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The Role of Maternal and Child ADHD Symptoms in Shaping Interpersonal Relationships

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Abstract

The current study investigated the influence of maternal ADHD symptoms on: (a) mothers’ own social functioning; (b) their child’s social functioning; and (c) parent–child interactions following a lab-based playgroup involving children and their peers. Participants were 103 biological mothers of children ages 6–10. Approximately half of the children had ADHD, and the remainder were comparison youth. After statistical control of children’s ADHD diagnostic status and mothers’ educational attainment, mothers’ own inattentive ADHD symptoms predicted poorer self-reported social skills. Children with ADHD were reported to have more social problems by parents and teachers, as well as received fewer positive sociometric nominations from playgroup peers relative to children without ADHD. After control of child ADHD status, higher maternal inattention and hyperactivity/impulsivity each predicted children having more parent-reported social problems; maternal inattention predicted children receiving more negative sociometric nominations from playgroup peers. There were interactions between maternal ADHD symptoms and children’s ADHD diagnostic status in predicting some child behaviors and parent–child relationship measures. Specifically, maternal inattention was associated with decreased prosocial behavior for children without ADHD, but did not influence the prosocial behavior of children with ADHD. Maternal inattention was associated with mothers’ decreased corrective feedback and, at a trend level, decreased irritability toward their children with ADHD, but there was no relationship between maternal inattention and maternal behaviors for children without ADHD. A similar pattern was observed for maternal hyperactivity/impulsivity and mothers’ observed irritability towards their children. Treatment implications of findings are discussed.

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References

  • Achenbach, T., & Rescorla, L. (2001). Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont Research Center for Children, Youth, & Families.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th, text revision ed.). Washington, DC: Author.

    Book  Google Scholar 

  • Banks, T., Ninowski, J. E., Mash, E. J., & Semple, D. L. (2008). Parenting behavior and cognitions in a community sample of mothers with and without symptoms of attention-deficit/hyperactivity disorder. Journal of Child & Family Studies, 17, 28–43.

    Article  Google Scholar 

  • Barkley, R. A. (2002). ADHD: Long-term course, adult outcome, and comorbid disorders. In P. S. Jensen & J. R. Cooper (Eds.), Attention-deficit/hyperactivity disorder: State of the science and best practices (pp. 4-1–4-12). Kingston: Civic Research Institute.

    Google Scholar 

  • Barkley, R. A., & Murphy, K. R. (1998). Attention-deficit/hyperactivity disorder: A clinical workbook (2nd ed.). New York: Guilford.

    Google Scholar 

  • Barkley, R. A., Murphy, K. R., & Fischer, M. (2008). ADHD in adults: What the science says. New York: Guilford.

    Google Scholar 

  • Biederman, J., Faraone, S. V., & Monuteaux, M. C. (2002). Impact of exposure to parental attention-deficit hyperactivity disorder on clinical features and dysfunction in the offspring. Psychological Medicine, 32, 817–827.

    Article  PubMed  Google Scholar 

  • Biederman, J., Faraone, S. V., Spencer, T., Mick, E., Monuteaux, M. C., & Aleardi, M. (2006). Functional impairments in adults with self-reports of diagnosed ADHD: a controlled study of 1001 adults in the community. Journal of Clinical Psychiatry, 67, 524–540.

    Article  PubMed  Google Scholar 

  • Buhrmester, D., Furman, W., Wittenberg, M. T., & Reis, H. T. (1988). Five domains of interpersonal competence in peer relations. Journal of Personality & Social Psychology, 55, 991–1008.

    Article  Google Scholar 

  • Burke, J. D., Pardini, D. A., & Loeber, R. (2008). Reciprocal relationships between parenting behavior and disruptive psychopathology from childhood through adolescence. Journal of Abnormal Child Psychology, 36, 679–692.

    Article  PubMed  Google Scholar 

  • Canu, W. H., & Carlson, C. L. (2003). Differences in heterosocial behavior and outcomes of ADHD-symptomatic subtypes in a college sample. Journal of Attention Disorders, 6, 123–133.

    Article  PubMed  Google Scholar 

  • Chen, M., & Johnston, C. (2007). Maternal inattention and impulsivity and parenting behaviors. Journal of Clinical Child & Adolescent Psychology, 36, 455–468.

    Google Scholar 

  • Chi, T. C., & Hinshaw, S. P. (2002). Mother–child relationships of children with ADHD: the role of maternal depressive symptoms and depression-related distortions. Journal of Abnormal Child Psychology, 30, 387–400.

    Article  PubMed  Google Scholar 

  • Chronis-Tuscano, A., Raggi, V. L., Clarke, T. L., Rooney, M. E., Diaz, Y., & Pian, J. (2008). Associations between maternal attention-deficit/hyperactivity disorder symptoms and parenting. Journal of Abnormal Child Psychology, 36, 1237–1250.

    Article  PubMed  Google Scholar 

  • Coie, J. D., Dodge, K. A., & Coppotelli, H. (1982). Dimensions and types of social status: a cross-age perspective. Developmental Psychology, 18, 557–570.

    Article  Google Scholar 

  • Epstein, J. N., Conners, C. K., Erhardt, D., Arnold, L. E., Hechtman, L., Hinshaw, S. P., et al. (2000). Familial aggregation of ADHD characteristics. Journal of Abnormal Child Psychology, 28, 585–594.

    Article  PubMed  Google Scholar 

  • Faraone, S. V., Biederman, J., Spencer, T., Wilens, T., Seidman, L., Mick, E., et al. (2000). Attention-deficit/hyperactivity disorder in adults: an overview. Biological Psychiatry, 48, 9–20.

    Article  PubMed  Google Scholar 

  • Faraone, S. V., Perlis, R. H., Doyle, A. E., Smoller, J. W., Goralnick, J. J., Holmgren, M. A., et al. (2005). Molecular genetics of attention-deficit/hyperactivity disorder. Biological Psychiatry, 57, 1313–1323.

    Article  PubMed  Google Scholar 

  • Fleiss, J. L., & Cohen, J. (1973). The equivalence of weighted kappa and the intraclass correlation coefficient as measures of reliability. Educational and Psychological Measurement, 33, 613–619.

    Article  Google Scholar 

  • Friedman, S. R., Rapport, L. J., Lumley, M., Tzelepis, A., VanVoorhis, A., Stettner, L., et al. (2003). Aspects of social and emotional competence in adult attention-deficit/hyperactivity disorder. Neuropsychology, 17, 50–58.

    Article  PubMed  Google Scholar 

  • Gadow, K. D., & Sprafkin, J. (1994). Child symptom inventories manual. Stony Brook: Checkmate Plus.

    Google Scholar 

  • Harvey, E., Dansforth, J. S., Eberhardt McKee, T., Ulaszek, W. R., & Friedman, J. L. (2003). Parenting of children with attention-deficit/hyperactivity disorder (ADHD): the role of parental ADHD symptomatology. Journal of Attention Disorders, 7, 31–42.

    Article  PubMed  Google Scholar 

  • Haslam, N., Williams, B., Prior, M., Haslam, R., Graetz, B., & Sawyer, M. (2006). The latent structure of attention-deficit/hyperactivity disorder: a taxometric analysis. Australian & New Zealand Journal of Psychiatry, 40, 639–647.

    Google Scholar 

  • Holmbeck, G. N. (2002). Post-hoc probing of significant moderational and mediational effects in studies of pediatric populations. Journal of Pediatric Psychology, 27, 87–96.

    Article  PubMed  Google Scholar 

  • Hoza, B. (2007). Peer functioning in children with ADHD. Ambulatory Pediatrics, 7, 101–106.

    Article  PubMed  Google Scholar 

  • Johnston, C., & Mash, E. J. (2001). Families of children with attention-deficit/hyperactivity disorder: review and recommendations for future research. Clinical Child & Family Psychology Review, 4, 183–207.

    Article  Google Scholar 

  • Johnston, C., Scoular, D. J., & Ohan, J. L. (2004). Mothers’ reports of parenting in families of children with symptoms of attention-deficit/hyperactivity disorder: relations to impression management. Child & Family Behavior Therapy, 26, 45–61.

    Article  Google Scholar 

  • Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., 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. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 980–988.

    Article  Google Scholar 

  • Kessler, R. C., Adler, L., Barkley, R. A., Biederman, J., Conners, C. K., Demler, O., et al. (2006). The prevalence and correlates of adult ADHD in the United States: results from the national comorbidity survey replication. American Journal of Psychiatry, 163, 716–723.

    Article  PubMed  Google Scholar 

  • Knouse, L. E., Mitchell, J. T., Brown, L. H., Silva, P. J., Kane, M. J., Myin-Germeys, I., et al. (2008). The expression of adult ADHD symptoms in daily life: an application of experience sampling methodology. Journal of Attention Disorders, 11, 652–663.

    Article  PubMed  Google Scholar 

  • Ladd, G. W., & Hart, C. H. (1992). Creating informal play opportunities: are parents’ and preschoolers’ initiations related to children’s social competence with peers? Developmental Psychopathology, 28, 1179–1187.

    Google Scholar 

  • Lahey, B. B., Applegate, B., McBurnett, K., Biederman, J., Greenhill, L. L., Hynd, G. W., et al. (1994). DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents. American Journal of Psychiatry, 151, 1673–1685.

    PubMed  Google Scholar 

  • 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 & Adolescent Psychiatry, 36, 737–744.

    Article  Google Scholar 

  • Mannuzza, S., & Klein, R. G. (1999). Adolescent and adult outcomes of attention-deficit/hyperactivity disorder. In H. C. Quay & A. E. Hogan (Eds.), Handbook of disruptive behavior disorders (pp. 279–294). New York: Kluwer Academic.

    Google Scholar 

  • Mannuzza, S., & Klein, R. G. (2000). Long term prognosis in attention-deficit/hyperactivity disorder. Child and Adolescent Psychiatric Clinics of North America, 9, 711–726.

    PubMed  Google Scholar 

  • Mikami, A. Y., & Hinshaw, S. P. (2008). Attention-deficit/hyperactivity disorder in girls. In K. McBurnett & L. J. Pfiffner (Eds.), Attention deficit/hyperactivity disorder: Concepts, controversies, new directions (pp. 259–272). New York: Informa Healthcare.

    Google Scholar 

  • Mikami, A. Y., Huang-Pollock, C. L., Pfiffner, L. J., McBurnett, K., & Hangai, D. (2007). Social skills differences among attention-deficit/hyperactivity disorder subtypes in a chat room assessment task. Journal of Abnormal Child Psychology, 35, 509–521.

    Article  PubMed  Google Scholar 

  • Mikami, A. Y., Jack, A., Emeh, C. C., & Stephens, H. F. (2010a). Parental influence on children with attention-deficit/hyperactivity disorder: I. Relationships between parent behaviors and child peer status. Journal of Abnormal Child Psychology, 38, 721–736.

    Article  Google Scholar 

  • Mikami, A. Y., Lerner, M. D., Griggs, M. S., McGrath, A., & Calhoun, C. D. (2010b). Parental influence on children with attention-deficit/hyperactivity disorder: II. Results of a pilot intervention training parents as friendship coaches for children. Journal of Abnormal Child Psychology, 38, 737–749.

    Article  Google Scholar 

  • Milich, R., Balentine, M., & Lynam, D. (2001). ADHD combined type and ADHD predominately inattentive type are distinct and unrelated disorders. Clinical Psychology: Science and Practice, 8, 463–488.

    Article  Google Scholar 

  • Millstein, R. B., Wilens, T. E., Biederman, J., & Spencer, T. J. (1997). Presenting ADHD symptoms and subtypes in clinically referred adults with ADHD. Journal of Attention Disorders, 2, 159–166.

    Article  Google Scholar 

  • Minde, K., Eakin, L., Hechtman, L., Ochs, E., Bouffard, R., Greenfield, B., et al. (2003). The psychosocial functioning of children and spouses of adults with ADHD. Journal of Child Psychology and Psychiatry, 44, 637–646.

    Article  PubMed  Google Scholar 

  • Murray, C., & Johnston, C. (2006). Parenting in mothers with and without attention-deficit/hyperactivity disorder. Journal of Abnormal Psychology, 115, 52–61.

    Article  PubMed  Google Scholar 

  • Parke, R. D., Burks, V. M., Carson, J. L., Neville, B., & Boyum, L. A. (1994). Family-peer relationships: A tripartite model. In R. D. Parke & S. G. Kellam (Eds.), Exploring family relationships with other social contexts (pp. 115–146). Hillsdale: Erlbaum.

    Google Scholar 

  • Psychogiou, L., Daley, D., Thompson, M., & Sonuga-Barke, E. (2007). Testing the interactive effect of parent and child ADHD on parenting in mothers and fathers: a further test of the similarity-fit hypothesis. British Journal of Developmental Psychology, 25, 419–433.

    Article  Google Scholar 

  • Psychogiou, L., Daley, D. M., Thompson, M. J., & Sonuga-Barke, E. J. S. (2008a). Do maternal attention-deficit/hyperactivity disorder symptoms exacerbate or ameliorate the negative effect of child attention-deficit/hyperactivity disorder symptoms on parenting? Development and Psychopathology, 20, 121–137.

    Article  PubMed  Google Scholar 

  • Psychogiou, L., Daley, D. M., Thompson, M. J., & Sonuga-Barke, E. J. S. (2008b). Parenting empathy: associations with dimensions of parent and child psychopathology. British Journal of Developmental Psychology, 26, 221–232.

    Article  Google Scholar 

  • Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods. Thousand Oaks: Sage.

    Google Scholar 

  • Sawa, J., & Morikawa, T. (2007). Interrater reliability for multiple raters in clinical trials of ordinal scale. Drug Information Journal, 41, 595–605.

    Google Scholar 

  • Schachar, R., Taylor, E., Wieselberg, M., Thorley, G., & Rutter, M. (1987). Changes in family function and relationships in children who respond to methylphenidate. Journal of the American Academy of Child & Adolescent Psychiatry, 26, 728–732.

    Article  Google Scholar 

  • Wechsler, D. (2003). Manual for the Wechsler Intelligence Scale for Children—Fourth Edition (WISC-IV). New York: Psychological Corporation/Harcourt-Brace.

    Google Scholar 

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Correspondence to Marissa Swaim Griggs.

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This research was supported by NIMH grant 1R03MH079019 to Amori Mikami. We would like to thank the children, parents, and teachers who participated in our study, and the schools and doctors who provided referrals for this study. We also are grateful to our undergraduate research staff who assisted in data collection, data entry, and videotape coding. We also thank Robert Emery for his helpful comments on this manuscript, and Alison McGrath for her contributions to the study design.

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Griggs, M.S., Mikami, A.Y. The Role of Maternal and Child ADHD Symptoms in Shaping Interpersonal Relationships. J Abnorm Child Psychol 39, 437–449 (2011). https://doi.org/10.1007/s10802-010-9464-4

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  • DOI: https://doi.org/10.1007/s10802-010-9464-4

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