코드

DOI QR Code

Actor and Partner Effects on Parenting Stress and Depression in Couples with ADHD Child: Dyadic Data Analysis

ADHD 자녀를 둔 부부의 양육효능감과 배우자 지지가 양육스트레스와 우울에 미치는 효과: 커플관계자료 분석방법 적용

  • Received : 2023.09.18
  • Accepted : 2023.11.17
  • Published : 2023.11.30

Abstract

This study aimed to identify the actor and partner effects of parenting efficacy, spousal support on parenting stress and depression in couples with children with attention deficit hyperactivity disorder (ADHD). Methods: A cross-sectional survey design was used. Participants were 103 couples (103 husbands, 103 wives) with children with ADHD visiting child adolescent psychiatry clinic or community mental health center in Seoul, Gyeonggi-do, South Korea. Data were analyzed by SPSS 20.0 and AMOS 20.0 program. Results: The parenting efficacy of husbands and wives had direct actor effect (β=-.69, p=.004; β=-.60, p=.004) and partner effect (β=-.22, p=.007; β=-.18, p=.026) on their parenting stress. In addition, husbands and wives's parenting efficacy had a direct actor effect (β=-.25, p=.031; β=-.21, p=.025) on their depression and indirect actor effect (β=-.25, p=.004; β=-.34, p=.004) through parenting stress on their depression. However, parenting stress did not show a partner effect on depression. Husband and wife's parenting efficacy had a direct effect (β=.46, p=.004; β=.25, p=.009) on perceived spousal support. The effects of husbands and wives were the same in actor effect size (χ2 differences=0.74, p=.390) and partner effect size (χ2 differences=0.20, p=.652) of parenting efficacy on parenting stress. In addition, the effect sizes of husbands and wives were the same in actor effect size (χ2 differences=0.93, p=.334) and partner effect size (χ2 differences=0.15, p=.704) for parenting stress and depression. Conclusion: The results of this study may provide the foundation for developing a nursing intervention program that can maximize interaction between couples with ADHD children.

Keywords

References

  1. American Psychiatric Association. Diagnostic and statistical manual for mental disorders (5th ed.). 2013. Washington, DC. 
  2. Health Insurance Review & Assessment Service. Health data big data hub. [cited 2023 August 13]. Available from: http://www.hira.or.kr 
  3. Korean Academy of Child and Adolescent Psychiatry. [cited 2018 June 17]. Available from: https://www.doctorsnews.co.kr/news/articleView.html?idxno=109197 
  4. Sung NG, Park SO. ADHD tendency of parents with ADHD children psychological characteristics of parents and children. Korean Journal of Infant Mental Health. 2021;14(1):31-53. https://doi.org/10.47801/KJIMH.14.1.2 
  5. Park MG, Cheon SM. Effects of the ADHD-type, parenting stress, and parenting efficacy on parent-child conflict. The Society for Cognitive Enhancement and Intervention. 2016;7(3):87-104. 
  6. Coleman PK, Karraker KH. Self-efficacy and parenting quality: findings and future applications. Developmental Review. 1997;18:47-85.  https://doi.org/10.1006/drev.1997.0448
  7. Kim SB. The effects of parents education program based on real time non-face-to-face literature therapy using 'zoom-meetings' on parenting stress, parenting efficacy and depression of the mother with attention deficit hyperactive disorder children. Journal of Special Education and Rehabilitation Science. 2021;60(4):107-26. https://doi.org/10.23944/Jsers.2021.12.60.4.5 
  8. Che GY, Baek ML. Effects of job satisfaction and spouse support on parenting stress in female fire fighters with preschool-aged children. Korean Journal of Emergency Medical Services. 2015;19(1):87-98. https://doi.org/10.14408/KJEMS.2015.19.1.087 
  9. Lee SJ. Overview of and suggestions for family-oriented approaches on children with attention deficit hyperactivity disorder. Journal of Family and Counseling. 2013;3(1):1-14. 
  10. Hobfoll SE. The influence of culture, community, and the nested-self in the stress process: Advancing conservation of resources theory. Applied Psychology: An International Review. 2001;50(30):337-421.  https://doi.org/10.1111/1464-0597.00062
  11. Kim MJ, Ha MJ. The effects of object relation and parenting efficacy on parenting stress: Mothers with young children. The Journal of Korea Open Association for Early Childhood Education. 2013;18(1):283-303. 
  12. Nam SH, Han IY, Oh YS. The influence of maternal self-efficacy on parenting stress in family of young children at risk for developmental delays: Based on the conservation of resource theory. Journal of Disability and Welfare. 2014;24:109-30. https://doi.org/10.22779/KADW.2014..24.109 
  13. Cook WL, Kenny DA. The actor-partner interdependence model: A model of bidirectional effects in developmental studies. International Journal of Behavior Development. 2005;29(2):101-9. https://doi.org/10.1080/01650250444000405 
  14. Cha GY, Kim SS, Gil MJ. The effects of stress and marital satisfaction on depression in middle-aged couples: Analysis using an actor-partner interdependence model. Health and Social Welfare Review. 2017;37(2):126-49. https://doi.org/10.15709/hswr.2017.37.2.126 
  15. Yoon HO, Choi HS. Marital conflict and satisfaction toward their child development: An application of the actor-partner interdependence model. Korean Journal of Early Childhood Education. 2016;36(3):357-79.  https://doi.org/10.18023/KJECE.2016.36.3.016
  16. Carmines EG, McIver JP. Analyzing models with unobserved variables. In Bohrnstedt GW, Borgatta EF. [Eds.] Social measurement: Current issues. Beverly Hills: Sage. 1981. 
  17. Gibaud-Wallston J, Wandersman LP. Development and utility of the parenting sense of competence scale. Toronto: The annual meeting of the American Psychological Association, 1978. https://doi.org/10.1037/t01311-000 
  18. Shin SJ, Chung MJ. Effects of stress, social support and efficacy on mother's parenting behaviors. Korean Journal of Child Studies. 1998;19(1):27-42. 
  19. Abidin RR. Introduction to the special issue: The stress of parenting. Journal of Clinical Child Psychology. 1990;19:298-301.  https://doi.org/10.1207/s15374424jccp1904_1
  20. Seo HY, Lee SH. Adaptation and social support for mothers of handicapped children. Korean Journal of Family. 1994;6:37-68. 
  21. Randloff, L. The CES-D: A self report depression scale for research in the general population. Applied Psychological Measurement. 1977;1:385-401. https://doi.org/10.1177/014662167700100306 
  22. Chon KK, Choi SJ, Yang BC. Integrated adaptation of CES-D in Korea. Korean Journal Health Psychology. 2001;6(1):59-76. 
  23. Bea BR. Amos 24 structural equation modeling. 2017. Seoul; Chungrim. p. 506. 
  24. Kim JS. Parenting stress, depression and parenting efficacy of mothers with handicapped children. [master's thesis]. Seoul: Korea University; 2016. pp. 1-72. 
  25. Kuem HS, Shin YH, Kim HY. Development of prediction model for depression among parents with disabled children: Based on the mediation effect of social supports and family resilience. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(2):171-8. https://doi.org/10.5762/KAIS.2016.17.2.171 
  26. Park MG, Cheon SM. Actor and partner effects of parenting stress, marital support, marital conflict, and self-efficacy of parents of children with disabilities on marital satisfaction. Korean Journal of Educational Therapist. 2020;12(1):39-62. https://doi.org/10.35185/kjet.12.1.3 
  27. Choi SK. A study on the effects of parenting stress and stress coping styles on parenting efficacy among father with children with developmental disabilities. [master's thesis]. Seoul: Yeonsei University; 2015. pp. 1-59. 
  28. Jeon BJ. Relationship among parenting stress, marital communication and quality of life according to gender in parents of children with developmental disability. Korean Journal of Care Management. 2016;20:121-44.