Catherine A Lesesne1, Susanna N Visser, Carla P White. 1. National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. clesesne@cdc.gov
Abstract
OBJECTIVE: To investigate the association between the mental health status of mothers and attention-deficit/hyperactivity disorder (ADHD) in their school-aged children and to characterize the health care access and utilization of families affected by ADHD. METHODS: Survey logistic regression procedures were used to investigate the association between activity-limiting mental health conditions in mothers and ADHD in their school-aged children using 1998 National Health Interview Survey data. A total of 9529 mother-child dyads were included in the final analysis. RESULTS: The prevalence of ADHD among children aged 4 to 17 years was 6.3%. Survey logistic regression statistics revealed an association between an activity-limiting depression, anxiety, or emotional problem in mothers and ADHD in their children. This association persisted after controlling for the gender, age, and race of the child; household income (as a function of the 1997 poverty level); and type of family structure as reported by the mother (adjusted odds ratio [OR]: 4.2; 95% confidence interval [CI]: 2.2-8.1). Mothers of a child with ADHD were 13 times more likely to have consulted with a mental health professional about their child's health within the past year despite reporting an inability to afford prescription medications (OR: 3.3; 95% CI: 2.2-4.9) and mental health care (OR: 7.4; 95% CI: 4.6, 11.8) for the child. CONCLUSIONS: Maternal mental health is significantly associated with the presence of ADHD in school-aged children. This finding further supports a link between maternal mental health and behavioral outcomes in children. Health care utilization and access findings support a family-oriented system of care.
OBJECTIVE: To investigate the association between the mental health status of mothers and attention-deficit/hyperactivity disorder (ADHD) in their school-aged children and to characterize the health care access and utilization of families affected by ADHD. METHODS: Survey logistic regression procedures were used to investigate the association between activity-limiting mental health conditions in mothers and ADHD in their school-aged children using 1998 National Health Interview Survey data. A total of 9529 mother-child dyads were included in the final analysis. RESULTS: The prevalence of ADHD among children aged 4 to 17 years was 6.3%. Survey logistic regression statistics revealed an association between an activity-limiting depression, anxiety, or emotional problem in mothers and ADHD in their children. This association persisted after controlling for the gender, age, and race of the child; household income (as a function of the 1997 poverty level); and type of family structure as reported by the mother (adjusted odds ratio [OR]: 4.2; 95% confidence interval [CI]: 2.2-8.1). Mothers of a child with ADHD were 13 times more likely to have consulted with a mental health professional about their child's health within the past year despite reporting an inability to afford prescription medications (OR: 3.3; 95% CI: 2.2-4.9) and mental health care (OR: 7.4; 95% CI: 4.6, 11.8) for the child. CONCLUSIONS: Maternal mental health is significantly associated with the presence of ADHD in school-aged children. This finding further supports a link between maternal mental health and behavioral outcomes in children. Health care utilization and access findings support a family-oriented system of care.
Authors: Reza Hayatbakhsh; Alexandra M Clavarino; Gail M Williams; William Bor; Michael J O'Callaghan; Jake M Najman Journal: Eur Child Adolesc Psychiatry Date: 2013-08-15 Impact factor: 4.785
Authors: Brian A Primack; Kristy M Hendricks; Meghan R Longacre; Anna M Adachi-Mejia; Julia E Weiss; Linda J Titus; Michael L Beach; Madeline A Dalton Journal: Atten Defic Hyperact Disord Date: 2012-08-12
Authors: L Hakkaart-van Roijen; B W C Zwirs; C Bouwmans; S S Tan; T W J Schulpen; L Vlasveld; J K Buitelaar Journal: Eur Child Adolesc Psychiatry Date: 2007-05-04 Impact factor: 4.785