Abstract
This study examined the direct association between Attention Deficit Hyperactivity Disorder (ADHD) symptoms (i.e. inattention and hyperactivity symptoms) and children’s experience of best friend conflicts, and the mediating role of aggression, emotional and behavioural instability, exploring possible gender differences. The sample consisted of 334 children (52 % female; M age = 9.38, SD = 0.89) attending primary schools in northwest Italy. ADHD symptoms were measured with a questionnaire completed by teachers whereas others variables were assessed a self-report questionnaire completed by the children. Analyses revealed that inattention and hyperactivity symptoms were differently associated with best friend conflicts according to gender. Among boys, only hyperactivity symptoms were associated with best friend conflicts whereas among girls only inattention symptoms contributed to best friend conflicts. Aggression and emotional and behavioural instability were found to mediate these associations for both genders. These findings suggest that to understand fully the association between ADHD symptoms and best friend conflicts it might be helpful to consider the different manifestations of that association by gender, whilst also considering behavioural and emotional dimensions of children’s psychosocial adjustment.
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Abikoff, H., Hechtman, L., & Klein, R. G. (2004). Symptomatic improvement in children with long-term methylphenidate and multimodal psychosocial treatment. Journal of American Academic Children and Adolescent Psychiatry, 4, 802–811.
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders. 4th rev ed. Washington, DC.
Angold, A., Costello, E. J., Farmer, E. M. Z., Burns, B. J., & Erkanli, A. (1999). Impaired but undiagnosed. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 129–137.
Bagwell, C. L., Molina, B. S. G., Pelham, W. E., & Hoza, B. (2001). Attention-deficit hyperactivity disorder and problems in peer relations: predictions from childhood to adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1285–1292.
Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65–94.
Baron, R., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. Journal of Personal Social Psychology, 51, 1173–1182.
Barry, T. D., Lyman, R. D., & Klinger, L. G. (2002). Academic underachievement and attention-deficit/hyperactivity disorder: the negative impact of symptom severity on school performance. Journal of School Psychology, 40, 259–283.
Berndt, T. J. (1982). The features and effects of friendship in early adolescence. Child Development, 53, 1447–1460.
Berndt, T. J. (2002). Friendship quality and social development. Current Directions in Psychological Science, 11, 7–10.
Berndt, T. J., & Keefe, K. (1995). Friends’ influence on adolescents’ adjustment to school. Child Development, 66, 1312–1329.
Biederman, J., Monuteaux, M. C., Doyle, A. E., Seidman, L. J., Wilens, T. E., Ferrero, F., et al. (2004). Impact of executive function deficits and Attention-Deficit/Hyperactivity Disorder (ADHD) on academic outcomes in children. Journal of Consulting and Clinical Psychology, 72, 757–766.
Blachman, D. R., & Hinshaw, S. P. (2002). Patterns of friendship in girls with and without Attention-Deficit/Hyperactivity Disorder. Journal of Abnormal Child Psychology, 30, 625–640.
Bollmer, J. M., Milich, R., Harris, J. J., & Maras, M. A. (2005). A friend in need. The role of friendship quality as a protective factor in peer victimization and bullying. Journal of Interpersonal Violence, 20, 701–712.
Bukowski, W. M., Hoza, B., & Boivin, M. (1994). Measuring friendship quality during pre- and early adolescence: the development and psychometric properties of the friendship quality scale. Journal of Social and Personal Relationships, 11, 474–484.
Caprara, G. V., & Pastorelli, C. (1993). Early emotional instability, prosocial behavior, and aggression. Some methodological aspects. European Journal of Personality, 7, 19–36.
Caprara, G.V., Pastorelli, C., Barbaranelli, C., Incatasciato, M., & Rabasca, A. (1997). Emotional instability, physical and verbal aggression, and prosocial behavior as precursors of scholastic achievement and social adjustment. Social/Clinical Psychology Plenum Press Series, 111–120.
Cornoldi, C., Marzocchi, G. M., Belotti, M., Caroli, M. G., Meo, T., & Braga, C. (2001). Working memory interference control deficit in children referred by teachers for ADHD symptoms. Child Neurospychology, 7, 230–240.
Cuffe, S., Moore, C. H., & McKeown, R. (2005). Prevalence and correlates of ADHD symptoms in the national health interview survey. Journal of Attention Disorders, 9, 392–401.
Diamantopoulou, S., Henricsson, L., & Rydell, A. M. (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.
Diamantopoulou, S., Rydell, A. M., Thorell, L. B., & Bohlin, G. (2007). Impact of executive functioning and symptoms of attention deficit hyperactivity disorder on children’s peer relations and school performance. Developmental Neuropsychology, 32, 521–542.
Dodge, K. A., & Coie, J. D. (1987). Social information processing factors in reactive and proactive aggression in children’s peer groups. Journal of Personality and Social Psychology, 53, 1146–1158.
Faraone, S. V., Sergeant, J., Gillberg, C., & Biederman, J. (2003). The worldwide prevalence of ADHD: is it an American condition? World Psychiatry, 2, 104–113.
Fonzi, A., Tani, F., & Schneider, B. (1996). Adattamento e validazione su un campione italiano della scala sulla qualità dell’amicizia (F.Q.S.) di Bukowski, W.M., Hoza, B., Boivin, M. Giornale Italiano di Psicologia, 23(1), 107–122.
Frazier, T. W., Youngstrom, E. A., Glutting, J. J., & Watkins, M. W. (2007). ADHD and achievement: meta-analysis of the child, adolescent, and adult literatures and a concomitant study with college students. Journal of Learning Disability, 40, 49–65.
Frazzetto, G., Keenan, S., & Singh, I. (2007). ‘I bambini e le droghe’: the right to Ritalin vs the right o childhood in Italy. BioSocieties, 2, 393–412.
Furman, W. (1996). The measurement of friendship perceptions: Conceptual and methodological issues. In W. M. Bukowski, A. F. Newcomb, & W. W. Hartup (Eds.), The company they keep: Friendship in childhood and adolescence. New York: Cambridge University.
Gershon, J. (2002). A meta-analytic review of gender differences in ADHD. Journal of Attention Disorders, 5, 143–154.
Hartup, W. W., & Stevens, N. (1997). Friendship and adaptation in the life course. Psychological Bulletin, 121, 355–370.
Hoza, B. (2007). Peer functioning in children with ADHD. Ambulatory Pediatrics, 7, 101–106.
Hoza, B., Mrug, S., Pelham, W. E., Jr., Greiner, A. R., & Gnagy, E. M. (2003). A friendship intervention for children with attention-defict/hyperactivity disorder: preliminary findings. Journal of Attention Disorders, 6, 87–98.
Hoza, B., Mrug, S., Gerdes, A. C., Hinshaw, S. P., Bukowski, W. M., Gold, J. A., et al. (2005). What aspects of peer relationships are impaired in children with ADHD? Journal of Consulting and Clinical Psychology, 73, 411–423.
King, S., Waschbusch, D. A., Pelham, W. E., Frankland, B. W., Andrade, B. F., Jacques, S., et al. (2009). Social information processing in elementary-school aged children with ADHD: medication effects and comparison with typical children. Journal of Abnormal Child Psychology, 37, 579–589.
Ladd, G. W., Kochenderfer, B. J., & Coleman, C. C. (1996). Friendship quality as a predictor of young childrens’ early school adjustment. Child Development, 67, 1103–1118.
Loe, I. M., & Feldman, H. M. (2007). Academic and educational outcomes of children with ADHD: literature review and proposal for future research. Ambulatory Pediatrics, 7(1), 82–90.
MacKinnon, D. P., & Dwyer, J. H. (1993). Estimating mediated effects in prevention studies. Evaluation Review, 17, 144–158.
Maedgen, J. W., & Carlson, C. L. (2000). Social functioning and emotional regulation in the attention deficit hyperactivity disorder subtypes. Journal of Clinical Child Psychology, 29, 30–42.
Marzocchi, G. M., & Cornoldi, C. (2000). Una scala di facile uso per l’individuazione di comportamenti problematici dei bambini con deficit di attenzione e iperattività. Psicologia Clinica dello Sviluppo, 4, 43–61.
Mikami, A. Y. (2010). The importance of friendship for youth with Attention-Deficit/Hyperactivity Disorders. Clinical Child and Family Psychology Review, 13, 181–198.
National Institute of Statistics. (2012). Italy in figures 2012. Retrieved in January 2013: http://www.istat.it/it/archivio/30329.
Newcomb, A. F., & Bagwell, C. L. (1995). Children’s friendship relations: a meta-analytic review. Psychological Bulletin, 117, 306–347.
Noakes, M. A., & Rinaldi, C. M. (2006). Age and gender differences in peer conflict. Journal of Youth Adolescence, 35, 881–891.
Normand, S., Schneider, B. H., & Robaey, P. (2007). Attention deficit/hyperactivity disorder and the challenges of close friendship. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 16, 67–73.
Parker, J. G., & Asher, S. R. (1993). Friendship and friendship quality in middle childhood: links with peer group acceptance and feelings of loneliness and social dissatisfaction. Developmental Psychology, 29, 611–621.
Pastorelli, C., Caprara, G. V., Barbaranelli, C., Cermak, I., & Rozsa, S. (1997). Measuring emotional instability, prosocial behavior and aggression in pre-adolescents: a cross-national study. Personality and Individual Differences, 23, 691–703.
Polderman, T.J.C., Boomsma, D.I., Bartels, M., Verhulst, F.C., & Huizink, A.C. (2010). A systematic review of prospective studies on attention problems and academic achievement. Acta Psychiatrica Scandinavica, 271–284.
Preacher, K.J., & Leonardelli, G.J. (2009). Calculation for the Sobel Test: an interactive calculation tool for mediation tests. Avaible at www.pepople.ku.edu/preacher/sobel/sobel.htm.
Riley, A. W. (2004). Evidence that school-age children can self-report on their health. Ambulatory Pediatrics, 4(4), 371–376.
Skounti, M., Philalithis, A., & Galanakis, E. (2007). Variations in prevalence of attention deficit hyperactivity disorder worldwide. European Journal of Pediatrics, 166, 117–123.
Wahlstedt, C., Thorell, L. B., & Bohlin, G. (2008). ADHD symptoms and executive function impairment: early predictors of later behavioral problems. Developmental Neuropsychology, 33(2), 160–178.
Wheeler, J., & Carlson, C. L. (1994). The social functioning of children with ADD with hyperactivity and ADD without hyperactivity: a comparison of their peer relations and social deficits. Journal of Emotional and Behavioral Disorders, 2, 2–12.
Zalecki, C. A., & Hinshaw, S. P. (2004). Overt and relational aggression in girls with Attention Deficit Hyperactivity Disorder. Journal of Clinical Child & Adolescent Psychology, 33, 125–137.
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Zucchetti, G., Ortega, E., Scholte, R.H.J. et al. The Mediating Role of Aggressive Behaviour, Emotional and Behavioural Instability on the Association between ADHD Symptoms and Best Friend Conflicts. Curr Psychol 34, 97–111 (2015). https://doi.org/10.1007/s12144-014-9243-4
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DOI: https://doi.org/10.1007/s12144-014-9243-4