Parental Stress Levels Among Parents of Children with ADHD: A Cross-Sectional Study in Iraq
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Objective: This study aimed to assess the levels of stress experienced by parents of children diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) in Najaf Governorate, Iraq, and explore associations with socio-demographic characteristics.
Methods and Materials: A descriptive correlational cross-sectional study was conducted from December 2023 to January 2024 in Najaf. A total of 96 parents of children with clinically diagnosed ADHD were recruited from psychiatric clinics and neurodevelopmental centers using purposive sampling. Data were collected using a structured questionnaire consisting of socio-demographic variables and the Arabic version of the Parenting Stress Index-Short Form (PSI-SF), covering three dimensions: Parental Distress (PD), Parent-Child Dysfunctional Interaction (PCDI), and Difficult Child (DC). Data were analyzed using SPSS v27, employing descriptive statistics and inferential tests such as ANOVA and Pearson correlation.
Findings: The mean age of participating parents was 34.5 years. Most were mothers (78.1%), married (88.5%), and unemployed (64.6%). The majority of children were boys (61.5%), of school age (60.4%). Parental stress scores across all dimensions (PD, PCDI, and DC) fell within the “typical stress” range. The total mean score was 126.56 (SD = 18.72), corresponding to 70.31% of the maximum possible score. No significant indications of clinically high stress levels were identified.
Conclusion: While parents of children with ADHD experience notable caregiving challenges, the overall stress levels in this sample remained within normal limits. These findings highlight the importance of individualized support strategies based on family context rather than assuming universally high stress.
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Abd elbaseer Mahmoud, D., Abd El moaty, H., & Ahmed Mostafa, H. (2024). Correlation Between Parental Stress, Emotional Needs Satisfaction And Quality Of Life Among Parents Of Children With Attention Deficit Hyperactivity Disorder. Egyptian Journal of Health Care, 15(3), 1233-1252. https://doi.org/10.21608/ejhc.2024.389694
Alghamdi, T., Helou, M., Jeyaseelan, L., & Sultan, M. A. (2023). Stress Level Of Parents Of Children Diagnosed With Attention-Deficit/ Hyperactivity Disorder (ADHD) In Dubai, United Arab Emirates. New Emirates Medical Journal, 4(2). https://doi.org/10.2174/04666230317110616
Alsubaie, S., Alshikhi, I., Asiri, A., & Alqahtani, F. (2024). Paternal Stress Of Children With Adhd: A Sample From Asser Region, Saudi Arabia. International Journal of Advanced Research, 12(09), 129-133. https://doi.org/10.21474/IJAR01/19436
Ashfaq, M. (2018). Problems Faced By The Parents For Providing Higher Education To Their Children In Rural Areas. International Journal of Advanced Research, 6, 1257-1284. https://doi.org/10.21474/ijar01/7484
Biederman, J., Petty, C. R., Woodworth, K. Y., Lomedico, A., Hyder, L. L., & Faraone, S. V. (2012). Adult Outcome Of Attention-Deficit/Hyperactivity Disorder. The Journal of Clinical Psychiatry, 73(07), 941-950. https://doi.org/10.4088/JCP.11m07529
Brown, M. R. G., Sidhu, G. S., Greiner, R., Asgarian, N., Bastani, M., & Silverstone, P. H. (2012). ADHD-200 Global Competition: Diagnosing ADHD Using Personal Characteristic Data Can Outperform Resting State FMRI Measurements. Frontiers in Systems Neuroscience, 6. https://doi.org/10.3389/fnsys.2012.00069
Chang, Z., Lichtenstein, P., D'Onofrio, B. M., Almqvist, C., Kuja-Halkola, R., & Sjölander, A. (2014). Maternal Age At Childbirth And Risk For ADHD In Offspring: A Population-Based Cohort Study. International Journal of Epidemiology, 43(6), 1815-1824. https://doi.org/10.1093/ije/dyu204
Chu, K., Li, S., Chen, Y., & Wang, M. (2012). Family Dynamics In Families With Children With Attention Deficit Hyperactivity Disorder. Shanghai Archives of Psychiatry, 24(5), 279-285. https://doi.org/10.3969/j.issn.1002-0829.2012.05.005
Eakin, L., Minde, K., Hechtman, L., Ochs, E., Krane, E., & Bouffard, R. (2004). The Marital And Family Functioning Of Adults With ADHD And Their Spouses. Journal of Attention Disorders, 8(1), 1-10. https://doi.org/10.1177/108705470400800101
El-Sheikh, M., & Kelly, R. J. (2017). Family Functioning And Children's Sleep. Child Development Perspectives, 11(4), 264-269. https://doi.org/10.1111/cdep.12243
French, B., Quain, E., Kilgariff, J., Lockwood, J., & Daley, D. (2023). The Impact Of Sleep Difficulties In Children With Attention Deficit Hyperactivity Disorder On The Family: A Thematic Analysis. Journal of Clinical Sleep Medicine, 19(10), 1735-1741. https://doi.org/10.5664/jcsm.10662
Froehlich, T. E., Lanphear, B. P., Epstein, J. N., Barbaresi, W. J., Katusic, S. K., & Kahn, R. S. (2007). Prevalence, Recognition, And Treatment Of Attention-Deficit/Hyperactivity Disorder In A National Sample Of US Children. Archives of Pediatrics & Adolescent Medicine, 161(9), 857. https://doi.org/10.1001/archpedi.161.9.857
Gao, L., Li, S., Yue, Y., & Long, G. (2023). Maternal Age At Childbirth And The Risk Of Attention-Deficit/Hyperactivity Disorder And Learning Disability In Offspring. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.923133
Hughes, A. M., Torvik, F. A., van Bergen, E., Hannigan, L. J., Corfield, E. C., & Andreassen, O. A. (2024). Parental Education And Children's Depression, Anxiety, And ADHD Traits, A Within-Family Study In MoBa. npj Science of Learning, 9(1), 46. https://doi.org/10.1038/s41539-024-00260-8
Kalmbach, D. A., Anderson, J. R., & Drake, C. L. (2018). The Impact Of Stress On Sleep: Pathogenic Sleep Reactivity As A Vulnerability To Insomnia And Circadian Disorders. Journal of Sleep Research, 27(6), e12710. https://doi.org/10.1111/jsr.12710
Ko, W., & Jeong, H. (2024). Association Between Children With Attention-Deficit Hyperactivity Disorder And Parental Mental Health: Data From The 2011-2020 Korea National Health And Nutrition Examination Survey. Journal of Affective Disorders, 350, 544-549. https://doi.org/10.1016/j.jad.2024.01.123
Koopman-Verhoeff, M. E., van den Dries, M. A., van Seters, J. J., Luijk, M. P. C. M., Tiemeier, H., Koopman-Verhoeff, M. E., van den Dries, M. A., van Seters, J. J., Luijk, M. P. C. M., Tiemeier, H., & Luik, A. I. (2019). Association Of Sleep Problems And Melatonin Use In School-Aged Children. JAMA Pediatrics, 173(9), 883. https://doi.org/10.1001/jamapediatrics.2019.2084
Leithauser, M. T., Liem, A., Stewart, B. C., Miller, E. C., & Miller, J. A. (1990). 1,N6-Ethenoadenosine Formation, Mutagenicity And Murine Tumor Induction As Indicators Of The Generation Of An Electrophilic Epoxide Metabolite Of The Closely Related Carcinogens Ethyl Carbamate (Urethane) And Vinyl Carbamate. Carcinogenesis, 11(3), 463-473. https://doi.org/10.1093/carcin/11.3.463
Lindström, T., Bergman, T. H., Annerstedt, M., Forster, M., Bölte, S., & Hirvikoski, T. (2024). Psychometric Properties Of The Parental Stress Scale In Swedish Parents Of Children With And Without Neurodevelopmental Conditions. Scandinavian Journal of Child and Adolescent Psychiatry and Psychology, 12(1), 10-22. https://doi.org/10.2478/sjcapp-2024-0002
Liu, A., Xu, Y., Yan, Q., & Tong, L. (2018). The Prevalence Of Attention Deficit/Hyperactivity Disorder Among Chinese Children And Adolescents. Scientific Reports, 8(1), 11169. https://doi.org/10.1038/s41598-018-29488-2
Malkoff, A. C., Grace, M., Kapke, T. L., & Gerdes, A. C. (2020). Family Functioning In Latinx Families Of Children With ADHD: The Role Of Parental Gender And Acculturation. Journal of Child and Family Studies, 29(4), 1108-1122. https://doi.org/10.1007/s10826-019-01673-5
Martin, C. A., Papadopoulos, N., Chellew, T., Rinehart, N. J., & Sciberras, E. (2019). Associations Between Parenting Stress, Parent Mental Health And Child Sleep Problems For Children With ADHD And ASD: Systematic Review. Research in Developmental Disabilities, 93, 103463. https://doi.org/10.1016/j.ridd.2019.103463
McQuillan, M. E., Bates, J. E., Staples, A. D., & Deater-Deckard, K. (2019). Maternal Stress, Sleep, And Parenting. Journal of Family Psychology, 33(3), 349-359. https://doi.org/10.1037/fam0000516
Pimentel, M. J., Vieira-Santos, S., Santos, V., & Vale, M. C. (2011). Mothers Of Children With Attention Deficit/Hyperactivity Disorder: Relationship Among Parenting Stress, Parental Practices And Child Behaviour. ADHD Attention Deficit and Hyperactivity Disorders, 3, 61-68. https://doi.org/10.1007/s12402-011-0053-3
Ramtekkar, U. P., Reiersen, A. M., Todorov, A. A., & Todd, R. D. (2010). Sex And Age Differences In Attention-Deficit/Hyperactivity Disorder Symptoms And Diagnoses: Implications For DSM-V And ICD-11. Journal of the American Academy of Child & Adolescent Psychiatry, 49(3), 217-228.e213. https://doi.org/10.1016/j.jaac.2009.11.011
Reitman, D., Currier, R. O., & Stickle, T. R. (2002). A Critical Evaluation Of The Parenting Stress Index-Short Form (PSI-SF) In A Head Start Population. Journal of Clinical Child & Adolescent Psychology, 31(3), 384-392. https://doi.org/10.1207/153744202760082649
Russell, A. E., Ford, T., Williams, R., & Russell, G. (2016). The Association Between Socioeconomic Disadvantage And Attention Deficit/Hyperactivity Disorder (ADHD): A Systematic Review. Child Psychiatry & Human Development, 47(3), 440-458. https://doi.org/10.1007/s10578-015-0578-3
Salari, N., Ghasemi, H., Abdoli, N., Rahmani, A., Shiri, M. H., & Hashemian, A. H. (2023). The Global Prevalence Of ADHD In Children And Adolescents: A Systematic Review And Meta-Analysis. Italian Journal of Pediatrics, 49(1), 48. https://doi.org/10.1186/s13052-023-01456-1
Samiei, M., Daneshmand, R., Keramatfar, R., Khooshabi, K., Amiri, N., & Farhadi, Y. (2015). Attention Deficit Hyper Activity Disorder (ADHD) And Stress: A Mutual Relationship Between Children And Mothers. Basic and Clinical Neuroscience, 6(2), 113-121. https://pmc.ncbi.nlm.nih.gov/articles/PMC4636878/
Sayal, K., Prasad, V., Daley, D., Ford, T., & Coghill, D. (2018). ADHD In Children And Young People: Prevalence, Care Pathways, And Service Provision. The Lancet Psychiatry, 5(2), 175-186. https://doi.org/10.1016/S2215-0366(17)30167-0
Scheibner, C., Scheibner, M., Hornemann, F., Arélin, M., Hennig, Y. D., & Kiep, H. (2024). Parenting Stress In Families Of Children With Disabilities: Impact Of Type Of Disability And Assessment Of Attending Paediatricians. Child: Care, Health and Development, 50(1). https://doi.org/10.1111/cch.13193
Sung, V., Hiscock, H., Sciberras, E., & Efron, D. (2008). Sleep Problems In Children With Attention-Deficit/Hyperactivity Disorder. Archives of Pediatrics & Adolescent Medicine, 162(4), 336. https://doi.org/10.1001/archpedi.162.4.336
Tarazhi, R. (2024). Worsening Symptoms In ADHD Children Caused By Increased Parental Stress Before, During And After Covid-19. European Psychiatry, 67(S1), S456-S457. https://doi.org/10.1192/j.eurpsy.2024.947
Torvik, F. A., Eilertsen, E. M., McAdams, T. A., Gustavson, K., Zachrisson, H. D., & Brandlistuen, R. (2020). Mechanisms Linking Parental Educational Attainment With Child ADHD, Depression, And Academic Problems: A Study Of Extended Families In The Norwegian Mother, Father And Child Cohort Study. Journal of Child Psychology and Psychiatry, 61(9), 1009-1018. https://doi.org/10.1111/jcpp.13197
Willcutt, E. G. (2012). The Prevalence Of DSM-IV Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review. Neurotherapeutics, 9(3), 490-499. https://doi.org/10.1007/s13311-012-0135-8
Yari, Z., Mahdavi-Nia, F., Balaghi, H. S., & Ali-Mohammadlou, F. (2024). Psychological Vulnerability and Self-Efficacy of Adolescents with and without Attention Deficit Hyperactivity Disorder: Psychological vulnerability and self-efficacy. International Journal of Body, Mind and Culture, 11(2), 136–146. https://doi.org/10.22122/ijbmc.v11i2.532
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