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

  • Stephen P. Becker
  • Aaron M. Luebbe
  • Joshua M. Langberg

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.


ADHD Attention-deficit/hyperactivity disorder Comorbidity Developmental psychopathology Friendship Peer relations Peer status Social functioning Social skills 

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Stephen P. Becker
    • 1
  • Aaron M. Luebbe
    • 1
  • Joshua M. Langberg
    • 2
    • 3
  1. 1.Department of PsychologyMiami UniversityOxfordUSA
  2. 2.Department of PsychologyVirginia Commonwealth UniversityRichmondUSA
  3. 3.Department of PediatricsUniversity of Cincinnati School of Medicine and Cincinnati Children’s Hospital Medical CenterCincinnatiUSA

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