Pub Date : 2021-06-07DOI: 10.1080/02739615.2021.1925117
Harry M. Voulgarakis, C. Saulnier, D. Bendell-Estroff, J. Bush, T. Field
ABSTRACT Recent research has demonstrated greater prevalence of gastrointestinal (GI) symptoms in children with autism spectrum disorder (ASD) as compared to their typically developing peers. While there is an existing body of research that examines behavioral correlates of ASD and GI symptoms, few specifically examine social and adaptive profiles in this context. The aim of the current study was to identify correlations between social and adaptive skills in children with ASD, with the endorsement of GI symptoms. Significant correlations were found between GI symptoms and overall adaptive functioning, socialization, and daily living skills. No significant correlations were found between GI symptoms and communication skills, motor skills, or ADOS-2 severity scores. Strengths, limitations, and directions for future research are discussed.
{"title":"Deficits in socialization and daily living skills associated with gastrointestinal symptoms in children with autism spectrum disorder","authors":"Harry M. Voulgarakis, C. Saulnier, D. Bendell-Estroff, J. Bush, T. Field","doi":"10.1080/02739615.2021.1925117","DOIUrl":"https://doi.org/10.1080/02739615.2021.1925117","url":null,"abstract":"ABSTRACT Recent research has demonstrated greater prevalence of gastrointestinal (GI) symptoms in children with autism spectrum disorder (ASD) as compared to their typically developing peers. While there is an existing body of research that examines behavioral correlates of ASD and GI symptoms, few specifically examine social and adaptive profiles in this context. The aim of the current study was to identify correlations between social and adaptive skills in children with ASD, with the endorsement of GI symptoms. Significant correlations were found between GI symptoms and overall adaptive functioning, socialization, and daily living skills. No significant correlations were found between GI symptoms and communication skills, motor skills, or ADOS-2 severity scores. Strengths, limitations, and directions for future research are discussed.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02739615.2021.1925117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44590093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-16DOI: 10.1080/02739615.2021.1886934
Kim M. Tan-MacNeill, I. Smith, Shannon A. Johnson, J. Chorney, P. Corkum
ABSTRACT Online parent-implemented interventions may increase treatment accessibility and reduce health care services burden by enabling parents of children with neurodevelopmental disorders (NDD) to implement treatments at home. This systematic review identified and evaluated the quality of evidence for the efficacy of online parent-implemented interventions for children with Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD), Cerebral Palsy (CP), and Fetal Alcohol Spectrum Disorder (FASD). Twelve interventions were identified targeting a range of behaviors (ASD = 8, ADHD = 3, FASD = 1). Preliminary evidence suggests that online parent-implemented interventions are promising for children with these diagnoses, but require more rigorous, large-scale research as study quality was poor overall.
{"title":"A systematic review of online parent-implemented interventions for children with neurodevelopmental disorders","authors":"Kim M. Tan-MacNeill, I. Smith, Shannon A. Johnson, J. Chorney, P. Corkum","doi":"10.1080/02739615.2021.1886934","DOIUrl":"https://doi.org/10.1080/02739615.2021.1886934","url":null,"abstract":"ABSTRACT Online parent-implemented interventions may increase treatment accessibility and reduce health care services burden by enabling parents of children with neurodevelopmental disorders (NDD) to implement treatments at home. This systematic review identified and evaluated the quality of evidence for the efficacy of online parent-implemented interventions for children with Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD), Cerebral Palsy (CP), and Fetal Alcohol Spectrum Disorder (FASD). Twelve interventions were identified targeting a range of behaviors (ASD = 8, ADHD = 3, FASD = 1). Preliminary evidence suggests that online parent-implemented interventions are promising for children with these diagnoses, but require more rigorous, large-scale research as study quality was poor overall.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02739615.2021.1886934","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46535466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-15DOI: 10.1080/02739615.2021.1960165
Lauren Bell, G. Pearce
ABSTRACT Hypermobile Ehlers–Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD) are underdiagnosed hereditary connective tissue disorders requiring health care across specialties. Using mixed methods, we explored how parents have experienced children’s health care for hEDS/HSD. Surveyed parents (N = 297) reported varying experiences, though professional understanding was negatively appraised by most parents. Themes identified from interviews (n = 13) were: (1) awareness and understanding are fundamental, (2) the importance of the therapeutic relationship, (3) limitations of healthcare systems, and (4) diagnostic labels are meaningful. Findings suggest that achieving person-centered care may broadly improve health care for families with hEDS/HSD.
{"title":"Parents’ experiences of children’s health care for hypermobile Ehlers–Danlos syndrome and hypermobility spectrum disorders","authors":"Lauren Bell, G. Pearce","doi":"10.1080/02739615.2021.1960165","DOIUrl":"https://doi.org/10.1080/02739615.2021.1960165","url":null,"abstract":"ABSTRACT Hypermobile Ehlers–Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD) are underdiagnosed hereditary connective tissue disorders requiring health care across specialties. Using mixed methods, we explored how parents have experienced children’s health care for hEDS/HSD. Surveyed parents (N = 297) reported varying experiences, though professional understanding was negatively appraised by most parents. Themes identified from interviews (n = 13) were: (1) awareness and understanding are fundamental, (2) the importance of the therapeutic relationship, (3) limitations of healthcare systems, and (4) diagnostic labels are meaningful. Findings suggest that achieving person-centered care may broadly improve health care for families with hEDS/HSD.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42124117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-14DOI: 10.1080/02739615.2021.1913163
Morgan Rittenberger, Sarah Ostrowski-Delahanty, K. Woods
ABSTRACT Limited research exists regarding the relationship between trauma exposure and headache in youth despite the knowledge that pain symptoms often occur with persistent traumatic stress. This study examined the relationship between trauma exposure and headache outcomes in youth via retrospective chart review for 95 participants evaluated through a multidisciplinary headache clinic in a children’s hospital. Youth with trauma exposure were more likely to report chronic and daily headaches, greater severity in headache disability, and more frequent headaches than youth without trauma history. Our results indicate the importance of screening as trauma exposure may contribute to headache outcomes and headache-related disability.
{"title":"The impact of trauma exposure on headache outcomes","authors":"Morgan Rittenberger, Sarah Ostrowski-Delahanty, K. Woods","doi":"10.1080/02739615.2021.1913163","DOIUrl":"https://doi.org/10.1080/02739615.2021.1913163","url":null,"abstract":"ABSTRACT Limited research exists regarding the relationship between trauma exposure and headache in youth despite the knowledge that pain symptoms often occur with persistent traumatic stress. This study examined the relationship between trauma exposure and headache outcomes in youth via retrospective chart review for 95 participants evaluated through a multidisciplinary headache clinic in a children’s hospital. Youth with trauma exposure were more likely to report chronic and daily headaches, greater severity in headache disability, and more frequent headaches than youth without trauma history. Our results indicate the importance of screening as trauma exposure may contribute to headache outcomes and headache-related disability.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02739615.2021.1913163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47802798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-03DOI: 10.1080/02739615.2020.1870118
B. Garst, Alexsandra Dubin, C. Bunke, Natalie Schellpfeffer, T. Gaslin, Michael Ambrose, Andrew N. Hashikawa
ABSTRACT While immunization practice guidelines for children have been applied within primary schools, little research exists about how immunization practice guidelines are applied within summer camp settings and barriers to policy implementation within those settings. To identify perceived barriers to effective immunization policy implementation in summer camps, data were collected from a purposeful sample of 925 unique summer camp representatives using the CampDoc.com online electronic health record system. Fifty-nine percent (n = 541) of the sample completed an open-ended question about immunization policy barriers, including directors (38%, n = 205), nurses (26%, n = 140), other (20%, n = 106), office staff (13%, n = 73), and physicians (3%, n = 17). Inductive analyses and coder triangulation were used to develop themes. Constructed themes included a lack of parental support for vaccination, difficulties collecting and verifying immunization documentation, variable immunization policy guidelines, immunization exemptions, and organizational focus on financial outcomes. In addition, one-fifth of responding camps perceive no barriers. Camp administrators should work with pediatricians to implement clear and consistent immunization policies emphasizing parent education and informed by local and state guidelines.
{"title":"Barriers impacting organizational immunization policy implementation in U.S. and Canadian summer camps","authors":"B. Garst, Alexsandra Dubin, C. Bunke, Natalie Schellpfeffer, T. Gaslin, Michael Ambrose, Andrew N. Hashikawa","doi":"10.1080/02739615.2020.1870118","DOIUrl":"https://doi.org/10.1080/02739615.2020.1870118","url":null,"abstract":"ABSTRACT While immunization practice guidelines for children have been applied within primary schools, little research exists about how immunization practice guidelines are applied within summer camp settings and barriers to policy implementation within those settings. To identify perceived barriers to effective immunization policy implementation in summer camps, data were collected from a purposeful sample of 925 unique summer camp representatives using the CampDoc.com online electronic health record system. Fifty-nine percent (n = 541) of the sample completed an open-ended question about immunization policy barriers, including directors (38%, n = 205), nurses (26%, n = 140), other (20%, n = 106), office staff (13%, n = 73), and physicians (3%, n = 17). Inductive analyses and coder triangulation were used to develop themes. Constructed themes included a lack of parental support for vaccination, difficulties collecting and verifying immunization documentation, variable immunization policy guidelines, immunization exemptions, and organizational focus on financial outcomes. In addition, one-fifth of responding camps perceive no barriers. Camp administrators should work with pediatricians to implement clear and consistent immunization policies emphasizing parent education and informed by local and state guidelines.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02739615.2020.1870118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47668051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACT This study investigated behavioral phenotype, executive functions profile, and the existence of comorbid psychiatric disorders in children and adolescents with methylenetetrahydrofolate reductase (MTHFR) polymorphisms admitted to pediatric metabolism outpatient clinic. Internalizing problems, especially somatic complaints were common in patients with MTHFR. More than half of the cases had emotional control and initiating problems as executive function deficits. Attention-deficit/hyperactivity disorder was the most common psychiatric diagnosis, followed by anxiety disorder. Current findings emphasize that health care providers should be aware of the mental health needs of cases with MTHFR polymorphism in order to make plans of integrative physical and mental health care.
{"title":"Assessing mental health in children and adolescent with MTHFR polymorphisms: psychiatric disorders, executive functioning, and symptom profile in a Turkish clinical sample","authors":"Onur Tuğçe Poyraz Fındık, Duygu Murat, Funda Gümüştaş, Ayşe Rodopman Arman, I. Özer","doi":"10.1080/02739615.2021.1871616","DOIUrl":"https://doi.org/10.1080/02739615.2021.1871616","url":null,"abstract":"ABSTRACT This study investigated behavioral phenotype, executive functions profile, and the existence of comorbid psychiatric disorders in children and adolescents with methylenetetrahydrofolate reductase (MTHFR) polymorphisms admitted to pediatric metabolism outpatient clinic. Internalizing problems, especially somatic complaints were common in patients with MTHFR. More than half of the cases had emotional control and initiating problems as executive function deficits. Attention-deficit/hyperactivity disorder was the most common psychiatric diagnosis, followed by anxiety disorder. Current findings emphasize that health care providers should be aware of the mental health needs of cases with MTHFR polymorphism in order to make plans of integrative physical and mental health care.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02739615.2021.1871616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59267051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1080/02739615.2021.1894938
A. Bilgiç, N. Uzun, Ü. Işık, S. Açıkel, Fatma Çoşkun, Ö. Akça
ABSTRACT This cross-sectional study evaluated the impacts of maternal and paternal affective temperament traits, maternal and paternal ADHD, depression and anxiety symptoms, parenting styles, child’s depression and anxiety disorder symptoms, and child’s autistic traits on the oppositional defiant disorder (ODD) and conduct disorder (CD) symptoms of children with attention-deficit/hyperactivity disorder (ADHD). Analysis showed a positive relation of maternal anxious and irritable temperament and child inattention, hyperactivity–impulsivity and obsessive-compulsive disorder (OCD) scores on ODD scores. However, there was a negative relationship between parental acceptance/involvement and ODD scores. Regarding CD scores, maternal irritable and paternal cyclothymic and hyperthymic temperament scores and child ODD and autistic trait scores showed a positive relationship, whereas maternal ADHD showed a negative relationship on CD scores. Certain parental affective temperaments, parenting styles, child’s OCD and autistic traits, and maternal ADHD may be important for the severity of disruptive behavioral disorder symptoms in children with ADHD.
{"title":"The relationships of parent- and child-related psychiatric conditions with oppositional defiant disorder and conduct disorder symptoms in children with ADHD","authors":"A. Bilgiç, N. Uzun, Ü. Işık, S. Açıkel, Fatma Çoşkun, Ö. Akça","doi":"10.1080/02739615.2021.1894938","DOIUrl":"https://doi.org/10.1080/02739615.2021.1894938","url":null,"abstract":"ABSTRACT This cross-sectional study evaluated the impacts of maternal and paternal affective temperament traits, maternal and paternal ADHD, depression and anxiety symptoms, parenting styles, child’s depression and anxiety disorder symptoms, and child’s autistic traits on the oppositional defiant disorder (ODD) and conduct disorder (CD) symptoms of children with attention-deficit/hyperactivity disorder (ADHD). Analysis showed a positive relation of maternal anxious and irritable temperament and child inattention, hyperactivity–impulsivity and obsessive-compulsive disorder (OCD) scores on ODD scores. However, there was a negative relationship between parental acceptance/involvement and ODD scores. Regarding CD scores, maternal irritable and paternal cyclothymic and hyperthymic temperament scores and child ODD and autistic trait scores showed a positive relationship, whereas maternal ADHD showed a negative relationship on CD scores. Certain parental affective temperaments, parenting styles, child’s OCD and autistic traits, and maternal ADHD may be important for the severity of disruptive behavioral disorder symptoms in children with ADHD.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02739615.2021.1894938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47366176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-29DOI: 10.1080/02739615.2021.1903325
L. Zampini, F. Dall’ara, G. Silibello, P. Ajmone, F. Monti, C. Rigamonti, F. Lalatta, M. A. Costantino, P. Vizziello
ABSTRACT The study investigates the experience of the parents of 48 children who have prenatally diagnosed with Klinefelter syndrome [KS] using a specifically developed questionnaire. Fifty percent of the participants were satisfied with the disclosure process, particularly those who received the diagnosis by an experienced geneticist. One of the aims of genetic and psychological counseling should be showing the advantages of a gradual and early disclosure with their child and underlining the possible advantages and disadvantages of spreading the diagnosis with other people to optimize support and minimize stigmatization.
{"title":"“Your son has Klinefelter syndrome.” How parents react to a prenatal diagnosis","authors":"L. Zampini, F. Dall’ara, G. Silibello, P. Ajmone, F. Monti, C. Rigamonti, F. Lalatta, M. A. Costantino, P. Vizziello","doi":"10.1080/02739615.2021.1903325","DOIUrl":"https://doi.org/10.1080/02739615.2021.1903325","url":null,"abstract":"ABSTRACT The study investigates the experience of the parents of 48 children who have prenatally diagnosed with Klinefelter syndrome [KS] using a specifically developed questionnaire. Fifty percent of the participants were satisfied with the disclosure process, particularly those who received the diagnosis by an experienced geneticist. One of the aims of genetic and psychological counseling should be showing the advantages of a gradual and early disclosure with their child and underlining the possible advantages and disadvantages of spreading the diagnosis with other people to optimize support and minimize stigmatization.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02739615.2021.1903325","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45949181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-16DOI: 10.1080/02739615.2021.1890077
M. G. Meentken, J. van der Ende, R. del Canho, I. V. van Beynum, Elisabeth W. C. Aendekerk, J. Legerstee, R. Lindauer, M. Hillegers, W. Helbing, H. Moll, E. Utens
ABSTRACT Physical injury and illness are common potentially traumatic events during childhood and adolescence. Many children experience psychosocial difficulties after medical events. The sample consisted of 399 children aged 4 to 15 who had been hospitalized for physical illness or injury. Elevated psychological symptomatology (PTSS, depression, anxiety) was more frequent after multiple (type II) compared to single (type I) medical events, but only a few differences were statistically significant. The strongest risk factor of child PTSS was parental stress. Type II trauma and low parental education were significant risk factors only for parent report of child PTSS (not for child report). The analyzed risk factors did not differ for type I versus II trauma. We recommend standardized screening and monitoring for mental health in the standard pediatric health care. Furthermore, pediatricians should be trained in signaling stress signs of parents.
{"title":"Psychological outcomes after pediatric hospitalization: the role of trauma type","authors":"M. G. Meentken, J. van der Ende, R. del Canho, I. V. van Beynum, Elisabeth W. C. Aendekerk, J. Legerstee, R. Lindauer, M. Hillegers, W. Helbing, H. Moll, E. Utens","doi":"10.1080/02739615.2021.1890077","DOIUrl":"https://doi.org/10.1080/02739615.2021.1890077","url":null,"abstract":"ABSTRACT Physical injury and illness are common potentially traumatic events during childhood and adolescence. Many children experience psychosocial difficulties after medical events. The sample consisted of 399 children aged 4 to 15 who had been hospitalized for physical illness or injury. Elevated psychological symptomatology (PTSS, depression, anxiety) was more frequent after multiple (type II) compared to single (type I) medical events, but only a few differences were statistically significant. The strongest risk factor of child PTSS was parental stress. Type II trauma and low parental education were significant risk factors only for parent report of child PTSS (not for child report). The analyzed risk factors did not differ for type I versus II trauma. We recommend standardized screening and monitoring for mental health in the standard pediatric health care. Furthermore, pediatricians should be trained in signaling stress signs of parents.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02739615.2021.1890077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43048029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-04DOI: 10.1080/02739615.2021.1891071
Ahmet Özaslan, Murat Yıldırım
ABSTRACT Evidence suggests that caregivers of children with attention deficit hyperactivity disorder (ADHD) experience greater internalized stigmatization. However, there is no evidence of how self-esteem influences the levels of internalized stigma among parents of children with ADHD in Turkey. This study investigated for the first time the relationship between internalized stigma and self-esteem of mothers of children with ADHD and examined the relationship between mothers’ internalized stigma and ADHD severity of children. The sample included mothers of 86 children (65 boys and 21 girls) diagnosed with ADHD. Age of children was between 6 and 17 years old (M = 11.05, SD = 2.62). Participants completed the Conners’ Parent Rating Scale–Revised Short Form, the Clinical Global Impression, the Parents’ Internalized Stigma of Mental Illness Scale and the Rosenberg Self-Esteem Scale. The results showed that mothers with higher education level reported lower internalized stigma, while ADHD severity of children was positively correlated with mothers’ internalized stigma level. The results also indicated that children with ADHD severity predicted a significant amount of variance in stigma. Furthermore, self-esteem uniquely predicted mother’s internalized stigma over and above the mother’s education level and ADHD severity of children. The results suggest the importance of self-esteem on internalized stigma and contribute to development of interventions focusing on the role of self-esteem on parents’ internalized stigma.
{"title":"Internalized stigma and self esteem of mothers of children diagnosed with attention deficit hyperactivity disorder","authors":"Ahmet Özaslan, Murat Yıldırım","doi":"10.1080/02739615.2021.1891071","DOIUrl":"https://doi.org/10.1080/02739615.2021.1891071","url":null,"abstract":"ABSTRACT Evidence suggests that caregivers of children with attention deficit hyperactivity disorder (ADHD) experience greater internalized stigmatization. However, there is no evidence of how self-esteem influences the levels of internalized stigma among parents of children with ADHD in Turkey. This study investigated for the first time the relationship between internalized stigma and self-esteem of mothers of children with ADHD and examined the relationship between mothers’ internalized stigma and ADHD severity of children. The sample included mothers of 86 children (65 boys and 21 girls) diagnosed with ADHD. Age of children was between 6 and 17 years old (M = 11.05, SD = 2.62). Participants completed the Conners’ Parent Rating Scale–Revised Short Form, the Clinical Global Impression, the Parents’ Internalized Stigma of Mental Illness Scale and the Rosenberg Self-Esteem Scale. The results showed that mothers with higher education level reported lower internalized stigma, while ADHD severity of children was positively correlated with mothers’ internalized stigma level. The results also indicated that children with ADHD severity predicted a significant amount of variance in stigma. Furthermore, self-esteem uniquely predicted mother’s internalized stigma over and above the mother’s education level and ADHD severity of children. The results suggest the importance of self-esteem on internalized stigma and contribute to development of interventions focusing on the role of self-esteem on parents’ internalized stigma.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02739615.2021.1891071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42485787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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