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Child Psychiatry & Human Development

, Volume 50, Issue 1, pp 35–44 | Cite as

Fathers with Childhood ADHD, Parenting, and Their Young Children’s Behavior: Offspring of the Pittsburgh ADHD Longitudinal Study (PALS)

  • Heather M. JosephEmail author
  • Traci M. Kennedy
  • Elizabeth M. Gnagy
  • Susan B. Perlman
  • William E. PelhamJr.
  • Brooke S. G. Molina
Original Article

Abstract

Despite high heritability, no research has followed children with ADHD to parenthood to study their offspring and parenting behaviors. Given greater prevalence of ADHD in males and lack of research involving fathers, this study evaluated offspring of fathers with and without ADHD histories for ADHD and disruptive behavior and compared fathers’ parenting behaviors. Male fathers (N = 29) from the Pittsburgh ADHD Longitudinal Study (PALS) participated with their preschool-aged offspring. Fathers completed self-reported measures, and father-child dyads completed an interaction task. ADHD offspring had elevated ADHD symptoms and behavior dysregulation. All fathers displayed positive parenting. ADHD fathers reported lower supportive responses to their child’s negative emotions than comparison fathers, yet rated their parenting as more efficacious. ADHD offspring were distinguishable as early as age 3; thus, earlier diagnosis and intervention may be feasible for this at-risk population. Future research should investigate the acceptability and efficacy of parent training for fathers with ADHD.

Keywords

ADHD Parental ADHD Fathers Preschool Parenting 

Notes

Acknowledgements

This research was principally supported by grants from the American Academy of Child and Adolescent Psychiatry and MH018951. Additional support was provided by AA011873 and DA12414. We would like to thank Dr. Lauren Wakschlag for allowing us to use the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS) and Parenting Coding Observation Scale (PCOS). We would also like to thank her team including Dr. Erica Anderson for training in the administration of the DB-DOS and Kristina Butler, Stephanie Kauffman, and Nora Plumb for their service in behavior coding.

References

  1. 1.
    Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA (2007) The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 164(6):942–948Google Scholar
  2. 2.
    Gibbins C, Weiss M (2007) Clinical recommendations in current practice guidelines for diagnosis and treatment of ADHD in adults. Curr Psychiatry Rep 9(5):420–426Google Scholar
  3. 3.
    Barkley RA, Murphy KR, Fischer M (2008) ADHD in adults: what the science says. Guilford Press, New York, pp 171–175Google Scholar
  4. 4.
    Barkley RA (2014) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment. Guilford Publications, New YorkGoogle Scholar
  5. 5.
    Hechtman L, Swanson JM, Sibley MH et al (2016) Functional adult outcomes 16 years after childhood diagnosis of attention-deficit/hyperactivity disorder: MTA results. J Am Acad Child Adolesc Psychiatry 55(11):945–952, e942.Google Scholar
  6. 6.
    Pelham WE, Foster EM, Robb JA (2007) The economic impact of attention-deficit/hyperactivity disorder in children and adolescents. Ambul Pediatr 7(1):121–131Google Scholar
  7. 7.
    Lahey BB, Pelham WE, Loney J et al (2004) Three-year predictive validity of DSM-IV attention deficit hyperactivity disorder in children diagnosed at 4–6 years of age. Am J Psychiatry 161(11):2014–2020Google Scholar
  8. 8.
    Wilens TE, Biederman J, Brown S et al (2002) Psychiatric comorbidity and functioning in clinically referred preschool children and school-age youths with ADHD. J Am Acad Child Adolesc Psychiatry 41(3):262–268Google Scholar
  9. 9.
    Campbell SB, Spieker S, Burchinal M, Poe MD (2006) Trajectories of aggression from toddlerhood to age 9 predict academic and social functioning through age 12. J Child Psychol Psychiatry 47(8):791–800Google Scholar
  10. 10.
    Larsson H, Chang Z, D’Onofrio BM, Lichtenstein P (2014) The heritability of clinically diagnosed attention deficit hyperactivity disorder across the lifespan. Psychol Med 44(10):2223–2229Google Scholar
  11. 11.
    Wymbs BT, Wymbs FA, Dawson AE (2015) Child ADHD and ODD behavior interacts with parent ADHD symptoms to worsen parenting and interparental communication. J Abnorm Child Psychol 43(1):107–119Google Scholar
  12. 12.
    Johnston C, Mash EJ, Miller N, Ninowski JE (2012) Parenting in adults with attention-deficit/hyperactivity disorder (ADHD). Clin Psychol Rev 32(4):215–228Google Scholar
  13. 13.
    DuPaul GJ, McGoey KE, Eckert TL, VanBrakle J (2001) Preschool children with attention-deficit/hyperactivity disorder: impairments in behavioral, social, and school functioning. J Am Acad Child Adolesc Psychiatry 40(5):508–515Google Scholar
  14. 14.
    Johnston C, Mash EJ (2001) Families of children with attention-deficit/hyperactivity disorder: review and recommendations for future research. Clin Child Fam Psychol Rev 4(3):183–207Google Scholar
  15. 15.
    Deault LC (2010) A systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit/hyperactivity disorder (ADHD). Child Psychiatry Hum Dev 41(2):168–192Google Scholar
  16. 16.
    Johnston C, Jassy JS (2007) Attention-deficit/hyperactivity disorder and oppositional/conduct problems: Links to parent-child interactions. J Can Acad Child Adolesc Psychiatry 16(2):74Google Scholar
  17. 17.
    Modesto-Lowe V, Danforth JS, Brooks D (2008) ADHD: does parenting style matter? Clin Pediatr (Phila) 47:865–872Google Scholar
  18. 18.
    Park JL, Hudec KL, Johnston C (2017) Parental ADHD symptoms and parenting behaviors: a meta-analytic review. Clin Psychol Rev 56:25–39Google Scholar
  19. 19.
    Kessler RC, Adler L, Barkley R et al (2006) The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry 163(4):716–723Google Scholar
  20. 20.
    Barkley RA, Fischer M, Smallish L, Fletcher K (2002) The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. J Abnorm Psychol 111(2):279Google Scholar
  21. 21.
    Sibley MH, Pelham WE, Molina BS et al (2012) When diagnosing ADHD in young adults emphasize informant reports, DSM items, and impairment. J Consult Clin Psychol 80(6):1052–1061Google Scholar
  22. 22.
    Sibley MH, Swanson JM, Arnold LE et al (2016) Defining ADHD symptom persistence in adulthood: optimizing sensitivity and specificity. J Child Psychol Psychiatry 58:655–662Google Scholar
  23. 23.
    Zaslow MJ, Weinfield NS, Gallagher M et al (2006) Longitudinal prediction of child outcomes from differing measures of parenting in a low-income sample. Dev Psychol 42(1):27Google Scholar
  24. 24.
    Lui JH, Johnston C, Lee CM, Lee-Flynn SC (2013) Parental ADHD symptoms and self-reports of positive parenting. J Consult Clin Psychol 81(6):988Google Scholar
  25. 25.
    Molina BS, Pelham WE, Cheong J, Marshal MP, Gnagy EM, Curran PJ (2012) Childhood attention-deficit/hyperactivity disorder (ADHD) and growth in adolescent alcohol use: the roles of functional impairments, ADHD symptom persistence, and parental knowledge. J Abnorm Psychol 121(4):922–935Google Scholar
  26. 26.
    Molina BSG, Sibley MH, Pedersen SL, Pelham WE (2016) The Pittsburgh ADHD Longitudinal Study. In: Hechtman L (ed) Attention deficit hyperactivity disorder. Adult outcomes and its predictors. Oxford University Press, New York, pp 105–155Google Scholar
  27. 27.
    Kuriyan AB, Pelham WE, Molina BS et al (2013) Young adult educational and vocational outcomes of children diagnosed with ADHD. J Abnorm Child Psychol 41(1):27–41Google Scholar
  28. 28.
    Pelham WE, Gnagy B, Greiner A, Hoza B, Sams S, Martin L, Wilson T (1996) Intensive treatment: a summer treatment program for children with ADHD. In: Model programs for service delivery for child and family mental health. pp 193–213Google Scholar
  29. 29.
    American psychiatric association (1987) Diagnostic and statistical manual of mental health disorders (DSM-III-R). American Psychiatric Association, WashingtonGoogle Scholar
  30. 30.
    American Psychiatric Association (2000) DSM-IV-TR: Diagnostic and statistical manual of mental disorder, test revision, vol 75. American Psychiatric Association, Washington, DC, pp 78–85Google Scholar
  31. 31.
    Kuriyan AB, Pelham WE Jr, Molina BS et al (2013) Young adult educational and vocational outcomes of children diagnosed with ADHD. J Abnorm Child Psychol 41(1):27–41Google Scholar
  32. 32.
    Wakschlag LS, Hill C, Carter AS et al (2008) Observational assessment of preschool disruptive behavior, Part I: reliability of the disruptive behavior diagnostic observation schedule (DB-DOS). J Am Acad Child Adolesc Psychiatry 47(6):622–631Google Scholar
  33. 33.
    Pelham WE, Gnagy EM, Greenslade KE, Milich R (1992) Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. J Am Acad Child Adolesc Psychiatry 31(2):210–218Google Scholar
  34. 34.
    Fabiano GA, Pelham J, William E, Waschbusch DA et al (2006) A practical measure of impairment: psychometric properties of the impairment rating scale in samples of children with attention deficit hyperactivity disorder and two school-based samples. J Clin Child Adolesc Psychol 35(3):369–385Google Scholar
  35. 35.
    Kaufman J, Birmaher B, Brent D et al (1997) Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 36(7):980–988Google Scholar
  36. 36.
    American Psychiatric Pub (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub, WashingtonGoogle Scholar
  37. 37.
    Wakschlag LS, Briggs-Gowan MJ, Hill C et al (2008) Observational assessment of preschool disruptive behavior, Part II: validity of the disruptive behavior diagnostic observation schedule (DB-DOS). J Am Acad Child Adolesc Psychiatry 47(6):632–641Google Scholar
  38. 38.
    Gibaud-Wallston J, Wandersmann LP (1978) Development and utility of the parenting sense of competence scale. John F. Kennedy center for research on education and human development, NashvilleGoogle Scholar
  39. 39.
    Johnston C, Mash EJ (1989) A measure of parenting satisfaction and efficacy. J Clin Child Psychol 18(2):167–175Google Scholar
  40. 40.
    Fabes R, Eisenberg N, Bernzweig J (1990) Coping with children’s negative emotions scale (CCNES): description and scoring. Arizona State University, TempeGoogle Scholar
  41. 41.
    McElwain NL, Halberstadt AG, Volling BL (2007) Mother-and father-reported reactions to children’s negative emotions: relations to young children’s emotional understanding and friendship quality. Child Dev 78(5):1407–1425Google Scholar
  42. 42.
    Suveg C, Shaffer A, Morelen D, Thomassin K (2011) Links between maternal and child psychopathology symptoms: mediation through child emotion regulation and moderation through maternal behavior. Child Psychiatry Hum Dev 42(5):507Google Scholar
  43. 43.
    Hill C, Maskowitz K, Danis B, Wakschlag L (2008) Validation of a clinically sensitive, observational coding system for parenting behaviors: the parenting clinical observation schedule. Parenting 8(2):153–185Google Scholar
  44. 44.
    Nock MK, Kazdin AE, Hiripi E, Kessler RC (2007) Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: results from the National Comorbidity Survey Replication. J Child Psychol Psychiatry 48(7):703–713Google Scholar
  45. 45.
    Nadder TS, Rutter M, Silberg J, Maes H, Eaves L (2002) Genetic effects on the variation and covariation of attention deficit-hyperactivity disorder (ADHD) and oppositional-defiant disorder/conduct disorder (ODD/CD) symptomatologies across informant and occasion of measurement. Psychol Med 32(1):39–53Google Scholar
  46. 46.
    Harvey EA, Breaux RP, Lugo-Candelas CI (2016) Early development of comorbidity between symptoms of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). J Abnorm Psychol 125(2):154Google Scholar
  47. 47.
    Williams KE, Berthelsen D (2017) The development of prosocial behaviour in early childhood: Contributions of early parenting and self-regulation. Int J Early Child 49(1):73–94Google Scholar
  48. 48.
    Harvey EA, Lugo-Candelas CI, Breaux RP (2015) Longitudinal changes in individual symptoms across the preschool years in children with ADHD. J Clin Child Adolesc Psychol 44(4):580–594Google Scholar
  49. 49.
    Evans SW, Owens JS, Bunford N (2014) Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder. J Clin Child Adolesc Psychol 43(4):527–551Google Scholar
  50. 50.
    Webster-Stratton CH, Reid MJ, Beauchaine T (2011) Combining parent and child training for young children with ADHD. J Clin Child Adolesc Psychol 40(2):191–203Google Scholar
  51. 51.
    Fabiano GA (2007) Father participation in behavioral parent training for ADHD: review and recommendations for increasing inclusion and engagement. J Fam Psychol 21(4):683–693Google Scholar
  52. 52.
    Fabiano GA, Chacko A, Pelham WE et al (2009) A comparison of behavioral parent training programs for fathers of children with attention-deficit/hyperactivity disorder. Behav Ther 40(2):190–204Google Scholar
  53. 53.
    Owens JS, Goldfine ME, Evangelista NM, Hoza B, Kaiser NM (2007) A critical review of self-perceptions and the positive illusory bias in children with ADHD. Clin Child Fam Psychol Rev 10(4):335–351Google Scholar
  54. 54.
    Parke RD, Buriel R (1998) Socialization in the family: ethnic and ecological perspectives. In: Eisenberg N, Damon W (eds) Handbook of child psychology. Wiley, HobokenGoogle Scholar
  55. 55.
    Wymbs BT, Pelham WE Jr, Molina BS, Gnagy EM, Wilson TK, Greenhouse JB (2008) Rate and predictors of divorce among parents of youths with ADHD. J Consult Clin Psychol 76(5):735Google Scholar
  56. 56.
    Sandra Kooij J, Marije Boonstra A, Swinkels S, Bekker EM, de Noord I, Buitelaar JK (2008) Reliability, validity, and utility of instruments for self-report and informant report concerning symptoms of ADHD in adult patients. J Atten Disord 11(4):445–458Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PsychiatryUniversity of PittsburghPittsburghUSA
  2. 2.Department of PsychiatryFlorida International UniversityMiamiUSA

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