Journal of Child and Family Studies

, Volume 26, Issue 10, pp 2900–2907 | Cite as

Loneliness and Social Support in Adolescent Boys with Attention Deficit Hyperactivity Disorder in a Special Education Setting

  • Mette ElmoseEmail author
  • Mathias Lasgaard
Original Paper


Social difficulties have been suggested to exacerbate the risk of loneliness. The social difficulties in social relations often reported for adolescents with attention deficit hyperactivity disorder (ADHD) could be a risk for increased loneliness in adolescents with ADHD. However, current studies of the risk of loneliness in persons with ADHD are limited and their results are mixed. Especially the adolescent age group is poorly investigated and has not been studied as a separate group. In this study we investigate the experience of loneliness and social support in adolescents with attention deficit hyperactivity disorder (ADHD) in a special educational setting. Twenty-five adolescent boys with clinically diagnosed ADHD filled out self-report measures of loneliness, difficulties in making friends, and social support. The boys with ADHD were compared with 199 adolescent boys from regular schools. No difference in the degree of loneliness was found even if more adolescents with ADHD reported difficulties in making friends. These difficulties were related to loneliness in the control group, but not in the ADHD group. Social support from classmates and peers reduced the degree of loneliness in the ADHD group. Adolescent boys with ADHD in a special educational setting do not seem to be at a higher risk of loneliness in adolescence.


ADHD Adolescents Loneliness Social support Special education 



The authors thank the participating schools, teachers, and students. The authors also thank Annette Nielsen, Signe Sofie Nielsen and Katrine Dinitzen for assistance with data collection and data management.

Author Contributions

ME and ML collaborated on the design, execution of the study. ML was lead on the following data analyses and ME was lead on the writing of the paper but both collaborated in the process.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.

Ethical Approval

All procedures in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study as from their legal custodians.


  1. Al-Yagon, M. (2009). Comorbid LD and ADHD in childhood: Socioemotional and behavioural adjustment and parents’ positive and negative affect. European Journal of Special Needs Education, 24(4), 371–391.CrossRefGoogle Scholar
  2. Ambrosini, P. J. (2000). Historical development and present status of the schedule for affective disorders and schizophrenia for school-age children (K-SADS). Journal of the American Academy of Child &Adolescent Psychiatry, 39(1), 49–58.CrossRefGoogle Scholar
  3. American Psychiatric Association (APA) (2013). Diagnostic and statistical manual of mental disorders – Fifth edition (DSM-5). Washington: American Psychiatric Publishing.CrossRefGoogle Scholar
  4. Asher, S., Hymel, S., & Renshaw, P. D. (1984). Loneliness in children. Child Development, 55, 1456–1464.Google Scholar
  5. Cacioppo, J. T., Hughes, M. E., Waite, L. J., Hawkley, L. C., & Thisted, R. A. (2006). Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses. Psychology and Aging, 21(1), 140–151. doi: 10.1037/0882-7974.21.1.140.CrossRefPubMedGoogle Scholar
  6. Cassidy, J., & Asher, S. (1992). Loneliness and peer relations in young children. Child Development, 63, 350–365.Google Scholar
  7. Chu, P. S., Saucier, D. A., & Hafner, E. (2010). Meta-analysis of the relationships between social support and well-being in children and adolescents. Journal of Social and Clinical Psychology, 29(6), 624–645.CrossRefGoogle Scholar
  8. Demaray, M. K., & Elliot, S. N. (2001). Perceived social support by children with characteristics of attention-deficit/hyperactivity disorder. School Psychology Quarterly, 16(1), 68–90.CrossRefGoogle Scholar
  9. Diamantopoulou, S., Henricsson, L., & Rydell, A. (2005). ADHD symptoms and peer relations of children in a community sample: Examining associated problems, self-perceptions, and gender differences. International Journal of Behavioral Development, 29(5), 388–398.CrossRefGoogle Scholar
  10. Eriksen, M. E. (2005). Interview af personer med særlige forudsætninger. [Interviewing persons with special cognitive abilities]. Nyhedsbrev. Center for Kvalitativ Metodeudvikling, 38, 40–55.Google Scholar
  11. Goodman, R., Ford, T., Richards, H., Gatward, R., & Meltzer, H. (2000). The development and well-being assessment: Description and initial validation of an integrated assessment of child and adolescent psychopathology. Journal of Child Psychology and Psychiatry, 41(5), 645–655.CrossRefPubMedGoogle Scholar
  12. Harter, S. (1985). Manual for the social support scale for children. Denver, CO: University of Denver.Google Scholar
  13. Heiman, T. (2005). An examination of peer relationships of children with and without attention deficit hyperactivity disorder. School Psychology International, 26(3), 330–339. doi: 10.1177/0143034305055977.CrossRefGoogle Scholar
  14. Heinrich, L. M., & Gullone, E. (2006). The clinical significance of loneliness: A literature review. Clinical Psychology Review, 26(6), 695–718. doi: 10.1016/j.cpr.2006.04.002.CrossRefPubMedGoogle Scholar
  15. Houghton, S., Roost, E., Carroll, A., & Brandtman, M. (2015). Loneliness in children and adolescents with and without attention-deficit/hyperactivity disorder. Journal of Psychopathology and Behavioral Assessment, 37(1), 27–37. doi: 10.1007/s10862-014-9434-1.CrossRefGoogle Scholar
  16. Hoza, B. (2007). Peer functioning in children with ADHD. Journal of Pediatric Psychology, 32(6), 655–663. doi: 10.1093/jpepsy/jsm024.CrossRefPubMedGoogle Scholar
  17. Langher, V., Ricci, M. E., Reversi, S., & Krtikj, N. (2009). ADHD and loneliness social dissatisfaction in inclusive school from and individual-context paradigm. The Journal of Special Education and Rehabilitation, 10(3-4), 67–88.Google Scholar
  18. Lasgaard, M. (2007). Reliability and validity of the Danish version of the UCLA loneliness scale. Personality and Individual Differences, 42, 1359–1366. doi: 10.1016/j.paid.2006.10.013.CrossRefGoogle Scholar
  19. Lasgaard, M., Goossens, L., & Elklit, A. (2011). Loneliness, depressive symptomatology, and suicide ideation in adolescence: Cross-sectional and longitudinal analyses. Journal of Abnormal Child Psychology, 39(1), 137–150. doi: 10.1007/s10802-010-9442-x.CrossRefPubMedGoogle Scholar
  20. Lasgaard, M., Nielsen, A., Eriksen, M. E., & Goossens, L. (2010). Loneliness and social support in adolescent boys with autism spectrum disorders. Journal of Autism and Other Developmental Disorders, 40, 218–226. doi: 10.1007/s10803-009-0851-z.CrossRefGoogle Scholar
  21. Laursen, B., & Hartl, A. C. (2013). Understanding loneliness during adolescence: Developmental changes that increase the risk of perceived social isolation. Journal of Adolescence, 36, 1261–1268.CrossRefPubMedGoogle Scholar
  22. Mahon, N. E., Yarcheski, A., Yarcheski, T. J., Cannella, B. L., & Hanks, M. M. (2006). A meta-analytic study of predictors for loneliness during adolescence. Nursing Research, 55(5), 308–315.CrossRefPubMedGoogle Scholar
  23. Margalit, M., & Al-Yagon, M. (2002). The loneliness experience of children with learning disabilities. In B. Y. L. Wong, M. L. Donahue (Eds.), The social dimensions of learning disabilities (pp. 53–75). Mahwah, NJ: Erlbaum.Google Scholar
  24. Mastoras, S. M., Saklofske, D. H., Schwean, V. L., & Climie, E. A. (2015). Social support in children with ADHD: An exploration of resilience. Journal of Attention Disorders, Epub ahead of print. doi: 10.1177/1087054715611491.
  25. McQuade, J. D., Tomb, M., Hoza, B., Waschbusch, D. A., Hurt, E. A., & Vaughn, A. J. (2011). Cognitive deficits and positively biased self-perceptions in children with ADHD. Journal of Abnormal Child Psychology, 39(2), 307–319.CrossRefPubMedPubMedCentralGoogle Scholar
  26. Michielsen, M., Comijs, H. C., Aartsen, M. J., Semeijn, E. J., Beekman, A. T. F., Deeg, D. J., & Kooij, J. J. S. (2013). The relationships between ADHD and social functioning and participation in older adults in a population-based study. Journal of Attention Disorders, 19(5), 368–379. doi: 10.1177/10870547135748.CrossRefPubMedGoogle Scholar
  27. Owens, J. S., Goldfine, M. E., Evagelista, N. M., Hoza, B., & Kaiser, N. M. (2007). A critical review of self-perceptions and the positive illusory bias in children with ADHD. Clinical Child and Family Psychology Review, 10(4), 335–351.CrossRefPubMedGoogle Scholar
  28. Peplau, L. A., & Perlman, D. (1982). Perspectives on loneliness. In L. A. Peplau, D. Perlman (Eds.), Loneliness. A sourcebook of current theory, research and therapy (pp. 1–18). New York: Wiley.Google Scholar
  29. Philipsen, A., Feige, B., Hesslinger, B., Scheel, C., Ebert, D., Matthies, S., Limberger, M. F., Kleindienst, N., Bohus, M., & Lieb, K. (2009). Borderline typical symptoms in adult patients with attention deficit/hyperactivity disorder. Attention Deficit Hyperactivity Disorder, 1, 11–18. doi: 10.1007/s12402-009-0001-7.CrossRefGoogle Scholar
  30. Rueger, S. Y., Malecki, C. K., & Demaray, M. K. (2010). Relationship between multiple sources of percieved social support and psychological and academic adjustment in early adolescence: Comparisons across gender. Journal of Youth and Adolescence, 39, 47–61. doi: 10.1007/s10964-008-9368-6.CrossRefPubMedGoogle Scholar
  31. Russel, D. W. (1996). UCLA loneliness scale (version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66, 20–40.CrossRefGoogle Scholar
  32. Victor, C. R., & Yang, K. (2011). The prevalence of loneliness among adults: A case study of the United Kingdom. The Journal of Psychology: Interdisciplinary and Applied, 146(1-2), 85–104. doi: 10.1080/00223980.2011.613875.CrossRefGoogle Scholar
  33. Wehmeier, P. M., Schacht, A., & Barkley, R. A. (2010). Social and emotional impairment in children and adolescents with ADHD and the impact on quality of life. Journal of Adolescent Health, 46, 209–217. doi: 10.1016/j.jadohealth.2009.09.009.CrossRefPubMedGoogle Scholar
  34. World Health Organization. (1994). WHO ICD-10: Psykiske Lidelser og adfærdsmæssige forstyrrelser: Klassifikation og diagnostiske kriterier. Copenhagen: Munksgaard. [WHO ICD-10: Mental disorders and behavioral disorders: Classification and diagnosti criteria].Google Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of Southern DenmarkOdense MDenmark
  2. 2.DEFACTOAarhus NDenmark

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