Skip to main content

Advertisement

Log in

Maternal Executive Functioning and Scaffolding in Families of Children with and without Parent-Reported ADHD

  • Published:
Journal of Abnormal Child Psychology Aims and scope Submit manuscript

Abstract

Parental scaffolding robustly predicts child developmental outcomes, including improved self-regulation and peer relationships and fewer externalizing behaviors. However, few studies have examined parental characteristics associated with a parent’s ability to scaffold. Executive functioning (EF) may be an important individual difference factor associated with maternal scaffolding that has yet to be examined empirically. Scaffolding may be particularly important for children with attention-deficit/hyperactivity disorder (ADHD) and disruptive behavior disorder (DBD) symptoms due to their core difficulties with inattention, disorganization, EF, and self-regulation, their need for greater parental structure, and higher-than-average rates of parental EF deficits. Yet, little research has examined child ADHD in relation to parental scaffolding. This cross-sectional study examined: (1) the association between maternal EF (as measured by the Hotel Test, Barkley’s Deficits in Executive Functioning Scale, and Digit Span) and observed scaffolding, (2) the association between parent-reported child ADHD/DBD symptoms and scaffolding, and (3) the interaction between child ADHD/DBD symptoms and maternal EF in predicting scaffolding. In a sample of 84 mothers and their 5–10 year-old biological children (62% male) with and without parent-reported ADHD, we found that maternal EF, as measured by Digit Span and the Hotel Test, predicted observed maternal scaffolding. However, child ADHD/DBD symptoms did not significantly predict maternal scaffolding controlling for child age, maternal education, and maternal EF, nor did the interaction of maternal EF and parent-reported child ADHD/DBD symptoms. Working memory and task shifting may be key components of parental EF that could be targeted in interventions to improve parental scaffolding.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. Results described below were similar when analyses were conducted with both Digit Span and BDEFS prior to imputation.

  2. Analyses were run with and without the 13 children taking medication on the day of the PCI, and results did not differ.

References

  • 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, 49–58. doi:10.1097/00004583-200001000-00016.

    Article  Google Scholar 

  • Barkley, R. A. (2011). Barkley deficits in executive functioning scale (BDEFS). New York: Guilford Press.

    Google Scholar 

  • Barkley, R. A., & Murphy, K. R. (2010). Impairment in occupational functioning and adult ADHD: The predictive utility of executive function (EF) ratings versus EF tests. Archives of Clinical Neuropsychology, 25, 157–173. doi:10.1093/arclin/acq014.

    Article  PubMed  PubMed Central  Google Scholar 

  • Barkley, R. A., & Murphy, K. R. (2011). The nature of executive function (EF) deficits in daily life activities in adults with ADHD and their relationship to performance on EF tests. Journal of Psychopathology and Behavioral Assessment, 33, 137–158. doi:10.1007/s10862-011-9217-x.

    Article  Google Scholar 

  • Barrett, J., & Fleming, A. S. (2011). Annual research review: All mothers are not created equal: Neural and psychobiological perspectives on mothering and the importance of individual differences. Journal of Child Psychology and Psychiatry, 52, 368–397. doi:10.1111/j.1469-7610.2010.02306.x.

    Article  PubMed  Google Scholar 

  • Bibok, M. B., Carpendale, J. I. M., & Müller, U. (2009). Parental scaffolding and the development of executive function. New Directions in Child and Adolescent Development, 123, 17–34.

    Article  Google Scholar 

  • Burgess, P. W., Alderman, N., Evans, J., Emslie, H., & Wilson, B. A. (1998). The ecological validity of tests of executive function. Journal of the International Neuropsychological Society, 4, 547–558. doi:10.1017/S1355617798466037.

    Article  PubMed  Google Scholar 

  • Chan, R. K., Shum, D., Toulopoulou, T., & Chen, E. H. (2008). Assessment of executive functions: Review of instruments and identification of critical issues. Archives of Clinical Neuropsychology, 23, 201–216. doi:10.1016/j.acn.2007.08.010.

    Article  PubMed  Google Scholar 

  • Chaytor, N., Schmitter-Edgecombe, M., & Burr, R. (2006). Improving the ecological validity of executive functioning assessment. Archives of Clinical Neuropsychology, 21, 217–227. doi:10.1016/j.acn.2005.12.002.

    Article  PubMed  Google Scholar 

  • Chronis-Tuscano, A., Clarke, T. L., O’Brien, K. A., Raggi, V. L., Diaz, Y., Mintz, A. D., et al. (2013). Development and preliminary evaluation of an integrated treatment targeting parenting and depressive symptoms in mothers of children with attention-deficit/hyperactivity disorder. Journal of Consulting and Clinical Psychology, 81, 918–925. doi:10.1037/a0032112.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chronis-Tuscano, A., Wang, C. H., Strickland, J., Almirall, D., & Stein, M. A. (2016). Personalized treatment of mothers with ADHD and their young at-risk children: A SMART pilot. Journal of Clinical Child & Adolescent Psychology, 45, 510–521. doi:10.1080/15374416.2015.1102069.

    Article  Google Scholar 

  • Conway, A., Kane, M., Bunting, M., Hambrick, Z., Wilhelm, O., & Engle, R. (2005). Working memory span tasks: A methodological review and user's guide. Psychonomic Bulletin and Review, 12, 769–786.

    Article  PubMed  Google Scholar 

  • Cuevas, K., Deater-Deckard, K., Kim-Spoon, J., Watson, A. J., Morasch, K. C., & Bell, M. A. (2013). What’s mom got to do with it? Contributions of maternal executive function and caregiving to the development of executive function across early childhood. Developmental Science, 17, 224–238. doi:10.1111/desc.12073.

    Article  Google Scholar 

  • Deater-Deckard, K. (2000). Parenting and child behavioral adjustment in early childhood: A quantitative genetic approach to studying family processes. Child Development, 71, 468–484. doi:10.1111/1467-8624.00158.

    Article  PubMed  Google Scholar 

  • Deater-Deckard, K., Pylas, M. V., & Petrill, S. A. (1997). Parent-child interaction system (PARCHISY). London: Institute of Psychiatry.

    Google Scholar 

  • Deater-Deckard, K., Pike, A., Petrill, S. A., Cutting, A. L., Hughes, C., & O’Connor, T. G. (2001). Nonshared environmental processes in social-emotional development: An observational study of identical twin differences in the preschool period. Developmental Science, 4, F1–F6. doi:10.1111/1467-7687.00157.

    Article  Google Scholar 

  • Deater-Deckard, K., Sewell, M. D., Petrill, S. A., & Thompson, L. A. (2010). Maternal working memory and reactive negativity in parenting. Psychological Science, 21, 75–79. doi:10.1177/0956797609354073.

    Article  PubMed  Google Scholar 

  • Deater-Deckard, K., Wang, Z., Chen, N., & Bell, M. (2012). Maternal executive function, harsh parenting, and child conduct problems. Journal of Child Psychology and Psychiatry, 53, 1084–1091. doi:10.1111/j.1469-7610.2012.02582.x.

    Article  PubMed  PubMed Central  Google Scholar 

  • DeNavas-Walt, C., Proctor, B. D., & Smith, J. C. (2014). Income and poverty in the United States: 2013. Washington, DC: United States Census Bureau.

  • 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 

  • Fabiano, G. A., Pelham, W. E., Waschbusch, D. A., Gnagy, E. M., Lahey, B. B., Chronis, A. M., 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. Journal of Clinical Child and Adolescent Psychology, 35, 369–385. doi:10.1207/s15374424jccp3503_3.

    Article  PubMed  Google Scholar 

  • Faraone, S. V., & Doyle, A. E. (2000). Genetic influences on attention deficit hyperactivity disorder. Current Psychiatry Reports, 2, 143–146.

    Article  PubMed  Google Scholar 

  • Flory, K., Milich, R., Lynam, D. R., Leukefeld, C., & Clayton, R. (2003). Relation between childhood disruptive behavior disorders and substance use and dependence symptoms in young adulthood: Individuals with symptoms of attention-deficit/hyperactivity disorder are uniquely at risk. Psychology of Addictive Behaviors, 17, 151–158.

    Article  PubMed  Google Scholar 

  • Frazier, T. W., Demaree, H. A., & Youngstrom, E. A. (2004). Meta-analysis of intellectual and neuropsychological test performance in attention-deficit/hyperactivity disorder. Neuropsychology, 18, 543–555. doi:10.1037/0894-4105.18.3.543.

    Article  PubMed  Google Scholar 

  • Friedman, N. P., Miyake, A., Young, S. E., DeFries, J. C., Corley, R. P., & Hewitt, J. K. (2008). Individual differences in executive functions are almost entirely genetic in origin. Journal of Experimental Psychology: General, 137, 201–225. doi:10.1037/0096-3445.137.2.201.

    Article  Google Scholar 

  • Garstein, M. A., & Fagot, B. I. (2003). Parental depression, parenting and family adjustment, and child effortful control: Explaining externalizing behaviors for preschool children. Journal of Applied Developmental Psychology, 24, 143–177. doi:10.1016/S0193-3973(03)00043-1.

    Article  Google Scholar 

  • Gauvain, M. (2005). Scaffolding in socialization. New Ideas in Psychology, 23, 129–139. doi:10.1016/j.newideapsych.2006.05.004.

    Article  Google Scholar 

  • Gelman, A., & Hill, J. (2006). Data analysis using regression and multilevel/hierarchical models. New York: Cambridge University Press.

    Book  Google Scholar 

  • Gioia, G. A., & Isquith, P. K. (2004). Ecological assessment of executive function in traumatic brain injury. Developmental Neuropsychology, 25, 135–158. doi:10.1207/s15326942dn2501&2_8.

    Article  PubMed  Google Scholar 

  • Goel, V., Grafman, J., Tajik, J., Gana, S., & Danto, D. (1997). A study of the performance of patients with frontal lobe lesions in a financial planning task. Brain, 120, 1805–1822.

    Article  PubMed  Google Scholar 

  • Green, M., Kern, R. S., Braff, D. L., & Mintz, J. (2000). Neurocognitive deficits and functional outcome in schizophrenia: Are we measuring the 'right stuff'? Schizophrenia Bulletin, 26, 119–136.

    Article  PubMed  Google Scholar 

  • Gregory, C., Lough, S., Stone, V., Erzinclioglu, S., Martin, L., Baron-Cohen, S., & Hodges, J. R. (2002). Theory of mind in patients with frontal variant frontotemporal dementia and Alzheimer's disease: Theoretical and practical implications. Brain: A Journal of Neurology, 125, 752–764. doi:10.1093/brain/awf079d.

    Article  Google Scholar 

  • Hammond, S. I., Müller, U., Carpendale, J. M., Bibok, M. B., & Liebermann-Finestone, D. P. (2012). The effects of parental scaffolding on preschoolers' executive function. Developmental Psychology, 48, 271–281. doi:10.1037/a0025519.

    Article  PubMed  Google Scholar 

  • Harold, G. T., Leve, L. D., Barrett, D., Elam, K., Neiderhiser, J. M., Natsuaki, M. N., et al. (2013). Biological and rearing mother influences on child ADHD symptoms: Revisiting the developmental interface between nature and nurture. Journal of Child Psychology and Psychiatry, 54, 1038–1046. doi:10.1111/jcpp.12100.

    Article  PubMed  PubMed Central  Google Scholar 

  • Harvey, E. A., Metcalfe, L. A., Herbert, S. D., & Fanton, J. H. (2011). The role of family experiences and ADHD in the early development of oppositional defiant disorder. Journal of Consulting and Clinical Psychology, 79, 784–795. doi:10.1037/a0025672.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hughes, C. H., & Ensor, R. A. (2009). How do families help or hinder the emergence of early executive function? New Directions for Child and Adolescent Development, 2009, 35–50.

    Article  PubMed  Google Scholar 

  • Johnston, C., & Chronis-Tuscano, A. (2014). Families and ADHD. In R. A. Barkley (Ed.), Attention-deficit/hyperactivity disorder: A handbook for diagnosis and treatment (4th ed.). New York: Guilford.

    Google Scholar 

  • Johnston, C., Mash, E. J., Miller, N., & Ninowski, J. E. (2012). Parenting in adults with attention-deficit/hyperactivity disorder (ADHD). Clinical Psychology Review, 32, 215–228. doi:10.1016/j.cpr.2012.01.007.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kaufman, J., Birmaher, B., Brent, D., Rao, U. M. A., 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, 36, 980–988.

    Article  Google Scholar 

  • Landry, S. H., Smith, K. E., Swank, P. R., Assel, M. A., & Vellet, S. (2001). Does early responsive parenting have a special importance for children’s development or is consistency across early childhood necessary? Developmental Psychology, 37, 387–403.

    Article  PubMed  Google Scholar 

  • Lewis, C., & Lamb, M. E. (2003). Fathers’ influences on children’s development: The evidence from two-parent families. European Journal of Psychology of Education: A Journal of Education and Development, 18, 211–228. doi:10.1007/BF03173485.

    Article  Google Scholar 

  • Manly, T., Hawkins, K., Evans, J., Woldt, K., & Robertson, I. H. (2002). Rehabilitation of executive function: Facilitation of effective goal management on complex tasks using periodic auditory alerts. Neuropsychologia, 40, 271–281. doi:10.1016/S0028-3932(01)00094-X.

    Article  PubMed  Google Scholar 

  • Mazursky-Horowitz, H., Bell, M. A., & Deater-Deckard, K. (2015a). The role of parental chronic stressors and executive functioning in predicting parental scaffolding. Philadelphia: Poster presented at the meeting of the Society for Research in child development.

    Google Scholar 

  • Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., Howerter, A., & Wager, T. D. (2000). The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: A latent variable analysis. Cognitive Psychology, 41, 49–100. doi:10.1006/cogp.1999.0734.

    Article  PubMed  Google Scholar 

  • National Alliance for Caregiving. (2009). Caregiving in the U.S. [Data file]. Retrieved from http://www.caregiving.org/data/Caregiving_in_the_US_2009_full_report.pdf.

  • Neitzel, C., & Stright, A. D. (2004). Parenting Behaviours during child problem solving: The roles of child temperament, mother education and personality, and the problem-solving context. International Journal of Behavioral Development, 28, 166–179.

    Article  Google Scholar 

  • Norman, D. A., & Shallice, T. (1986). Attention to action: Willed and automatic control of behaviour. In R. J. Davidson, G. E. Schwartz, & D. Shapiro (Eds.), Consciousness and self-regulation: Advances in research and theory (pp. 1–18). New York: Plenum.

    Google Scholar 

  • Owen, A., Lee, A., & Williams, H. (2000). Dissociating aspects of verbal working memory within the human frontal lobe: Further evidence for 'process-specific' model of lateral frontal organization. Journal of Psychobiology, 28, 146–155.

    Google Scholar 

  • Pelham, W. E., & Lang, A. R. (1999). Can your children drive you to drink?: Stress and parenting in adults interacting with children with ADHD. Alcohol Research & Health, 23, 292–298.

    Google Scholar 

  • Pelham, W. E., Gnagy, E. M., Greenslade, K. E., & Milich, R. (1992). Teacher ratings of DSM-III—R symptoms for the disruptive behavior disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 31, 210–218.

    Article  Google Scholar 

  • Pelham, W. E., Fabiano, G. A., & Massetti, G. M. (2005). Evidence-based assessment of attention deficit hyperactivity disorder in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 449–476. doi:10.1207/s15374424jccp3403_5.

    Article  PubMed  Google Scholar 

  • Piacentini, J. C., Cohen, P., & Cohen, J. (1992). Combining discrepant diagnostic information from multiple sources: Are complex algorithms better than simple ones? Journal of Abnormal Child Psychology, 20, 51–63.

    Article  PubMed  Google Scholar 

  • Smith, K. E., Landry, S. H., & Swank, P. R. (2000). Does the content of mothers’ verbal stimulation explain differences in children’s development of verbal and nonverbal cognitive skills? Journal of School Psychology, 38, 27–49.

    Article  Google Scholar 

  • Team, R. C. (2015). R: A language and environment for statistical computing [computer software]. Vienna: R Foundation for Statistical Computing.

    Google Scholar 

  • Torralva, T., Gleichgerrcht, E., Lischinsky, A., Roca, M., & Manes, F. (2013). 'Ecological' and highly demanding executive tasks detect real-life deficits in high-functioning adult ADHD patients. Journal of Attention Disorders, 17, 11–19. doi:10.1177/1087054710389988.

    Article  PubMed  Google Scholar 

  • Torralva, T., Roca, M., Gleichgerrcht, E., Bekinschtein, T., & Manes, F. (2009). A neuropsychological battery to detect specific executive and social cognitive impairments in early frontotemporal dementia. Brain, 132(5), 1299–1309.

  • Wang, C. H., Mazursky-Horowitz, H., & Chronis-Tuscano, A. (2014). Delivering evidence-based treatments for child attention-deficit/hyperactivity disorder (ADHD) in the context of parental ADHD. Current Psychiatry Reports, 16, 474, 1–8. doi:10.1007/s11920-014-0474-8.

  • Waschbusch, D. A. (2002). A meta-analytic examination of comorbid hyperactive-impulsive-attention problems and conduct problems. Psychological Bulletin, 128, 118–150. doi:10.1037/0033-2909.128.1.118ns.

    Article  PubMed  Google Scholar 

  • Wechsler, D. (2003). Wechsler intelligence scale for children – Fourth edition (WISX-IV). San Antonio: The Psychological Corporation.

    Google Scholar 

  • Wechsler, D. (2002). Wechsler preschool and primary scale of intelligence, third edition (WPPSI-III). San Antonio: The Psychological Corporation.

  • Wechsler, D. (2008). Wechsler adult intelligence scale–fourth edition (WAIS–IV). San Antonio: NCS Pearson.

    Google Scholar 

  • Winsler, A. (1998). Parent-child interaction and private speech in boys with ADHD. Applied Developmental Science, 2, 17–39.

    Article  Google Scholar 

Download references

Acknowledgements

This study was funded by the National Institute of Child Health and Human Development (1F31HD083028-01A1).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Heather Mazursky-Horowitz.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed 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.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mazursky-Horowitz, H., Thomas, S.R., Woods, K.E. et al. Maternal Executive Functioning and Scaffolding in Families of Children with and without Parent-Reported ADHD. J Abnorm Child Psychol 46, 463–475 (2018). https://doi.org/10.1007/s10802-017-0289-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10802-017-0289-2

Keywords

Navigation