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| Relationship between digital media use and family function and parenting self-efficacy of school-aged children with attention-deficit/hyperactivity disorder during stress event and home quarantine |
| HE Shan, SHUAI Lan, ZHANG Jinsong, WANG Zhouye, QIU Meihui, XIA Weiping, CAO Xuan, LU Lu, HUA Ying |
| Department of Clinical Psychology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092 , China |
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Abstract Objective To investigate the characteristics of family function and parenting self-efficacy of school-aged children with attention-deficit/hyperactivity disorder（ADHD）who overused digital media during COVID-19 virus pandemic, and discuss the relationship among them to provide a basis for intervention in family under stress event. Methods A total of 194 ADHD children were selected and divided into overuse group and normal use group according to the self-rating questionnaire for adolescent problematic mobile phone use（SQAPMPU）and internet addiction test（IAT）.The parents in the two groups filled out family assessment device（FAD）, parenting sense of competence（PSOC）, patient health questionnaire 9 -item（PHQ-9）, and generalized anxiety disorder assessment 7-item（GAD-7）to assess family functioning of ADHD children, parenting satisfaction, efficacy, and their mental health. Results Communication and role factor in FADof the overuse group scored significantly higher than those in the normal group（P<0.05）, but parenting efficacy, parenting satisfaction,and total parenting sense of competence scored significantly lower than those in the normal group（P<0.05）. The PHQ-9 and GAD-7 scores of ADHD children’s parents in the overuse group were significantly higher than those in the normal group（P<0.05）. FAD had a significant positive effect on internet addiction（P<0.05）, and PSOC had a significant negative effect on internet addiction andproblematic mobile phone use（P<0.05）. Conclusion Families of ADHD children who tend to overuse digital media have obvious problems in communication and role function. Parents of such ADHD children have low self-evaluation on their parenting ability and satisfaction, and the anxiety and depression levels of such parents are relatively higher. In addition, family function and parenting sense of competence can affect digital media use behavior of ADHD children. Under such stress event, the management of digital media use of ADHD children should be focused on improving family function and the sense of competence in parenting.
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