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Psychiatric features and parenting stress profiles of subtypes of attention-deficit/hyperactivity disorder: results from a clinically referred Taiwanese sample.
J Dev Behav Pediatr. 2007 Oct; 28(5):369-75.JD

Abstract

OBJECTIVE

This study attempts to evaluate whether there are attention deficit/ hyperactivity disorder (ADHD) subtype differences regarding psychiatric features, comorbidity pattern and parenting stress profiles in an Asian population.

METHODS

A total of 182 ADHD children and their primary caretakers recruited from a university-affiliated hospital were surveyed. Subjects were two groups of preadolescent (6 to 12 years old) ADHD children: children with ADHD-inattentive subtype (n=58) and ADHD-combined subtype (n=124). Various information was collected and compared, including the child's characteristics (current age, gender, number of family members, age at ADHD diagnosis, duration of pharmaceutical intervention, psychiatric comorbidities, and intelligence quotient); the primary caretaker's characteristics, and profiles obtained with the Parenting Stress Index (PSI).

RESULTS

Group comparison showed that these two subtypes were statistically distinguishable from each other in total scores on the PSI, four subscale scores on the PSI, the child's age at diagnosis, and comorbidity profiles (all p<.05). Parents of children of the combined subtype experienced higher parenting stress and felt their children displayed qualities that made it difficult for them to fulfill their parenting roles. School failure (p=.001) and anxiety disorders (p=.022) were significantly more prevalent in the inattentive subtype children, while oppositional defiant disorder was significantly more present in the combined subtype children (p=.000).

CONCLUSIONS

Our findings supported the cross-cultural equivalence of the nosological distinction in ADHD subtypes. The need for specific clinical intervention according to the subtype difference was stressed.

Authors+Show Affiliations

Department of Psychiatry, College of Medicine, Kaohsiung Medical University and Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. pichya@kmu.edu.twNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18049319

Citation

Yang, Pinchen, et al. "Psychiatric Features and Parenting Stress Profiles of Subtypes of Attention-deficit/hyperactivity Disorder: Results From a Clinically Referred Taiwanese Sample." Journal of Developmental and Behavioral Pediatrics : JDBP, vol. 28, no. 5, 2007, pp. 369-75.
Yang P, Jong YJ, Hsu HY, et al. Psychiatric features and parenting stress profiles of subtypes of attention-deficit/hyperactivity disorder: results from a clinically referred Taiwanese sample. J Dev Behav Pediatr. 2007;28(5):369-75.
Yang, P., Jong, Y. J., Hsu, H. Y., & Tsai, J. H. (2007). Psychiatric features and parenting stress profiles of subtypes of attention-deficit/hyperactivity disorder: results from a clinically referred Taiwanese sample. Journal of Developmental and Behavioral Pediatrics : JDBP, 28(5), 369-75.
Yang P, et al. Psychiatric Features and Parenting Stress Profiles of Subtypes of Attention-deficit/hyperactivity Disorder: Results From a Clinically Referred Taiwanese Sample. J Dev Behav Pediatr. 2007;28(5):369-75. PubMed PMID: 18049319.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychiatric features and parenting stress profiles of subtypes of attention-deficit/hyperactivity disorder: results from a clinically referred Taiwanese sample. AU - Yang,Pinchen, AU - Jong,Yuh-Jyh, AU - Hsu,Hsiu-Yi, AU - Tsai,Jui-Hsiu, PY - 2007/12/1/pubmed PY - 2008/1/15/medline PY - 2007/12/1/entrez SP - 369 EP - 75 JF - Journal of developmental and behavioral pediatrics : JDBP JO - J Dev Behav Pediatr VL - 28 IS - 5 N2 - OBJECTIVE: This study attempts to evaluate whether there are attention deficit/ hyperactivity disorder (ADHD) subtype differences regarding psychiatric features, comorbidity pattern and parenting stress profiles in an Asian population. METHODS: A total of 182 ADHD children and their primary caretakers recruited from a university-affiliated hospital were surveyed. Subjects were two groups of preadolescent (6 to 12 years old) ADHD children: children with ADHD-inattentive subtype (n=58) and ADHD-combined subtype (n=124). Various information was collected and compared, including the child's characteristics (current age, gender, number of family members, age at ADHD diagnosis, duration of pharmaceutical intervention, psychiatric comorbidities, and intelligence quotient); the primary caretaker's characteristics, and profiles obtained with the Parenting Stress Index (PSI). RESULTS: Group comparison showed that these two subtypes were statistically distinguishable from each other in total scores on the PSI, four subscale scores on the PSI, the child's age at diagnosis, and comorbidity profiles (all p<.05). Parents of children of the combined subtype experienced higher parenting stress and felt their children displayed qualities that made it difficult for them to fulfill their parenting roles. School failure (p=.001) and anxiety disorders (p=.022) were significantly more prevalent in the inattentive subtype children, while oppositional defiant disorder was significantly more present in the combined subtype children (p=.000). CONCLUSIONS: Our findings supported the cross-cultural equivalence of the nosological distinction in ADHD subtypes. The need for specific clinical intervention according to the subtype difference was stressed. SN - 0196-206X UR - https://www.unboundmedicine.com/medline/citation/18049319/Psychiatric_features_and_parenting_stress_profiles_of_subtypes_of_attention_deficit/hyperactivity_disorder:_results_from_a_clinically_referred_Taiwanese_sample_ L2 - https://doi.org/10.1097/DBP.0b013e3181131f8e DB - PRIME DP - Unbound Medicine ER -