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Caregiver Strain in Children with Attention Deficit Hyperactivity Disorder

Alka Chandrakar1, Selvaraj M Karthik2, Sathianathan R3

  • 1Dept. of Psychiatry, Pandit Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India.

Indian Journal of Psychological Medicine
|February 18, 2025
PubMed

Insights

Attention Deficit Hyperactivity Disorder (ADHD) in children significantly strains caregivers. The inattentive subtype and co-occurring conditions like oppositional defiant disorder most severely impact caregiver well-being.

Area of Science:

  • Child Psychiatry
  • Neurodevelopmental Disorders
  • Caregiver Well-being

Background:

  • Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood psychiatric disorder.
  • ADHD significantly impacts caregivers psychologically, emotionally, physically, and financially.
  • Understanding caregiver burden is crucial for managing ADHD.

Purpose of the Study:

  • To correlate ADHD subtypes and severity with caregiver strain.
  • To identify specific ADHD presentations that exacerbate caregiver burden.
  • To inform clinical practice for improved child and caregiver outcomes.

Main Methods:

  • Cross-sectional study design.
  • Involved 40 caregivers of children diagnosed with ADHD.
  • Utilized semi-structured proforma, Caregiver Strain Questionnaire (CSQ), and Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS).

Main Results:

  • Moderate caregiver burden was observed.
  • The inattentive ADHD subtype resulted in the highest caregiver strain across all domains.
  • Co-morbid conditions, particularly oppositional defiant disorder, significantly increased caregiver strain.

Conclusions:

  • ADHD subtype and co-morbidities are key determinants of caregiver burden.
  • Clinical interventions should consider these factors to support families.
  • Findings can enhance the overall well-being of children with ADHD and their caregivers.
Abstract

Keywords:
Attention Deficit Hyperactivity Disordercaregiver burdencaregiver strain

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