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Understanding Discipline in Families of Children with Attention-Deficit/Hyperactivity Disorder: A Structural Equation Model

Published online by Cambridge University Press:  10 January 2013

Ana Miranda*
Affiliation:
Universitat de València (Spain)
Dolores Grau
Affiliation:
Universidad Católica San Vicente Mártir (Spain)
Jesús Rosel
Affiliation:
Universitat Jaume I (Spain)
Amanda Meliá
Affiliation:
Universidad Católica San Vicente Mártir (Spain)
*
Correspondence concerning this article should be addressed to Ana Miranda Casas. Facultad de Psioclogía. Dpto de Psicología Evolutiva y de la Educación. Avda Blasco Ibañez, 21, 46010. Valencia (Spain). Phone: +34-963983880. Fax: +34-963864471. E-mail: [email protected]

Abstract

One hundred and fifty-five mothers of children with attention deficit/hyperactivity disorder (ADHD) completed a semi-structured interview, the Parenting Stress Index Questionnaire (Abidin, 1990), to evaluate parenting stress. The Parenting Scale (Arnold, O'Leary, Wolff & Acker, 1993) was also administered to measure dysfunctional discipline strategies. Structural equation modeling was used to test a model in which the independent variables were the Child's Characteristics and the Socio-Educational Status of his or her family; intermediate variables were Parenting Stress concerning the Child Domain and concerning the Parent Domain; and the dependent variable was Parental Discipline. The results confirm our hypotheses. Interventions in these families should therefore incorporate a component focused on Parenting Stress (in both the Child Domain and the Parent Domain), as a determinant of Parental Discipline.

Ciento cincuenta y cinco madres de niños con un trastorno de déficit de atención con hiperactividad (TDAH) completaron una entrevista semi-estructurada y el Indice de Stress Parental de Abidin (1990). También se administró la Escala de Paternidad (Arnols, O'Leary, Wolff & Acker, 1993) para evaluar estrategias disfuncionales de disciplina. Se plantea un modelo de ecuaciones estructurales en el que se comprueba que las variables independientes son las características del niño y el estatus socioeducativo de la familia; las variables intermedias son el estrés parental, tanto del dominio de los padres como del dominio del niño; y la variable dependiente fue la disciplina parental. Los resultados confirman nuestras hipótesis. Por consiguiente, en las intervenciones con estas familias debe de incorporarse un componente que se centre en el estrés parental, por su papel determinante en el ejercicio de la disciplina parental.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2009

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References

Abidin, R.R. (1990). Parenting Stress Index-Manual (2nd ed.) Charlottesville, VA: Pediatric Psychologists Press.Google Scholar
Alizadeh, H., & Andries, C. (2002) Interactions of parenting styles and attention deficit hyperactivity disorder in Iranian parents. Child Family and Behavior Therapy, 24, 3752.CrossRefGoogle Scholar
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington DC: American Psychiatric Association.Google Scholar
Anastopoulos, A.D., Guevremont, D.C., Shelton, T.L., & DuPaul, G.J. (1992). Parenting stress among families of children with Attention Deficit Hyperactivity Disorder. Journal of Abnormal Child Psychology, 20, 503520.CrossRefGoogle ScholarPubMed
Anastopoulos, A.D., Rhoads, L.H., & Farley, S.E. (2006). Counseling and training parents. In Barkley, R. A. and Murphy, K. R. (Eds.), Attention-deficit hyperactivity disorder. A clinical workbook (pp. 453479). New York: Guilford.Google Scholar
Arnold, D.S., O'Leary, S.J., Wolff, L.S., & Acker, M.M. (1993). The parenting scale: A measure of dysfunctional parenting in discipline situations. Psychological Assessment, 5, 137144.CrossRefGoogle Scholar
Barkley, R., Anastopoulos, A., Guevremont, D., & Fletcher, K. (1992). Adolescents with attention deficit hyperactivity disorder: Mother –adolescent interactions, family beliefs and conflicts and maternal psychopathology. Journal of Abnormal Child Psychology, 20, 263288.CrossRefGoogle ScholarPubMed
Bentler, P.M. (2006). EQS Structural Equations Program Manual. Encino, CA: Multivariate Software.Google Scholar
Biederman, J., Milberger, S., Faraone, S., Kiev, K., Guite, J., Mick, E., Ablon, S., Warburton, R., & Reed, E. (1995). Family-environment risk factors for attention-deficit hyperactivity disorder. A test of Rutter's indicators of adversity. Archives of General Psychiatry, 52(6), 664670CrossRefGoogle ScholarPubMed
Bussing, R., Gary, F.A., Mason, D.M., Leon, C.E., Sinha, K., & Garvan, C.W. (2003). Child temperament, ADHD, and caregiver strain: Exploring relationships in an epidemiological sample. Journal of the American Academy of Child and Adolescent Psychiatry, 4, 184192.CrossRefGoogle Scholar
Chronis, A.M., Chacko, A., Fabiano, G.A., Wymbs, B.T., & Pelham, W.E. (2004). Enhancements of the behavioral parent training pardigm for families of children with ADHD: Review and future directions. Clinical Child and Family Psychology Review, 7, 127.CrossRefGoogle Scholar
Conners, C.K. (2001). Conners' Rating scales-revised (CRS-R) Technical Manual. Toronto: Multi-Health Systems Inc.Google Scholar
Edwards, G., Barkley, R., Laneri, M., Fletcher, K.& Metevia, L. (2001). Parent-adolescent conflict in teenagers with ADHD and ODD. Journal of Abnormal Child Psychology, 26, 557572.CrossRefGoogle Scholar
Escobar, R., Soutullo, C.A., Hervas, A., Gastaminza, X., Polavieja, P., & Gilaberte, I. (2005). Worse quality of life of for children with newly diagnosed attention-deficit/hyperactivity disorder, compared with asthmatic and healthy children. Pediatrics, 116, 364369.CrossRefGoogle ScholarPubMed
Faraone, S.V., Perlis, R.H., Doyle, A.E., Smoller, J.W., Goralnick, J.J., Holmgren, M.A., & Sklar, P. (2005). Molecular genetics of attention-deficit/hyperactivity disorder. Biological Psychiatry, 57, 13131323.CrossRefGoogle ScholarPubMed
Gadow, K.D., & Sprafkin, J. (1994). Child symptom inventories manual. Stony Brook, NY: Checkmate Plus.Google Scholar
Harrison, C., & Sofronoff, K. (2002). ADHD and parental psychological distress: Role of demographics, child behavioral characteristics and parental cognitions. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 703711.CrossRefGoogle ScholarPubMed
Harvey, E., Danforth, J.S., Ulaszek, W.R., & Eberhardt, T.L. (2001). Validity of the parenting scale for parents of children with attention-deficit/hyperactivity disorder. Behavior Research and Therapy, 39, 731743.CrossRefGoogle ScholarPubMed
Johnston, C., & Mash, E.J. (2001). Families with children with attention-deficit/hyperactivity disorder: Review and recommendations for future research. Clinical Child and Family Psychology Review, 4, 183207.CrossRefGoogle ScholarPubMed
Keownn, L., & Woodward, L.J. (2002). Early parenting and family relationships of preschool children with pervasive hyperactivity. Journal of Abnormal Child Psychology, 30, 541553.CrossRefGoogle Scholar
Lange, G., Sheerin, D., Carr, A., Dooley, B., Barton, V., Marshall, D., Mulligan, A., Lawlor, M., Belton, M., & Doyle, M. (2005). Family factors associated with attention deficit hyperactivity disorder and emotional disorders in children. Journal of Family Therapy, 27, 7696.CrossRefGoogle Scholar
Mardia, K.V. (1970). Measures of multivariate skewness and kurtosis with applications. Biometrika, 57, 519530.CrossRefGoogle Scholar
McLaughlin, D., & Harrison, C. (2006). Parenting practices of mothers of children with ADHD: The role of maternal and child factors. Child and Adolescent Mental Health, 11, 8288.CrossRefGoogle ScholarPubMed
Miranda, A., & Grau, D. (2005). Family and School: Its influence on children with ADHD. Poster presented to 3rd International ADHD Meeting. Badajoz, November 17th-19th.Google Scholar
Miranda, A., Marco, R., & Grau, D. (2007). Parenting stress in families of children with attention-deficit/hyperactivity disorder: The impact of ADHD subtype and oppositional defiant disorder comorbidity. In Scruggs, T.E. and Mastropieri, M.A. (Eds.), Advances in learning and behavioral disabilities (Vol. 20, pp. 139162). Hillsdale, NJ: Elsevier.Google Scholar
Miranda, A., Grau, D., Marco, R., & Roselló, B. (2007). Estilos de disciplina en familias con hijos con TDAH: Influencia en la evolución del trastorno. Revista de Neurología, 44, (Sup. 2), 2326.Google Scholar
Podolski, C., & Nigg, J.T. (2001). Parent stress and coping in relation with child ADHD severity and associated child disruptive behavior problems. Journal of Clinical Child Psychology, 30, 503513.CrossRefGoogle ScholarPubMed
Pinderhughes, E.E., Dodge, K.A., Bates, J.E., Pettit, G.S., & Zelli, A. (2000). Discipline responses: influences of parent's socioeconomic status, ethnicity, beliefs about parenting, stress and cognitive-emotional processes. Journal of Family Psychology, 14, 380400.CrossRefGoogle ScholarPubMed
Rhee, S.H., Waldman, I.D., Hay, D.A., & Lery, F. (1999). Sex differences in genetic and environmental influences on DSM-III-R Attention-Deficit/Hyperactivity Disorder. Journal of Abnormal Psychology, 108, 2441.CrossRefGoogle ScholarPubMed
Rieppi, R., Greenhill, L.L., Ford, R.E., Ghuang, S., Wu, M., Davies, M., Abikoff, H.B., Arnold, E.M., Conners, C.K., Elliott, G.R., Hechtman, L., Hinshaw, S.P., Hoza, B., Jensen, P.S., Kraemer, H.C., March, J.S., Severe, J.B., Swanson, J.M., Vitiello, B., Wells, K.C., & Wigal, T. (2002). Socioeconomic status as a moderator of ADHD treatment outcomes. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 269277.CrossRefGoogle ScholarPubMed
Roselló, B., García, R., Tárraga, M. y Mulas, F. (2003). El papel de los padres en el desarrollo y aprendizaje de los niños con trastorno por déficit de atención con hiperactividad. Revista de Neurología, 36 (Supl. 1), 7984.CrossRefGoogle Scholar
Rutter, M., Giller, G., & Hagell, A. (1998). Antisocial behavior by young people. Cambridge, England: Cambridge University Press.Google Scholar
Sadeh, H., Gruber, R., & Raviv, A. (2002). Sleep, neurobehavioral functioning and behavior problems in school age children. Child Development, 73, 405417.CrossRefGoogle ScholarPubMed
Satorra, A., & Bentler, P.M. (1994). Corrections to tests statistics and standard errors in covariance structure analysis. In Von Eye, A. & Clogg, C.C. (Eds.), Latent variables analysis: Applications for developmental research (pp. 399419). Thousand Oaks, CA: Sage.Google Scholar
Shaw, D.S., Owens, E.B., Giovannelli, J., & Winsllow, E.B. (2001). Infant and toddler pathways leading to early externalizing disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 3643.CrossRefGoogle ScholarPubMed
Schumacker, R.E., & Lomax, R.G. (2004). A beginner's guide to structural equation modeling. Mahwah, NJ: L. Erlbaum.CrossRefGoogle Scholar
Shelton, T.L., Barkley, R.A., Crosswait, C., Moorehouse, M., Fletcher, K., Barret, S., Jenkins, L., & Metevia, L. (1998). Psychiatric and psychological morbidity as a function of adaptive disability in preschool children with aggressive and hyperactive impulsive inattentive behavior. Journal of Abnormal Child Psychology, 26, 475494.CrossRefGoogle ScholarPubMed
St Sauver, J.L., Barbaresi, W.J., Katusic, S.J., Colligan, R.C., Weaver, A.L., & Jacobsen, S.J. (2004). Early risk factors for attention-deficit/hyperactivity disorder: A population-based cohort study. Mayo Clinic Proceedings, 79, 11241131.CrossRefGoogle ScholarPubMed
Strine, T.W., Lesesne, C.A., Okoro, C.A., McGuire, L.C., Chapman, D.P., Balluz, L.S., & Mokdad, A.H. (2006). Emotional and behavioral difficulties and impairments in everyday functioning among children with a history of attention-deficit hyperactivity disorder. Preventing Chronic Disease: Public Health Research, Practice and Policy, 3, 110.Google ScholarPubMed
Swensen, A.R., Birnbaum, H.G., Secnik, C., Marychenko, M., Greenberg, P., & Claxton, A. (2003). Attention-Deficit hyperactivity disorder: Increased cost for patients and their families. Journal of American Academy of Child and Adolescent Psychiatry, 42, 14151423.CrossRefGoogle ScholarPubMed
Taylor, E., Chadwick, O., Heptinstall, E., & Danckaerts, M. (1996). Hyperactivity and conduct problems at risk factors for adolescent development. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 12131236.CrossRefGoogle ScholarPubMed
Treacy, L., Tripp, G., & Baird, A. (2005). Parent stress management training for attention-deficit/hyperactivity disorder. Behavior Therapy, 36, 223233.CrossRefGoogle Scholar
Vitanza, S.A., & Guarnaccia, C.A. (1999). A model of psychological distress for mothers of children with attention-deficit hyperactivity disorder. Journal of Child and Family studies, 8, 2745.CrossRefGoogle Scholar
Wells, K.C., Epstein, J.N., Hinshaw, S.P., Conners, C.K., Klaric, J., Abikoff, H., Abramowitz, A., Arnols, E., Elliot, G., Greenhill, L., Hechtman, L., Hoza, B., Jensen, P., March, J., Pelham, W., Pfiffner, L., Seven, J., Swanson, J.M., Vitiello, B., & Wigal, T. (2000). Parenting and family stress treatment outcomes in attention deficit hyperactivity disorders (ADHD): an empirical analysis in the MTA study. Journal of Abnormal Child Psychology, 28, 543553.CrossRefGoogle ScholarPubMed
Whalen, C.K., Henker, B., Janner, L.D., Ishikawa, Sh.S., Floro, J.N., Swindle, R., Perwien, A.R., & Johnston, J.A. (2006). Toward mapping daily challenges of living with ADHD: Maternal and child perspectives using electronic diaries. Journal of Abnormal Child Psychology, 34, 115130.CrossRefGoogle ScholarPubMed
Wolraich, M.L., Wibbelsman, C.J., Brown, T.E., Evans, S.W., Gotlieb, E.M., Knight, J.R., Ross, E.C., Shubiner, H.M., Wender, E.H., & Wilens, T. (2005). Attention-deficit hyperactivity disorder among adolescents: A review of the diagnosis, treatment and clinical implications. Pediatrics, 115, 17341746.CrossRefGoogle ScholarPubMed
Woodward, L., Taylor, E., & Dowdney, L. (1998). The parenting and family functioning of children with hyperactivity. Journal of Child Psychology and Psychiatry, 39, 161169.CrossRefGoogle ScholarPubMed