Haneda Ricky, Shimabukuro Shizuka, Daley David, Tripp Gail
Okinawa Institute of Science and Technology Graduate University, Okinawa, Japan.
Department of Psychology, School of Social Sciences, Nottingham Trent University, Nottingham, UK.
J Atten Disord. 2025 May;29(7):554-568. doi: 10.1177/10870547251315226. Epub 2025 Feb 4.
Parents of children with attention deficit hyperactivity disorder (ADHD) experience elevated levels of stress in their parenting role. Understanding what contributes to such stress is important for its management.
We assessed associations between child and parent characteristics and parenting stress in Japanese mothers of 6-12-year-old children with ADHD recruited through the community ( = 51) and hospital child psychiatry/pediatric clinics ( = 124). Hierarchical multiple regression analyses assessed the extent to which child symptom severity (ADHD and ODD), parenting efficacy, depression, and maternal ADHD symptoms explained variance in both child-domain and parent-domain parenting stress.
Child symptom severity and maternal depression accounted for significant variance in child-domain parenting stress. Child ODD, parenting efficacy, depression, and maternal ADHD (clinic sample) explained significant variance in parent-domain parenting stress. Exploratory cross-sectional mediational analyses highlight the inter-relatedness of the associations between parenting-efficacy, maternal depression and parent-domain parenting stress. The association between maternal ADHD and parent-domain parenting stress is statistically fully mediated by maternal depression.
The pattern of associations between child and parent characteristics and parenting stress in Japanese mothers of children with ADHD are consistent with Abidin's model of parenting stress with implications for clinical management.
注意缺陷多动障碍（ADHD）患儿的父母在履行养育职责时承受着较高水平的压力。了解造成这种压力的因素对于压力管理至关重要。
我们评估了通过社区招募的51名6至12岁ADHD患儿的日本母亲以及医院儿童精神病学/儿科诊所招募的124名此类患儿的日本母亲中，儿童和父母特征与养育压力之间的关联。分层多元回归分析评估了儿童症状严重程度（ADHD和对立违抗障碍[ODD]）、养育效能感、抑郁以及母亲的ADHD症状在多大程度上解释了儿童领域和父母领域养育压力的差异。
儿童症状严重程度和母亲抑郁在儿童领域养育压力方面解释了显著差异。儿童ODD、养育效能感、抑郁以及母亲的ADHD（诊所样本）在父母领域养育压力方面解释了显著差异。探索性横断面中介分析突出了养育效能感、母亲抑郁与父母领域养育压力之间关联的相互关联性。母亲的ADHD与父母领域养育压力之间的关联在统计学上完全由母亲抑郁介导。
ADHD患儿的日本母亲中，儿童和父母特征与养育压力之间的关联模式与阿比丁的养育压力模型一致，对临床管理具有启示意义。
