STRESS, ANXIETY, AND DEPRESSION AMONG CAREGIVERS OF CHILDREN WITH ATTENTION-DEFICIT/HYPERACTIVITY DISORDER AND COMORBID SLEEP DISORDERS

Dac Thang Hoang1, Ngoc Hop Do1, Ngoc Minh Thanh2, Mai Huong Nguyen2, Thi Phuong Mai Nguyen3,
1 Vietnam Military Medical University
2 Vietnam National Children Hospital
3 Hanoi Medical University

Main Article Content

Abstract

Objectives: To assess the levels of stress, anxiety, and depression among caregivers of children with attention-deficit/hyperactivity disorder (ADHD) and sleep disorders, and to examine the correlation between the severity of sleep disorders in children and the levels of stress, anxiety, and depression in caregivers. Methods: A cross-sectional study was conducted on 264 primary caregivers of children with ADHD and comorbid sleep disorders treated at the Department of Psychiatry, National Children’s Hospital, from October 2022 to September 2023. Sleep disorders in children were assessed using the Vietnamese version of the Children’s Sleep Habits Questionnaire (CSHQ-V), while stress, anxiety, and depression in caregivers were evaluated using the Depression Anxiety Stress Scale-21 (DASS-21). Results: The prevalences of stress, anxiety, and depression among caregivers were 73.5%, 67.4%, and 52.3%, respectively. Children’s CSHQ-V score was positively correlated with caregivers’ stress (r = 0.693), anxiety (r = 0.764), and depression (r = 0.646) scores (p < 0.01). Conclusion: Caregivers of children with ADHD and sleep disturbances experience high levels of stress, anxiety, and depression. The severity of sleep disturbances in children is positively associated with the severity of stress, anxiety, and depression among caregivers.

Article Details

References

1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Washington DC. 2013.
2. Jamie Cassoff, Sabrina T Wiebe, Reut Gruber. Sleep patterns and the risk for ADHD: A review. Nature and Science of Sleep. 2012; 4:73-80. https://doi.org/ 10.2147/NSS.S31269.
3. Owens JA. The ADHD and sleep conundrum. J Dev Behav Pediatr. 2005 Aug; 26(4):312-322. DOI: 10.1097/00004703- 200508000-00011.
4. Patience MO, Irene AK, Genevieve CA, et al. Anxiety, depression, and stress in caregivers of children and adolescents with mental disorders. Ghana Med J. 2021; 55(3):173-182.
5. Tseng HW, Tsai CS, Chen YM, et al. Poor mental health in caregivers of children with ADHD. Int J Environ Res Public Health. 2021 Sep 16; 18(18):9745. DOI: 10.3390/ijerph18189745.
6. Huffman LG, Lawrence-Sidebottom D, Huberty J, et al. Sleep problems and parental stress among caregivers of children and adolescents enrolled in a digital mental health intervention. Front Child Adolesc Psychiatry. 2023 Oct 6; 2:1265095. DOI: 10.3389/frcha.2023. 1265095.
7. Chanda N, Alkon A. Use of the family adjustment and adaptation response model to understand the impact of stress in children. Int J Nurs Res Health Care. 2018; IJNHR-155. DOI: 10.29011/IJNHR-155. 100055.
8. Hung SC, Chau AKC, Lei JHC, et al. Prevalence and correlates of depression and anxiety in caregivers of children with attention-deficit/hyperactivity disorder during the fifth wave of COVID-19 and school closure in Hong Kong. Ann Gen Psychiatry. 2025 May 13; 24(1):26. DOI: 10.1186/s12991-025-00569-7.
9. Nguyễn Thị Phương Mai, Nguyễn Lan Hoa, Đào Thị Minh An, Bo Wang, Nguyễn Minh Quyết, Nguyễn Mai Hương, Thành Minh Ngọc, Nguyễn Thị Thanh Mai. Thích ứng bộ câu hỏi thói quen ngủ phiên bản Tiếng Việt ở trẻ em mắc rối loạn tăng động giảm chú ý. Tạp chí Nghiên cứu Y học. 2025; 191(6):492-500. https://doi.org/10.52852/tcncyh.v191i6.3506.
10. Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation. 1995 (Available from The Psychology Foundation, Room 1005 Mathews Building, University of New South Wales, NSW 2052, Australia).