Gordon Chanelle T, Fabiano Gregory A, Schatz Nicole K, Hulme Karen, Vujnovic Rebecca K
University of Buffalo, State University of New York.
Florida International University.
J Child Fam Stud. 2021 Dec;30(12):2966-2979. doi: 10.1007/s10826-021-02131-x. Epub 2021 Oct 23.
Although children with ADHD continue to experience impairment well into adolescence, research exploring the experiences of their parents during late adolescence is lacking. Thus, we examined changes in parenting stress and family conflict in mothers of adolescents with ADHD during the transition to early adulthood. We also explored predictors of these changes in addition to investigating differences in these trajectories due to comorbid ODD. Forty-nine mothers of adolescents with ADHD only and thirty-seven mothers of adolescents with ADHD/ODD reported on parenting stress and perceptions of family conflict at baseline (mean age = 16.88) and at 3-month, 9-month, and 15-month follow up assessments. Growth curve modeling indicated that both groups of mothers reported relative declines in parenting stress and family conflict across time. However, the mothers of adolescents with ADHD/ODD persistently reported more stress and conflict. Furthermore, decreases in family conflict were more predictive of reduced parenting stress in families of adolescents only diagnosed with ADHD. Our findings suggest that comorbid ODD is associated with parenting stress during late adolescence. Thus, interventions should focus on further reducing this stress as adolescents with ADHD/ODD transition to adulthood.
尽管患有注意力缺陷多动障碍（ADHD）的儿童在青春期后期仍持续受到损害，但缺乏探索其父母在青春期后期经历的研究。因此，我们研究了患有ADHD的青少年母亲在向成年早期过渡期间育儿压力和家庭冲突的变化。除了调查由于共病对立违抗障碍（ODD）导致的这些轨迹差异外，我们还探讨了这些变化的预测因素。49名仅患有ADHD的青少年母亲和37名患有ADHD/ODD的青少年母亲在基线（平均年龄 = 16.88岁）以及3个月、9个月和15个月的随访评估中报告了育儿压力和对家庭冲突的看法。生长曲线模型表明，两组母亲报告的育儿压力和家庭冲突随时间均相对下降。然而，患有ADHD/ODD的青少年母亲一直报告有更多的压力和冲突。此外，家庭冲突的减少更能预测仅被诊断患有ADHD的青少年家庭中育儿压力的降低。我们的研究结果表明，共病ODD与青春期后期的育儿压力有关。因此，随着患有ADHD/ODD的青少年向成年过渡，干预措施应侧重于进一步减轻这种压力。
