Impact of Parenting Practices and Family Functioning on Psychological Adjustment of Adolescents with ADHD: Role of Early Maladaptive Schemas

Abstract

Aim: The main objective of this study was to measure the impact of early maladaptive schemas (EMSs) in parenting practices, family functioning and psychological adjustment of adolescents with attention deficit hyperactivity disorder (ADHD). The study also explored gender differences on study variables and differences based on age group. 
 Methods: A cross-sectional research design, including a sample of 100 adolescents (Male=50, Female=50) was selected from different special education institutions, schools and colleges of government and private sector in Islamabad and Rawalpindi. The age of the sample ranged from 12 to 20 years (M=14.73, SD=1.82). The data was collected using Alabama Parenting Questionnaire, Family Assessment Device, Young's Schema Questionnaire, and Personality Assessment Questionnaire. Data analysis was performed using Pearson Product Moment, t-test, One-Way ANOVA, and Hayes process macro for mediation analysis.
 Results: A simple mediation analysis confirmed the significant partial mediation. The indirect effect of healthy family functioning was found to be significant. The direct and indirect effect of positive dimensions of parenting practices was significant. The negative dimensions of parenting practices were also found to have significant direct and indirect effect on psychological adjustment. EMSs significantly partially mediated the relationship between parenting practices, family functioning and psychological adjustment.
 Conclusion: According to the results, it was concluded that parenting practices and family functioning significantly influence the psychological adjustment of adolescents with ADHD. In addition, the EMSs play a significant role in the psychological adjustment of adolescents with ADHD. Gender differences were found on subscale of inconsistent discipline in parenting practices and subscale of emotional instability in psychological adjustment. Similarly, on EMSs these differences were found on six subscales including emotional deprivation, emotional inhibition, defectiveness/shame, social inhibition, vulnerability to harm, and self-sacrifice of EMSs.
 Recommendations: The results suggest broader treatment strategies, considering the parents and family of adolescents with ADHD. The finding can also be incorporated with interactive session for children, parents and family members to develop understanding of the nature of problem, related complexities within families and sorting strategies for adolescents with ADHD. Furthermore, in educational set up these finding may help in training workshops for the teachers to improve the understanding of the needs of adolescents with ADHD.