“I Wish I Had Given Birth to a Stone Instead of You”—Challenges, Needs and Strategies of Parents of ADHD Children: A Dyadic Qualitative Study
摘要
Attention-Deficit/Hyperactivity Disorder (ADHD) is among the most prevalent developmental disorders of childhood and adolescence. Parents of children with ADHD encounter challenges across multiple aspects of parenting. This study aimed to explore the challenges, needs, and strategies of parents of children with ADHD using a qualitative dyadic perspective and to examine how these challenges affect family relationships. Using purposive sampling, semi-structured interviews were conducted with nine couples (18 individuals) who were parents of children aged 8 to 12 years who had received a formal ADHD diagnosis at least six months prior to the study. The qualitative data were analyzed using the eight-step method described by Collaço et al. Findings revealed that these parents face significant challenges in upbringing, education, and treatment, which heighten parenting stress and underscore the need for psychosocial support and a reevaluation of the couple’s relationship. A notable difference emerged in how mothers and fathers perceive needs and coping strategies; mothers more frequently reported feeling isolated in managing responsibilities compared to fathers and emphasized the importance of couple-based and social support. These differences can contribute to parental conflict in child-rearing and heightened relational tension. Parents’ needs were identified across four domains: interpersonal, environmental, academic, and therapeutic. The prioritization of these needs—whether for specialized counseling, educational resources, or improving the couple’s relationship—varies depending on individual perspectives. By providing an analytical framework, this study lays the groundwork for designing supportive social work policies and interventions to improve the quality of life for parents of children with ADHD and enhance dyadic interactions.