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Severity of Children’s ADHD Symptoms and Parenting Stress: A Multiple Mediation Model of Self-Regulation

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Abstract

The goal of the current study was to determine the extent to which the perceived self-regulation deficits across behavioral, cognitive, and emotional domains seen in children with ADHD explain the association between the severity of ADHD symptoms and parenting stress. Participants for this study included 80 children (mean age = 10 years, 9 months) with a DSM-IV diagnosis of ADHD confirmed by a comprehensive clinical diagnostic assessment. Parents reported their own stress levels as well as the severity of their children’s ADHD symptoms, aggression, emotional lability, and executive functioning difficulties. Results indicated that the severity of children’s hyperactivity/impulsivity symptoms but not their inattention related to parenting stress. Multiple mediational analyses indicated that the association between hyperactivity/impulsivity and parenting stress was explained by children’s perceived comorbid aggression levels, emotional lability, and executive functioning difficulties. No significant differences in the strength of the mediators were found. The current study provides initial data showing that the perceived impairments in children’s self-regulation across emotional, cognitive, and behavioral domains are what parents report as stressful, not simply the severity of ADHD symptoms. Due to the cross-sectional nature of this study and shared variance from relying solely on parent report, it will be critical for future research to replicate our findings using longitudinal and multi-informant data such as teacher reports and standardized assessments.

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References

  • Abidin, R. (1990). Parenting stress index test manual. Charlottesville: Pediatric Psychology.

    Google Scholar 

  • Abidin, R. (1992). The determinants of parenting behavior. Journal of Clinical Child Psychology, 21(4), 407–412. doi:10.1207/s15374424jccp2104_12.

    Article  Google Scholar 

  • Abidin, R. (1995). Manual for the parenting stress index. Odessa: Psychological Assessment Resources.

    Google Scholar 

  • Abidin, R. R., & Brunner, J. F. (1995). Development of a parenting alliance inventory. Journal of Clinical Child Psychology, 24, 31–40.

    Article  Google Scholar 

  • Adamakos, H., Ryan, K., Ullman, D., Pascoe, J., Diaz, R., & Chessare, J. (1986). Maternal social support as a predictor of mother-child stress and stimulation. Child Abuse & Neglect, 10, 463–470. doi:10.1016/0145-2134(86)90050-5.

    Article  Google Scholar 

  • Anastopoulos, A., Guevremont, D., Shelton, T., & DuPaul, G. (1992). Parenting stress among families of children with attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 20, 503–510. doi:10.1007/BF00916812.

    Article  PubMed  Google Scholar 

  • Anastopoulos, A., Smith, T., Garrett, M., Morrissey-Kane, E., Schatz, N., Sommer, J., et al. (2010). Self-regulation of emotion, functional impairment, and comorbidity among children with AD/HD. Journal of Attention Disorders. doi:10.1177/1087054710370567.

  • Anastopoulos, A., Sommer, J., & Schatz, N. (2009). ADHD and family functioning. Current Attention Disorder Reports, 1, 167–170. doi:10.1007/s12618-009-0023-2.

    Article  Google Scholar 

  • Baker, D. (1994). Parenting stress and ADHD: A comparison of mothers and fathers. Journal of Emotional and Behavioral Disorders, 2, 46–50. doi:10.1177/106342669400200106.

    Article  Google Scholar 

  • Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65–94. doi:10.1037/0033-2909.121.1.65.

    Article  PubMed  Google Scholar 

  • Barkley, R. A. (2003). Attention deficit/hyperactivity disorder. In E. Mash & R. Barkley (Eds.), Child psychopathology (pp. 75–103). New York: Guilford.

    Google Scholar 

  • Barkley, R. A. (2006). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (3rd ed.). New York: Guilford.

    Google Scholar 

  • Barkley, R. A., Anastopoulos, A. D., Guevremont, D. G., & Fletcher, K. F. (1992). Adolescents with attention deficit hyperactivity disorder: Mother–adolescent interactions, family beliefs and conflicts, and maternal psychopathology. Journal of Abnormal Child Psychology, 20, 263–288. doi:10.1007/BF00916692.

    Article  PubMed  Google Scholar 

  • Barkley, R. A., & Murphy, K. R. (2010). Impairment in occupational functioning and adult ADHD: The predictive utility of executive function (EF) ratings versus EF tests. Archives of Clinical Neuropsychology, 25(3), 157–173. doi:10.1093/arclin/acq014.

    Article  PubMed  Google Scholar 

  • Baron, R., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  Google Scholar 

  • Belsky, J., Woodworth, S., & Crnic, K. (1996). Trouble in the second year: Three questions about family interaction. Child Development, 67, 556–578. doi:10.1111/j.1467-8624.1996.tb01751.x.

    Article  PubMed  Google Scholar 

  • Benzies, K. M., Harrison, M. J., & Magill-Evans, J. (2004). Parenting stress, marital quality, and child behavior problems at age 7 years. Public Health Nursing, 21, 111–121. doi:10.1111/j.0737-1209.2004.021204.x.

    Article  PubMed  Google Scholar 

  • Biederman, J. (2005). Attention-deficit/hyperactivity disorder: A selective overview. Biological Psychiatry, 57, 1215–1220. doi:10.1016/j.biopsych.2004.10.020.

    Article  PubMed  Google Scholar 

  • Breen, M., & Barkley, R. (1988). Child psychopathology and parenting stress in girls and boys having attention deficit disorder with hyperactivity. Journal of Pediatric Psychology, 13, 265–280.

    Article  PubMed  Google Scholar 

  • Brocki, K., & Bohlin, G. (2004). Executive functions in children aged 6 to 13: A dimensional and developmental study. Developmental Neuropsychology, 26, 571–593.

    Article  PubMed  Google Scholar 

  • Brocki, K., Eninger, L., Thorell, L., & Bohlin, G. (2010). Interrelations between executive function and symptoms of hyperactivity/impulsivity and inattention in preschoolers: A 2 year longitudinal study. Journal of Abnormal Child Psychology, 38, 163–171. doi:10.1007/s10802-009-9354-9.

    Article  PubMed  Google Scholar 

  • Budd, K. S., Holdsworth, M. J. A., & HoganBruen, K. D. (2006). Antecedents and concomitants of parenting stress in adolescent mothers in foster care. Child Abuse & Neglect, 30, 557–574. doi:10.1016/j.chiabu.2005.11.006.

    Article  Google Scholar 

  • Ceballo, R., & McLoyd, V. C. (2002). Social support and parenting in poor, dangerous neighborhoods. Child Development, 73, 1310–1321. doi:10.1111/1467-8624.00473.

    Article  PubMed  Google Scholar 

  • Chang, Y., Fine, M., Ispa, J., Thornburg, K., Sharp, E., & Wolfenstein, M. (2004). Understanding parenting stress among young, low-income, African-American, first-time mothers. Early Education and Development, 15, 265–282. doi:10.1207/s15566935eed1503_2.

    Article  Google Scholar 

  • Conners, C. K. (2008). The Conners 3rd Edition (Conners 3). North Tonawanda: Multi-Health System.

    Google Scholar 

  • Crnic, K., & Greenberg, M. (1990). Minor parenting stresses with young children. Child Development, 61, 1628–1637. doi:10.1111/j.1467-8624.1990.tb02889.x.

    Article  PubMed  Google Scholar 

  • Crnic, K., & Low, C. (2002). Everyday stresses and parenting. In M. Bornstein (Ed.), Handbook of parenting: Vol. 5: Practical issues in parenting (2nd ed., pp. 243–367). Mahwah: Lawrence Erlbaum Associates.

    Google Scholar 

  • Cummings, E., Davies, P., & Campbell, S. (2000). Developmental psychopathology and family process: Theory, research and clinical implications. New York: Guilford.

    Google Scholar 

  • Danforth, J., Barkley, R., & Stokes, T. (1991). Observations of interactions between parents and their hyperactive children: An analysis of reciprocal influence. Clinical Psychology Review, 11, 703–727.

    Article  Google Scholar 

  • Deater-Deckard, K. (1998). Parenting stress and child adjustment: Some old hypotheses and new questions. Clinical Psychology: Science and Practice, 5(3), 314–332. doi:10.1111/j.1468-2850.1998.tb00152.x.

    Article  Google Scholar 

  • Deater-Deckard, K., & Scarr, S. (1996). Parenting stress among dual-earner mothers and fathers: Are there gender differences? Journal of Family Psychology, 10, 45–59.

    Article  Google Scholar 

  • Deault, L. C. (2010). A systematic review of parenting in relation to the development of comorbidities and functional impairment in children with Attention-Deficit/Hyperactivity Disorder (ADHD). Child Psychiatry and Human Development, 41, 168–192. doi:10.1007/s10578-009-0159-4.

    Article  PubMed  Google Scholar 

  • Diamond, A. (2006). The early development of executive functions. In E. Bialystock & F. I. M. Craik (Eds.), The early development of executive functions. Lifespan cognition: Mechanisms of change (pp. 70–95). Oxford: Oxford University Press.

    Google Scholar 

  • DuPaul, G., McGoey, K., Eckert, T., & VanBrakle, J. (2001). Preschool children with attention- deficit/hyperactivity disorder: Impairments in behavioral, social, and school functioning. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 508–515. doi:10.1097/00004583-200105000-00009.

    Article  PubMed  Google Scholar 

  • Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 1–23. doi:10.1080/15374410701820117.

    Article  Google Scholar 

  • Fabiano, G. (2007). Father participation in behavioral parent training for ADHD: Review and recommendations for increasing inclusion and engagement. Journal of Family Psychology, 21, 683–693. doi:10.1037/0893-3200.21.4.683.

    Article  PubMed  Google Scholar 

  • Fagan, J., Schmitz, M. F., & Lloyd, J. J. (2007). The relationship between adolescent and young fathers’ capital and marital plans of couples expecting a baby. Family Relations, 56(3), 231–243. doi:10.1111/j.1532-7795.2007.00510.x.

    Article  Google Scholar 

  • Gioia, G., Isquith, P., Guy, S., & Kenworthy, L. (2000). BRIEF: Behavior rating inventory of executive function. Odessa: Psychological Assessment Resources. doi:10.1076/chin.8.4.249.13513.

    Google Scholar 

  • Gordon, M. (2006). Symptoms versus impairment: The case for respecting DSM-IV’s criterion D. Journal of Attention Disorders, 9, 465–475. doi:10.1177/1087054705283881.

    Article  PubMed  Google Scholar 

  • Gupta, V. B. (2007). Comparison of parenting stress in different developmental disabilities. Journal of Developmental and Physical Disabilities, 19, 417–425. doi:10.1007/s10882-007-9060-x.

    Article  Google Scholar 

  • Hoza, B., Mrug, S., Gerdes, A., Bukowski, W., Kraemer, H., Wigal, T., et al. (2005). What aspects of peer relationships are impaired in children with attention-deficit/hyperactivity disorder? Journal of Consulting and Clinical Psychology, 73, 411–423. doi:10.1037/0022-006X.73.3.411.

    Article  PubMed  Google Scholar 

  • Jarvis, P. A., & Creasey, G. L. (1991). Parental stress, coping, and attachment in families with an 18-month old infant. Infant Behavior & Development, 14, 383–395. doi:10.1016/0163-6383(91)90029-R.

    Article  Google Scholar 

  • Johnson, C., & Mash, E. (2001). Families of children with attention-deficit/hyperactivity disorder: Review and recommendations for future research. Clinical Child and Family Psychology Review, 4, 183–207. doi:10.1023/A:1017592030434.

    Article  Google Scholar 

  • Johnson, J., & Reader, S. (2002). Assessing stress in families of children with ADHD: Preliminary development of the Disruptive Behavior Stress Inventory (DBSI). Journal of Clinical Psychology in Medical Settings, 9, 51–62. doi:10.1023/A:1014136029697.

    Article  Google Scholar 

  • Joyner, K. B., Silver, C. H., & Stavinoha, P. L. (2009). Relationships between parenting stress and ratings of executive functioning in children with ADHD. Journal of Psychoeducational Assessment, 27(6), 452–464. doi:10.1177/0734282909333945.

    Article  Google Scholar 

  • Kaplan, S., Heiligenstein, J., West, S., Busner, J., Harder, D., Dittmann, R., et al. (2004). Efficacy and safety of atomoxetine in childhood attention deficit/hyperactivity disorder with comorbid oppositional defiant disorder. Journal of Attention Disorders, 8(2), 45–52. doi:10.1177/108705470400800202.

    Article  PubMed  Google Scholar 

  • Kazdin, A. (1995). Child, parent and family dysfunction as predictors of outcome in cognitive-behavioral treatment of antisocial children. Behaviour Research and Therapy, 33, 271–281. doi:10.1016/0005-7967(94)00053-M.

    Article  PubMed  Google Scholar 

  • Kimonis, E., Frick, P., Boris, N., Smyke, A., Cornell, A., & Farrell, J. (2006). Callous-unemotional features, behavioral inhibition, and parenting: Independent predictors of aggression in a high-risk preschool sample. Journal of Child and Family Studies, 15(6), 741–752. doi:10.1007/s10826-006-9047-8.

    Article  Google Scholar 

  • Huizinga, M., Dolan, C., & van der Molen, M. (2006). Age-related change in executive function: Developmental trends and a latent variable analysis. Neuropsychologia, 44, 2017–2036. doi:10.1016/j.neuropsychologia.2006.01.010.

    Article  PubMed  Google Scholar 

  • LaForett, D. R., Murray, D. W., & Kollins, S. H. (2008). Psychosocial treatments for preschool-aged children with attention-deficit hyperactivity disorder. Developmental Disabilities Research Review, 14, 300–310. doi:10.1002/ddrr.36.

    Article  Google Scholar 

  • Lamb, M. (2010). The role of the father in child development (5th ed.). New Jersey: Wiley.

    Google Scholar 

  • MacKinnon, D. (2000). Contrasts in multiple mediator models. In J. Rose, L. Chassin, C. Presson, & S. Sherman (Eds.), Multivariate applications in substance use research (pp. 141–160). Mahwah: Erlbaum.

    Google Scholar 

  • Maedgen, J. W., & Carlson, C. L. (2000). Social functioning and emotional regulation in the attention deficit hyperactivity disorder subtypes. Journal of Clinical Child Psychology, 29, 30–42. doi:10.1207/S15374424jccp2901_4.

    Article  PubMed  Google Scholar 

  • Mallinckrodt, B., Abraham, W., Wei, M., & Russell, D. (2006). Advances in testing the statistical significance of mediation effects. Journal of Counseling Psychology, 53, 372–378. doi:10.1037/0022-0167.53.3.372.

    Article  Google Scholar 

  • Martel, M., Nikolas, M., & Nigg, J. T. (2007). Executive function in adolescents with ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1437–1444. doi:10.1097/chi.0b013e31814cf953.

    Article  PubMed  Google Scholar 

  • Mash, E. J., & Johnston, C. (1983). A comparison of the mother-child interactions of physically abused and nonabused children during play and task situations. Journal of Clinical Child Psychology, 12, 337–346.

    Google Scholar 

  • Mash, J., & Barkley, R. (2003). Child psychopathology (2nd ed.). New York: Guilford.

    Google Scholar 

  • McBride, B. A., & Mills, G. (1994). A comparison of mother and father involvement with their preschool age children. Early Childhood Research Quarterly, 8, 457–477. doi:10.1016/S0885-2006(05)80080-8.

    Article  Google Scholar 

  • Mellins, C., Brackis-Cott, E., Dolezal, C., & Abrams, E. (2004). The role of psychosocial and family factors in adherence to antiretroviral treatment in human immunodeficiency virus-infected children. Pediatric Infectious Disease, 23(11), 1035–1041. doi:10.1097/01.inf.0000143646.15240.ac.

    Article  Google Scholar 

  • Melnick, S., & Hinshaw, S. (2000). Emotion regulation and parenting in AD/HD and comparison boys: Linkages with social behaviors and peer preference. Journal of Abnormal Child Psychology, 28, 73–86. doi:10.1023/A:1005174102794.

    Article  PubMed  Google Scholar 

  • Misri, S., Reebye, P., Milis, L., & Shah, S. (2006). The impact of treatment intervention of parenting stress in postpartum depressed mothers: A prospective study. The American Journal of Orthopsychiatry, 76, 115–119. doi:10.1037/0002-9432.76.1.115.

    Article  PubMed  Google Scholar 

  • Morgan, J., Robinson, D., & Aldridge, J. (2002). Parenting stress and externalizing child behaviour. Child and Family Social Work, 7, 219–225. doi:10.1046/j.1365-2206.2002.00242.x.

    Article  Google Scholar 

  • Nezu, A. M., Nezu, C. M., & Perri, M. G. (2006). Problem solving to promote treatment adherence. In W. O'Donohue & E. Levensky (Eds.), Promoting treatment adherence: A practical handbook for health care providers (pp. 135–148). New York: Sage Publications, Inc.

    Google Scholar 

  • Nigg, J. T. (2006). Temperament and developmental psychopathology. Journal of Child Psychology and Psychiatry, 47, 395–422. doi:10.1111/j.1469-7610.2006.01612.x.

    Article  PubMed  Google Scholar 

  • Nigg, J. T., & Casey, B. J. (2005). An integrative theory of attention-deficit/hyperactivity disorder based on the cognitive and affective neurosciences. Developmental Psychopathology, 17, 785–806. doi:10.1017/S0954579405050376.

    Google Scholar 

  • Ostberg, M., & Hagekull, B. (2000). A structural modeling approach to the understanding of parenting stress. Journal of Clinical Child Psychology, 29(4), 615–625. doi:10.1207/S15374424JCCP2904_13.

    Article  PubMed  Google Scholar 

  • Pelham, W., & Fabiano, G. (2008). Evidence-based psychosocial treatment for attention deficit/hyperactivity disorder: An update. Journal of Clinical Child and Adolescent Psychology, 37(1), 185–214. doi:10.1080/15374410701818681.

    Google Scholar 

  • Pelham, W., Fabiano, G., & Massetti, G. (2005). Evidence-based assessment of attention deficit hyperactivity disorder in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34(3), 449–476. doi:10.1207/s15374424jccp3403_5.

    Article  PubMed  Google Scholar 

  • Podolski, C., & Nigg, J. (2001). Parent stress and coping in relation to child ADHD severity and associated child disruptive behavior problems. Journal of Clinical Child Psychology, 30, 503–513. doi:10.1207/S15374424JCCP3004_07.

    Article  PubMed  Google Scholar 

  • Posner, M. (2004). Progress in attention research. In M. Posner (Ed.), Cognitive neuroscience of attention (pp. 3–8). New York: The Guilford.

    Google Scholar 

  • Preacher, K., & Hayes, A. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. doi:10.3758/BRM.40.3.879.

    Article  PubMed  Google Scholar 

  • Raggi, V., & Chronis, A. (2006). Interventions to address the academic impairment of children and adolescents with ADHD. Clinical Child and Family Psychology Review, 9, 85–111. doi:10.1007/s10567-006-0006-0.

    Article  PubMed  Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (2004). Behavior assessment system for children (2nd ed.). Circle Pines: American Guidance System Publishing.

    Google Scholar 

  • Richardson, R., Barbour, N., & Bubenzer, D. (1995). Peer relationships as a source of support for adolescent mothers. Journal of Adolescent Research, 10, 278–290. doi:10.1177/0743554895102005.

    Article  PubMed  Google Scholar 

  • Roggman, L. A., Moe, S. T., Hart, A. D., & Forthun, L. F. (1994). Family leisure and social support: Relations with parenting stress and psychological well-being in head start parents. Early Childhood Research Quarterly, 9, 463–480. doi:10.1016/0885-2006(94)90020-5.

    Article  Google Scholar 

  • Sheinkopf, S., Lester, B., LaGasse, L., Seifer, R., Bauer, C., Shankaran, S., et al. (2006). Interactions between maternal characteristics and neonatal behavior in the prediction of parenting stress and perception of infant temperament. Journal of Pediatric Psychology, 31, 27–40. doi:10.1093/jpepsy/jsj026.

    Article  PubMed  Google Scholar 

  • Shields, A., & Cicchetti, D. (1997). Emotion regulation among school-age children: The development and validation of a new criterion Q-sort scale. Developmental Psychology, 33(6), 906–916. doi:10.1037/0012-1649.33.6.906.

    Article  PubMed  Google Scholar 

  • Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and non-experimental studies: New procedures and recommendations. Psychological Methods, 7, 422–445. doi:10.1037//1082-989X.7.4.422.

    Article  PubMed  Google Scholar 

  • Skirrow, C., McLoughlin, G., Kuntsi, J., & Asherson, P. (2009). Behavioral, neurocognitive and treatment overlap between attention-deficit/hyperactivity disorder and mood instability. Expert Review of Neurotherapeutics, 9, 489–503. doi:10.1586/ern.09.2.

    Article  PubMed  Google Scholar 

  • Sobanski, E., Banaschewski, T., Asherson, P., Buitelaar, J., Chen, W., Franke, B., et al. (2010). Emotional lability in children and adolescents with attention deficit/hyperactivity disorder (ADHD): Clinical correlates and familial prevalence. Journal of Child Psychology and Psychiatry, 51(8), 915–923. doi:10.1111/j.1469-7610.2010.02217.x.

    Article  PubMed  Google Scholar 

  • Spencer, T. (2006). ADHD and comorbidity in childhood. The Journal of Clinical Psychiatry, 67, 27–31.

    Article  PubMed  Google Scholar 

  • Stavro, G. M., Ettenhofer, M. L., & Nigg, J. T. (2007). Executive functions and adaptive functioning in young adult attention-deficit/hyperactivity disorder. Journal of International Neuropsychological Society, 13, 324–334. doi:10.10170S1355617707070348.

    Article  Google Scholar 

  • Stevens, J., Quittner, A. L., Zuckerman, J. B., & Moore, S. (2002). Behavioral inhibition, self-regulation of motivation, and working memory in children with attention deficit hyperactivity disorder. Developmental Neuropsychology, 21, 117–139. doi:10.1207/S15326942DN2102_1.

    Article  PubMed  Google Scholar 

  • Theule, J., Wiener, J., Tannock, R., & Jenkins, J. (2010). Parenting stress in families of children with ADHD: A meta-analysis. Journal of Emotional and Behavioral Disorders, 19(5), 536. doi:10.1177/1063426610387433.

    Google Scholar 

  • Walcott, C., & Landau, S. (2004). The relation between disinhibition and emotion regulation in boys with attention deficit hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology, 33, 772–782. doi:10.1207/s15374424jccp3304_12.

    Article  PubMed  Google Scholar 

  • Webster-Stratton, C., & Hammond, M. (1988). Maternal depression and its relationship to life stress, perceptions of child behavior problems, parenting behaviors, and child conduct problems. Journal of Abnormal Child Psychology, 16, 299–315. doi:10.1007/BF00913802.

    Article  PubMed  Google Scholar 

  • Willcutt, E., Doyle, A., Nigg, J., Faraone, S., & Pennington, B. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological Psychiatry, 57, 1336–1346. doi:10.1016/j.biopsych.2005.02.006.

    Article  PubMed  Google Scholar 

  • Williams, J., & MacKinnon, D. (2008). Resampling and distribution of the product methods for testing indirect effects in complex models. Structural Equation Modeling, 15, 23–51. doi:10.1080/107055107011758166.

    Article  PubMed  Google Scholar 

  • Williford, A., Calkins, S., & Keane, S. (2007). Predicting change in parenting stress across early childhood: Child and maternal factors. Journal of Abnormal Child Psychology, 35, 251–263. doi:10.1007/s10802-006-9082-3.

    Article  PubMed  Google Scholar 

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  1. Center for Children and Families & Department of Psychology, Florida International University, 11200 SW 8th Street, HLS 1 Rm. 235A, Miami, FL, 33199, USA

    Paulo A. Graziano

  2. Department of Psychiatry, Pediatrics, & Clinical & Health Psychology, University of Florida, Gainesville, FL, USA

    Gary R. Geffken

  3. Department of Psychiatry, University of Florida, Gainesville, FL, USA

    Joseph P. McNamara & Adam Reid

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Graziano, P.A., McNamara, J.P., Geffken, G.R. et al. Severity of Children’s ADHD Symptoms and Parenting Stress: A Multiple Mediation Model of Self-Regulation. J Abnorm Child Psychol 39, 1073–1083 (2011). https://doi.org/10.1007/s10802-011-9528-0

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