Caregiver Depression and Medication Use by Youths With ADHD Who Receive Services in the Public Sector

Leslie, L. K.; Aarons, G. A.; Haine, R. A.; Hough, R. L.

doi:10.1176/appi.ps.58.1.131

Cited by 14 publications

(23 citation statements)

References 11 publications

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“…Child use of psychoactive medication(s) was classified into five medication classes (stimulants plus atomoxetine, antipsychotics, antidepressants, mood stabilizers/antiepileptics, and other), consistent with previous studies (Leslie et al 2007; Raghavan et al, 2005). Parent report of service use, and specifically medication use, has demonstrated to be both valid and reliable (Bussing et al, 2003).…”

Section: Methodsmentioning

confidence: 95%

Factors Contributing to Reduced Caregiver Strain in a Publicly Funded Child Mental Health System

Accurso

Garland

Haine‐Schlagel

et al. 2014

Journal of Emotional and Behavioral Disorders

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This study examined caregiver strain in families who initiated mental health services for their child. Predictors of strain and the bidirectional relation between strain and child symptoms were examined. Participants included 218 children ages 4–13 with disruptive behavior problems and their caregivers, plus 96 psychotherapists, recruited from six publicly-funded clinics. Child disruptive behavior severity and caregiver strain were assessed at baseline, four, and eight months. Multilevel models were used to examine predictors of reduced caregiver strain, and autoregressive cross-lagged models were used to examine the bidirectional relations between change in caregiver strain and behavior problems over time. There were small to medium decreases in caregiver strain over the eight months after the initiation of mental health services, but few factors predicted change other than initial behavior problem severity. While more severe initial child symptoms predicted greater reductions in caregiver strain, greater child symptom severity sustained at four months predicted lesser improvements in caregiver strain. Simultaneously, greater caregiver strain predicted less improvement in child symptom severity, suggesting that child symptom severity and caregiver strain impact each other over time. These results suggest that attending to both child and caregiver factors may be important in maintaining improvements after initiating usual care.

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Section: Methodsmentioning

confidence: 95%

Factors Contributing to Reduced Caregiver Strain in a Publicly Funded Child Mental Health System

Accurso

Garland

Haine‐Schlagel

et al. 2014

Journal of Emotional and Behavioral Disorders

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“…For instance, among parents whose children met diagnostic criteria for Attention-Deficit Hyperactivity Disorder (ADHD) and received care through the public service sector, 41% manifested clinical levels of depression (Leslie, Aarons, Haine, & Hough, 2007). Rishel et al (2006) found that 64% of mothers whose children received psychiatric treatment also met criteria for one or more current psychiatric diagnosis.…”

Section: Caregiver Depression and Mental Health Service Usementioning

confidence: 99%

“…It is not surprising, then, that parents’ untreated mental health problems have been associated with diminished child mental health treatment success (Brent et al, 1998; Ferro et al, 2000; Leslie et al, 2007; Rishel et al, 2006; Swartz et al, 2005), as well as reduced compliance with children’s psychiatric medication regimen (Leslie et al, 2007). Significant parental stressors are also known to hinder families’ ability to seek and retain mental health treatment for their children (Thompson et al, 2007).…”

Section: Caregiver Depression and Child Disruptive Behavior Disordersmentioning

confidence: 99%

Caregiver Depression and Youth Disruptive Behavior Difficulties

Gopalan

Dean-Assael

Klingenstein

et al. 2010

Social Work in Mental Health

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This study examines the rates of depressive symptoms and service use among caregivers whose children receive treatment for disruptive behavior disorders. Descriptive analyses examined preliminary baseline data from the Family Groups for Urban Youth with Disruptive Behaviors study for 212 caregivers to determine rates of caregiver depressive symptoms and lifetime mental health service use. Findings indicate that caregivers manifest substantially higher rates of depressive symptoms compared to national norms. Of those caregivers with clinically significant depressive symptoms, less than half reported ever receiving mental health services. Findings suggest that greater attention should be paid to identifying and treating caregiver depression among children receiving treatment for disruptive behavior disorders.

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“…Moreover, families’ ability to seek and retain mental health treatment for their children can be impeded by significant parental stressors (Thompson et al, 2007). Parents are less motivated to seek help or have insufficient resources to comply with children’s treatment needs when there are substantial family problems (Harrison, McKay, & Bannon, 2004; Leslie, Aarons, Haine, & Hough, 2007). …”

mentioning

confidence: 99%

Validation of the Parenting Stress Index–Short Form With Minority Caregivers

Lee

Gopalan

Harrington

2014

Research on Social Work Practice

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Objectives There has been little examination of the structural validity of the Parenting Stress Index–Short Form (PSI-SF) for minority populations in clinical contexts in the Unites States. This study aimed to test prespecified factor structures (one-factor, two-factor, and three-factor models) of the PSI-SF. Methods This study used confirmatory factor analysis in a sample of 240 predominantly Black and Latino caregivers of children with behavioral difficulties. Results The three-factor model fit was reasonable, and the criterion validity for the subscale and total scores was good supporting continued cautious use of the PSI-SF for clinical minority populations. Conclusions The PSI-SF could be integrated as part of screening and intake assessment procedures, which could allow social work practitioners to make more informed decisions about treatment planning, as well as facilitate conversations with caregivers around identifying sources of stress and developing healthy coping strategies.

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Caregiver Depression and Medication Use by Youths With ADHD Who Receive Services in the Public Sector

Abstract: Caregiver depression and its association with medication use warrant further exploration.

Cited by 14 publications

References 11 publications

Factors Contributing to Reduced Caregiver Strain in a Publicly Funded Child Mental Health System

Factors Contributing to Reduced Caregiver Strain in a Publicly Funded Child Mental Health System

Caregiver Depression and Youth Disruptive Behavior Difficulties

Validation of the Parenting Stress Index–Short Form With Minority Caregivers

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