Abstract
Purpose
This study investigated quality of life and adjustment mechanisms in parents of children with Attention-Deficit/Hyperactivity Disorder (ADHD).
Method
Ninety parents of children with ADHD completed a sociodemographic questionnaire and self-assessment scales to measure their perceived stress, social support, sense of control, coping strategies and quality of life.
Results
ADHD in children negatively affected parents’ quality of life, especially their psychological well-being and personal fulfillment. Family and couple relationships, as well as daily life activities, were also affected. The severity of the disorder, perceiving the situation as a threat or a loss, feeling guilty and holding on to irrational beliefs were related to emotion-focused coping strategies and to a poorer quality of life. Furthermore, hyperactivity index and stress ratings relative to perceiving the situation as a threat or a loss, and adopting emotion-focused coping strategies, predicted poorer quality of life. In contrast, perceiving the situation as challenging was related to a greater sense of control and personal fulfillment. Moreover, perceiving the situation as challenging and adopting problem-focused coping strategies predicted better quality of life.
Conclusion
The findings highlight the negative effects of ADHD on parent psychological adjustment and underline the need to recommend training programs that improve parenting skills, parents’ perceptions concerning their child’s behavior disorder and parental functioning.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Willcutt, E. G. (2012). The prevalence of DSM-IV attention-deficit/hyperactivity disorder: A meta-analytic review. Neurotherapeutics, 9(3), 490–499.
Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121(1), 65–94.
Barkley, R. A. (2002). Major life activity and health outcomes associated with attention-deficit/hyperactivity disorder. Journal of Clinical Psychiatry, 63(12), 10–15.
de Zeeuw, P., Zwart, F., Schrama, R., Van Engeland, H., & Durston, S. (2012). Prenatal exposure to cigarette smoke or alcohol and cerebellum volume in attention-deficit/hyperactivity disorder and typical development. Translational Psychiatry, 2(3), e84. doi:10.1038/tp.2012.12.
Grizenko, N., Fortier, M. E., Zadorozny, C., Thakur, G., Schmitz, N., Duval, R., et al. (2012). Maternal stress during pregnancy, ADHD symptomatology in children and genotype: Gene–environment interaction. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 21(1), 9–15.
Sergeant, J. A., Geurts, H., Huijbregts, S., Scheres, A., & Oosterlaan, J. (2003). The top and the bottom of ADHD: A neuropsychological perspective. Neuroscience and Biobehavioral Reviews, 27(7), 583–592.
Anastopoulos, A. D., Shelton, T. L., DuPaul, G. J., & Guevremont, D. C. (1993). Parent training for attention-deficit hyperactivity disorder: Its impact on parent functioning. Journal of Abnormal Child Psychology, 21(5), 581–596.
Anastopoulos, A. D., Guevremont, D. C., Shelton, T. L., & DuPaul, G. J. (1992). Parenting stress among families of children with attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 20(5), 503–520.
Barkley, R. A., Anastopoulos, A. D., Guevremont, D. C., & Fletcher, K. E. (1992). Adolescents with attention deficit hyperactivity disorder: Mother–adolescent interactions, family beliefs and conflicts, and maternal psychopathology. Journal of Abnormal Child Psychology, 20(3), 263–288.
Solem, M. B., Christophersen, K. A., & Martinussen, M. (2011). Predicting parenting stress: Children’s behavioural problems and parents’ coping. Infant and Child Development, 20(2), 162–180.
Finzi-Dottan, R., Triwitz, Y. S., & Golubchik, P. (2011). Predictors of stress-related growth in parents of children with ADHD. Research in Developmental Disabilities, 32(2), 510–519.
van Steijn, D. J., Oerlemans, A. M., van Aken, M. A., Buitelaar, J. K., & Rommelse, N. N. (2014). The reciprocal relationship of ASD, ADHD, depressive symptoms and stress in parents of children with ASD and/or ADHD. Journal of Autism and Developmental Disorders, 44(5), 1064–1076.
Alizadeh, H., Applequist, K. F., & Coolidge, F. L. (2007). Parental self-confidence, parenting styles, and corporal punishment in families of ADHD children in Iran. Child Abuse and Neglect, 31(5), 567–572.
Jones, J., & Passey, J. (2005). Family adaptation, coping and resources: Parents of children with developmental disabilities and behaviour problems. Journal on Developmental Disabilities, 11(1), 31–46.
Lange, G., Sheerin, D., Carr, A., Dooley, B., Barton, V., Marshall, D., et al. (2005). Family factors associated with attention deficit hyperactivity disorder and emotional disorders in children. Journal of Family Therapy, 27(1), 76–96.
Podolski, C. L., & Nigg, J. T. (2001). Parent stress and coping in relation to child ADHD severity and associated child disruptive behavior problems. Journal of clinical child psychology, 30(4), 503–513.
Pelham, W. E., Jr., & Lang, A. R. (1999). Can your children drive you to drink? Stress and parenting in adults interacting with children with ADHD. Alcohol Research and Health, 23(4), 292–298.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York, NY: Springer.
Lai, W. W., & Oei, T. P. S. (2014). Coping in parents and caregivers of children with autism spectrum disorders (ASD): A Review. Review Journal of Autism and Developmental Disorders, 1(3), 207–224. doi:10.1007/s40489-014-0021-x.
Chronis, A. M., Lahey, B. B., Pelham, W. E., Kipp, H. L., Baumann, B. L., & Lee, S. S. (2003). Psychopathology and substance abuse in parents of young children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 42(12), 1424–1432.
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(3), 183–207.
Schermerhorn, A. C., D’Onofrio, B. M., Slutske, W. S., Emery, R. E., Turkheimer, E., Harden, K. P., et al. (2012). Offspring ADHD as a risk factor for parental marital problems: Controls for genetic and environmental confounds. Twin Research and Human Genetics, 15(06), 700–713.
Xiang, Y. T., Luk, E. S., & Lai, K. Y. (2009). Quality of life in parents of children with attention-deficit–hyperactivity disorder in Hong Kong. Australian and New Zealand Journal of Psychiatry, 43(8), 731–738.
Bruchon-Schweitzer, M., & Boujut, E. (2014). Psychologie de la santé-2e éd: Modèles, concepts et méthodes. Paris: Dunod.
Kaufman, J., Birmaher, B., Brent, D., Rao, U. M. A., Flynn, C., Moreci, P., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 980–988.
Cappe, E. (2009). Qualité de vie et processus d’adaptation des parents d’un enfant ayant un trouble autistique ou un syndrome d’Asperger. Unpublished doctoral dissertation, Université Paris-Descartes, Boulogne-Billancourt, France.
Massé, L., Verreault, M., Verret, C., & Lanaris, C. (2011). Mieux vivre avec le TDA/H à la maison: Programme pour aider les parents à mieux composer au quotidien avec le TDA/H de leur enfant. Montréal: Chenelière Éducation.
Dugas, M., & Bouvard, M. (1996). Echelles d’évaluation de Conners. In J. Guelfi (Ed.), L’évaluation clinique standardisée en psychiatrie (Tome II) (pp. 521–534). Boulogne: Éditions médicales Pierre Fabre.
Cappe, E., Wolff, M., Bobet, R., & Adrien, J. L. (2011). Quality of life: A key variable to consider in the evaluation of adjustment in parents of children with autism spectrum disorders and in the development of relevant support and assistance programmes. Quality of Life Research, 20(8), 1279–1294.
Ferguson, E., Matthews, G., & Cox, T. (1999). The Appraisal of Life Events (ALE) scale: Reliability and validity. British Journal of Health Psychology, 4(2), 97–116.
Cappe, É., Poirier, N., Boujut, É., Nader-Grosbois, N., Dionne, C., & Boulard, A. (in press). Trouble du spectre de l’autisme et évaluation du stress perçu des parents et des professionnels: étude des propriétés psychométriques d’une adaptation francophone de l’Appraisal of Life Event Scale (ALES-vf). L’Encéphale. doi:10.1016/j.encep.2016.08.001.
Cousson-Gélie, F., Irachabal, S., Bruchon-Schweitzer, M., Dilhuydy, J. M., & Lakdja, F. (2005). Dimensions of cancer locus of control scale as predictors of psychological adjustment and survival in breast cancer patients. Psychological Reports, 97(3), 699–711.
Pruyn, J. F. A., Van Der Borne, H., De Reuver, R., De Boer, M., Ter Pelkwijk, M., & De Jong, P. (1988). The locus of control scale for cancer patients. Tijdschift Woor Sociales Gezondheidszorj, 66, 404–408.
Koleck, M. (2000). Rôle de certains facteurs psychosociaux dans l’évolution des lombalgies communes: Une étude semi-prospective en psychologie de la santé. Unpublished doctoral dissertation, Université Victor Segalen, Bordeaux, France.
Cousson, F., Bruchon-Schweitzer, M., Quintard, B., Nuissier, J., & Rascle, N. (1996). Analyse multidimensionnelle d’une échelle de coping: validation française de la WCC (Ways of Coping Checklist). Psychologie Française, 41(2), 155–164.
Vitaliano, P. P., Russo, J., Carr, J. E., Maiuro, R. D., & Becker, J. (1985). The ways of coping checklist: Revision and psychometric properties. Multivariate Behavioral Research, 20(1), 3–26.
Gupta, V. B. (2007). Comparison of parenting stress in different developmental disabilities. Journal of Developmental and Physical Disabilities, 19(4), 417–425.
Andrade, E. M., Geha, L. M., Duran, P., Suwwan, R., Machado, F., & do Rosário, M. C. (2016). Quality of life in caregivers of ADHD children and diabetes patients. Frontiers in Psychiatry, 7(127). doi:10.3389/fpsyt.2016.00127.
Purper-Ouakil, D., Wohl, M., Cortese, S., Michel, G., & Mouren, M. C. (2006). Le trouble déficitaire de l’attention–hyperactivité (TDAH) de l’enfant et de l’adolescent. Annales Médico-psychologiques, revue psychiatrique, 164(1), 63–72.
Haute Autorité de Santé. (2012). Conduite à tenir devant un enfant ou un adolescent ayant un déficit de l’attention et/ou problème d’agitation (Note de cadrage). Saint-Denis: HAS.
Barkley, R. A., Shelton, T. L., Crosswait, C., Moorehouse, M., Fletcher, K., Barrett, S., et al. (2000). Multi-method psycho-educational intervention for preschool children with disruptive behavior: Preliminary results at post-treatment. Journal of Child Psychology and Psychiatry, 41(03), 319–332.
Hauth-Charlier, S., & Clément, C. (2009). Programmes de formation aux habiletés parentales pour les parents d’enfant avec un TDA/H: considérations pratiques et implications cliniques. Pratiques Psychologiques, 15(4), 457–472.
Acknowledgements
The authors thank the parents who agreed to participate in this study, as well as the child psychiatrists who enabled their recruitment. They also express their thanks to Mathieu Landry, Carol Robins, and Carol Sankey for providing language assistance and proof reading the article.
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Cappe, E., Bolduc, M., Rougé, MC. et al. Quality of life, psychological characteristics, and adjustment in parents of children with Attention-Deficit/Hyperactivity Disorder. Qual Life Res 26, 1283–1294 (2017). https://doi.org/10.1007/s11136-016-1446-8
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DOI: https://doi.org/10.1007/s11136-016-1446-8