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Parental efficacy and child behavior in a community sample of children with and without attention-deficit hyperactivity disorder (ADHD)

Primack, BA and Hendricks, KM and Longacre, MR and Adachi-Mejia, AM and Weiss, JE and Titus, LJ and Beach, ML and Dalton, MA (2012) Parental efficacy and child behavior in a community sample of children with and without attention-deficit hyperactivity disorder (ADHD). ADHD Attention Deficit and Hyperactivity Disorders, 4 (4). 189 - 197. ISSN 1866-6116

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Most studies of attention-deficit hyperactivity disorder (ADHD) youth have obtained data from the perspective of either children or parents, but not both simultaneously. The purpose of this study was to examine child and parent perspectives on parenting in a large community-based sample of children with and without ADHD. We identified children in grades 4-6 and their parents through surveys administered to a random sample of public schools. We used multivariable logistic regression to determine independent associations between child and parent characteristics and the presence of ADHD while controlling for covariates and clustering by school. Sufficient data were achieved for 2,509 child/parent dyads. Ten percent of youths (n = 240) had been diagnosed with ADHD. Compared with those without ADHD, those with ADHD were more commonly male (67. 9 vs. 48. 0 %, p <.001) and age 12 or over (16. 3 vs. 10. 3 %). After adjusting for covariates and clustering, compared to children without ADHD, children with ADHD were significantly more likely to report lower self-regulation (OR = 0. 68, 95 % CI = 0. 53, 0. 88) and higher levels of rebelliousness (OR = 2. 00, 95 % CI = 1. 52, 2. 69). Compared with parents whose children did not have ADHD, parents of children with ADHD rated their overall parental efficacy substantially lower (OR = 0. 23, 95 % CI = 0. 15, 0. 33). However, child assessment of parenting style was similar by ADHD. Despite the internal challenges community-based youth with ADHD face, many parents of ADHD youth exhibit valuable parental skills from the perspective of their children. Feedback of this information to parents may improve parental self-efficacy, which is known to be positively associated with improved ADHD outcomes. © 2012 Springer-Verlag.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Primack, BAbprimack@pitt.eduBPRIMACK
Hendricks, KM
Longacre, MR
Adachi-Mejia, AM
Weiss, JE
Titus, LJ
Beach, ML
Dalton, MA
Centers: Other Centers, Institutes, Offices, or Units > Center for Research on Media, Technology, and Health
Date: 1 December 2012
Date Type: Publication
Journal or Publication Title: ADHD Attention Deficit and Hyperactivity Disorders
Volume: 4
Number: 4
Page Range: 189 - 197
DOI or Unique Handle: 10.1007/s12402-012-0089-z
Schools and Programs: School of Medicine > Medicine
School of Medicine > Pediatrics
Refereed: Yes
ISSN: 1866-6116
MeSH Headings: Adolescent; Adult; Attention Deficit Disorder with Hyperactivity--psychology; Child; Child Behavior--psychology; Educational Status; Female; Humans; Male; Middle Aged; Parent-Child Relations; Parenting--psychology; Questionnaires; Self Concept; Social Control, Informal
Other ID: NLM NIHMS400371, NLM PMC3562484
PubMed Central ID: PMC3562484
PubMed ID: 22886756
Date Deposited: 31 Jul 2014 20:43
Last Modified: 04 Feb 2019 15:56


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