The impact of undiagnosed ADHD on child outcomes and parenting stress

dc.contributor.authorPenner-Goeke, Lara
dc.contributor.examiningcommitteeRoos, Leslie (Psychology)
dc.contributor.examiningcommitteeAfifi, Tracie (Community Health Sciences)
dc.contributor.supervisorTheule, Jen
dc.date.accessioned2023-09-06T20:52:45Z
dc.date.available2023-09-06T20:52:45Z
dc.date.issued2023-07-24
dc.date.submitted2023-07-24T23:54:57Zen_US
dc.date.submitted2023-09-06T00:37:03Zen_US
dc.degree.disciplinePsychologyen_US
dc.degree.levelMaster of Arts (M.A.)
dc.description.abstractPsychosocial and psychopharmacological treatments can alleviate negative outcomes associated with attention-deficit hyperactivity disorder (ADHD); however, few studies have specifically examined the effects of diagnosis on outcomes. This study examined the relationship between ADHD diagnosis and child conduct problems, child emotional problems, and parenting stress. North American parents of 5- to 16-year-old children (n = 284) completed our online survey. Participants were categorized into groups based on children’s ADHD diagnostic status and levels of ADHD symptoms: (1) children (n = 66) with ADHD diagnoses who met clinical cut-off criteria on a symptom scale (i.e., “diagnosed”); (2) children (n = 25) without ADHD diagnoses, but who met clinical cut-off criteria for symptoms (i.e., “undiagnosed”); (3) children (n = 34) with ADHD diagnoses who did not met clinical cut-off criteria for symptoms (i.e., “low-symptom”); and (4) children (n = 159) who are not diagnosed with ADHD, nor met clinical cut-off criteria on the symptom scale (i.e., “no-ADHD”). Groups differed significantly on all three outcomes. For conduct problems and parenting stress, the diagnosed group showed more problems compared to other groups. There were no significant differences between undiagnosed and low-symptom groups. For emotional problems, the diagnosed and undiagnosed groups showed similar levels of problems, which were significantly higher than the no-ADHD and low-symptom groups. Interactions between diagnostic status and child gender, medication use, and psychosocial intervention access were significant across outcomes; however, pairwise differences were only significant in certain diagnostic groups for certain outcomes. There was no significant association between any outcome and the time that had elapsed since diagnosis. Results suggest that children with undiagnosed ADHD exhibit more conduct problems, and their parents greater stress, than no-ADHD children, but not children with diagnosed or low-symptom ADHD. Children with undiagnosed ADHD also experience more emotional problems than children with no-ADHD or low-symptoms ADHD, but not children with diagnosed ADHD.
dc.description.noteOctober 2023
dc.description.sponsorshipUniversity of Manitoba Tri-Agency Master’s Supplement Award (TMSA) J.G. Fletcher Award (University of Manitoba) University Womens Club of Winnipeg Graduate Scholarship
dc.identifier.urihttp://hdl.handle.net/1993/37587
dc.language.isoeng
dc.rightsopen accessen_US
dc.subjectattention-deficit hyperactivity disorder
dc.subjectdiagnosis
dc.subjectconduct problems
dc.subjectemotional problems
dc.subjectparenting stress
dc.titleThe impact of undiagnosed ADHD on child outcomes and parenting stress
dc.typemaster thesisen_US
local.subject.manitobano
oaire.awardTitleCanadian Graduate Scholarship- Masters
oaire.awardURIhttps://www.nserc-crsng.gc.ca/researchportal-portailderecherche/instructions-instructions/cgs_m-besc_m_eng.asp
project.funder.identifierhttps://doi.org/10.13039/501100000024
project.funder.nameCanadian Institutes of Health Research
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