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Difficulties in Managing Children’s Learning among Caregivers of Children with Attention-Deficit/Hyperactivity Disorder during the COVID-19 Pandemic in Taiwan: Association with Worsened Behavioral and Emotional Symptoms

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  • Chao-Ying Chen

    (School of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Department of Internal Medicine/Pediatric, New Taipei City Tucheng Hospital (Chang Gung Medical Foundation), New Taipei City 23652, Taiwan
    These authors contributed equally to this work.)

  • Jung-Sheng Chen

    (Department of Medical Research, E-Da Hospital, Kaohsiung 82445, Taiwan
    These authors contributed equally to this work.)

  • Chung-Ying Lin

    (Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan)

  • Ray C. Hsiao

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

  • Ching-Shu Tsai

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

  • Cheng-Fang Yen

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    Department of Psychiatry, School of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    College of Professional Studies, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan)

Abstract

School closures during the COVID-19 pandemic have interfered with children’s learning. The aim of this study was to investigate the difficulties in managing children’s learning at home and attending afterschool learning programs and their related factors among caregivers of children with attention-deficit/hyperactivity disorder (ADHD) during the COVID-19 pandemic. In total, 252 caregivers of children with ADHD completed a questionnaire collecting difficulties in managing children’s learning, parenting styles, children’s worsened symptoms of ADHD, oppositional defiant disorder (ODD) and emotion, and increased Internet use. Multivariate logistic regression models were used to examine the factors related to caregiver difficulties in managing children’s learning and children’s worsened ADHD, ODD, and emotional symptoms. In total, 85.3% of the caregivers had difficulty in asking their children to learn at home; 28.2% had difficulty in taking children to afterschool learning programs. Children’s worsened anger was significantly associated with higher caregiver difficulty in asking children to learn at home, whereas parental overprotection was significantly associated with lower caregiver difficulty in asking children to learn at home. Worsened hyperactivity and opposition were significantly associated with higher caregiver difficulty in taking children to attend afterschool learning programs. Interventions for enhancing caregivers’ skills to manage children’s learning and children’s behavioral and emotional symptoms should take the related factors found in this study into consideration.

Suggested Citation

  • Chao-Ying Chen & Jung-Sheng Chen & Chung-Ying Lin & Ray C. Hsiao & Ching-Shu Tsai & Cheng-Fang Yen, 2022. "Difficulties in Managing Children’s Learning among Caregivers of Children with Attention-Deficit/Hyperactivity Disorder during the COVID-19 Pandemic in Taiwan: Association with Worsened Behavioral and," IJERPH, MDPI, vol. 19(21), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:13722-:d:950224
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    References listed on IDEAS

    as
    1. Rafat Ghanamah & Hazar Eghbaria-Ghanamah, 2021. "Impact of COVID-19 Pandemic on Behavioral and Emotional Aspects and Daily Routines of Arab Israeli Children," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    2. Rosa Bosch & Mireia Pagerols & Raquel Prat & Gemma Español-Martín & Cristina Rivas & Montserrat Dolz & Josep Maria Haro & Josep Antoni Ramos-Quiroga & Marta Ribasés & Miquel Casas, 2022. "Changes in the Mental Health of Children and Adolescents during the COVID-19 Lockdown: Associated Factors and Life Conditions," IJERPH, MDPI, vol. 19(7), pages 1-17, March.
    3. Hui-Wen Tseng & Ching-Shu Tsai & Yu-Min Chen & Ray C. Hsiao & Fan-Hao Chou & Cheng-Fang Yen, 2021. "Poor Mental Health in Caregivers of Children with Attention-Deficit/Hyperactivity Disorder and Its Relationships with Caregivers’ Difficulties in Managing the Children’s Behaviors and Worsened Psychol," IJERPH, MDPI, vol. 18(18), pages 1-16, September.
    Full references (including those not matched with items on IDEAS)

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