7th World Congress on ADHD, Lisbon, Portekiz, 25 - 28 Nisan 2019
The Assessment of Marital Adjustment amongst Parents of Children Diagnosed with Attention
Deficit Hyperactivity Disorder
Introduction: Attention deficit hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders which may functionally have an impact on family life regarding the marital relationships. The aim of this research is to compare the marital status adjustment levels between the parents of primary school children who referred to child psychiatry university clinic diagnosed as ADHD compared to the control group of similar age and sex.
Method: Clinical psychiatric diagnoses of ADHD were established by using the Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version. Parents were assessed by “Marital Adjustment Scale” (MAS) including 15 multiple choice questions, developed by Locke and Wallace (1959). SPSS 20.0 descriptive statistics are utilized and chi-square is used for further comparative analysis.
Results: The treatment-naive ADHD group consisted 51 children (mean age: 10.34 ± 1.86; 43 male, 8 female), and 104 healthy controls (mean age: 10.16 ± 1.69; 124 male, 31 female). 70.83 % of ADHD group was combined subtype, the rest being predominantly attention deficit subtype. The ADHD severity was determined as moderate according to Clinical Global Impairment Scale. The ADHD group was 23% compatible in global scores in contrast to the 68.3% of the controls (p< 0.05), when the cut-off point for Locke-Wallace MAS scale was set as 43 points. Global Happiness Scale results of MAS were 39.2% vs 78.8% for ADHD group and controls, respectively (p< 0.05).Intimacy and Communication with Relatives subscales revealed similar results and did not differ in either groups.
Conclusion: A poor marital relationship could influence the adaptive functions and impact the satisfaction outcomes of parents having children diagnosed with ADHD. Future studies should be conducted to explore the impact of ADHD on caregivers’ marital adjustment, especially in the aspects of contentment of marriage, leisure and social activities, and intimacy besides affection.
Key words: attention deficit hyperactivity disorder,marital adjustment