Did Affiliate Stigma Predict Affective and Behavioral Outcomes in Caregivers and Their Children with Attention-Deficit/Hyperactivity Disorder?

被引:8
作者
Chang, Chih-Cheng [1 ,2 ]
Chen, Yu-Min [3 ,4 ,5 ]
Hsiao, Ray C. [6 ,7 ]
Chou, Wen-Jiun [8 ,9 ]
Yen, Cheng-Fang [3 ,4 ,5 ]
机构
[1] Chi Mei Med Ctr, Dept Psychiat, Tainan 70246, Taiwan
[2] Chang Jung Christian Univ, Coll Hlth Sci, Dept Hlth Psychol, Tainan 71101, Taiwan
[3] Kaohsiung Med Univ Hosp, Dept Psychiat, Kaohsiung 80708, Taiwan
[4] Kaohsiung Med Univ, Sch Med, Dept Psychiat, Kaohsiung 80708, Taiwan
[5] Kaohsiung Med Univ, Grad Inst Med, Kaohsiung 80708, Taiwan
[6] Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
[7] Childrens Hosp & Reg Med Ctr, Dept Psychiat, Seattle, WA 98105 USA
[8] Chang Gung Univ, Coll Med, Taoyuan 33302, Taiwan
[9] Chang Gung Mem Hosp, Kaohsiung Med Ctr, Dept Child & Adolescent Psychiat, Kaohsiung 83301, Taiwan
关键词
attention-deficit; hyperactivity disorder; affiliate stigma; depression; behavioral problems; DEFICIT HYPERACTIVITY DISORDER; AUTISM SPECTRUM DISORDER; INTELLECTUAL DISABILITIES; SELF-STIGMA; DEPRESSION; PEOPLE; ASSOCIATION; PSYCHOPATHOLOGY; ADOLESCENTS; SYMPTOMS;
D O I
10.3390/ijerph18147532
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
The aim of this follow-up study was to examine the predictive values of caregivers' affiliate stigma at baseline for depression in caregivers and internalizing and externalizing symptoms in children with attention-deficit/hyperactivity disorder (ADHD) 1 year later. The Study on Affiliate Stigma in Caregivers of Children with ADHD surveyed the levels of affiliate stigma and depression in 400 caregivers and the behavioral problems of their children with ADHD. The levels of the caregivers' depression and children's behavioral problems were assessed 1 year later. The associations of caregivers' affiliate stigma at baseline with depression in caregivers and internalizing and externalizing symptoms in children with ADHD at follow-up were examined using stepwise multiple regression. The results indicated that before caregivers' depression and children's behavioral problems at baseline were controlled, caregivers' affiliate stigma at baseline positively predicted caregivers' depression and all children's behavioral problems. After caregivers' depression and children's behavioral problems at baseline were controlled, caregivers' affiliate stigma at baseline still positively predicted children's affective and somatic problems. Parenting training and cognitive behavioral therapy should be provided to caregivers with intense affiliate stigma to prevent emotional problems and difficulties in managing their children's behavioral problems.
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页数:10
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