Longitudinal Associations Between Internalizing and Externalizing Comorbidities and Functional Outcomes for Children with ADHD

Armstrong, Daniel; Lycett, Kate; Hiscock, Harriet; Care, Esther; Sciberras, Emma

doi:10.1007/s10578-014-0515-x

Cited by 35 publications

(19 citation statements)

References 42 publications

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“…Children with ADHD and both internalizing and externalizing co‐morbidities seemed to be at particular risk of health‐related impairments in this study. This is consistent with recent research reporting that children with co‐occurring co‐morbidities, in addition to ADHD, have poorer daily functioning compared with children with ADHD alone (Armstrong et al ).…”

Section: Discussionsupporting

confidence: 92%

Health‐related impairments in young children with ADHD: a community‐based study

Sciberras

Bisset

Hazell

et al. 2016

Child

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Section: Discussionsupporting

confidence: 92%

Health‐related impairments in young children with ADHD: a community‐based study

Sciberras

Bisset

Hazell

et al. 2016

Child

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“…Studies in psychiatric conditions have largely focused on schizophrenia [35–40]. There has been limited research on other psychiatric illnesses [41,42]. Specifically, caregivers of youth presenting with myriad diagnoses, such as ADHD [43], Tourette syndrome [44], and neurodevelopmental disorders [45] often experience higher parenting stress relative to caregivers of typically developing children, though stress did not always correlate directly with levels of symptom severity; some comorbid psychopathology (including OCD; [44]) was postulated to be contributing more to the increased parenting stress.…”

Section: Introductionmentioning

confidence: 99%

Quality of life and burden in caregivers of youth with obsessive-compulsive disorder presenting for intensive treatment

Hamblin

Nadeau

et al. 2018

Comprehensive Psychiatry

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Background Pediatric obsessive-compulsive disorder (OCD) is associated with deleterious familial effects; caregivers are often enmeshed in the disorder and can experience considerable burden and decreased quality of life (QoL). Consequently, this study examined burden and QoL in caregivers of youth with OCD enrolled in an intensive outpatient or partial hospitalization program. Method The relationships between caregiver QoL and burden and the following variables were investigated: OCD symptom severity, functioning (youth functional impairment, general family functioning), family (family accommodation, parental relationship satisfaction, positive aspects of caregiving), and comorbid psychopathology (caregiver anxiety and depressive symptoms, youth internalizing and externalizing behaviors). Seventy-two child and caregiver dyads completed clinician- and self-rated questionnaires. Results Components of caregiver QoL correlated with caregiver-rated functional impairment, family accommodation, youth externalizing behaviors, and caregiver psychopathology. Aspects of caregiver burden correlated with child OCD symptom severity, functional impairment related to OCD, as well as caregiver and child comorbid psychopathology. Caregiver depressive symptoms predicted caregiver QoL, and caregiver depressive symptoms and child externalizing symptoms both predicted caregiver burden. Caregiver burden did not mediate the relationship between obsessive-compulsive symptom severity and caregiver QoL. Conclusion Ultimately, elucidating factors associated with increased caregiver burden and poorer QoL is pertinent for identifying at-risk families and developing targeted interventions.

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“…Finally, previous research has found relationships between both child/adolescent problems and family/contextual variables. For example, Armstrong et al (2015) have shown longitudinal associations between baseline internalizing and externalizing problems and poor family quality of life at follow-up.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, according to the work of Armstrong et al (2015) we explored a serial multiple mediator model between child/adolescent’s ADHD and parenting stress that included a direct path from children’s conduct and emotional problems to family and contextual factors. We hypothesized that one of the mechanisms by which ADHD is linked to mothers’ stress is through the effects of the emotional and behavioral difficulties experienced by children with ADHD on context and family functioning.…”

Section: Introductionmentioning

confidence: 99%

Child/Adolescent’s ADHD and Parenting Stress: The Mediating Role of Family Impact and Conduct Problems

et al. 2017

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Objective: The demands of parenting are usually associated with some stress, and elevated levels of stress may affect the parent–child relationships and parenting practices. This is especially the case of families where children have special needs conditions or disorders, like Attention Deficit Hyperactivity Disorder (ADHD).Method: This study examined parenting stress among mothers of children and adolescents with ADHD. The sample comprised 126 mothers of girls (36; 29%) and boys (90; 71%) aged 6–17 years old.Results: Mothers reported their own stress levels as well as the children and adolescents’ variables (severity of their ADHD symptoms, conduct, and emotional problems) and family–contextual variables (negative impact on family’s social life, impact on couple relationship, and perceived social support). Hierarchical multiple regression showed that (a) negative impact on social life and conduct problems were the strongest predictors of mother’s stress. Bootstrap mediation analyses revealed that (b) the association between child and adolescent’s ADHD and parenting stress was mediated by children’s conduct problems and by negative impact on family’s social life, and not by children’s emotional problems nor by mother’s perceived social support. The mediation analysis also suggested (c) a pathway from child/adolescent’s ADHD through children’s conduct problems and then through their negative impact on family’s social life to mother’s parenting stress.Conclusion: These results suggest that both child/adolescent’s and family factors should be considered in the designing of interventions for reducing parenting stress in families of children and adolescents with ADHD.

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Longitudinal Associations Between Internalizing and Externalizing Comorbidities and Functional Outcomes for Children with ADHD

Cited by 35 publications

References 42 publications

Health‐related impairments in young children with ADHD: a community‐based study

Health‐related impairments in young children with ADHD: a community‐based study

Quality of life and burden in caregivers of youth with obsessive-compulsive disorder presenting for intensive treatment

Child/Adolescent’s ADHD and Parenting Stress: The Mediating Role of Family Impact and Conduct Problems

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