Predicting Parenting Stress in Families of Children with ADHD

This dissertation consists of two studies that investigated predictors of parenting stress as they relate to child ADHD. Two main questions were explored: what is the magnitude of the association between child ADHD and parenting stress, and what are the parent and contextual predictors of parenting stress? In Study 1, meta-analyses were conducted on the association between parenting stress and ADHD. Predictors comprising child, parent, and contextual factors, and methodological and demographic moderators of the relationship between parenting stress and ADHD were examined. Findings from 44 studies were included. In Study 2, I examined parent and contextual (parental ADHD symptoms, parental education, social support, and marital status) predictors of parent domain parenting stress (parental distress) as a function of teacher-reported child ADHD symptoms. Results confirmed that parents of children with ADHD experience more parenting stress than parents of nonclinical control children, and that severity of child ADHD symptoms are associated with parenting stress. Child oppositionality was only predictive of parental distress when reported by parents (not teachers). A post-hoc analysis in Study 2 showed that child factors did not predict parental distress over and above parent and contextual factors. In Study 1, children’s co-occurring conduct problems and parental depressive symptomatology predicted parenting stress. Little difference in parenting stress was found between mothers and fathers, but lower parenting stress levels were found in samples with higher proportions of girls. Parental ADHD symptomatology was the strongest predictor of parental distress considered in Study 2. Social support was inversely related to parental distress in Study 2, whereas parental age and education were unrelated to parental distress. In Study 2, marital status was significantly correlated with parental distress, but was not a significant predictor in the regression. Marital quality was not a significant predictor of parenting stress in Study 1. The large effects observed for parent level predictors suggests that parent factors (i.e., ADHD and depressive symptoms) are critically important in parenting stress and play a primary role in the experience of elevated parenting stress. Future research should give greater consideration to factors outside of the child in increasing parenting stress.Ph