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超正统母亲的心理健康和生活质量及其对儿童注意力缺陷多动障碍的影响:职业经历的作用。

Psychological Health and Quality of Life among Ultra-orthodox Mothers of Children with Attention Deficit Hyperactivity Disorder: Impact of Occupational Experiences.

机构信息

School of Occupational Therapy, Faculty of Medicine of the Hebrew University, Jerusalem, Israel.

出版信息

Phys Occup Ther Pediatr. 2023;43(6):697-712. doi: 10.1080/01942638.2023.2188077. Epub 2023 Mar 15.

Abstract

BACKGROUND

Attention Deficit Hyperactivity Disorder (ADHD) is a common neuro-developmental health condition in children and adolescents. Parenting a child with ADHD can profoundly affect mothers' health. Research is limited regarding occupational experiences and their impact on health among mothers of children with ADHD (MoCwADHD). Ultra-orthodox MoCwADHD may have unique cultural circumstances that have not been studied.

AIMS

To broaden understanding of parental stress, psychological health, and quality of life (QoL) of ultra-orthodox MoCwADHD and explore a possible role of occupational experiences on these outcomes.

METHODS

Ultra-orthodox MoCwADHD (N = 114) completed a sociodemographic questionnaire and measurements to assess child ADHD symptomatology, mother's ADHD, parental stress, psychological health, QoL, and occupational experiences.

RESULTS

Participants displayed moderate parental stress, and 54.9 percent also showed psychological distress symptoms, similar to the literature on MoCwADHD in the general population. Frequency of engagement in health promoting occupations reflected patterns in line with cultural beliefs. Structure Equation Modeling showed that child ADHD negatively affected mothers' stress, psychological health and QoL. Importantly, occupational experiences directly and indirectly, via parental stress, impacted psychological health and QoL.

CONCLUSIONS

MoCwADHD impacts maternal health in the ultra-orthodox population and occupational experiences may be a modifiable target for promoting their health.

摘要

背景

注意缺陷多动障碍(ADHD)是儿童和青少年常见的神经发育健康问题。养育患有 ADHD 的孩子会对母亲的健康产生深远影响。关于 ADHD 患儿母亲(MoCwADHD)的职业经历及其对健康的影响的研究有限。超正统派的 MoCwADHD 可能有其独特的文化环境尚未被研究。

目的

拓宽对超正统派 MoCwADHD 的父母压力、心理健康和生活质量(QoL)的理解,并探讨职业经历对这些结果的可能作用。

方法

超正统派 MoCwADHD(N=114)完成了一份社会人口学问卷和测量,以评估儿童 ADHD 症状、母亲 ADHD、父母压力、心理健康、QoL 和职业经历。

结果

参与者表现出中度的父母压力,54.9%的人也表现出心理困扰症状,与普通人群中 MoCwADHD 的文献相似。从事促进健康职业的频率反映了与文化信仰一致的模式。结构方程模型显示,儿童 ADHD 对母亲的压力、心理健康和 QoL 产生负面影响。重要的是,职业经历通过父母压力直接和间接地影响心理健康和 QoL。

结论

超正统派 MoCwADHD 会影响母亲的健康,职业经历可能是促进她们健康的一个可改变的目标。

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