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The Association between Parenting Stress and Child Behavior Problems in PDD and ADHD

Abstract

The purpose of this study was to compare parenting stress among mothers with PDD, AHDH, and typically developing children and its association with children's problem behaviors. Mothers completed K-PSI and K-CBCL. One-way ANOVA and standard multiple regression was used for the analysis. The results showed that mothers of PDD and ADHD reported significantly higher parenting stress and more child problem behaviors as compared with the control group. Higher stress was reported inon the restricted role and acceptability subscales of the child domain for the mothers of child with PDD and inon the reinforcement and attachment subscales of the parent domain for mothers of child with ADHD. No differences were found inon the health and social isolation subscales. Parenting stress was affected by child's problem behaviors, though its association was rather different depending on the diagnosis. Both the PDD and ADHD groups showed lower correlation between the parenting stress and the internalizing behavior problems than did the control group. However, in terms of externalizing problem behavior, only the ADHD group showed lower correlation than the control group. The PDD group showed no differences. The implications, limitations, and directions for future research were discussed.

keywords
parenting stress, behavior problem, association between parenting stress and child behavior problems, pervasive developmental disorder (PDD), attention-deficit/hyperactivity disorder (ADHD), 양육 스트레스, 행동 문제, 양육 스트레스와 아동 문제 행동의 관련성, 전반적 발달장애, 주의력결핍 과잉행동장애, parenting stress, behavior problem, association between parenting stress and child behavior problems, pervasive developmental disorder (PDD), attention-deficit/hyperactivity disorder (ADHD)

Reference

1.

김자윤, 안동현, 고복자, 이영교, 이효경, 황혜순 (2002). 소아정신과 환아 부모의 양육 스트레스와 지지체계. 신경정신의학, 41 (6), 1130-1139.

2.

오경자, 이혜련, 홍강의, 하은혜 (1997). 아동, 청소년 행동평가 척도(K-CBCL). 중앙적성연구소.

3.

정경미, 이경숙, 박진아, 김혜진 (2008). 한국판 부모 양육스트레스 검사(Korean-Parenting Stress Index: K-PSI)의 표준화 연구. 한국심리학회지: 임상, 27(3), 689-707.

4.

Abidin, R. R. (1995). Parenting Stress Index Manual, 3rd edn. Odessa, FL: Psychological Assessment Resources.

5.

Achenbach, T. M. (1991). Manual for Child Behavior Checklist/4-18 and 1991 Profile. Burlington: University of Vermont, Department of Psychiatry.

6.

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, 503-520.

7.

Baker, B. L., Blacher, J., Crnic, K. A. & Edelbrock, C. (2002). Behavior problems and parenting stress in families of three-year-old children with and without developmental delays. American Journal of Mental Retardation, 107, 433-444.

8.

Baker, B. L., Landen, S. J., & Kashima, K. J. (1991). Effects of parent training on families with children who are mentally retarded: Increased burden or generalized benefit? American Journal on Mental Retardation, 96, 127-136.

9.

Baker, B. L., McIntyre, L L, Blacher, J, Crnic, K, Edelbrock, C, & Low, C. (2003). Pre- schoolchildren with and without developmental delay: behaviour problems and parenting stress over time. Journal of Intellectual Disability Research, 47, 217-230.

10.

Benzies, K. M., Harrison, M. J., & Magill-Evans, J. (2004). Parenting stress, marital quality, and child behavior at age 7 years. Public Health Nursing, 21, 111-121.

11.

Crnic, K., A. & Greenburg, M. T. (1990). Transactional relationship between perceived family style, risk status, and mother-child interactions in two year olds. Journal of Pediatric Psychology, 12, 343-362.

12.

Crnic, K. A., Gaze, C. & Hoffman, C. (2005). Cumulative parenting stress across the preschool period: relations to maternal parenting and child behavior at age 5. Infant and Child Development, 14, 117-132.

13.

Davis, N. O. & Carter, A. S. (2008). Parenting stress in mothers and fathers of toddlers with autismspectrum disorder: associations with child characteristics. Journal of Autism and Developmental Disorder, 38, 1278-1291.

14.

Deater-Deckard, K. (1998). Parenting stress and child adjustment: Some old hypotheses and new questions. Clinical Psychology: Science and Practice, 5, 314-332.

15.

Dominick, K. C., Davis, N. O., Lainhart, J., Tager-Flusberg, H., & Folstein, S. (2007). Atypical behaviors in children with autismand children with a history of language impairment. Research in Developmental Disabilities, 28, 145-162.

16.

Donenberg, G. & Baker, B. L. (1993). The impact of young children with externalizing behaviors on their families. Journal of Abnormal Psycholoty, 21, 179-198.

17.

Floyd, F. J. & Gallagher, E. M. (1997). Parental stress, care demands, and use of support services for school-age children with disabilities and behavior problems. Family Relations, 46, 359-371.

18.

Gray, D. E. & Holden, W. J. (1992). Psycho-social well-being among the parents of children with autism. Journal of Intellectual and Developmental Disability, 2, 83-93.

19.

Griest, D. L., Forehand, R., Wells, K. C., & McMahon, R. J. (1980). An examination of differences between nonclinic and behavior- problem clinic-referred children and their mothers. Journal of Abnormal Psychology, 89, 497-500.

20.

Gupta, V. B. (2007). Comparison of parenting stress in different developmental disabilities. Journal of Developmental and Physical Disabilities, 19, 417-425.

21.

Harriosn, C. & Sofronoff, K. (2002). ADHD and parental psychological distress: Role of demographics, child behavioral characteristics, and parental cognitions. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 703-711.

22.

Hastings, R. P. & Brown, T. (2002). Behavior Problems of Children With Autism, Parental Self-Efficacy, and Mental Health. American Journal on Mental Retardation, 107, 222-232.

23.

Hastings, R. P. & Johnson, E. (2001). Stress in UK families conducting intensive home-based behavioral intervention for their young child with autism. Journal of autism and developmental disorders, 31, 327-336.

24.

Herring, S., Gray, K., Taffe, J., Tonge, B., Sweeney, D., & Einfeld, S. (2006). Behaviour and emotional problems in toddlers with pervasive developmental disorders and developmental delay: associations with parental mental health and family functioning. Journal of Intellectual Disability Research, 50, 874-882.

25.

Johnston, C. (1996). Parent characteristics and parent-child interactions in families of nonproblem children and ADHD children with higher and lower level of oppositional-defiant behavior. Journal of Abnormal Child Psychology, 24, 85-104.

26.

Kazak, A. E. & Marvin, R. S. (1984). Differences, difficulties and adaptations: Stress and social networks in families with a handicapped. Family Relations, 33, 67-77.

27.

Koegel, R. L., Schreibman, L., Loos, L. M., Dirlich-Wilhelm, H., Dunlap, G., Robbins, F. R., & Plienis, A. J. (1992). Consistent stress profiles in mothers of children with autism. Journal of Autism and Developmental Disorders, 22, 205-216.

28.

Kolko, D. J. & Kazdin, A., E. (1993). Emotional/behavioral problems in clinic and nonclinic children correspondence among child, parent, and teacher reports. Journal of Child Psychology & Psychiatry, 34, 991-1006.

29.

Konstantareas, M. M. & Homatidis, S. (1989). Assessing child symptom severity and stress in parents of autistic children. Journal of Child Psychology and Psychiatry, 30, 459-470.

30.

Lecavalier, L., Leoner, S. & Wiltz, J. (2006). The impact of behavior problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50, 172-183.

31.

Loe, I. M. & Feldman, H. M. (2007). Academic and educational outcomes of children with ADHD. Journal of Pediatric Psychology, 32, 643-654.

32.

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

33.

Mash, E. & Johnston, C. (1990). Determinants of parenting stress: illustrations from families of hyperactive children and families of physically abused children. Journal of Clinical Child Psychology, 19, 313-328.

34.

Maurin, J. T. & Boyd, C. B. (1990). Burden of mental illness on the family: A critical review. Archives of Psychiatric Nursing, 4, 99-107.

35.

Maxwell, S. E. & Delaney, H. D. (1993). Bivariate median splits and spurious statistical significance. Quantiitative Methods in Psychology, 113, 181-190.

36.

Mori, K., Ujiie, T., Smith, A. & Howlin, P. (2009). Parental stress associated with caring for children with Asperger's syndrome or autism. Pediatrics international, 51, 364-370.

37.

Noh, S., Dumas, J. E., Wolf, L. C., & Fisman,S. N. (1989). Delineating sources of stress in parents of exceptional children. Family Relations, 38, 456-461.

38.

Plant, K. M. & Sanders, M. R. (2007). Predictors of care-giver stress in families of preschool-aged children with developmental disabilities. Journal of Intellectual Disability Research, 51, 109-124.

39.

Podolski, C. & 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, 503-513.

40.

Sharpley, C. F., Bitsika,V., & Efremidis, B. (1997). Influence of gender, prental health, and perceived expertise of assistance upon stress, anxiety, and depression among parents of children with autism. Journal of Intellectual & Developmental Research, 22, 19-28.

41.

Tomanik, S., Harris, G., E., & Hawkins, J. (2004). The relationship between behaviors exhibited by children with autism and maternal stress. Journal of Intellectual & Developmental Disability, 29(1), 16-26.

42.

Quine, L., & Pahl, J. (1991). Stress and coping in mothers caring for a child with severe learning difficulties: a test of Lazarus' transactional model of coping. Journal of Community and Applied Social Psychology, 1, 57-70.

43.

Smith, B. H., Barkley, R. A., & Shapiro, C. J. (2006). Attention-deficit/hyperactivity disorder. In Mash, E. A. & Barkley, R. A. (Eds.), Treatment of childhood disorders. (pp.65-136). New York: Guilford Press.

44.

Walker, A. P. (2000). Parenting Stress: a comparison of mothers and fathers of disabled and non-disabled children. Doctoral Dissertation, University of North Texas, Texas, U.S.A..

45.

Webster-Stratton, C. (1988). Predictors of treatment outcome in parent training for conduct disorderd children. Behavior Therapy, 13, 207-219.

46.

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.

47.

Wolf, L. C., Noh, S., Fisman, S. N., & Speechley, M. (1989). Brief report: psychological effect of parenting stress on parents of autistic children. Journal of Autism and Developmental Disorder, 19, 157-165.

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