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.
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Notes
Results described below were similar when analyses were conducted with both Digit Span and BDEFS prior to imputation.
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.
Barkley, R. A. (2011). Barkley deficits in executive functioning scale (BDEFS). New York: Guilford Press.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Deater-Deckard, K., Pylas, M. V., & Petrill, S. A. (1997). Parent-child interaction system (PARCHISY). London: Institute of Psychiatry.
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.
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.
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.
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.
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.
Faraone, S. V., & Doyle, A. E. (2000). Genetic influences on attention deficit hyperactivity disorder. Current Psychiatry Reports, 2, 143–146.
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.
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.
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.
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.
Gauvain, M. (2005). Scaffolding in socialization. New Ideas in Psychology, 23, 129–139. doi:10.1016/j.newideapsych.2006.05.004.
Gelman, A., & Hill, J. (2006). Data analysis using regression and multilevel/hierarchical models. New York: Cambridge University Press.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Team, R. C. (2015). R: A language and environment for statistical computing [computer software]. Vienna: R Foundation for Statistical Computing.
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.
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.
Wechsler, D. (2003). Wechsler intelligence scale for children – Fourth edition (WISX-IV). San Antonio: The Psychological Corporation.
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.
Winsler, A. (1998). Parent-child interaction and private speech in boys with ADHD. Applied Developmental Science, 2, 17–39.
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This study was funded by the National Institute of Child Health and Human Development (1F31HD083028-01A1).
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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
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DOI: https://doi.org/10.1007/s10802-017-0289-2