A convenience sample of 160 participants included caregivers of children diagnosed with ADHD (inattention, hyperactivity, or a combination thereof) by a psychiatrist, following the DSM-5 TR diagnostic criteria at neurodevelopmental centers in Saudi Arabia

This study evaluates the perceived stress levels of family caregivers during the caregiving process, as developed by Kilik and Hopkins(13). This ten-item scale has been categorized into three distinct domains: caregiving (items one to seven), family issues (items eight and nine), and financial problems (item ten). The caregiving domain gauges stress from a lack of confidence in caregiving abilities, expected future care needs of the relative, and feeling overwhelmed.

Utilizing the Multi-Item Checklist for Mental Health (MHC-SF), devised by Keyes et al. (2005)(15), this study meticulously investigated the emotional, social, and psychological (3,5,6 items, respectively) dimensions of the participants' health, serving as a self-reporting instrument for mental health assessment.

The first edition, which had 20 items, was developed in 1997; it was then reduced to 10. Since its initial development in German, the GSE scale has undergone translations into additional languages(19). The GSES was adapted to assess individuals' perceptions of personal competence. The ten items in the updated version are graded on a 4-point scale, with one denoting "not true about me" and four denoting "totally true about me."