Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung 83301, Taiwan.
College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan.
Int J Environ Res Public Health. 2022 Aug 2;19(15):9505. doi: 10.3390/ijerph19159505.
Parental management has an important role in preventing problematic smartphone use among adolescents with attention-deficit/hyperactivity disorder (ADHD). This study aimed to examine the parental factors (e.g., demographics, depressive symptoms and parenting styles) and adolescent factors (e.g., demographics, ADHD and oppositional defiant disorder [ODD] symptoms, and problematic smartphone use) related to parental efficacy in managing adolescent smartphone use (PEMASU) among 237 parents of adolescents with ADHD. PEMASU was measured by the Parental Smartphone Use Management Scale. Parental depressive symptoms and parenting styles (parental affection/care and overprotection) were measured by the Center for Epidemiologic Studies-Depression Scale and Parental Bonding Instrument, respectively. Adolescent ADHD and ODD symptoms and problematic smartphone use were measured by the Swanson, Nolan, and Pelham, version IV scale and Problematic Smartphone Use Questionnaire, respectively. Three models of hierarchical linear regression were performed to examine the parental and adolescent factors related to PEMASU. The results indicated that adolescent older age and more severe ODD symptoms and problematic smartphone use were significantly associated with lower PEMASU, whereas greater parental affection/care was significantly associated with higher PEMASU. This study demonstrated that both parental and adolescent factors contribute to PEMASU among parents of adolescents with ADHD. Intervention programs aiming to enhancing PEMASU need to take these related factors into consideration.
父母管理在预防注意力缺陷多动障碍(ADHD)青少年的智能手机使用问题方面起着重要作用。本研究旨在检查父母因素(例如,人口统计学、抑郁症状和育儿方式)和青少年因素(例如,人口统计学、ADHD 和对立违抗性障碍[ODD]症状以及智能手机使用问题)与管理青少年智能手机使用的父母效能(PEMASU)之间的关系,该研究共纳入了 237 名 ADHD 青少年的父母。PEMASU 通过父母智能手机使用管理量表进行测量。父母的抑郁症状和育儿方式(父母的关爱/关心和过度保护)分别通过流行病学研究中心抑郁量表和父母教养方式量表进行测量。青少年的 ADHD 和 ODD 症状和智能手机使用问题通过斯旺森、诺兰和佩勒姆第四版量表和智能手机使用问题问卷进行测量。进行了三个层次线性回归模型,以检验与 PEMASU 相关的父母和青少年因素。结果表明,青少年年龄较大、ODD 症状和智能手机使用问题更严重与 PEMASU 较低显著相关,而父母的关爱/关心程度较高与 PEMASU 较高显著相关。本研究表明,父母和青少年因素都对 ADHD 青少年的父母的 PEMASU 有影响。旨在提高 PEMASU 的干预计划需要考虑这些相关因素。