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Original article
Impact of ADHD symptoms on family functioning, family burden and parents’ quality of life in a hospital area in Spain
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I. Peñuelas-Calvoa,b,
Corresponding author
inmaculada.penuelas@quironsalud.es

Corresponding author at: Department of Child and Adolescent Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Av. de los Reyes Católicos, 2, 28040 Madrid, Spain.
, N. Palomar-Ciriac, A. Porras-Segoviad, C. Miguélez-Fernándeze, I. Baltasar-Tellof, S. Perez- Colmeneroa, D. Delgado-Gómezg, J.J. Carballof,h, E. Baca-Garcíaa,d,h,i,j,k,l,m,n
a Department of Child and Adolescent Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain
b Universidad Complutense de Madrid, Madrid, Spain
c Department of Psychiatry, Complejo Hospitalario de Soria, Soria, Spain
d Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain
e Department of Child and Adolescent Psychiatry, Hospital Niño Jesús, Madrid, Spain
f Department of Child and Adolescent Psychiatry, Hospital Gregorio Marañón, Madrid, Spain
g Statistics Department, Universidad Carlos III, Madrid, Spain
h CIBERSAM (Centro de Investigación en Salud Mental), Carlos III Institute of Health, Madrid, Spain
i Department of Psychiatry, Hospital Rey Juan Carlos, Móstoles, Spain
j Department of Psychiatry, Hospital General de Villalba, Madrid, Spain
k Department of Psychiatry, Hospital Universitario Infanta Elena, Valdemoro, Spain
l Universidad Católica del Maule, Talca, Chile
m Nîmes University Hospital, Nîmes, France
n Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
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Received 14 May 2020. Accepted 19 October 2020
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Statistics
Tables (3)
Table 1. Baseline characteristics of the sample.
Table 2. Mean and median scores for each assessment tool among parents with children diagnosed with ADHD.
Table 3. Pearson’s correlation matrix between SWAN scores and the rest of the assessment tools scores among parents with children diagnosed with ADHD.
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Abstract
Background and objectives

The aim of this study was to evaluate whether ADHD symptom severity and ADHD subtype are associated with family functioning, family burden and quality of life, in a sample of parents of children diagnosed with ADHD.

Methods

Seventy-four parents of children diagnosed with ADHD were recruited at an Outpatient Child & Adolescent Mental Health Clinic in Madrid (Spain) and afterwards completed four electronical self-administered scales to determine their perceived family functioning, family burden and quality of life, as well as the severity and subtype of ADHD symptoms in their children.

Results

Severity of children’s ADHD symptoms negatively affected parents’ quality of life, family functioning and family burden. Higher scores in inattention and combined subtypes were correlated with lower results in those domains. In adjusted correlations, the SWAN hyperactivity/impulsivity subscale significantly correlated with the four scales.

Conclusions

These results suggest that severity of the ADHD symptoms has a negative impact on parent’s quality of life and family functioning in inattention and combined subtypes. Family therapy and other interventions targeted towards improving family relationships and caregivers’ wellbeing should be considered when managing ADHD in the clinical practice. Electronic measurement tools are a promising method of evaluation in mental health research.

Keywords:
Attention-deficit/hyperactivity disorder
Quality of life
Family

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