The Evaluation of Parenting Styles of Children with Attention Deficit/ Hyperactivity Disorder

Taslima Rahman, R. K. S. Royle, Ahmed Riad Chowdhury, S. M. Z. Islam, Rafiqul Islam, Nurjahan Akter, Muhammad Ataul Gani
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Abstract

Background: Parenting has an important role in improving the performance of children with ADHD and in their families, this study will create awareness about parenting styles among parents addressing differences in parenting styles and improving the quality of child mental health. Objective: This study was intended to evaluate the different parenting styles of parents having children with ADHD and healthy children. It also aimed to find out any relationship between the socio-demographic variables of children and parents with the parenting style of the diseased child.  Methodology: This was a case-control study. The study was conducted in the Department of Psychiatry, Sylhet MAG Osmani Medical College, Sylhet during the period from September 2020 to August 2022. ADHD was diagnosed using DSM-5 and confirmed by a consultant psychiatrist. A total of 60 parents of children (ADHD=30, Healthy=30) were interviewed who fulfilled the enrollment criteria. Semi-structured questionnaire for socio-demographic variables and a Bangla Parenting Style and Dimension Questionnaire (PSDQ) were used for assessing parenting style. The data analysis was conducted utilizing the one-way analysis of variance (ANOVA) method, followed by post-hoc comparisons using the Bonferroni correction. Results: The predominant parenting style found to be applied to children with ADHD was authoritative (56.67%), followed by 26.67% authoritarian parenting and 16.33% permissive parenting style. Among the parents of healthy children, 53.33% were authoritative, 23.33% were authoritarian and permissive. There was a statistically significant association of parenting styles with education level and occupation. ADHD children's parents who studied up to the primary level had a significantly higher authoritarian score and (authoritarian p = 0.005) and the normal children's parents who studied up to the secondary level had a significantly higher authoritarian score (authoritarian p = 0.007. A significant association was found in the authoritarian domain in parents who were housewives (p = 0.032). Individuals within 6-9 years age range exhibit significantly higher scores in the authoritative domain (p=.001).  Both boys and girls groups exhibit a considerably higher score in the authoritative domain (p=.003, p=.001).  Conclusion: The fact that parenting styles influence ADHD may appear to be a burden, but it can also be an opportunity to change one's life. Solutions like parent training programs can provide skills and strategies as well as help build resilience in parents to manage the challenging behavior of children with ADHD.
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对注意力缺陷/多动症儿童养育方式的评估
背景:父母的养育方式对改善多动症儿童及其家庭的表现具有重要作用,本研究将提高父母对养育方式的认识,解决养育方式的差异,提高儿童心理健康的质量。研究目的本研究旨在评估有多动症儿童和健康儿童的父母的不同养育方式。研究还旨在找出儿童和父母的社会人口变量与患病儿童养育方式之间的关系。 研究方法这是一项病例对照研究。研究于 2020 年 9 月至 2022 年 8 月期间在锡尔赫特 MAG Osmani 医学院精神病学系进行。多动症根据 DSM-5 诊断,并由精神病学顾问确认。共访问了 60 名符合入学标准的儿童家长(ADHD=30 人,健康儿童=30 人)。采用半结构式问卷调查社会人口学变量,并使用孟加拉父母养育方式和维度问卷(PSDQ)评估父母养育方式。数据分析采用单因素方差分析(ANOVA)方法,然后使用 Bonferroni 校正进行事后比较。结果对多动症儿童采用的主要教养方式是权威型教养方式(56.67%),其次是专制型教养方式(26.67%)和放任型教养方式(16.33%)。在健康儿童的家长中,53.33%的家长采用权威型教养方式,23.33%的家长采用专制型和放任型教养方式。在统计学上,养育方式与教育水平和职业有明显的关联。多动症儿童的父母如果只读过小学,其专制程度得分明显更高(专制程度 p = 0.005);正常儿童的父母如果只读过中学,其专制程度得分明显更高(专制程度 p = 0.007)。在专制方面,家庭主妇的父母也有明显的相关性(p = 0.032)。6-9 岁年龄段的儿童在专制领域的得分明显更高(p=0.001)。 男孩和女孩组在权威性领域的得分都明显较高(p=.003,p=.001)。 结论父母的教养方式会影响多动症,这似乎是一种负担,但也可能是改变一个人生活的机会。家长培训计划等解决方案可以提供技能和策略,并帮助家长建立处理多动症儿童挑战性行为的复原力。
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