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Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder
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Hee Sun Shin, Jeong Mee Kim
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J Korean Acad Nurs 2010;40(3):453-461. Published online June 30, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.3.453
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 Abstract
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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 (β=.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.
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Citations
Citations to this article as recorded by  - The Effect of Happiness Training Based on Fordyce Model on Perceived Stress in the Mothers of Children with Cleft Lip and Palate
Zeinab Hemati, Samira Abbasi, Somayeh Paki, Davood Kiani
Journal of Caring Sciences.2017; 6(2): 173. CrossRef - Related Factors for Behavioral Problems in Toddlers Born Prematurely
Youngmee Ahn, Sangmi Lee
Child Health Nursing Research.2016; 22(1): 45. CrossRef - Relationships between behavioral symptoms of non‐medicated Chinese children with attention deficit hyperactivity disorder and parenting stress: Comparison of different subtypes and comorbidities
Yan Li, Wen‐Qing Jiang, Ya‐Song Du, David Coghill
Asia-Pacific Psychiatry.2016; 8(2): 127. CrossRef - A Short-Term Longitudinal Study on the Reciprocal Relations between Mothers’ Depression and Their Preschoolers’ Emotional Problems
Young Eun Chang, Hyo Jeong Han
Family and Environment Research.2016; 54(5): 551. CrossRef - Stress levels experienced by parents of children with and without attention-deficit/hyperactivity disorder during the back-to-school period: results of a European and Canadian survey
Isabel Hernández-Otero, Lakshman Doddamani, Benoit Dutray, Antonella Gagliano, Fabian Haertling, Ralph Bloomfield, Gracita Ramnath
International Journal of Psychiatry in Clinical Practice.2015; 19(1): 8. CrossRef - Methylphenidate‐osmotic‐controlled release oral delivery system treatment reduces parenting stress in parents of children and adolescents with attention‐deficit/hyperactivity disorder
Jun‐Won Hwang, Bongseog Kim, Yeni Kim, Tae‐Ho Kim, Wan‐Seok Seo, Dong‐Won Shin, Young‐Jae Woo, Heejeong Yoo, Jeong‐Seop Lee, Jong‐Hun Lee, Myung‐Ho Lim, Young‐Chul Chung, Chul‐Ho Jung, Hanik K. Yoo
Human Psychopharmacology: Clinical and Experimental.2013; 28(6): 600. CrossRef - Effects of a Responsive Parenting Education Program on Child's Behavioral Problems and Pivotal Developmental Behaviors in Children at Risk for Attention Deficit Hyperactivity Disorder
Hee-Sun Shin, Jeong-Mee Kim
Journal of Korean Academy of Child Health Nursing.2011; 17(1): 39. CrossRef - Teaching Status and Knowledge of Elementary School Teachers of Children with Attention Deficit Hyperactivity Disorder
Kyoung-Rim Kang, Young-Hae Kim, Young-Ok Yang
Journal of Korean Academy of Child Health Nursing.2011; 17(2): 136. CrossRef - Relationship of Mothers' Recognition of Attention Deficit Hyperactivity Disorder (ADHD), Parenting Stress and Family Support in Children Diagnosed with ADHD
Mi-Ye Kim, Ji-Yeong Seo, Wan-Ju Park
Journal of Korean Academy of Child Health Nursing.2011; 17(2): 127. CrossRef - Effects of Postpartum Depression and Temperament of Infant on Child-care Stress among Mothers of Newborn Infants
Hye-Jin Kwon, Kyung-Hee Kim, Mi-Hye Choi, Ju-Yeon Cho, Young-Mi Ahn, Ki-Sook Kim
Journal of Korean Academy of Child Health Nursing.2011; 17(2): 69. CrossRef
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The Effect of Hand Massage on the Anxiety of the Hysterectomy Patients in Immediately prior to Surgery
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Jeong Mee Kim
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Journal of Korean Academy of Nursing 2000;30(2):476-487. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2000.30.2.476
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Abstract
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The purpose of this study was to examine the effects of hand massage as a nursing intervention on the anxiety of the hysterectomy patients in immediately prior to surgery.
The method of this study was Nonequivalent Control Group Non-Synchronized Design.
The data were selected from at K university hospital in Pusan, and they consisted of Experimental group-25 patients, Control group -24 patients.
The data were collected from Jan. 4 to Jan. 30 in 1999.
The subjects' self-reports of anxiety (measured by the Spielberger Trait-State anxiety Inventory and Visual Analogue Scale developed by Cline et al.) were recorded before and immediately after the intervention. The objective physiologic measures of blood pressure and pulse rate.
The collected data were analysed by means of frequency, percentage, standard deviation, chi- square test, t-test, ANCOVA with SPSS program.
The results of this study were as following;
1. Hypothesis 1: The 1st hypothesis that "There will be significant difference of the state anxiety level just before surgery in the experimental group and control group" was supported(P= .000).
2. Hypothesis 2: The 2nd hypothesis that "There will be significant difference of the visual analogue scale score just before surgery in the experimental group and control group"was supported(P= .000).
3. Hypothesis 3: The 3rd hypothesis that "There will be significant difference of the systolic and diastolic blood pressure level just before surgery in the experimental group and control group"was supported (P= .003, P= .041).
4. Hypothesis 4: The 4th hypothesis that "There will be significant difference of the pulse rate just before surgery in the experimental group and control group"was supported(P= .004).
In conclusion, hand massage is a benefical nursing intervention that alleviates the psychological, physiological anxiety of the hysterectomy patients in immediately prior to surgery. therefore it is recomended to use the hand massage as a nursing intervention for patients undergoing anxiety.
The results of this study appear promising, additional research is recomended to further the appropriate uses of hand massage in nursing practice for this and other patient population. -
Citations
Citations to this article as recorded by - The Effects of Hand Massage in Patients Who Underwent Transradial Percutaneous Coronary Intervention
Eun Sil Shin, Myung-Hee Kim
Journal of Korean Academy of Nursing.2018; 48(4): 465. CrossRef - Effects of Hand Massage on Depression, Self-esteem and Vitality of the Elderly Patients in Convalescent Hospital
Hye-Jeong Kim, Kang-Yi Lee
The Journal of Korean Academic Society of Nursing Education.2016; 22(2): 202. CrossRef - The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery
Sun Hee Park, Hee Jung Jang
The Journal of the Korea Contents Association.2014; 14(11): 378. CrossRef - Analysis of Studies on Hand Massage Published in Korea: On the Effects of Sleep, Pain, Anxiety and Depression
In-Ja Kim, Yu-Na Cho
The Korean Journal of Rehabilitation Nursing.2012; 15(1): 47. CrossRef - Effects of Head and Neck Massage on Anxiety, Pain, and Discomfort in Hysterectomy Patients
Eun-Young Kim, Euy-Soon Choi
Korean Journal of Women Health Nursing.2010; 16(1): 60. CrossRef - Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy
Myung-Sook Yoo, Haejung Lee, Jung-A Yoon
Journal of Korean Academy of Nursing.2009; 39(2): 157. CrossRef
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