Abstract
Evidence both from psychological research and clinical intervention studies suggests that there are bidirectional influences between overt child behavior problems and parent–child relations. Very little research however, has considered the pattern of relations that exists between Attention Deficit Hyperactivity Disorder (ADHD) and the parent–child relationship within a longitudinal context. Using a longitudinal community sample from the United Kingdom which included 194 school aged children (46% male and 54% female) and both parents, this study examined the relationship between child ADHD symptoms and displays of rejection in the parent–child relationship. These relationships were investigated separately for mothers and fathers using cross-lagged panel correlation and reciprocal effects analysis. Mothers and fathers reported on ADHD symptoms and children reported on their feelings of rejection in the mother–child and father–child relationships. Results suggested differences in the direction of effects linking mother– and father–child rejection and child ADHD symptoms; with ADHD symptoms affecting the mother–child relationship and the converse pattern of effects noted for fathers. Implications for future research focusing on the link between ADHD symptoms and parent–child relationships are discussed.
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Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry.
Achenbach, T. M. (2005). Advancing assessment of children and adolescents: Commentary on evidence-based assessment of child and adolescent disorders. Journal of Clinical Child and Adolescent Psychology, 34, 541–547.
Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213–232.
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed., text version). Washington, DC: American Psychiatric Association.
Anderson, K. E., Lytton, H., & Romney, D. M. (1986). Mothers’ interactions with normal and conduct-disordered boys: Who affects whom? Developmental Psychology, 22, 604–609.
Barkley, R. A. (1998). Attention-Deficit Hyperactivity Disorder: A handbook for diagnosis and treatment. (2nd ed). New York: The Guildford Press.
Barkley, R. A., & Cunningham, C. E. (1979). The effects of methylphenidate on the mother–child interactions of hyperactive children. Archives of General Psychiatry, 36, 201–208.
Barkley, R. A., Fischer, M., Edelbrock, C., & Smallish, L. (1991). The adolescent outcome of hyperactive children diagnosed by research criteria-III. Mother–child interactions, family conflicts and maternal psychopathology. Journal of Child Psychology and Psychiatry, 32, 233–255.
Baumrind, D. (1966). Effects of authoritative parental control on child behaviour. Child Development, 37, 887–907.
Bell, R. Q. (1968). A reinterpretation of the direction of effects in studies of socialization. Psychological Review, 75, 81–95.
Bell, R. Q., & Chapman, M. (1986). Child effects in studies using experimental or brief longitudinal approaches to socialization. Developmental Psychology, 22, 595–603.
Bollen, K. A. (1989). Structural equations with latent variables. Oxford, England: John Wiley & Sons.
Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York: Basic Books.
Buhrmester, D., Camparo, L., Christensen, A., Gonzalez, L. S., & Hinshaw, S. P. (1992). Mothers and fathers interacting in dyads and triads with normal and hyperactive sons. Developmental Psychology, 28, 500–509.
Burt, S. A., McGue, M., Krueger, R. F., & Iacono, E. G. (2005). How are parent–child conflict and childhood externalizing symptoms related over time? Results from a genetically informative cross-lagged study. Development and Psychopathology, 17, 145–165.
Chen, W. J., Faraone, S. V., Biederman, J., & Tsuang, M. T. (1994). Diagnostic accuracy of the child behavior checklist scales for attention-deficit hyperactivity disorder: A receiver-operating characteristic analysis. Journal of Consulting and Clinical Psychology, 62, 1017–1025.
Chronis, A. M., Chacko, A., Fabiano, G. A., Wymbs, B. T., & Pelham, W. E. (2004). Enhancements to the behavioral parent training paradigm for families of children with ADHD: Review and future directions. Clinical Child and Family Psychology Review, 7, 1–27.
Collins, W. A., Maccoby, E. E., Steinberg, L., Hetherington, E. M., & Bornstein, M. (2000). Contemporary research on parenting: the case for nature and nurture. American Psychologist, 55, 218–232.
Conners, C. K. (1973). Rating scales for use in drug studies with children. Psychopharmacology Bulletin, 9, 24–29.
Costello, E. J., Loeber, R., & Stouthamer-Loeber, M. (1991). Pervasive and situational hyperactivity—Confounding effect of informant: A research note. Journal of Child Psychology and Psychiatry, 32, 367–376.
Cox, M. J., & Paley, B. (1997). Families as systems. Annual Review of Psychology, 48, 243–267.
Derks, E. M., Hudziak, J. J., Dolan, C. V., van Beijsterveldt, C. E. M., Verhulst, F. C., & Boomsma, D. I. (2006). Genetic and environmental influences on the relation between attentional problems and attention deficit hyperactivity disorder. In E. M. Derks (Ed.), Assessment and genetic aetiology of attention problems, hyperactivity, and related disorders (pp. 153-168). Gildeprint, Enschede.
Edwards, G., Barkley, R. A., Laneri, M., Fletcher, K., & Metevia, L (2001). Parent–adolescent conflict in teenagers with ADHD and ODD. Journal of Abnormal Child Psychology, 29, 557–572.
Gadeyne, E., Ghesquiere, P., & Onghena, P. (2004). Longitudinal relations between parenting and child adjustment in young children. Journal of Clinical Child and Adolescent Psychology, 33, 347–358.
Ge, X., Conger, R. D., Cadoret, R. J., Neiderhiser, J. M., Yates, W., Troughton, E., et al. (1996). The developmental interface between nature and nurture: A mutual influence model of child antisocial behaviour and parent behaviours. Developmental Psychology, 32, 574–589.
Harold, G. T., Shelton, K. H., Goeke-Morey, M. C., & Cummings, E. M. (2004). Marital conflict, child emotional security about family relationships and child adjustment. Social Development, 13, 350–376.
Jaffee, S. R., Caspi, A., Moffitt, T. E., & Taylor, A. (2004). Physical maltreatment victim to antisocial child: Evidence of an environmentally mediated process. Journal of Abnormal Psychology, 113, 44–55.
Johnston, C., & Mash, E. J. (2001). Families of children with attention-deficit/hyperactivity disorder: Review and recommendations for future research. Clinical Child and Family Psychology Review, 4, 183–207.
Lange, G., Sheerin, D., Carr, A., Dooley, B., Barton, V., Marshall, D., et al. (2005). Family factors associated with attention deficit hyperactivity disorder and emotional disorders in children. Journal of Family Therapy, 27, 76–96.
Levy, F., Hay, D. A., McStephen, M., Wood, C., & Waldman, I. (1997). Attention-deficit hyperactivity disorder: A category or a continuum? Genetic analysis of a large-scale twin study. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 737–744.
Lewis, C., & Lamb, M. E. (2003). Fathers’ influences on children’s development: The evidence from two-parent families. European Journal of Psychology of Education, 18, 211–228.
Lytton, H. (1990). Child and parent effects in boys’ conduct disorder: A reinterpretation. Developmental Psychology, 26, 683–697.
Margolies, P. J., & Weintraub, S. (1977). The revised 56-item CRPBI as a research instrument: Reliability and factor structure. Journal of Clinical Psychology, 33, 472–476.
MTA Cooperative Group (1999). A 14-month randomized control trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56, 1073–1986.
Muris, P., Meesters, C., & van den Berg, S. (2003). Internalizing and externalizing problems as correlates of self-reported attachment style and perceived parental rearing in normal adolescents. Journal of Child and Family Studies, 12, 171–183.
Office for National Statistics (2002). Social trends. London: Office for National Statistics.
O'Connor, T. G., Deater-Deckard, K., Fulker, D., Rutter, M., & Plomin, R. (1998). Genotype-environment correlations in late childhood and early adolescence: Anti-social behavioral problems and coercive parenting. Developmental Psychology, 34, 970–981.
Paley, B., Conger, R. D., & Harold, G. T. (2000). Parents’ affect, adolescent cognitive representations, and adolescent social development. Journal of Marriage and the Family, 62, 761–776.
Patterson, G. R. (1982). Coercive family process. Eugene, OR: Castalia.
Roelofs, J., Meesters, C., ter Huurne, M., Bamelis, L., & Muris, P. (2006). On the links between attachment style, parental rearing behaviors, and internalizing and externalising problems in non-clinical children. Journal of Child and Family Studies, 15, 331–344.
Russell, A., & Saebel, J. (1997). Mother–son, mother–daughter, father–son, and father–daughter: Are they distinct relationships? Developmental Review, 17, 111–147.
Rutter, M., Kim-Cohen, J., & Maughan, E. (2006). Continuities and discontinuities in psychopathology between childhood and adult life. Journal of Child Psychology and Psychiatry, 47, 276–295.
Schachar, R. (1987). Changes in family function and relationships in children who respond to methylphenidate. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 728–732.
Schaefer, E. A. (1965). Children's report of parental behavior: An inventory. Child Development, 36, 413–424.
Shaw, D. S., Winslow, E. B., Owens, E. B., Vondra, J. I., Cohn, J. F., & Bell, R. Q. (1998). The development of early externalizing problems among children from low-income families: A transformational perspective. Journal of Abnormal Child Psychology, 26, 95–107.
Snyder, J., Cramer, A., Afrank, J., & Patterson, G. R. (2005). The contributions of ineffective discipline and parental hostile attributions of child misbehavior to the development of conduct problems at home and school. Developmental Psychology, 41, 30–41.
Thapar, A., Fowler, T., Rice, F., Scourfield, J., van den Bree, M., Thomas, H., et al. (2003). Maternal smoking during pregnancy and attention deficit hyperactivity disorder symptoms in offspring. American Journal of Psychiatry, 160, 1985–1989.
Thapar, A., Langley, K., O’Donovan, M., & Owen, M. (2006a). Refining the attention deficit hyperactivity disorder phenotype for molecular genetic studies. Molecular Psychiatry, 11, 714–720.
Thapar, A., O’Donovan, M., & Owen, M. (2005). The genetics of attention deficit hyperactivity disorder. Human Molecular Genetics, 14(2), R275–R282.
Thapar, A., van den Bree, M., Fowler, T., Langley, K., & Whittinger, N. (2006b). Predictors of antisocial behaviour in children with attention deficit hyperactivity disorder. European Child and Adolescent Psychiatry, 15, 118–125.
Volling, B. L., & Belsky, J. (1992). The contribution of mother–child and father–child relationships to the quality of sibling interaction: A longitudinal study. Child Development, 63, 1209–1222.
Waters, E., & Cummings, E. M. (2000). A secure base from which to explore close relationships. Child Development, 71, 164–172.
Wells, K. C., Chi, T. C., Hinshaw, S. P., Epstein, J. N., Pfiffner, L., Nebel-Schwalm, M., et al. (2006). Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder. Journal of Consulting and Clinical Psychology, 74, 649–657.
Wells, K. C., Epstein, J. N., Hinshaw, S. P., Conners, C. K., Klaric, J., Abikoff, H. B., et al. (2000). Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): An empirical analysis in the MTA study. Journal of Abnormal Child Psychology, 28, 543–553.
Acknowledgements
We would like to thank the families and schools who participated in this study. We would also like to thank Katherine Shelton and Janet Whitley for their assistance with the project. This paper was supported by a research grant awarded to GH by the Economic and Social Research Council (ESRC, R000222569) and a postgraduate research studentship awarded to KL jointly by the Economic and Social Research Council and the Medical Research Council (ESRC/MRC, PTA-037-2005-00040).
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Lifford, K.J., Harold, G.T. & Thapar, A. Parent–Child Relationships and ADHD Symptoms: A Longitudinal Analysis. J Abnorm Child Psychol 36, 285–296 (2008). https://doi.org/10.1007/s10802-007-9177-5
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DOI: https://doi.org/10.1007/s10802-007-9177-5