<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_abm-2019-0035_s_005_w2aab2b8c15b1b7b1aab1c15b1Aa"><h3>Background</h3><p>Disruptive behaviors are commonly found in children with attention deficit-hyperactivity disorder (ADHD) and affect the mental health of parents. However, a study of the direct and indirect effects between disruptive behaviors in children with ADHD and parental anxiety and coping strategies is apparently lacking.</p></sec><sec id="j_abm-2019-0035_s_006_w2aab2b8c15b1b7b1aab1c15b2Aa"><h3>Objective</h3><p>To examine the direct and indirect relationship between disruptive behaviors in children with ADHD and parental anxiety and coping strategies as a mediator.</p></sec><sec id="j_abm-2019-0035_s_007_w2aab2b8c15b1b7b1aab1c15b3Aa"><h3>Method</h3><p>A cross-sectional study was conducted at King Chulalongkorn Memorial Hospital, Thailand between March 2015 and January 2016. Participants comprised 200 parents whose children were diagnosed with ADHD by physicians. Participants completed questionnaires regarding sociodemographic characteristics including The Thai Hospital Anxiety and Depression Scale, The Swanson, Nolan and Pelham (SNAP-IV): parent form (Thai version), and The Coping Scale Questionnaire (Thai version).</p></sec><sec id="j_abm-2019-0035_s_008_w2aab2b8c15b1b7b1aab1c15b4Aa"><h3>Results</h3><p>The direct path between disruptive behaviors and anxiety was significant (b = 0.21, <italic>P</italic> = 0.002). Moreover, a significant indirect path was found between disruptive behaviors and coping behavior with escape–avoidance (β = 0.20, <italic>P</italic> = 0.005), and an indirect path was found between escape–avoidance and anxiety (b = 0.31, <italic>P</italic> &lt;0.001).</p></sec><sec id="j_abm-2019-0035_s_009_w2aab2b8c15b1b7b1aab1c15b5Aa"><h3>Conclusions</h3><p>Health care professionals should evaluate the use of coping strategies by parents of children with ADHD and encourage the parents to use a positive strategy for coping with the disruptive behaviors of their children.</p></sec></abstract>

BackgroundDisruptive behaviors are commonly found in children with attention deficit-hyperactivity disorder (ADHD) and affect the mental health of parents. However, a study of the direct and indirect effects between disruptive behaviors in children with ADHD and parental anxiety and coping strategies is apparently lacking.ObjectiveTo examine the direct and indirect relationship between disruptive behaviors in children with ADHD and parental anxiety and coping strategies as a mediator.MethodA cross-sectional study was conducted at King Chulalongkorn Memorial Hospital, Thailand between March 2015 and January 2016. Participants comprised 200 parents whose children were diagnosed with ADHD by physicians. Participants completed questionnaires regarding sociodemographic characteristics including The Thai Hospital Anxiety and Depression Scale, The Swanson, Nolan and Pelham (SNAP-IV): parent form (Thai version), and The Coping Scale Questionnaire (Thai version).ResultsThe direct path between disruptive behaviors and anxiety was significant (b = 0.21, P = 0.002). Moreover, a significant indirect path was found between disruptive behaviors and coping behavior with escape–avoidance (β = 0.20, P = 0.005), and an indirect path was found between escape–avoidance and anxiety (b = 0.31, P <0.001).ConclusionsHealth care professionals should evaluate the use of coping strategies by parents of children with ADHD and encourage the parents to use a positive strategy for coping with the disruptive behaviors of their children.

Pathways to parental anxiety: effect of coping strategies for disruptive behaviors in children with attention deficit-hyperactivity disorder

Asian Biomedicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

BackgroundDisruptive behaviors are commonly found in children with attention deficit-hyperactivity disorder (ADHD) and affect the mental health of parents....

Pathways to parental anxiety: effect of coping strategies for disruptive behaviors in children with attention deficit-hyperactivity disorder

Article Category: Brief communication (original)

Published Online: Dec 19, 2019

Page range: 19 - 25

DOI: https://doi.org/10.1515/abm-2019-0035

Keywords
attention deficit disorder with hyperactivity, disruptive behavior, parental anxiety

© 2019 Napakkawat Buathong et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Pathways to parental anxiety: effect of coping strategies for disruptive behaviors in children with attention deficit-hyperactivity disorder

Article Category: Brief communication (original)

Published Online: Dec 19, 2019

Page range: 19 - 25

DOI: https://doi.org/10.1515/abm-2019-0035

Keywordsattention deficit disorder with hyperactivity, disruptive behavior, parental anxiety

© 2019 Napakkawat Buathong et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
attention deficit disorder with hyperactivity, disruptive behavior, parental anxiety