Attention Deficit Hyperactivity Disorder Like Behavioral Problems and Parenting Stress in Pediatric Allergic Rhinitis
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Objective Previous studies have reported comorbidity of attention deficit and hyperactivity disorder (ADHD) and allergic diseases. The current study investigated ADHD like behavioral symptoms and parenting stress in pediatric allergic rhinitis. Methods Eighty-seven children (6–13 years old) with allergic rhinitis and 73 age- and sex-matched children of control group were recruited. Diagnosis and severity assessments of allergic rhinitis were determined by a pediatric allergist. The Parenting Stress Index-Short Form (PSI-SF), ADHD Rating Scale (ARS), and Child Behavior Checklist (CBCL) were completed by their mothers. Results In the allergic rhinitis group, the total PSI-SF score (p<0.01), ARS score (p<0.01), the subscale scores of the CBCL including somatization, attentional problems and emotional instability (p=0.01; p<0.01; p<0.01) and prevalence of ADHD (p=0.03) were significantly higher than those of the control group. Among mothers of children with allergic rhinitis, those of children with comorbid ADHD demonstrated significantly higher parenting stress than those without comorbid ADHD (p<0.01). Parenting stress was correlated with severity of child’s allergic symptoms and the ARS total score (beta=0.50, p<0.01; beta=0.39, p<0.01). There was a significant correlation between allergic symptom severity and the ARS total score (B=8.4, SD=2.5, t=3.3, p<0.01). Conclusion This study demonstrated that ADHD symptoms were common in children with allergic rhinitis, and this factor increased parenting stress and disrupted the parent-child relationship. Routine evaluation and early management of ADHD symptoms in pediatric allergic rhinitis may benefit families of children with allergic rhinitis.
Abstract
Objective Previous studies have reported comorbidity of attention deficit and hyperactivity disorder (ADHD) and allergic diseases. The current study investigated ADHD like behavioral symptoms and parenting stress in pediatric allergic rhinitis. Methods Eighty-seven children (6–13 years old) with allergic rhinitis and 73 age- and sex-matched children of control group were recruited. Diagnosis and severity assessments of allergic rhinitis were determined by a pediatric allergist. The Parenting Stress Index-Short Form (PSI-SF), ADHD Rating Scale (ARS), and Child Behavior Checklist (CBCL) were completed by their mothers. Results In the allergic rhinitis group, the total PSI-SF score (p<0.01), ARS score (p<0.01), the subscale scores of the CBCL including somatization, attentional problems and emotional instability (p=0.01; p<0.01; p<0.01) and prevalence of ADHD (p=0.03) were significantly higher than those of the control group. Among mothers of children with allergic rhinitis, those of children with comorbid ADHD demonstrated significantly higher parenting stress than those without comorbid ADHD (p<0.01). Parenting stress was correlated with severity of child’s allergic symptoms and the ARS total score (beta=0.50, p<0.01; beta=0.39, p<0.01). There was a significant correlation between allergic symptom severity and the ARS total score (B=8.4, SD=2.5, t=3.3, p<0.01). Conclusion This study demonstrated that ADHD symptoms were common in children with allergic rhinitis, and this factor increased parenting stress and disrupted the parent-child relationship. Routine evaluation and early management of ADHD symptoms in pediatric allergic rhinitis may benefit families of children with allergic rhinitis.
참고문헌 (47)
- Fedele DA, "An examination of the factor structure of parenting capacity measures in chronic illness populations", J Pediatr Psychol, 35, pp.1083~1092 (2010)
- Hilliard ME, "Parent stress and child behaviour among young children with type 1 diabetes", Child Care Health Dev, 37, pp.224~232 (2011)
- Rabung S, "Attachment security and quality of life in atopic dermatitis", Psychother Psychosom Med Psychol, 54, pp.330~338 (2004)
- Walker LO, "Maternal empathy, self-confidence, and stress as antecedents of preschool children’s behavior problems", J Spec Pediatr Nurs, 12, pp.93~104 (2007)
- Shalowitz MU, "The relationship of life stressors and maternal depression to pediatric asthma morbidity in a subspecialty practice", Ambul Pediatr, 1, pp.185~193 (2001)
- Pauli-Pott U, "Infants with atopic dermatitis: maternal hopelessness, child-rearing attitudes and perceived infant temperament", Psychother Psychosom, 68, pp.39~45 (1999)
- Halterman JS, "The impact of childhood asthma on parental quality of life", J Asthma, 41, pp.645~653 (2004)
- Williams S, "Effect of asthma on the quality of life among children and their caregivers in the Atlanta Empowerment Zone", J Urban Health, 77, pp.268~279 (2000)
- Shen CY, "The natural course of eczema from birth to age 7 years and the association with asthma and allergic rhinitis: a population-based birth cohort study", Allergy Asthma Proc, 34, pp.78~83 (2013)
- Schmitt J, "Is atopic disease a risk factor for attention-deficit", hyperactivity disorder? A systematic review, 2010, pp.65, 1506~1524
- Mir E, "Impact of allergic rhinitis in school going children", Asia Pac Allergy, 2, pp.93~100 (2012)
- Sly RM, "Changing prevalence of allergic rhinitis and asthma", Ann Allergy Asthma Immunol, 82, pp.233~248 (1999)
- Stipic-Markovic A, "Prevalence of symptoms of asthma, allergic rhinitis, conjunctivitis and atopic eczema:ISAAC (International Study of Asthma and Allergies in Childhood) in a population of schoolchildren in Zagreb", Acta Med Croatica, 57, pp.281~285 (2003)
- Bjorksten B, "Worldwide time trends for symptoms of rhinitis and conjunctivitis. Phase III of the International Study of Asthma and Allergies in Childhood", Pediatr Allergy Immunol, 19, pp.110~124 (2008)
- Soyoung Hong, "The Prevalence of Atopic Dermatitis, Asthma, and Allergic Rhinitis and the Comorbidity of Allergic Diseases in Children", 환경독성보건학회지, 27, pp.1~8 (2012), 환경독성보건학회
- Spencer TJ, "Attention-deficit", hyperactivity disorder:diagnosis, lifespan, comorbidities, and neurobiology, 2007, pp.32, 631~642
- Brawley A, "Allergic rhinitis in children with attention-deficit", hyperactivity disorder, 2004, pp.92, 663~667
- Polanczyk G, "The worldwide prevalence of ADHD: a systematic review and metaregression analysis", Am J Psychiatry, 164, pp.942~948 (2007)
- Biederman J, "Attention-deficit hyperactivity disorder", Lancet, 366, pp.237~248 (2005)
- Mash EJ, "Parental perceptions of child behavior problems, parenting self-esteem, and mothers’ reported stress in younger and older hyperactive and normal children", J Consult Clin Psychol, 51, pp.86~99 (1983)
- Harvey E, "Parenting of children with attention-defecit", hyperactivity disorder (ADHD): the role of parental ADHD symptomatology, 2003, pp.7, 31~42
- Lee PC, "Parent-child interaction of mothers with depression and their children with ADHD", Res Dev Disabil, 34, pp.656~668 (2013)
- Macek J, "Is there a correlation between ADHD symptom expression between parents and children?", Neuro Endocrinol Lett, 33, pp.201~206 (2012)
- "Coincidence of attention deficit disorder and atopic disorders in children: empirical findings and hypothetical background", J Abnorm Child Psychol, 19, pp.1~13 (1991)
- Han DH, "Association between Atopic Dermatitis and Attention Deficit Hyperactivity Disorder Symptoms in Korean Children", Korean J Psychosomatic Medicine, 14, pp.88~93 (2006)
- Suwan P, "Association between allergic sensitization and attention deficit hyperactivity disorder (ADHD)", Asian Pac J Allergy Immunol, 29, pp.57~65 (2011)
- Warschburger P, "Psychological adjustment in parents of young children with atopic dermatitis: which factors predict parental quality of life?", Br J Dermatol, 150, pp.304~311 (2004)
- Nagano J, "The parenting attitudes and the stress of mothers predict the asthmatic severity of their children: a prospective study", Biopsychosoc Med, 4, pp.12~ (2010)
- Abidin RR, "Parenting stress and its relationship to child health care", Child Health Care, 18, pp.114~116 (1989)
- Abidin RRO, "Parenting Stress Index: Professional Manual, 3rd Edition" (1995), Psychological Assessment Resources
- 이경숙, "한국판 부모 양육스트레스 검사-축약형(Korean versionof Parenting Stress Index-Short Form:K-PSI-SF)의 신뢰도 및 타당도 연구", 한국심리학회지:여성, 13(3), pp.363~377 (2008), 한국여성심리학회
- Achenbach TM, "Manual for Child Behavior Checklist 4-18, 1991 Profile" (1991), University of Vermont Department
- Oh KJ, "Korean Child Behavior Checklist" (1997), Jungang Press
- DuPaul GJ, "Reliability and validity of parent and teacher ratings of attention-deficit", hyperactivity disorder symptoms, 1998, pp.16, 55~68
- 소유경, "한국어판 부모, 교사 ADHD 평가 척도의 신뢰도와 타당도 연구", 신경정신의학, 41(2), pp.283~289 (2002), 대한신경정신의학회
- Zhang S, "ADHD Rating Scale IV:psychometric properties from a multinational study as a clinician-administered instrument", Int J Methods Psychiatr Res, 14, pp.186~201 (2005)
- 유한익, "국내 아동 및 청소년 주의력 평가를 위한 종합주의력검사의 표준화 연구", 소아 청소년 정신의학, 20(2), pp.68~75 (2009), 대한소아청소년 정신의학회
- Brozek JL, "Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines:2010 revision", Allergy Clin Immunol, 126, pp.466~476 (2010)
- 양영희, "서울시 아동을 대상으로 한 주의력결핍과잉행동장애의 선별기준에 대한 연구", 신경정신의학, 47(3), pp.292~298 (2008), 대한신경정신의학회
- American Psychiatric Association Press, "DSM-IV, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition" (1994), American Psychiatric Association Press
- McQuaid EL, "Pediatric Asthma and Problems in Attention, Concentration, and Impulsivity: Disruption of the Family Management System", Fam Syst Health, 26, pp.16~29 (2008)
- Tsai MC, "Prevalence of attention deficit", hyperactivity disorder in pediatric allergic rhinitis: a nationwide populationbased study, 2011, pp.32, 41~46
- Jauregui I, "Allergic rhinitis and school performance", J Investig Allergol Clin Immunol, 19(Suppl 1), pp.32~39 (2009)
- Buske-Kirschbaum A, "Psychoendocrine and psychoneuroimmunological mechanisms in the comorbidity of atopic eczema and attention deficit", hyperactivity disorder, 2013, pp.38, 12~23
- Yonas MA, "Psychosocial stress and asthma morbidity", Curr Opin Allergy Clin Immunol, 12, pp.202~210 (2012)
- Richards LM, "It is time for a more integrated bio-psycho-social approach to ADHD", Clin Child Psychol Psychiatry, 18, pp.483~503 (2013)
- Motoyama K, "The effect of parent training program on children with attention deficit", hyperactivity disorders and, No To Hattatsu, pp.2012, 44[DOI]