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Cited by 157Attention Deficit Hyperactivity DisorderFamily and Disability Support ResearchChild and Adolescent Psychosocial and Emotional Development

Social Networks, Caregiver Strain, and Utilization of Mental Health Services Among Elementary School Students at High Risk for ADHD

Bussing, Regina, Zima, Bonnie T., Gary, Faye A., Mason, Dana M., Leon, Christina E., Sinha, Karabi, Garvan, Cynthia Wilson·2003·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/01.chi.0000046876.27264.bf
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Abstract

Objective This study explores whether parental support networks vary by sociodemographic factors among children at high risk for attention-deficit/hyperactivity disorder (ADHD) and whether network characteristics influence the receipt of mental health treatment for the child.Method A school district-wide, two-phase screening study design was used to identify 266 children at high risk for ADHD. Parents completed standardized instruments assessing network structure and function, DSM-IV diagnoses of disruptive disorders, caregiver strain, and treatment receipt, and children self-reported internalizing symptoms. Relationships were examined with analysis of variance and multivariate prediction, adjusting for sociodemographic characteristics, psychopathology, and parental strain.Results Network characteristics varied by race and socioeconomic status (SES), but not by child gender. African-American and disadvantaged parents reported smaller network sizes, but more frequent contact and higher levels of support than their white and high-SES counterparts. High levels of instrumental support lowered the odds of ADHD treatment during the 12 months before (OR =.7, p <.001) and after (OR =.7, p <.001) the network assessment interview. In contrast, parental strain increased the likelihood of ADHD treatment during both periods.Conclusions Clinicians should anticipate high levels of caregiver strain and low levels of instrumental support among their patients' parents and address the potential high need for respite care in treatment plans.

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Authors
Bussing, R., Zima, B. T., Gary, F. A., Mason, D. M., Leon, C. E., Sinha, K., & Garvan, C. W.
Affiliations
University of California, Los Angeles (US)
Corresponding author
Bussing, Regina
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2003-07
Volume
42
Issue
7
Pages
842-850
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/01.chi.0000046876.27264.bf
OpenAlex
W2074026223
Cited by
157
References
52
Citations by year
2026: 3 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 3 · 2020: 11 · 2019: 5 · 2018: 7 · 2017: 3 · 2016: 8 · 2015: 6 · 2014: 12 · 2013: 9 · 2012: 14
FWCI
4.49
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (R01-MH-57399, R01MH057399)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
attention deficit hyperactivity disorder, parental social networks, caregiver burden, mental health service utilization, instrumental support, sociodemographic disparities, race, socioeconomic status, African American parents, disruptive behavior disorders, internalizing problems, respite care, elementary school students
MeSH terms
Attention Deficit Disorder with Hyperactivity, Child, Humans, Mass Screening, Mental Health Services, Parent-Child Relations, Parents, Surveys and Questionnaires, Risk Factors, Social Support, Stress, Psychological, Students, Prevalence, Caregivers

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