School of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan.
Department of Internal Medicine/Pediatric, New Taipei City Tucheng Hospital (Chang Gung Medical Foundation), New Taipei City 23652, Taiwan.
Int J Environ Res Public Health. 2022 Oct 22;19(21):13722. doi: 10.3390/ijerph192113722.
School closures during the COVID-19 pandemic have interfered with children's learning. The aim of this study was to investigate the difficulties in managing children's learning at home and attending afterschool learning programs and their related factors among caregivers of children with attention-deficit/hyperactivity disorder (ADHD) during the COVID-19 pandemic. In total, 252 caregivers of children with ADHD completed a questionnaire collecting difficulties in managing children's learning, parenting styles, children's worsened symptoms of ADHD, oppositional defiant disorder (ODD) and emotion, and increased Internet use. Multivariate logistic regression models were used to examine the factors related to caregiver difficulties in managing children's learning and children's worsened ADHD, ODD, and emotional symptoms. In total, 85.3% of the caregivers had difficulty in asking their children to learn at home; 28.2% had difficulty in taking children to afterschool learning programs. Children's worsened anger was significantly associated with higher caregiver difficulty in asking children to learn at home, whereas parental overprotection was significantly associated with lower caregiver difficulty in asking children to learn at home. Worsened hyperactivity and opposition were significantly associated with higher caregiver difficulty in taking children to attend afterschool learning programs. Interventions for enhancing caregivers' skills to manage children's learning and children's behavioral and emotional symptoms should take the related factors found in this study into consideration.
在 COVID-19 大流行期间，学校关闭干扰了儿童的学习。本研究旨在调查 COVID-19 大流行期间，照顾者在管理儿童在家学习和参加课外学习项目方面的困难，以及与儿童注意力缺陷多动障碍（ADHD）相关的因素。共有 252 名 ADHD 儿童的照顾者完成了一份问卷，该问卷收集了管理儿童学习的困难、育儿风格、儿童 ADHD、对立违抗性障碍（ODD）和情绪恶化、以及互联网使用增加等方面的问题。多变量逻辑回归模型用于检查与照顾者管理儿童学习困难和儿童 ADHD、ODD 和情绪症状恶化相关的因素。共有 85.3%的照顾者在要求孩子在家学习方面有困难；28.2%的照顾者在带孩子去课外学习项目方面有困难。儿童愤怒情绪恶化与照顾者要求孩子在家学习的困难程度显著相关，而父母过度保护与照顾者要求孩子在家学习的困难程度显著相关。多动和对立症状恶化与照顾者带孩子参加课外学习项目的困难程度显著相关。为了提高照顾者管理儿童学习和行为情绪症状的技能，应该考虑到本研究中发现的相关因素。
