Restricted accessResearch articleFirst published online 2022-9
Parental Factors That Confer Risk and Resilience for Remote Learning Outcomes During the COVID-19 Pandemic Among Children With and Without Attention-Deficit/Hyperactivity Disorder
To test whether parental factors including internalizing symptoms, parenting style, and confidence in assisting with remote learning conferred risk/resilience for children with/without ADHD’s learning and emotional outcomes during the COVID-19 pandemic.
Method:
291 parents of children (ages 6–13; n = 180 males) with (n = 148) and without ADHD completed questionnaires online (April–July 2020).
Results:
Structural equation modeling identified parental risk/resilience factors. Across groups, risk predicted greater difficulties with learning, internalizing and externalizing symptoms, while parent confidence in educating their child predicted better outcomes. A positive association was observed between parental involvement and child difficulties, which was stronger in families of children with ADHD. Children with/without ADHD did not differ in remote learning difficulties.
Conclusion:
Parent factors impacted child emotional and learning outcomes during the pandemic. With increases in remote learning practices, there is a need for improved understanding of how parent factors impact outcomes of children with/without ADHD.
ArmstrongD.LycettK.HiscockH.CareE.SciberrasE. (2015). Longitudinal associations between internalizing and externalizing comorbidities and functional outcomes for children with ADHD. Child Psychiatry and Human Development, 46(5), 736–748. https://doi.org/10.1007/s10578-014-0515-x
2.
BeardsleeW. R.KellerM. B.SeiferR.LavoriP. W.StaleyJ.PodorefskyD.SheraD. (1996). Prediction of adolescent affective disorder: Effects of prior parental affective disorders and child psychopathology. Journal of the American Academy of Child and Adolescent Psychiatry, 35(3), 279–288. https://doi.org/10.1097/00004583-199603000-00008
3.
BeckerS. P.BreauxR.CusickC. N.DvorskyM. R.MarshN. P.SciberrasE.LangbergJ. M. (2020). Remote learning during COVID-19: Examining school practices, service continuation, and difficulties for adolescents with and without attention-deficit/hyperactivity disorder. Journal of Adolescent Health, 67(6), 769–777. https://doi.org/10.1016/j.jadohealth.2020.09.002
4.
BeckerS. P.QuachJ. L.DvorskyM. R.BreauxR.MelvinG. A.ScriberrasE. (2020). Home adjustment to COVID-19 scale (HACS). Authors.
5.
BerryJ. O.JonesW. H. (1995). The Parental Stress Scale: Initial psychometric evidence. Journal of Social and Personal Relationships, 12(3), 463–472. https://doi.org/10.1177/0265407595123009
6.
BoboE.LinL.AcquavivaE.CaciH.FrancN.GamonL.PicotM.-C.PupierF.SperanzaM.FalissardB.Purper-OuakilD. (2020). Comment les enfants et adolescents avec le trouble déficit d’attention/hyperactivité (TDAH) vivent-ils le confinement durant la pandémie COVID-19 ? [How do children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD) experience lockdown during the COVID-19 outbreak?]. L’Encephale, 46(3S), S85–S92. https://doi.org/10.1016/j.encep.2020.05.011
7.
BreauxR.DvorskyM. R.MarshN. P.GreenC. D.CashA. R.ShroffD. M.BuchenN.LangbergJ. M.BeckerS. P. (2021). Prospective impact of COVID-19 on mental health functioning in adolescents with and without ADHD: Protective role of emotion regulation abilities. Journal of Child Psychology and Psychiatry, 62(9), 1132–1139. https://doi.org/10.1111/jcpp.13382
8.
ChafouleasS. M.IovinoE. A. (2021). Comparing the initial impact of COVID-19 on burden and psychological distress among family caregivers of children with and without developmental disabilities. School Psychology, 36(5), 358–366. https://doi.org/10.1037/spq0000426
9.
ChenX. Y.ChenJ.ShiX.JiangM.LiY.ZhouY.RanM.LaiY.WangT.FanF.LiuX.ChanC. L. W. (2020). Trajectories of maternal symptoms of posttraumatic stress disorder predict long-term mental health of children following the Wenchuan earthquake in China: A 10-year follow-up study. Journal of affective disorders, 266, 201-206. https://doi.org/10.1016/j.jad.2020.01.084
10.
CheungK.TheuleJ. (2016). Parental psychopathology in families of children with ADHD: A meta-analysis. Journal of Child and Family Studies, 25(12), 3451–3461. https://doi.org/10.1007/s10826-016-0499-1
11.
ChronisA. M.LaheyB. B.PelhamW. E.JrWilliamsS. H.BaumannB. L.KippH.JonesH. A.RathouzP. J. (2007). Maternal depression and early positive parenting predict future conduct problems in young children with attention-deficit/hyperactivity disorder. Developmental Psychology, 43(1), 70–82. https://doi.org/10.1037/0012-1649.43.1.70
12.
CusinatoM.IannattoneS.SpotoA.PoliM.MorettiC.GattaM.MisciosciaM. (2020). Stress, resilience, and well-being in Italian children and their parents during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 17(22), 8297. https://doi.org/10.3390/ijerph17228297
13.
DeaultL. C. (2010). A systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit/hyperactivity disorder (ADHD). Child Psychiatry and Human Development, 41(2), 168–192. https://doi.org/10.1007/s10578-009-0159-4
14.
DuPaulG. J.Chronis-TuscanoA.DanielsonM. L.VisserS. N. (2019). Predictors of receipt of school services in a national sample of youth with ADHD. Journal of Attention Disorders, 23(11), 1303–1319. https://doi.org/10.1177/1087054718816169
15.
FaraoneS. V.RostainA. L.BladerJ.BuschB.ChildressA. C.ConnorD. F.NewcornJ. H. (2019). Practitioner review: Emotional dysregulation in attention-deficit/hyperactivity disorder – implications for clinical recognition and intervention. Journal of Child Psychology and Psychiatry, 60(2), 133–150. https://doi.org/10.1111/jcpp.12899
16.
FisakB.JrGrills-TaquechelA. E. (2007). Parental modeling, reinforcement, and information transfer: Risk factors in the development of child anxiety?Clinical Child and Family Psychology Review, 10(3), 213–231. https://doi.org/10.1007/s10567-007-0020-x
17.
GrassoD. J.Briggs-GowanM. J.CarterA. S.GoldsteinB.FordJ. D. (2020). A person-centered approach to profiling COVID-related experiences in the United States: preliminary findings from the Epidemic-Pandemic Impacts Inventory (EPII). PsyArXiv.
HuL. T.BentlerP. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424–453. https://doi.org/10.1037/1082-989x.3.4.424
20.
JohnstonC.MurrayC.HinshawS. P.WilliamE. P.JrHozaB. (2002). Responsiveness in interactions of mothers and sons with ADHD: Relations to maternal and child characteristics. Journal of Abnormal Child Psychology, 30(1), 77–88. https://doi.org/10.1023/A:1014235200174
21.
KashdanT. B.JacobR. G.PelhamW. E.LangA. R.HozaB.BlumenthalJ. D.GnagyE. M. (2004). Depression and anxiety in parents of children with ADHD and varying levels of oppositional defiant behaviors: Modeling relationships with family functioning. Journal of Clinical Child & Adolescent Psychology, 33(1), 169–181. https://doi.org/10.1207/S15374424JCCP3301_16
22.
KowalM.Coll-MartínT.IkizerG.RasmussenJ.EichelK.StudzińskaA.KoszałkowskaK.KarwowskiM.NajmussaqibA.PankowskiD.LieberothA.AhmedO. (2020). Who is the most stressed during the COVID-19 pandemic? Data from 26 countries and areas. Applied Psychology. Health and Well-Being, 12(4), 946–966. https://doi.org/10.1111/aphw.12234
23.
LeeS. J.WardK. P.ChangO. D.DowningK. M. (2021). Parenting activities and the transition to home-based education during the COVID-19 pandemic. Children and Youth Services Review, 122, 105585. https://doi.org/10.1016/j.childyouth.2020.105585
24.
LeitchS.SciberrasE.PostB.GernerB.RinehartN.NicholsonJ. M.EvansS. (2019). Experience of stress in parents of children with ADHD: A qualitative study. International Journal of Qualitative Studies on Health and Well-Being, 14(1), 1690091. https://doi.org/10.1080/17482631.2019.1690091
25.
LiebR.IsenseeB.HöflerM.PfisterH.WittchenH.-U. (2002). Parental major depression and the risk of depression and other mental disorders in offspring: A prospective-longitudinal community study. Archives of General Psychiatry, 59(4), 365–374. https://doi.org/10.1001/archpsyc.59.4.365
26.
LovibondP. F.LovibondS. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
27.
Lugo-CandelasC.FlegenheimerC.McDermottJ. M.HarveyE. (2017). Emotional understanding, reactivity, and regulation in young children with ADHD symptoms. Journal of Abnormal Child Psychology, 45(7), 1297–1310. https://doi.org/10.1007/s10802-016-0244-7
28.
MækelæM. J.ReggevN.DutraN.TamayoR. M.Silva-SobrinhoR. A.KlevjerK.PfuhlG. (2020). Perceived efficacy of COVID-19 restrictions, reactions and their impact on mental health during the early phase of the outbreak in six countries. Royal Society Open Science, 7(8), 200644. https://doi.org/10.1098/rsos.200644
29.
McFaydenT. C.BreauxR.BertolloJ. R.CummingsK.OllendickT. H. (2021). COVID-19 remote learning experiences of youth with neurodevelopmental disorders in rural Appalachia. Journal of Rural Mental Health, 45(2), 72–85. https://doi.org/10.1037/rmh0000171
30.
McRaeE.StoppelbeinL.O’KelleyS.FiteP.SmithS. (2020). Comorbid internalizing and externalizing symptoms among children with ADHD: The influence of parental distress, parenting practices, and child routines. Child Psychiatry and Human Development, 51(5), 813–826. https://doi.org/10.1007/s10578-020-01019-z
31.
MelegariM. G.GiallonardoM.SaccoR.MarcucciL.OrecchioS.BruniO. (2021). Identifying the impact of the confinement of Covid-19 on emotional-mood and behavioural dimensions in children and adolescents with attention deficit hyperactivity disorder (ADHD). Psychiatry Research, 296, 113692. https://doi.org/10.1016/j.psychres.2020.113692
MikamiA. Y. (2010). The importance of friendship for youth with attention-deficit/hyperactivity disorder. Clinical Child and Family Psychology Review, 13(2), 181–198. https://doi.org/10.1007/s10567-010-0067-y
34.
NeubauerA. B.SchmidtA.KramerA. C.SchmiedekF. (2021). A little autonomy support goes a long way: Daily autonomy-supportive parenting, child well-being, parental need fulfillment, and change in child, family, and parent adjustment across the adaptation to the COVID-19 Pandemic. Child Development, 92(5), 1679–1697. https://doi.org/10.1111/cdev.13515
35.
NonweilerJ.RattrayF.BaulcombJ.HappéF.AbsoudM. (2020). Prevalence and associated factors of emotional and behavioural difficulties during COVID-19 pandemic in children with neurodevelopmental disorders. Children, 7(9), 128. https://doi.org/10.3390/children7090128
36.
NormandS.SchneiderB. H.LeeM. D.MaisonneuveM.-F.Chupetlovska-AnastasovaA.KuehnS. M.RobaeyP. (2013). Continuities and changes in the friendships of children with and without ADHD: A longitudinal, observational study. Journal of Abnormal Child Psychology, 41(7), 1161–1175. https://doi.org/10.1007/s10802-013-9753-9
37.
RogersM. A.WienerJ.MartonI.TannockR. (2009). Parental involvement in children’s learning: Comparing parents of children with and without attention-deficit/hyperactivity disorder (ADHD). Journal of School Psychology, 47(3), 167–185. https://doi.org/10.1016/j.jsp.2009.02.001
38.
RosseelY. (2012). Lavaan: An R Package for structural equation modeling. Journal of Statistical Software, 48(2), 1–36. https://doi.org/10.18637/jss.v048.i02
39.
RoyA.BreauxR.SciberrasE.PatelP.FerraraE.ShroffD.CashA.DvorskyM.LangbergJ.QuachJ.MelvinG. A.JacksonA.BeckerS. P. (2021). A preliminary examination of key strategies, challenges, and benefits of remote learning expressed by parents during the COVID-19 pandemic. PsyArXiv.
40.
SciberrasE.LycettK.EfronD.MensahF.GernerB.HiscockH. (2014). Anxiety in children with attention-deficit/hyperactivity disorder. Pediatrics, 133(5), 801–808. https://doi.org/10.1542/peds.2013-3686
41.
SciberrasE.PatelP.StokesM. A.CoghillD.MiddeldorpC. M.BellgroveM. A.BeckerS. P.EfronD.StringarisA.FaraoneS. V.BellowsS. T.QuachJ.BanaschewskiT.McGillivrayJ.HutchinsonD.SilkT. J.MelvinG.WoodA. G.JacksonA.. . . WestruppE. (2022). Physical health, media use, and mental health in children and adolescents with ADHD during the COVID-19 pandemic in Australia. Journal of Attention Disorders, 26, 549–562. https://doi.org/10.1177/1087054720978549
42.
SheltonK. K.FrickP. J.WoottonJ. (1996). Assessment of parenting practices in families of elementary school-age children. Journal of Clinical Child Psychology, 25(3), 317–329. https://doi.org/10.1207/s15374424jccp2503_8
43.
SibleyM. H.OrtizM.GaiasL. M.ReyesR.JoshiM.AlexanderD.GrazianoP. (2021). Top problems of adolescents and young adults with ADHD during the COVID-19 pandemic. Journal of Psychiatric Research, 136, 190–197. https://doi.org/10.1016/j.jpsychires.2021.02.009
SpinelliM.LionettiF.PastoreM.FasoloM. (2020). Parents’ stress and children’s psychological problems in families facing the COVID-19 outbreak in Italy. Frontiers in Psychology, 11, 1713. https://doi.org/10.3389/fpsyg.2020.01713
46.
SwansburgR.HaiT.MacMasterF. P.LemayJ.-F. (2021). Impact of COVID-19 on lifestyle habits and mental health symptoms in children with attention-deficit/hyperactivity disorder in Canada. Paediatrics and Child Health, 26(5), e199–e207. https://doi.org/10.1093/pch/pxab030
47.
SwansonJ. M. (1992). School-based assessments and interventions for ADD students. KC Publishing.
48.
SwansonJ. M.KraemerH. C.HinshawS. P.ArnoldL. E.ConnersC. K.AbikoffH. B.ClevengerW.DaviesM.ElliottG. R.GreenhillL. L.HechtmanL.HozaB.JensenP. S.MarchJ. S.NewcornJ. H.OwensE. B.PelhamW. E.SchillerE.SevereJ. B.. . . WuM. (2001). Clinical relevance of the primary findings of the MTA: Success rates based on severity of ADHD and ODD symptoms at the end of treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 40(2), 168–179. https://doi.org/10.1097/00004583-200102000-00011
49.
SwansonJ. M.SandmanC. A.DeutschC.BarenM. (1983). Methylphenidate hydrochloride given with or before breakfast: I. Behavioral, cognitive, and electrophysiologic effects. Pediatrics, 72(1), 49–55.
50.
TheuleJ.WienerJ.TannockR.JenkinsJ. M. (2013). Parenting stress in families of children with ADHD: A meta-analysis. Journal of Emotional and Behavioral Disorders, 21(1), 3–17. https://doi.org/10.1177/1063426610387433
51.
ThorellL. B.SkoglundC.de la PeñaA. G.BaeyensD.FuermaierA. B.GroomM. J.MammarellaI. C.van der OordS.van Den HoofdakkerB. J.LumanM.de MirandaD. M.SiuA. F.SteinmayrR.IdreesI.SoaresL. S.SörlinM.LuqueJ. L.MoscardinoU. M.RochM.. . . ChristiansenH. (2021). Parental experiences of homeschooling during the COVID-19 pandemic: Differences between seven European countries and between children with and without mental health conditions. European Child & Adolescent Psychiatry. Advance online publication. https://doi.org/10.1007/s00787-020-01706-1
52.
van BuurenS.Groothuis-OudshoornK. (2011). Mice: Multivariate imputation by chained equations in R. Journal of Statistical Software, 45(3), 1–67. https://doi.org/10.18637/jss.v045.i03
53.
WalkerJ.WilkinsA.DallaireJ.SandlerH.Hoover-DempseyK. (2005). Parental involvement: Model revision through scale development. The Elementary School Journal, 106(2), 85–104. https://doi.org/10.1086/499193
54.
WeiszJ. R.Vaughn-CoaxumR. A.EvansS. C.ThomassinK.HershJ.NgM. Y.LauN.LeeE. H.Raftery-HelmerJ. N.MairP. (2020). Efficient monitoring of treatment response during youth psychotherapy: The behavior and feelings survey. Journal of Clinical Child & Adolescent Psychology, 49(6), 737–751. https://doi.org/10.1080/15374416.2018.1547973
55.
WendelM.RitchieT.RogersM. A.OggJ. A.SantuzziA. M.ShellebyE. C.MenterK. (2020). The association between child ADHD symptoms and changes in parental involvement in kindergarten children’s learning during COVID-19. School Psychology Review, 49(4), 466–479. https://doi.org/10.1080/2372966x.2020.1838233
56.
Woodruff-BordenJ.MorrowC.BourlandS.CambronS. (2002). The behavior of anxious parents: Examining mechanisms of transmission of anxiety from parent to child. Journal of Clinical Child & Adolescent Psychology, 31(3), 364–374. https://doi.org/10.1207/S15374424JCCP3103_08
57.
ZhangJ.ShuaiL.YuH.WangZ.QiuM.LuL.CaoX.XiaW.WangY.ChenR. (2020). Acute stress, behavioural symptoms and mood states among school-age children with attention-deficit/hyperactive disorder during the COVID-19 outbreak. Asian Journal of Psychiatry, 51, 102077. https://doi.org/10.1016/j.ajp.2020.102077
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