Hee Sun Shin; Jeong Mee Kim

doi:10.4040/jkan.2010.40.3.453

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Original Article
Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder: Hee Sun Shin, Jeong Mee Kim; Journal of Korean Academy of Nursing 2010;40(3):453-461.
DOI: https://doi.org/10.4040/jkan.2010.40.3.453
Published online: June 30, 2010

¹Researcher, The Environmental Health Center, Dankook University Medical Center · Professor, Department of Nursing, Dankook University, Cheonan, Korea.

²Assistant Professor, Department of Social Welfare, Baekseok Arts University, Seoul, Korea.

Address reprint requests to: Shin, Hee Sun. Department of Nursing, Dankook University, 29 Anseo-dong, Cheonan 330-714, Korea. Tel: 82-41-550-3882, Fax: 82-41-550-3888, sw724@dankook.ac.kr

• Received: April 2, 2010 • Accepted: June 15, 2010

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Abstract
NOTES
REFERENCES

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 (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.
Keywords: Attention deficit hyperactive disorder; Child behavior problem; Parenting stress; Depression

This work was supported by a Korea Research Foundation Grant funded by the Korean Government (KRF-2008-E00162).

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Figure 1

The relationship between symptom of ADHD and child's internal problems.

Figure 2

The relationship between symptom of ADHD and child's external problems.

Table 1

Comparison of the Characteristics of Children and Mothers for the Two Groups (N=222)

^***p≤.001.

Table 2

Correlation among Variables

^***p≤.001; ^**p<.010; ^*p<.050.

Table 3

Mediation Effect of Mother's Depression on the Influence of the Symptom of ADHD on Child's Internal Behavior

^***p<.001.

Table 4

Mediation Effect of Mother's Depression on the Influence of the Symptom of ADHD on Child's External Behavior

^***p<.001.

Figure & Data

REFERENCES

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Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder

J Korean Acad Nurs. 2010;40(3):453-461. Published online June 30, 2010

DOI: https://doi.org/10.4040/jkan.2010.40.3.453

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Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder

Figure 1 The relationship between symptom of ADHD and child's internal problems.

Figure 2 The relationship between symptom of ADHD and child's external problems.

Figure 1

Figure 2

Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder

Table 1

Comparison of the Characteristics of Children and Mothers for the Two Groups (N=222)

^***p≤.001.

Table 2

Correlation among Variables

^***p≤.001; ^**p<.010; ^*p<.050.

Table 3

Mediation Effect of Mother's Depression on the Influence of the Symptom of ADHD on Child's Internal Behavior

^***p<.001.

Table 4

Mediation Effect of Mother's Depression on the Influence of the Symptom of ADHD on Child's External Behavior

^***p<.001.

Table 1 Comparison of the Characteristics of Children and Mothers for the Two Groups (N=222)

^***p≤.001.

Table 2 Correlation among Variables

^***p≤.001; ^**p<.010; ^*p<.050.

Table 3 Mediation Effect of Mother's Depression on the Influence of the Symptom of ADHD on Child's Internal Behavior

^***p<.001.

Table 4 Mediation Effect of Mother's Depression on the Influence of the Symptom of ADHD on Child's External Behavior