Research article summary:

Social networks, caregiver strain, and utilization of mental health services among elementary school students at high risk for ADHD.

Abstract Extract:
OBJECTIVE: This study explores whether parental support networks vary by sociodemographic factors among children at high risk for attention-deficit/hyperactivity disorder (ADHD) and whether network characteristics influence the receipt of mental health ... (Full abstract text below)

Published 2003Jul in Journal: J Am Acad Child Adolesc Psychiatry (Language : eng)

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1. J Am Acad Child Adolesc Psychiatry. 2003 Jul;42(7):842-50

Social networks, caregiver strain, and utilization of mental health services among elementary school students at high risk for ADHD.

Bussing R, Zima BT, Gary FA, Mason DM, Leon CE, Sinha K, Garvan CW

Department of Psychiatry, University of Florida, Gainesville, USA. rbussing@psychiatry.ufl.edu

OBJECTIVE: This study explores whether parental support networks vary by sociodemographic factors among children at high risk for attention-deficit/hyperactivity disorder (ADHD) and whether network characteristics influence the receipt of mental health treatment for the child. METHOD: A school district-wide, two-phase screening study design was used to identify 266 children at high risk for ADHD. Parents completed standardized instruments assessing network structure and function, DSM-IV diagnoses of disruptive disorders, caregiver strain, and treatment receipt, and children self-reported internalizing symptoms. Relationships were examined with analysis of variance and multivariate prediction, adjusting for sociodemographic characteristics, psychopathology, and parental strain. RESULTS: Network characteristics varied by race and socioeconomic status (SES), but not by child gender. African-American and disadvantaged parents reported smaller network sizes, but more frequent contact and higher levels of support than their white and high-SES counterparts. High levels of instrumental support lowered the odds of ADHD treatment during the 12 months before (OR =.7, p <.001) and after (OR =.7, p <.001) the network assessment interview. In contrast, parental strain increased the likelihood of ADHD treatment during both periods. CONCLUSIONS: Clinicians should anticipate high levels of caregiver strain and low levels of instrumental support among their patients' parents and address the potential high need for respite care in treatment plans.

PMID : 12819444 [PubMed - Indexed for MEDLINE]

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Full Author Information

First Name	LastName	Initials
Regina	Bussing	R
Bonnie T	Zima	BT
Faye A	Gary	FA
Dana M	Mason	DM
Christina E	Leon	CE
Karabi	Sinha	K
Cynthia Wilson	Garvan	CW

Affiliation: Department of Psychiatry, University of Florida, Gainesville, USA. rbussing@psychiatry.ufl.edu

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Category links from this article:

Attention Deficit Disorder with Hyperactivity - epidemiology, psychology, therapy
Caregivers - psychology
Child
Humans
Mass Screening
Mental Health Services - utilization
Parent-Child Relations
Parents - psychology
Prevalence
Questionnaires
Risk Factors
Social Support
Stress, Psychological - psychology
Students - psychology, statistics & numerical data

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