Emotional and behavioral problems in siblings of ADHD children at King Chulalongkorn Memorial Hospital
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Abstract
ABSTRACT
Objective : To examine the prevalence and associated factors of emotional and behavioral problems among siblings of ADHD children at King Chulalongkorn Memorial Hospital
Method : This study was a cross-sectional descriptive study. Participants were 106 siblings of ADHD children who were receiving treatment at King Chulalongkorn Memorial Hospital during November 2019- November 2020. Parents answered the questionnaires including general information, Swanson, Nolan, and Pelham IV Scale (SNAP-IV) Thai version, Strengths and difficulties questionnaire Thai version, and Chulalongkorn Family Inventory. Diagnoses and comorbidities of patients were collected by medical record review. Descriptive statistics were used to explore frequency, percent, and mean. Fisher Exact test was used to explore the association.
Result : Among siblings of ADHD children, 10.4% of had emotional problem, 9.7% had hyperactive/ inattentive problem, 12.3% had conduct problem, and 6.7% had peer relationship problem. Factors associated with emotional and behavioral problems among siblings of ADHD children were age of parents (40 year-old or less), patients being an eldest child, patients having comorbidity, patients’ SNAP-inattention scores greater-than or equal to 16, patients’ SNAP-hyperactivity/ impulsivity scores greater-than or equal to 14, age of siblings (10 year-old or less), family dysfunction in communication and general function, and insufficient family income.
Conclusion: The prevalence of emotional, behavioral, and peer relationship problem among siblings of ADHD patients in this study was found to be higher than previous study conducted among general population. Associated factors were age of parent, patients’ birth order and comorbidity, severity of patient’s ADHD symptom, age of sibling, family functioning in communication and general functioning scale, and sufficiency of family income.
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