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

Napakkawat Buathong
Napakkawat Buathong
, 
Nuttorn Pityaratstian
Nuttorn Pityaratstian
 and 
Apittha Unahalekhaka
Apittha Unahalekhaka
   | Dec 19, 2019
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Article Category: Brief communication (original)
Published Online: Dec 19, 2019
Page range: 19 - 25
DOI: https://doi.org/10.1515/abm-2019-0035
Keywords
© 2019 Napakkawat Buathong et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Figure 1

Coping strategies as mediators of inattention, hyperactivity–impulsivity, and oppositional defiant behaviors and anxiety (χ2 = 0.05, P = 0.82, GFI = 0.99, CFI = 0.99, RMSEA = 0.01). Paths with solid lines and numbers in bold are significant (P <0.05). All path coefficients are standardized
Coping strategies as mediators of inattention, hyperactivity–impulsivity, and oppositional defiant behaviors and anxiety (χ2 = 0.05, P = 0.82, GFI = 0.99, CFI = 0.99, RMSEA = 0.01). Paths with solid lines and numbers in bold are significant (P <0.05). All path coefficients are standardized

Figure 2

Final model of disruptive behaviors and coping strategies as mediators of anxiety (χ2 = 0.23, P = 0.88, CFI = 1.00, GFI = 1.00, RMSEA = 0.00). Paths with solid lines and numbers in bold are statistically significant (P <0.05). Numbers in paths present the standardized regression coefficients
Final model of disruptive behaviors and coping strategies as mediators of anxiety (χ2 = 0.23, P = 0.88, CFI = 1.00, GFI = 1.00, RMSEA = 0.00). Paths with solid lines and numbers in bold are statistically significant (P <0.05). Numbers in paths present the standardized regression coefficients

Bivariate correlations between disruptive behaviors, coping strategies, and parental anxiety

1234567
Inattention1
Hyperactivity–impulsivityr = 0.50P < 0.0011
Oppositional defiantr = 0.53P < 0.001r = 0.45P < 0.0011
Escape–avoidancer = 0.13P = 0.07r = 0.15P = 0.037r = 0.20P = 0.0051
Seeking social supportr = 0.19P = 0.007r = 0.00P = 0.996r = 0.08P = 0.242r = 0.21P = 0.0021
Planful problem solvingr = 0.08P = 0.28r = –0.06P = 0.379r = –0.004P = 0.954r = 0.01P = 0.884r = 0.41P < 0.0011
Anxietyr = 0.20P = 0.004r = 0.17P = 0.015r = 0.26P < 0.001r = 0.33P < 0.001r = 0.03P = 0.644r = 0.03P = 0.7171

Sociodemographic characteristics for parent and child (N = 200)

Parentn (%)Childn (%)
Relationship to childSex
 Mother168 (84.0)Male158 (79.0)
Age (mean: SD)43.4: 7.76Age (Mean: SD)11.2: 2.8
EducationEducation
 Primary school8 (9.0)Junior primary school52 (26.0)
 Secondary school25 (12.5) Senior primary school63 (31.5)
 College graduate34 (17.0) Junior high school65 (32.5)
 Bachelor’s degree or higher123 (61.5) Senior high school20 (10.0)
EmploymentTaking psychostimulant medication for ADHD185 (92.5)
Unemployed10 (5.0)
 Employee86 (43.0)Drug holiday from psychostimulant medication120 (60.0)
 Own business66 (33.0)
 Government and state enterprise38 (19.0)Duration (years) of treatment (Median: IQR)3.63: 4.5
Adequate income152 (76.6)Number of disruptive behaviors
(Mean: SD); Range 1.23: 1.11; 0–3
Number of childrenMultiple symptoms of disruptive behaviors
(Mean: SD); Range 1.89: 0.81; 1–5
Anxiety41 (20.5) Inattention79 (39.5)
Coping strategies (Mean: SD) Hyperactivity–impulsivity84 (42.0)
Escape–avoidance 2.34: 0.57 Oppositional defiant behaviors84 (42.0)
 Seeking of social support2.99: 0.81
 Planful problem solving3.63: 0.51
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