Stress, coping, and resilience among mothers of children with attention deficit hyperactivity disorder
DOI:
https://doi.org/10.29120/ijpsw.2024.v15.i1.614Keywords:
Mother, stress, coping, resilience, ADHDAbstract
Background: Families with children diagnosed with ADHD often experience elevated levels of stress compared to families with typically developing children. This stress manifests in various forms including family conflicts, disciplinary challenges, financial strain, parental depression, and difficulties in marital relationships. Objectives: The objective was to assess parenting stress, coping, and resilience among parents of children with ADHD, as well as the psychosocial problems of children with ADHD as reported by parents. Method and Materials: his descriptive cross-sectional study was conducted at the Child Guidance Clinic, Psychiatry Department, Government Medical College & Hospital, Chandigarh. It included 40 consecutive mothers of children diagnosed with ADHD according to DSM-5 criteria, aged 6 to 14 years, fluent in Hindi or English, and residing with their child. Exclusion criteria comprised major medical or psychiatric illnesses, specific learning disabilities (SLD), and comorbid disabilities in children, as well as significant psychiatric or medical illnesses, disabilities, or substance dependencies (excluding nicotine) in mothers, and multiple family members with major disabilities. Assessment tools used were the Socio-demographic and Clinical Data Sheet, Chandigarh Parent Related Stress Scale (CPRSS), Bref-COPE, The Connor-Davidson Resilience Scale (CD-RISC), Screening Tool for Assessment of Psychosocial Problems (STAPP), and Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS). Result: The study revealed high levels of stress among mothers of children with ADHD, who employed a range of coping strategies including instrumental support, active coping, and planning, as well as emotional support, acceptance, positive reframing, and religious coping. Some also used maladaptive strategies like behavioural disengagement, venting, and self-blame. Participants showed a moderate level of resilience, with mild overall problems noted. Issues related to financial resources and high expressed emotion were most prevalent, followed by challenges with medication/treatment compliance and social support. Conclusion: This study underscores the need for increased focus on supporting parents in ADHD management, informing the development of comprehensive psychosocial intervention programs.
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