Abstract
Four groups were composed of children referred for friendship problems (age range: 6 to 12 years old). One group was diagnosed with both Attention Deficit Hyperactivity Disorder (ADHD) and Oppositional-Defiant Disorder (ODD), one group with ADHD only, one group with ODD only and one group with neither disorder. Parents and teachers were given questionnaires to rate the social behavior of each child. The groups differed significantly on one parent scale (Self-control) and one teacher scale (Aggression). Inspection of the items composing these scales suggested that some items measured social relationships with adults while other items measured peer relationships. Subsequent factor analysis separated peer and adult components. Analysis of subscales derived from factor analysis revealed the diagnosis of ADHD was associated with increases in classroom disruption and decreased resistance to provocation by peers, while the diagnosis of ODD was associated with increased in hostility towards peers, decreased resistance to provocation by peers and decreased respect for adults. Limitations of the study were: domains of social functioning assessed, sample size and diversity, and the absence of a comparison group with adequate peer relationships. Social skills programs should target social deficits associated with ODD and ADHD. The scales refined in the present study offer a convenient means of assessing peer dysfunction from the points of view of parents and teachers.
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American Psychiatric Association: Diagnostic and statistical manual of mental disorders.(3rd ed., revised). Washington, DC: Author, 1987.
American Psychiatric Association: Diagnostic and statistical manual of mental disorders.(4th ed.). Washington, DC: Author, 1994.
Barkley RA: Attention-deficit hyperactivity disorder. New York: Guilford Press, 1990.
Frederick BP, Olmi DJ: Children with attention-deficit/hyperactivity disorder: A review of the literature on social skills deficits. School Psychol Rev 31: 288–296, 1994.
Pelham WE, Bender ME: Peer relationships in hyperactive children: Description and treatment. In: Advances in Learning and Behavioral Disabilities: A Research Annual (pp. 365–436). Eds., Gadow KD, Bialer I, Greenwich, CT: JAI Press, 1982.
Pope AW, Bierman KL, Mumma GH: Relations between hyperactive and aggressive behavior and peer relations at three elementary grade levels. J Abnorm Child Psychol17: 253–267, 1989.
Teeter PA: Attention deficit hyperactivity disorder: A psychoeducational paradigm. School Psychol Rev20: 266–280, 1991.
Whalen CK, Henker B: The social worlds of hyperactive (ADDH) children. Clin Psychol Rev 5: 1–32, 1985.
Carlson CL, Lahey BB, Frame CL, Walker J, Hynd GW: Sociometric status of clinically referred children with attention deficit disorders with and without hyperactivity. J Abnorm Child Psychol15: 537–547, 1987.
Landau S, Moore L: Social skill deficits in children with attention-deficit hyperactivity disorder. School Psychol Rev 20: 235–251, 1991.
Weiss G, Hechtman LT: Hyperactive Children Grown Up. New York: Guilford, 1986.
Greene RW, Biederman J, Faraone SV, Monuteaux MC, Mick E, DuPre EP, Fine CS, Goring JC: Social impairtment in girls with ADHD: Patterns, gender comparisons, and correlates. J Acad Child Adolesc Psychiat 40: 704–710, 2001.
John K, Gammon GD, Prusoff BA, Warner V: The social adjustment inventory for children and adolescents (SAICA): testing a new semi-structured interview. J Acad Child Adolesc Psychiat 26: 898–911, 1987.
Hinshaw SP, Melnick SM: Peer relationships in boys with attention deficit hyperactivity disorder with and without comorbid aggression. Dev Psychopathol 7: 627–647, 1995.
Melnick SM, Hinshaw SP: What they want and what they get: The social goals of boys with ADHD and comparison boys. J Abnorm Child Psychol 24: 169–185, 1996.
Grenell MM, Glass CR, Katz KS: Hyperactive children and peer interaction: Knowledge and performance of social skills. J Abnorm Child Psychol 15: 1–13, 1987.
Milich R, Dodge KA: Social information processing in child psychiatric populations. J Abnorm Child Psychol12: 471–490, 1984.
Murphy DA, Pelham WE, Lang AR: Aggression in boys with Attention Deficit-Hyperactivity Disorder: Methylphenidate effects on naturally observed aggression, response to provocation, and social information processing. J Abnorm Child Psychol20: 451–466, 1992.
Pekarik E, Prinz R, Liebert D, Weintraub S, Neale J: The Pupil Evaluation Inventory: A sociometric technique for assessing children's social behavior. J Abnorm Child Psychol 4: 83–97, 1976.
Buhrmeister D, Whalen CK, Henker B, MacDonald V, Hinshaw SP: Prosocial behavior in hyperactive boys: Effects of stimulant medication and comparison with normal boys. J Abnorm Child Psychol 20: 103–121, 1992.
Landau S, Milich R: Social communication patterns of Attention-Deficit-Disordered boys. J Abnorm Child Psychol 16: 69–81, 1988.
Conners CK: A teacher rating scale for use in drug studies with children. Am J Psychiat 126: 885–888, 1969.
Atkins MS, Stoff DM: Instrumental and hostile aggression in childhood disruptive behavior disorders. J Abnorm Child Psychol 21: 165–178, 1993.
Matthys W, Cuperus JM, Van Engeland H: Deficient social problem-solving in boys with ODD/CD, with ADHD, and with both disorders. J Acad Child Adolesc Psychiat38: 311–321, 1999.
Dodge KA: A social information processing model of social competence in children. In: Minnesota Symposium on Child Psychology (pp. 77–126). Ed, Perlmutter M, Hillsdale, NJ: Erlbaum, 1986.
Jensen PS, Martin D, Cantwell DP: Comorbidity in ADHD: Implications for research, practice and DSM-IV. J Acad Child Adolesc Psychiat 36: 1065–1079, 1997.
Bierderman J, Munir K, Knee D: Conduct and oppositional disorder in clinically referred children with attention deficit disorder: A controlled family study. J Acad Child Adolesc Psychiat 26: 724–727, 1987.
Milich R, Landau S: Socialization and peer relations in hyperactive children. In, Advances in learning and behavioral disabilities: A research annual (pp. 283–339). Vol. 1. Eds, Gadow KD, Bialer I. Greenwich, CT: JAI Press, 1982.
Frankel F, Hanna GL, Cantwell DP, Shekim WO, Ornitz E: Cluster analysis of child behavior checklists of 6–11 year old males with varying degrees of behavior disorder. Child Psychiat Hum Dev 23: 69–85, 1992.
Ledingham JE, Younger A, Schwartzman A, Bergeron G: Agreement among teacher, peer and self-ratings of children's aggression, withdrawal and likability. J Abnorm Child Psychol10: 363–372, 1982.
Bearison DJ, Gass ST: Hypothetical and practical reasoning: Children's persuasive appeals in different social contexts. Child Devel 50: 901–903, 1979.
Damon W: The social world of the child. San Francisco: Jossey-Bass, 1977.
Asher SR, Markell RA, Hymel S: Identifying children at risk in peer relations: A critique of the rate-of-interaction approach to assessment. Child Devel 52: 1239–1245, 1981.
Landau S, Moore L: Social skill deficits in children with attention-deficit hyperactivity disorder. School Psychol Rev 20: 235–251, 1991.
Miller N, Maruyama G: Ordinal position and peer popularity. J Personality Soc Psychol 33: 123–131, 1976.
Cowen EL, Pederson A, Babigan H, Izzo LD, Trost MA: Long-term follow-up of early detected vulnerable children. J Consult Clin Psychol 41: 438–446, 1973.
Glow RA, Glow PH: Peer and self-rating: Children's perception of behavior relevant to hyperkinetic impulse disorder. J Abnorm Child Psychol 8: 397–404, 1980.
Frankel F, Myatt R, Cantwell DP, Feinberg DT: Parent Assisted Children's Social Skills Training: Effects on Children With and Without Attention-Deficit Hyperactivity Disorder. J Acad Child Adolesc Psychiat 36: 1056–1064, 1997.
Barkley RA: ADHD clinic parent interview. Unpublished manuscript, University of Massachusetts, School of Medicine, Worcester, 1991.
Gresham FM, Elliott SN: Social skills rating system. Manual. Circle Pines, MN: American Guidance Service, 1990.
Ledingham JE, Younger A, Schwartzman A, Bergeron G: Agreement among teacher, peer and self-ratings of children's aggression, withdrawal and likability. J Abnorm Child Psychol 10: 363–372, 1982.
Tremblay RE, LeBlanc M, Schwartzman AE: The predictive power of first-grade peer and teacher ratings of behavior: Sex differences in antisocial behavior and personality at adolescence. J Abnorm Child Psychol 16: 571–583, 1988.
Ledingham JE: Developmental patterns of aggressive and withdrawn behavior in childhood: A possible method for identifying preschizophrenics. J Abnorm Child Psychol 9: 1–22, 1981.
La Greca AM: Peer acceptance: The correspondence between children's sociometric scores and teachers' ratings of peer interactions. J Abnorm Child Psychol 9: 167–178, 1981.
Ledingham JE, Younger A: The influence of the evaluator on assessments of children's social skills. In: Children's peer relations: Issues in assessment and intervention (pp. 111–121). Eds, Schneider BET, Rubin KT, Ledingham JE, New York: Springer-Verlag, 1985.
Pope AW, Bierman KL, Mumma GH: Aggression, hyperactivity, and inattention immaturity: Behavior dimensions associated with peer rejection in elementary school boys. Dev Psychol 27: 663–671, 1991.
Gresham FM, Nagle RJ: Social skills training with children: Responsiveness to modeling and coaching as a function of peer orientation. J Consult Clin Psychol 48: 718–729, 1980.
Ladd GW: Effectiveness of a social learning method for enhancing children's social interaction and peer acceptance. Dev Psychol 52: 171–178, 1981.
Oden S, Asher SR: Coaching children in social skills for friendship making. Child Dev 48: 495–506, 1977.
Walker H, McConnell S, Holmes D, Todis B, Walker JL, Golden N: A curriculum for children's effective peer and teacher skills (ACCEPTS). Austin, TX: Pro-Ed Publishers, 1983.
Bierman KL: Improving the peer relationships of rejected children. In: Advances in clinical child psychology, Vol 12. Eds, Lahey BB, Kazdin AE, New York: Plenum Press, 1989.
Bierman KL, Miller CM, Stabb S: Improving the social behavior and peer acceptance of rejected boys: Effects of social skills training with instructions and prohibitions. J Consult Clin Psychol55: 194–200, 1987.
Gresham FM: Utility of cognitive-behavioral procedures for social skills training with children: A critical review. J Abnorm Child Psychol 13: 411–423, 1985.
Michelson L, Mannarino AP, Marchione KE, Stern M, Figeroa J, Beck S: A comparative outcome study of behavioral social-skills training, interpersonal-problem-solving, and non-directive control treatments with child psychiatric outpatients. Behav Res Ther 21: 545–556, 1983.
Michelson L, Wood R: A group assertive training program for elementary schoolchildren. Child Behav Ther2: 1–9, 1980.
Tremblay RE, McCord J, Boileau H, Charlebois P, Gagnon C, Le Blanc M, Larivee S: Can disruptive boys be helped to become competent? Psychiat 54: 148–161, 1991.
La Greca AM, Santogrossi DA: Social skills training with elementary school students: A behavioral group approach. J Consult Clin Psychol 48: 220–227, 1980.
Russell A, Finney V: Preschool children's social status and maternal instructions to assist group entry. Dev Psychol 26: 603–611, 1990.
Parke RD, Ladd GW (Eds.): Family-peer relationships: Modes of linkage. Hillsdale, NJ: Lawrence Earlbaum, 1992.
Budd KS: Parents as mediators in the social skills training of children. In: Handbook of social skills training and research (pp. 245–262). Eds, L'Abate L, Milan MA, New York: Wiley, 1985.
Ladd GA, Asher SR: Social skill training and children's peer relations. In: Handbook of social skills training and research (pp. 219–244). Eds, L'Abate L, Milan MA, New York: Wiley, 1985.
Frankel F, Myatt R, Cantwell DP: Training outpatient boys to conform with the social ecology of popular peers: Effects on parent and teacher ratings. J Clin Child Psychol 24: 300–310, 1995.
Pfiffner L, McBurnett K: Social skills training with parent generalization: Treatment effects for children with attention deficit disorder. J Consult Clin Psychol 65: 749–757, 1997.
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Frankel, F., Feinberg, D. Social Problems Associated with ADHD vs. ODD in Children Referred for Friendship Problems. Child Psychiatry Hum Dev 33, 125–146 (2002). https://doi.org/10.1023/A:1020730224907
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DOI: https://doi.org/10.1023/A:1020730224907