Clinical Child and Family Psychology Review

, Volume 15, Issue 4, pp 279–302

Co-occurring Mental Health Problems and Peer Functioning Among Youth with Attention-Deficit/Hyperactivity Disorder: A Review and Recommendations for Future Research


    • Department of PsychologyMiami University
  • Aaron M. Luebbe
    • Department of PsychologyMiami University
  • Joshua M. Langberg
    • Department of PsychologyVirginia Commonwealth University
    • Department of PediatricsUniversity of Cincinnati School of Medicine and Cincinnati Children’s Hospital Medical Center

DOI: 10.1007/s10567-012-0122-y

Cite this article as:
Becker, S.P., Luebbe, A.M. & Langberg, J.M. Clin Child Fam Psychol Rev (2012) 15: 279. doi:10.1007/s10567-012-0122-y


It is well established that children and adolescents with attention-deficit/hyperactivity disorder (ADHD) frequently experience co-occurring mental health problems in addition to difficulties in their peer relationships. Although substantial research has focused on the extent to which peer functioning contributes to subsequent co-occurring mental health problems, much less research has considered how co-occurring mental health problems affect peer functioning domains. Therefore, the purpose of this review is to examine the effect of co-occurring mental health problems on the peer functioning of youth with ADHD. The impact of co-occurring externalizing (i.e., oppositional defiant disorder, conduct disorder) and internalizing (i.e., anxiety, depression) symptoms are reviewed, with a focus on whether these co-occurring symptoms exacerbate, attenuate, or have no effect across peer domains of social skills/competence, peer status, and friendship among youth with ADHD. Drawing from a developmental psychopathology framework, this review then draws attention to relevant causal processes and developmental cascades (including social-cognitive, affective, and family and parenting factors) in offering promising avenues for future work.


ADHDAttention-deficit/hyperactivity disorderComorbidityDevelopmental psychopathologyFriendshipPeer relationsPeer statusSocial functioningSocial skills

Copyright information

© Springer Science+Business Media, LLC 2012