Volume 22 Issue 6
Jun.  2024
Turn off MathJax
Article Contents
SUN Qiaozhi, CHEN Changying, LI Hong, ZHANG Jie, WANG Junxia, WANG Panpan, XU Haili. Parental experience in caring for children with attention deficit hyperactivity disorder: a qualitative study[J]. Chinese Journal of General Practice, 2024, 22(6): 995-999. doi: 10.16766/j.cnki.issn.1674-4152.003552
Citation: SUN Qiaozhi, CHEN Changying, LI Hong, ZHANG Jie, WANG Junxia, WANG Panpan, XU Haili. Parental experience in caring for children with attention deficit hyperactivity disorder: a qualitative study[J]. Chinese Journal of General Practice, 2024, 22(6): 995-999. doi: 10.16766/j.cnki.issn.1674-4152.003552

Parental experience in caring for children with attention deficit hyperactivity disorder: a qualitative study

doi: 10.16766/j.cnki.issn.1674-4152.003552
Funds:

 212102310767

 232102310342

  • Received Date: 2023-03-10
    Available Online: 2024-07-22
  •   Objective  This paper aims to interview parents of children with attention deficit hyperactivity disorder (ADHD) to explore their firsthand experiences in providing healthcare for their children. The findings will provide a basis for developing a multi-dimensional and comprehensive intervention program for families coping with ADHD.  Methods  A phenomenological study was conducted from April to August 2022 in the pediatric wards of the First Affiliated Hospital of Zhengzhou University. Purposive sampling was adopted, and individual semi-structured interviews were conducted among 20 parents of children with ADHD. The interviews were conducted until data saturation was achieved. The interview guideline was formulated based on a literature review, group discussion, and pre-interview. The interviews were audio-recorded, and the data were transcribed and managed using Nvivo12 software. Finally, the data were analyzed using Colaizzi' s 7-step analysis method.  Results  Five themes were emerged from the data analysis: (1) Difficulty in symptom management including multiple coexisting symptoms, highlighting the significant difficulty parents face in symptom management due to their lack of symptom management skills. (2) Heavy caregiving burden including subjective and objective burdens. (3) High psychological pressure including elevated levels of anxiety and depression experienced by parents, as well as the sense of uncertainty in illness and concern about the child' s growth and development. (4) Misperceptions including the belief that ADHD will resolve on its own and misattribution. (5) Multiple needs including professional guidance from medical staff and the desire for support from family, school, and social network.  Conclusion  The parents of ADHD children faced many challenges and have many needs. Medical staff should provide targeted professional guidance, pay attention to their physical and mental feelings, and offer emotional support. The support system with the interaction between hospitals, families, and schools for children with ADHD should be developed, aiming to meet the needs of prevention and treatment ADHD in children.

     

  • loading
  • [1]
    程浩, 刘爱书. 注意缺陷多动障碍患者的注意瞬脱(综述)[J]. 中国心理卫生杂志, 2017, 31(2): 150-155. doi: 10.3969/j.issn.1000-6729.2017.02.011

    CHENG H, LIU A S. Attentional blink in patients with attention-deficit /hyperactivity disorder[J]. Chinese Mental Health Journal, 2017, 31(2): 150-155. doi: 10.3969/j.issn.1000-6729.2017.02.011
    [2]
    DANIELSON M L, BITSKO R H, GHANDOUR R M, et al. Prevalence of parent-reported ADHD diagnosis and associated treatment among U.S. children and adolescents, 2016[J]. J Clin Child Adolesc Psychol, 2018, 47(2): 199-212. doi: 10.1080/15374416.2017.1417860
    [3]
    陈文静. 儿童注意缺陷多动障碍影响因素及酞酸酯与儿童行为和生长发育的关联性研究[D]. 武汉: 华中科技大学, 2017.

    CHEN W J. Study on related factors of attention deficit/hyperactivity disorder and associations between phthalate esters and behavior and growth development among children[D]. Hubei: Huazhong University of Science and Technology, 2017.
    [4]
    李伟, 张劲松, 帅澜, 等. 学龄前注意缺陷多动障碍儿童症状与父母心理健康状况的相关研究[J]. 中国儿童保健杂志, 2018, 26(10): 1048-1051. doi: 10.11852/zgetbjzz2018-26-10-02

    LI W, ZHANG J S, SHUAI L, et al. Correlation study on the symptoms of preschool children with attention deficit hyperactivity disorder and their parents' mental healty status[J]. Chinese Journal of Child Health Care, 2018, 26(10): 1048-1051. doi: 10.11852/zgetbjzz2018-26-10-02
    [5]
    LIBUTZKI B, MAY M, GLEITZ M, et al. Disease burden and direct medical costs of incident adult ADHD: a retrospective longitudinal analysis based on German statutory health insurance claims data[J]. Eur Psychiatry, 2020, 63(1): e86. DOI: 10.1192/j.eurpsy.2020.84.
    [6]
    谢雪婉, 杨文登. 注意缺陷多动障碍的循证治疗指南综述[J]. 中国临床心理学杂志, 2021, 29(3): 661-664. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202103044.htm

    XIE X W, YANG W D. Review of evidence-based treatment guidelines for attention deficit hyperactivity disorder[J]. Chinese Journal of Clinical Psychology, 2021, 29(3): 661-664. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202103044.htm
    [7]
    柯晓燕, 徐秀, 陈立, 等. 学龄前注意缺陷多动障碍儿童实施行为管理的专家共识[J]. 中国循证儿科杂志, 2022, 17(4): 274-280. https://www.cnki.com.cn/Article/CJFDTOTAL-XZEK202204003.htm

    KE X Y, XU X, CHEN L, et al. Expert consensus of behavior management for preschool children with attention deficit hyperactivity disorder (ADHD) in China[J]. Chin J Evid Based Pediatr, 2022, 17(4): 274-280. https://www.cnki.com.cn/Article/CJFDTOTAL-XZEK202204003.htm
    [8]
    张勋, 孙玉燕, 康娟, 等. 感觉统合训练对注意缺陷多动障碍儿童干预效果分析[J]. 中华全科医学, 2022, 20(1): 95-98. doi: 10.16766/j.cnki.issn.1674-4152.002286

    ZHANG X, SUN Y Y, KANG J, et al. Analysis of the effect of sensory integration training on children with attention deficit hyperactivity disorder[J]. Chinese Journal of General Practice, 2022, 20(1): 95-98. doi: 10.16766/j.cnki.issn.1674-4152.002286
    [9]
    龙彤, 唐钰颖, 黄延. 学龄期多动症的心理行为问题及非药物干预的研究进展[J]. 海南医学, 2023, 34(13): 1972-1976.

    LONG T. Research progress on psychological and behavioral problems and non-drug interventions in school-age children with attention deficit hyperactivity disorder[J]. Hainan Med J, 2023, 34(13): 1972-1976.
    [10]
    KRUGER E. Parent/Caregiver experiences of a CAMHS ADHD assessment pathway: a qualitative service evaluation[J]. J Atten Disord, 2023, 27(14): 1618-1629. doi: 10.1177/10870547231188923
    [11]
    LEITCH S, SCIBERRAS E, POST B, et al. Experience of stress in parents of children with ADHD: a qualitative study[J]. Int J Qual Stud Health Well-being, 2019, 14(1): 1690091. DOI: 10.1080/17482631.2019.1690091.
    [12]
    HUANG Y H, XU H Y, AU W, et al. Involvement of family environmental, behavioral, and social functional factors in children with attention-deficit/hyperactivity disorder[J]. Psychol Res Behav Manag, 2018, 11: 447-457. doi: 10.2147/PRBM.S178080
    [13]
    KAMIMURA-NISHIMURA K I, BRINKMAN W B, FROEHLICH T E. Strategies for improving ADHD medication adherence[J]. Curr Psychiatr, 2019, 18(8): 25-38.
    [14]
    周妍, 朱若平, 徐琪, 等. 家庭环境因素对注意缺陷多动障碍症状程度和社会功能受损的影响[J]. 中国神经精神疾病杂志, 2022, 48(1): 28-33. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSJJ202201005.htm

    ZHOU Y, ZHU R P, XU Q, et al. The influence of family environment on attention deficit/hyperactive disorder symptoms and functional impairment[J]. Chin J Nerv Ment Dis, 2022, 48(1): 28-33. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSJJ202201005.htm
    [15]
    陈小央, 任文, 邱艳, 等. 认知行为疗法的临床应用现状[J]. 中华全科医学, 2022, 20(10): 1755-1759. doi: 10.16766/j.cnki.issn.1674-4152.002696

    CHEN X Y, REN W, QU Y, et al. Review of clinical aplication of cognitive behavioural therapy[J]. Chinese Journal of General Practice, 2022, 20(10): 1755-1759. doi: 10.16766/j.cnki.issn.1674-4152.002696
    [16]
    黎力, 钮文异. 注意缺陷多动障碍患儿家庭照顾负担初步研究[J]. 中国心理卫生杂志, 2019, 33(1): 38-42. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201901007.htm

    LI L, NIU W Y. A pilot study on family caregiver burden of children with attention-deficit/hyperactivity disorder[J]. Chinese Mental Health Journal, 2019, 33(1): 38-42. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201901007.htm
    [17]
    董思雨. 注意缺陷障碍儿童家长心理弹性及干预研究[D]. 金华: 浙江师范大学, 2020.

    DONG S Y. A study on resilience and intervention of parents of children with ADHD[D]. Jinhua: Zhejiang Normal University, 2020.
    [18]
    MOFOKENG M, VAN DER WATH A E. Challenges experienced by parents living with a child with attention deficit hyperactivity disorder[J]. J Child Adolesc Ment Health, 2017, 29(2): 137-145.
    [19]
    董敏, 王玉凤, 钱秋谨. 注意缺陷多动障碍患儿共患病的学业成就特征及其与执行功能的相关性研究[J]. 中华精神科杂志, 2019, 52(1): 62-69.

    DONG M, WANG Y F, QIAN Q J. The characteristics of academic achievements in children of attention-deficit/hyperactivity disorder with comorbid conditions and its correlations with executive function[J]. Chin Psychiatry, 2019, 52(1): 62-69.
    [20]
    潘美蓉, 钱秋谨, 王玉凤. 儿童注意缺陷多动障碍的家庭干预研究(综述)[J]. 中国心理卫生杂志, 2018, 32(1): 24-29. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201801008.htm

    PAN M R, QIAN Q J, WANG Y F. A review of family and parenting intevreventions in children with attention-deficit/hyperactivity disorder[J]. Chinese Mental Health Journal, 2018, 32(1): 24-29. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201801008.htm
    [21]
    董燕飞, 耿治中, 王梅. 体育活动治疗注意缺陷多动障碍的研究进展[J]. 中国康复, 2020, 35(11): 613-616. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202011015.htm

    DONG Y F, GENG Z Z, WANG M. Research progress of physical activity in the treatment of attention deficit hyperactivity disorder[J]. Chinese Journal of Rehablititation, 2020, 35(11): 613-616. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202011015.htm
    [22]
    杨悦, 黄秀娟, 宋娟, 等. 佛山地区家长对多动症知晓程度和对预后的影响[J]. 锦州医科大学学报, 2020, 41(1): 95-97. https://www.cnki.com.cn/Article/CJFDTOTAL-JZYX202001029.htm

    YANG Y, HUANG X J, SONG J, et al. Study on parents' awareness of ADHD and its effect on prognosis in foshan area[J]. J Jinzhou Medical University, 2020, 41(1): 95-97. https://www.cnki.com.cn/Article/CJFDTOTAL-JZYX202001029.htm
    [23]
    ZHANG J S, SHUAI L, YU H, et al. Acute stress, behavioural symptoms and mood states among school-age children with attention-deficit/hyperactive disorder during the COVID-19 outbreak[J]. Asian J Psychiatr, 2020, 6(51): 102077. DOI: 10.1016/j.ajp.2020.102077.
    [24]
    乔够梅, 任洁, 刘麟玲, 等. 基于"信息-动机-行为技巧"模型的健康教育对高原官兵泌尿系结石患者健康行为的影响[J]. 中华现代护理杂志, 2019, 25(8): 962-966.

    QIAO G M, REN J, LIU L L, et al. Effects of health education based on "information -motivation-behavioral skills" model on health behavior among soldiers with urolithiasis in the plateau[J]. Chin J Mod Nurs, 2019, 25(8): 962-966.
    [25]
    帅澜, 陆璐, 张劲松, 等. 在线家长教养和正念训练对学龄期注意缺陷多动障碍儿童家长的干预效果[J]. 教育生物学杂志, 2021, 9(4): 277-281. https://www.cnki.com.cn/Article/CJFDTOTAL-BIOM202104006.htm

    SHUAI L, LU L, ZHANG J S, et al. Effect of online parenting and mindfulness training on parents of school-age children with attention-deficit/hyperactivity disorder[J]. Journal of Bio-education, 2021, 9(4): 277-281. https://www.cnki.com.cn/Article/CJFDTOTAL-BIOM202104006.htm
    [26]
    李甜甜, 顾吉有, 曹会龙, 等. 父亲参与育儿、父母抑郁与儿童行为问题的关系[J]. 天津师范大学学报(基础教育版), 2020, 21(2): 12-16. https://www.cnki.com.cn/Article/CJFDTOTAL-TSJY202002003.htm

    LI T T, GU J Y, CAO H L, et al. The relationship between paternal involvement in parenting, parental depression, and behavioral problems in children[J]. Journal of Tianjin Normal University (Elementary Education Edition), 2020, 21(2): 12-16. https://www.cnki.com.cn/Article/CJFDTOTAL-TSJY202002003.htm
    [27]
    POSTAVARU G I, SWABY H, SWABY R, et al. A meta-ethnographic study of fathers' experiences of caring for a child with a life-limiting illness[J]. Palliat Med, 2021, 35(2): 261-279.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(1)

    Article Metrics

    Article views (66) PDF downloads(4) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return