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Affiliate Stigma in Caregivers of Children with Attention-Deficit/Hyperactivity Disorder: The Roles of Stress-Coping Orientations and Parental Child-Rearing Styles

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  • Chih-Cheng Chang

    (Chi Mei Medical Center, Department of Psychiatry, Tainan 70246, Taiwan
    Department of Health Psychology, College of Health Sciences, Chang Jung Christian University, Tainan 71101, Taiwan
    Chih-Cheng Chang and Yu-Min Chen contributed equally to this work.)

  • Yu-Min Chen

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
    Department of Psychiatry, School of Medicine, and Graduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Chih-Cheng Chang and Yu-Min Chen contributed equally to this work.)

  • Ray C. Hsiao

    (Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98295, USA
    Children’s Hospital and Regional Medical Center, Department of Psychiatry, Seattle, WA 98105, USA)

  • Wen-Jiun Chou

    (College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Kaohsiung Medical Center, Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung 83301, Taiwan)

  • Cheng-Fang Yen

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
    Department of Psychiatry, School of Medicine, and Graduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    College of Professional Studies, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan)

Abstract

Affiliate stigma may increase the risks of negative parenting and psychological and depressive problems in caregivers of children with attention-deficit/hyperactivity disorder (ADHD). Evaluating affiliate stigma and determining how to reduce it are crucial to promoting mental health in caregivers and their children with ADHD. The aim of this study was to examine the associations of stress-coping orientations and parental child-rearing styles with the risk of high affiliate stigma in caregivers of children with ADHD in Taiwan. Affiliate stigma, stress-coping orientations, and parental child-rearing styles were assessed. The results of univariate logistic regression analysis indicated that caregivers’ gender, depressive symptoms, four orientations of stress coping, and two parenting styles, and children’s high severities of internalizing, externalizing, and ADHD symptoms were significantly associated with high affiliate stigma. The results of multivariate logistic regression analysis indicated that after controlling for caregivers’ gender, depressive symptoms, and children’s severity of internalizing, externalizing, and ADHD symptoms, caregivers with high orientation of seeking social support were less likely to have high affiliate stigma than those with low orientation of seeking social support; the caregivers with high care and affection parenting were less likely to have high affiliate stigma than those with low care and affection parenting, whereas the caregivers with high overprotection parenting were more likely to have high affiliate stigma than those with low overprotection parenting. Intervention programs targeting caregiver affiliate stigma must consider various coping orientations and parental child-rearing styles in their approach.

Suggested Citation

  • Chih-Cheng Chang & Yu-Min Chen & Ray C. Hsiao & Wen-Jiun Chou & Cheng-Fang Yen, 2021. "Affiliate Stigma in Caregivers of Children with Attention-Deficit/Hyperactivity Disorder: The Roles of Stress-Coping Orientations and Parental Child-Rearing Styles," IJERPH, MDPI, vol. 18(17), pages 1-11, August.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9004-:d:622662
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    References listed on IDEAS

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    1. Chih-Cheng Chang & Yu-Min Chen & Tai-Ling Liu & Ray C. Hsiao & Wen-Jiun Chou & Cheng-Fang Yen, 2020. "Affiliate Stigma and Related Factors in Family Caregivers of Children with Attention-Deficit/Hyperactivity Disorder," IJERPH, MDPI, vol. 17(2), pages 1-14, January.
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    Cited by:

    1. Pei-Yun Lin & Wen-Jiun Chou & Ray C. Hsiao & Tai-Ling Liu & Cheng-Fang Yen, 2023. "Association of Affiliate Stigma with Parenting Stress and Its Moderators among Caregivers of Children with Attention-Deficit/Hyperactivity Disorder," IJERPH, MDPI, vol. 20(4), pages 1-11, February.
    2. Halewijn M. Drent & Barbara van den Hoofdakker & Jan K. Buitelaar & Pieter J. Hoekstra & Andrea Dietrich, 2022. "Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare," IJERPH, MDPI, vol. 19(19), pages 1-14, October.

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