Evidence map›Paper›PMID 41194081›Full record

ArticleBMC psychiatry2025

Parental psychosocial factors associated with parental reporting of their child's administrative ADHD diagnosis - results from the consortium project INTEGRATE-ADHD.

Ann-Kristin Beyer, Lilian Beck, Heike Hölling, Thomas Jans, Sophia Weyrich, Marcel Romanos, Anne Kaman, Ulrike Ravens-Sieberer, Julian Witte, Peter Heuschmann and 3 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Ann-Kristin BeyerDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Gerichtstraße 27, 13347, Berlin, Germany. beyera@rki.de.
Lilian BeckDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Gerichtstraße 27, 13347, Berlin, Germany.
Heike HöllingDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Gerichtstraße 27, 13347, Berlin, Germany.
Thomas JansDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Centre of Mental Health, University Hospital Würzburg, Würzburg, Germany.
Sophia WeyrichDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Centre of Mental Health, University Hospital Würzburg, Würzburg, Germany.
Marcel RomanosDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Centre of Mental Health, University Hospital Würzburg, Würzburg, Germany.
Anne KamanDepartment of Child and Adolescent Psychiatry and Psychotherapy, Research Section "Child Public Health", University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Ulrike Ravens-SiebererDepartment of Child and Adolescent Psychiatry and Psychotherapy, Research Section "Child Public Health", University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Julian WitteVandage GmbH, Bielefeld, Germany.
Peter HeuschmannInstitute of Clinical Epidemiology and Biometry, Julius Maximilian University of Würzburg, Würzburg, Germany.
Cordula RiedererDAK-Gesundheit, Hamburg, Germany.
Robert SchlackDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Gerichtstraße 27, 13347, Berlin, Germany.
INTEGRATE-ADHD Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs one of the most commonly diagnosed psychiatric disorders in children and adolescents, reliable prevalence data on attention-deficit/hyperactivity disorder (ADHD) is highly relevant to health policy and health care planning. However, routine data and parental diagnosis reports from surveys - as important data sources on child ADHD - often differ. This study investigates whether parental psychosocial factors are associated with parental diagnosis reporting in German parents whose child is registered with an administrative ADHD diagnosis (ICD-10 F90.0-9) with their statutory health insurance. We expected more parental burden to be associated with a lower likelihood of a parental diagnosis report.

methodsParents of 5,461 children and adolescents who presented with an administrative ADHD diagnosis in 2020 answered online questions about their child's ADHD diagnosis and various psychosocial characteristics, including parental strain, parental psychological problems, parental ADHD diagnosis, family cohesion and parental health literacy. Chi-square tests and unadjusted linear regressions were used to analyze group differences in parental psychosocial characteristics between parents who reported the ADHD diagnosis and those who did not. Binary logistic regressions were conducted to predict the parental report of their child's ADHD diagnosis in the survey.

resultsGroup comparisons revealed that parents who reported their child's ADHD diagnosis displayed significantly more parental strain, more psychological problems, higher rates of maternal and paternal ADHD, lower levels of family cohesion and lower health literacy than parents who did not report their child's ADHD diagnosis. The results were partly confirmed in multivariate analysis, where maternal (OR = 3.18) and paternal ADHD (OR = 2.94) turned out to be the strongest predictor of a parental diagnosis report.

conclusionsContrary to our expectations, parental psychosocial burden, in particular parental ADHD diagnosis, increased the likelihood of a parental report of their child's ADHD diagnosis, which may point to a greater sensitivity and awareness of affected parents towards their child's ADHD. The findings suggest that differences in the diagnosis prevalence of child ADHD between routine and survey data may vary as a function of parental psychosocial factors.

Indexed as

Attention Deficit Disorder with HyperactivityHealth LiteracyParentsStress, PsychologicalAdolescentChildChild, PreschoolFemaleGermanyHumansMaleMultivariate AnalysisSurveys and QuestionnairesChild ADHD diagnosisFamily cohesionHealth literacyParental ADHDParental psychological problemsParental reportingParental strainPsychosocialRoutine dataSurvey data

Identifiers

PMID41194081
PMCPMC12590757

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.