The relationship model among parent-child relationship, coping responses and behavioral problems in children with attention deficit hyperactivity disorder.

BACKGROUND: Attention Deficit Hyperactivity Disorder (ADHD) constitutes a prevalent behavioral problem. The present study examined the parent-child relationship model and investigated strategies to cope with behavioral problems in children with ADHD. METHODS: This descriptive study selected 300 children with ADHD using convenience sampling. The data collected using the child behavior checklist, the parent-child relationship scale (PCRS), the Billings and Moos Coping Checklist, the socioeconomic status questionnaire, the general health questionnaire-28 (GHQ-28) and a demographic checklist were analyzed in SPSS-25 and LISREL 8.8. RESULTS: According to the results of the path analysis on the relationship model among parent-child relationship domains, coping responses and children's behavioral problems, parent-child dependency domain (B = 0.22) in the direct path, disease duration (B = 0.085) in the indirect path, and conflicts in the domain of parent-child relationship (B = 0.366) in both direct and indirect paths had the most positive causal effect on behavioral problems. Furthermore, intimacy in the said domain (B = -0.42) had the most negative causal effect in both direct and indirect paths. The extent to which parents used coping responses via the direct path had a positive causal effect on behavioral problems (B = 0.12). Based on the path analysis test findings in the relationship model among positive parent-child relationship, coping responses and children's behavioral problems, the positive parent-child relationship score had the most negative causal effect via the direct path (B = -0.56). Conversely, the child's age had the highest positive causal effect via the indirect path (B = 0.1) on behavioral problems in children. CONCLUSION: Based on findings, there is a causal and significant relationship between the parent-child relationship and the extent to which coping responses are used. It is recommended that training programs be developed to strengthen communication skills, coping responses and problem-solving techniques in parents.

Efeitos de um programa de intervenção cognitivo-comportamental para mães de crianças com paralisia cerebral / Effects of an cognitive-behavioral intervention program for mothers of children with cerebral palsy

Este artigo descreve um modelo de intervenção cognitivo-comportamental que foi adaptado para um grupo de mães de crianças com paralisia cerebral (PC). O objetivo da intervenção foi diminuir os problemas emocionais das mães e capacitá-las a lidar com os problemas comportamentais das crianças. O programa teve duração de 12 sessões e baseou-se em manejo de contingências e enfrentamento do estresse. Participaram do programa 25 mães que responderam a escalas avaliando seu estado psicológico e o comportamento das suas crianças. Os resultados apresentaram diminuição significativa nos problemas emocionais das mães, sem diferenças significativas nas percepções do comportamento das crianças. O programa teve um efeito significativo sobre o estado emocional das mães, demonstrando aplicabilidade clínica.(AU)

This article describes a model of cognitive-behavioral intervention model was adapted for use with a group of mothers of children with cerebral palsy (CP). The objective of the intervention was to diminish the emotional problems of the mothers and to enable them to deal it with their children’s behavioral problems. The program was based on contingency and stress management approaches. A group of 25 mothers participated in the study. In the pre-test mothers answered scales assessing their psychological status as well as their perceptions on children’s behaviors. A post-test was applied after 12 intervention sessions. Mothers reported significantly reduced stress and depressive symptoms levels, but no significant changes were observed for children’s behavioral problems. The program had a significant effect on the emotional state of the mothers, demonstrating clinical applicability.(AU)