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Parental perception of problems and mental health service use for hyperactivity
Kapil Sayal1, Eric Taylor, Jennifer Beecham
1Department of Child Psychiatry, Box P085, Institute of Psychiatry, Denmark Hill, London SE5 8AF, England. k.sayal@iop.kcl.ac.uk
Insights
Parental perception of childhood hyperactivity is strongly linked to work disruptions and financial strain. When parents view hyperactivity as a significant problem, they are more likely to seek specialist mental health services for their child.
Area of Science:
- Child Psychology
- Behavioral Pediatrics
- Mental Health Services Research
Background:
- Childhood hyperactivity presents significant challenges for families.
- Understanding parental perception is crucial for accessing mental health support.
- Previous research has not fully explored the economic impact on parental perception.
Purpose of the Study:
- To identify factors predicting parental perception of hyperactivity as a serious issue.
- To determine the role of parental perception in utilizing specialist mental health services.
- To investigate the influence of child and parent clinical factors on service use.
Main Methods:
- A community sample of 93 children aged 5-11 with pervasive hyperactivity was studied.
- Comparison between children whose parents perceived hyperactivity as a problem versus those who did not.
- Analysis of predictors for parental perception and subsequent mental health service use.
Main Results:
- The financial impact of a child's behavior on parental work was the strongest predictor of perceived problem severity (OR = 17.43).
- Parental perception of hyperactivity as a problem significantly predicted mental health service use (OR = 9.85).
- Effects on parental working ability were also significant predictors.
Conclusions:
- Child behavior difficulties have multidimensional impacts on caregiver perceptions.
- Hyperactivity's impact on parental work and finances is substantial.
- Increased perceived problem severity, driven by work/financial impacts, elevates mental health service utilization.
Objective:
To examine predictors of parental perception of hyperactivity as a serious problem and its role in determining the use of specialist mental health services.
Method:
A community sample of 5- to 11-year-old children with pervasive hyperactivity (n = 93) was identified. Children whose parents perceived the hyperactivity as a serious problem were compared with those whose parents did not. Predictors of parental perception of problem and the roles of this and child and parent clinical factors in predicting service use were examined.
Results:
Controlling for child and parental mental health, the strongest predictor of parental perception of problems was the financial impact of the child's behavior on either parent's work (odds ratio [OR] = 17.43; 95% confidence interval [CI] 3.52-86.40). Other effects on the parent's working ability were also important. Parental perception of problems was the strongest predictor of service use (OR = 9.85; 95% CI 1.42-68.50).
Conclusions:
The effects of child behavior difficulties on perceptions of caregivers are multidimensional. The impact of hyperactivity on parents' work and family finances is substantial. Mental health service use is increased if these impacts reach the threshold for the parent to perceive the child's behavior as a problem.
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