Testimonios de padres con hijos diagnosticados con trastorno por déficit de atención e hiperactividad, el reto de re-significar vivencias

Carolina Gómez-López , Lina María Osorio-Cock , Carlos Enrique Yepes-Delgado , Juan David Palacio-Ortiz
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Abstract

Introduction

Patients with attention deficit hyperactivity disorder (ADHD) face multiple barriers to reach an adequate diagnosis and treatment, including the stigma they must defy. This situation generates a high emotional burden on the patient and his family. Parents with children diagnosed with ADHD play a fundamental role in the mental health care process.

Objectives

To explore the meanings that arise in the parents of a child diagnosed with ADHD and, to identify barriers and facilitators during the diagnosis and treatment process.

Methods

This is a qualitative study developed using grounded theory techniques. Semi-structured interviews were conducted to 20 parents of children diagnosed with ADHD, which were analyzed through open coding, and later analyzed with axial and selective coding. A constant comparison of the information was carried out using a reflexive posture. These methods allowed the emergence of the theory.

Results

Misconceptions about ADHD hinder parents’ acceptance of this diagnosis. It was found that compared to fathers, mothers tend to carry more responsibilities in accompanying their children. Mothers face a difficult-to-navigate health system and unfulfilled drug delivery. In the educational system there is misinformation in schools, and parents often feel misunderstood by educators.

Conclusions

The parents included in this study had to face challenges in the health, educational and family systems. Situations that prompted them to resignify their experiences around one of their children diagnosed with ADHD.
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见证父母与孩子诊断为患有注意力缺失多动症,挑战的re-significar经历
注意缺陷多动障碍(ADHD)患者在获得适当的诊断和治疗时面临多重障碍,包括他们必须克服的耻辱感。这种情况给病人及其家属带来了沉重的情感负担。患有多动症的孩子的父母在心理健康护理过程中扮演着重要的角色。目的探讨ADHD患儿家长对ADHD诊断和治疗过程中存在的障碍和促进因素。方法这是一项使用扎根理论技术进行的定性研究。对20名ADHD患儿家长进行半结构化访谈,采用开放式编码进行分析,后采用轴向编码和选择性编码进行分析。使用反射姿势对信息进行不断的比较。这些方法使这一理论得以出现。结果对ADHD的误解阻碍了家长接受这种诊断。研究发现,与父亲相比,母亲在陪伴孩子方面往往承担更多的责任。母亲们面临着难以驾驭的卫生系统和无法实现的药物交付。在教育系统中,学校存在错误信息,家长经常感到被教育工作者误解。结论本研究的家长在健康、教育和家庭系统方面面临挑战。这些情况促使他们放弃了与被诊断患有多动症的孩子在一起的经历。
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来源期刊
Revista Colombiana de Psiquiatria
Revista Colombiana de Psiquiatria Medicine-Psychiatry and Mental Health
CiteScore
2.50
自引率
0.00%
发文量
72
期刊介绍: Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.
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