The Effects of An Adjustment-Promoting Program On The Stress Management Skills of Mothers Of Children With Attention Deficit Hyperactivity Disorder

Main Article Content

กานต์ตริน ศรีสุวรรณ
ชมชื่น สมประเสริฐ
ติรยา เลิศหัตถศิลป์


The purpose of this quasi-experimental research was to determine the effects of an adjustmentpromoting program on the stress management skills of mothers of children with attention-deficit/hyperactivity disorder (ADHD). The sample consisted of 60 mothers of children with attention-deficit/hyperactivity disorder, who were recruited using the inclusion criteria. They were randomly assigned to the control and experimental groups, with 30 subjects in each group. The experimental group participated in the adjustment-promoting program which comprised 8 sessions, once a week for 8 weeks. The control group received routine care. The research instruments were the following: 1) a personal data questionnaire; 2) the adjustment-promoting program; 3) and a stress management skills scale which determined the reliability with a Cronbach’s alpha coefficient of .89. The data analysis was performed through descriptive statistics and t-test.

The research findings were as follows: 1) The mean score on the post-test (M = 57.33, SD = 5.62) of participants in the experimental group after participating in the program was significantly greater than the pre-test (M = 41.30, SD = 5.29) (t = 6.41, p<.001) and 2). The mean difference of the mean score of stress management skills between the pre-test and post-test in the experimental group (gif.latex?\bar{D}_{1} =16.03  , SD = 6.85) was significantly greater than that of the control group that received routine care. ( gif.latex?\bar{D}_{2} = 0.50, SD = 3.82) (t = 5.42, p<.001). As a result of this study, it can be concluded that the adjustment-promoting program can enhance the stress management skills of mothers of children with attention-deficit/hyperactivity disorder and can be developed the adjustment-promoting program for other mothers or caregivers.


Download data is not yet available.

Article Details

How to Cite
ศรีสุวรรณก, สมประเสริฐช, เลิศหัตถศิลป์ต. The Effects of An Adjustment-Promoting Program On The Stress Management Skills of Mothers Of Children With Attention Deficit Hyperactivity Disorder. J Royal Thai Army Nurses [Internet]. 2019Dec.30 [cited 2020Feb.20];20(3):286-95. Available from:
Research Articles


1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, D.C, London, England: American Psychiatric Association, 2013.

2. Visanuyothin T, Pavasuthipaisit C, Wachiradilok P, Arunruang P, Buranasuksakul T. The prevalence of attention deficit/hyperacitivity disorder in Thailand. Journal of Mental Health of Thailand. 2013; 21:66-75 (in Thai)

3. Ngamkum D, Yunibhan J. Relationships Between Family Factor And Behavioral Problems In Children With Attention-Deficit Hyperactivity Disorder, Eastern Region. The Journal Of Psychiatric Nursing And Mental Health. 2013;27: 16-28 (in Thai)

4. Wiener J, Biondic D, Grimbos T, Herbert M. Parenting stress of parents of adolescents with attention-deficit hyperactivity disorder. Journal of abnormal child psychology. 2016; 44: 561-574.

5. Theule J, Wiener J, Tannock R, Jenkins JM. Parenting stress in families of children with ADHD: A meta-analysis. Journal of Emotional and Behavioral Disorders. 2013; 21: 3-17.

6. Pimentel MJ, Vieira-Santos S, Santos V, Vale MC. Mothers of children with attention deficit/hyperactivity disorder: relationship among parenting stress, parental practices and child behaviour. ADHD Attention Deficit and Hyperactivity Disorders. 2011; 3: 61-68.

7. Yousefia S, Far AS, Abdolahian E. Parenting stress and parenting styles in mothers of ADHD with mothers of normal children. ProcediaSocial and Behavioral Sciences. 2011; 30: 1666-1671. 9.

8. Mazursky-Horowitz H, Felton JW, MacPherson L, Ehrlich KB, Cassidy J, Lejuez CW, ChronisTuscano A. Maternal emotion regulation mediates the association between adult attention-deficit/hyperactivity disorder symptoms and parenting. Journal of abnormal child psychology. 2015; 43: 121-131.

9. Williamson D, Johnston C, Noyes A, Stewart K, Weiss MD. Attention-deficit/hyperactivity disorder symptoms in mothers and fathers: family level interactions in relation to parenting. Journal of abnormal child psychology. 2017; 45: 485-500.

10. Chanjam S, Sangon S, Thaweekoon T. A survey of depression research in Thailand. Ramathibodi Nursing Journal. 2011; 17: 412-429.

11. Theule J, Wiener J, Rogers MA, Marton I. Predicting parenting stress in families of children with ADHD: Parent and contextual factors. Journal of Child and Family Studies. 2011; 20: 640-647.

12. Chumjit S. Effect of an empowerment program on caregiver’ self-efficacy in care of attentiondeficit/hyperactivity disorder [dissertation]. Yuwaprasart Waithayopathum hospital; 2012. (in Thai)

13. Parand A, Afrooz G, Mansoor M, Yekta MS, Besharat M, Khooshabi K. Developing stress management program for mothers of children with ADHD and its effectiveness on their mental health. Procedia-Social and Behavioral Sciences. 2010;5:1135-1139.

14. Van der Oord S, Bogels SM, Peijnenburg D. The effectiveness of mindfulness training for children with ADHD and mindful parenting for their parents. Journal of child and family studies. 2012; 21: 139-147.

15. Miller CJ, Brooker B. Mindfulness programming for parents and teachers of children with ADHD. Complementary therapies in clinical practice. 2017;28:108-115.

16. Lindo EJ, Kliemann KR, Combes BH, Frank J. Managing stress levels of parents of children with developmental disabilities: A metaanalytic review of interventions. Family Relations. 2016; 65: 207-224.

17. Pender, N. J., Murdaugh, C. L., & Parson, M. A. Health promotion in nursing Practice. 6thed. The United Stated of America: Pearson Education; 2011.

18. Abidin RR. Introduction to the special issue: The stresses of parenting. Journal of clinical child psychology. 1990; 19: 298-301.

19. Abidin RR. The determinants of parenting behavior. Journal of clinical child psychology. 1992; 21: 407-412.

20. Lazarus, R. S., & Flokman. Stress, appraisal, and coping. New York: Spinger; 1984.

21. Kaewpijit U, Somprasert C, Kummabutr J. The Effects of a Social Relationship Program on The Loneliness of Older. Journal of The Royal Thai Army Nurses. 2018; 19 : 129-137 (in Thai)

22. Bous, D., Keogt, R., & Walker, D. Reflection turning experience into learning. New York: Nichols; 1985.

23. Grove, R. J., K. S. & Burns, N. The Practice of nursing research St. Louis, Mo: Elsevier/Saunders; 2013

24. Tadsing S, Somprasert C, Siriumpunkul P. The Effects of An Integrated Stress Management Program on The Stress Management Skills of Mothers of Children With Autism Spectrum Disorder. Journal of The Royal Thai Army Nurses. 2017; 18: 284-291 (in Thai)

25. Klongdee K, Nintachan P, Sangon S. Factors Related to Parenting Stress in Caregivers of Children With Attention-Deficit/Hyperactivity Disorder. The Journal of Psychiatric Nursing and Mental Health. 2016; 30(1): 52-68. (in Thai)