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Journal of Attention Disorders
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Article

Changes in Caregiver Strain Over Time in Young Adolescents With ADHD: The Role of Oppositional and Delinquent Behavior

Steven W. Evans*, Maggie Sibley, and Zewelanji N. Serpell

* To whom correspondence should be addressed. E-mail: evanssw{at}jmu.edu.


  Abstract
Objective: The objectives of this study were to identify the relationships between caregiver strain among parents of young adolescents with ADHD and child characteristics during a 1-year period. Method: Parents of 52 middle-school-aged youth with ADHD participated in this study and completed two evaluations 1 year apart. Results: Ratings of oppositional and delinquent behavior best predicted levels of caregiver strain, and change over time did not significantly add to the equation. Patterns of change in caregiver strain indicated important individual differences. Conclusion: Oppositional, delinquent behavior was the best predictor of caregiver strain and suggests that preventing and treating these child behavior problems should be a high priority when working with young adolescents with ADHD. Given the variability in parent responses to changes in oppositional and delinquent behavior, it may also be important to address personal coping strategies for parents of youth exhibiting high rates of these behaviors.

First published on October 27, 2008, doi:10.1177/1087054708322987

Journal of Attention Disorders 2009;12:516.

A more recent version of this article appeared on May 1, 2009

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