Evidence is scarce regarding the prevalence of interparental discord in families of adolescents with attention-deficit/hyperactivity disorder (ADHD). Using data collected from adolescents with childhood ADHD and comorbid oppositional defiant disorder (ODD; n = 46) or conduct disorder (CD; n = 23), with childhood ADHD only (n = 26), and without ADHD (n = 88) and their mothers, maternal and adolescent reports of interparental discord were compared. Adolescents with ADHD + CD reported witnessing more frequent and unresolved interparental conflict than adolescents without ADHD and with ADHD only. Adolescents with ADHD + CD also indicated more frequent conflict than adolescents with ADHD + ODD. However, differences in conflict resolution were nonsignificant when household income was covaried, and maternal ratings of interparental discord did not differ across groups. Findings highlight the potential utility of adolescents with ADHD as informants of interparental relationship quality.
Achenbach, T.M. (1991a). Manual for the Child Behavior Checklist 4—18 and 1991 Profile. Burlington: University of Vermont, Department of Psychiatry.
2.
Achenbach, T.M. (1991b). Manual for the Teacher Report Form 4—18 and 1991 Profile. Burlington: University of Vermont, Department of Psychiatry.
3.
American Academy of Pediatrics. (2000). Clinical practice guideline: Diagnosis and evaluation of the child with attention-deficit/ hyperactivity disorder. Pediatrics , 105, 1158—1170.
4.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., revised). Washington, DC: Author.
5.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author .
6.
Atkins, M.S., Pelham, W.E., & Licht, M.H. (1985). A comparison of objective classroom measures and teacher ratings of attention deficit disorder. Journal of Abnormal Child Psychology, 13, 155—167.
7.
Barkley, R.A., Anastopoulos, A.D., Guevremont, D.C., & Fletcher, K.E. (1992). Adolescents with attention deficit hyperactivity disorder: Mother-adolescent interactions, family beliefs and conflicts, maternal psychopathology. Journal of Abnormal Child Psychology, 20, 263—287.
8.
Barkley, R.A., Fischer, M., Edelbrock, C., & Smallish, L. (1990). The adolescent outcome of hyperactive children diagnosed by research criteria: I. An 8-year prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry , 29, 546—557.
9.
Barkley, R.A., Fischer, M., Edelbrock, C., & Smallish, L. (1991). The adolescent outcome of hyperactive children diagnosed by research criteria—III. Mother-child interactions, family conflicts and maternal psychopathology. Journal of Child Psychology and Psychiatry, 32, 233—255.
10.
Befera, M.S., & Barkley, R.A. (1985). Hyperactive and normal girls and boys: Mother-child interaction, parent psychiatric status and child psychopathology. Journal of Child Psychology and Psychiatry, 26, 439—452.
11.
Bickham, N.L., & Fiese, B.H. (1997). Extension of the children's perceptions of interparental conflict scale for use with late adolescents. Journal of Family Psychology, 11, 246—250.
12.
Biederman, J., Monuteaux, M.C., Greene, R.W., Braaten, E., Doyle, A.E., & Faraone, S.V. (2001). Long-term stability of the child behavior checklist in a clinical sample of youth with attention-deficit hyperactivity disorder . Journal of Clinical Child Psychology, 30, 492—502.
13.
Brestan, E.V., & Eyberg, S.M. (1998). Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, 5,272 kids. Journal of Clinical Child Psychology, 27, 180—189.
14.
Chronis, A.M., Chacko, A., Fabiano, G.A., Wymbs, B.T., & Pelham, W.E. (2004). Enhancements to the behavioral parent training paradigm for families of children with ADHD: Review and future directions . Clinical Child and Family Psychology Review, 7, 1—27.
15.
Cohen, J. (1988). Statistical power analyses for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
16.
Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
17.
Counts, C.A., Nigg, J.T., Stawicki, J.A., Rappley, M.D., & Von Eye, A. (2005). Family adversity in DSM-IV ADHD combined and inattentive subtypes and associated disruptive behavior problems. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 690—698.
18.
Cummings, E.M., Ballard, M., & El-Sheikh, M. (1991). Responses of children and adolescents to interadult anger as a function of gender, age, and mode of expression. Merrill-Palmer Quarterly, 37, 543—560.
19.
Cummings, E.M., & Davies, P.T. (1994). Children and marital conflict: The impact of family dispute and resolution. New York: Guilford.
20.
Cummings, E.M., Davies, P.T., & Simpson, K.S. (1994). Marital conflict, gender, and children's appraisals and coping efficacy as mediators of child adjustment. Journal of Family Psychology, 8, 141—149.
21.
Cummings, E.M., Ianotti, R.J., & Zahn-Waxler, C. (1985). Influence of conflict between adults on the emotions and aggression of young children. Developmental Psychology, 21, 495—507.
22.
Dadds, M.R., Schwartz, S., & Sanders, M.R. (1987). Marital discord and treatment outcome in behavioral treatment of child behavior problems. Journal of Consulting and Clinical Psychology, 55, 396—403.
23.
Davies, P.T., & Windle, M. (2001). Interparental discord and adolescent adjustment trajectories: The potentiating and protective role of intrapersonal attributes . Child Development, 72, 1163—1178.
24.
Dishion, T.J., & Kavanagh, K. (2003). Intervening in adolescent problem behavior: A family centered approach. New York: Guilford.
25.
DuPaul, G.J., Power, T.J., McGoey, K.E., Ikeda, M.J., & Anastopoulos, A.D. (1998). Reliability and validity of parent and teacher ratings of attention-deficit/hyperactivity disorder symptoms. Journal of Psychological Assessment, 16, 55—68.
26.
DuPaul, G.J., & Stoner, G. (2003). ADHD in the schools: Assessment and intervention strategies (2nd ed.). New York : Guilford.
Emery, R.E., Joyce, S.A., & Fincham, F.D. (1987). Assessment of child and marital problems. In K. D. O'Leary (Ed.), Assessment of marital discord: An integration for research and clinical practice (pp. 223—261). Hillsdale, NJ: Lawrence Erlbaum.
29.
Emery, R.E., & O'Leary, K.D. (1982). Children's perceptions of marital discord and behavior problems of boys and girls. Journal of Abnormal Child Psychology, 10, 11—24.
30.
Epstein, M.K., Renk, K., Duhig, A.M., Bosco, G.L., & Phares, V. (2004). Interparental conflict, adolescent behavioral problems, and adolescent competence: Convergent and discriminant validity . Educational and Psychological Measurement, 64, 475—495.
31.
Faden, V.B., Day, N.L., Windle, M., Windle, R., Grube, J.W., Molina, B.S.G., et al. (2004). Collecting longitudinal data through childhood, adolescence, and young adulthood: Methodological challenges. Alcoholism: Clinical and Experimental Research, 28, 330—340.
32.
Fauber, R., Forehand, R., Thomas, A.M., & Wierson, M. (1990). A mediational model of the impact of marital conflict on adolescent adjustment in intact and divorced families: The role of disrupted parenting. Child Development, 61, 1112—1123.
33.
Fischer, M. (1990). Parenting stress and the child with attention deficit hyperactivity disorder. Journal of Clinical Child Psychology, 19, 337—346.
34.
Foltz, C., Morse, J.Q., & Barber, J.P. (1999). Self and observer reports of interpersonal problems in couples. Journal of Clinical Psychology, 55, 27—37.
35.
Frick, P.J. (1994). Family dysfunction and the disruptive behavior disorders: A review of recent empirical findings. In T. H. Ollendick & R. J. Prinz (Eds.), Advances in clinical child psychology (Vol. 16, pp. 203—226). New York: Plenum .
36.
Gerdes, A.C., Hoza, B., & Pelham, W.E. (2003). Attention deficit/ hyperactivity disordered boys' relationships with their mothers and fathers: Child, mother, and father perceptions . Development and Psychopathology, 15, 363—382.
37.
Gonzales, N.A., Pitts, S.C., Hill, N.E., & Roosa, M.W. (2000). A mediational model of the impact of interparental conflict on child adjustment in a multi-ethnic, low-income sample. Journal of Family Psychology, 14, 365—379.
38.
Grych, J.H., & Fincham, F.D. (1990). Marital conflict and children's adjustment: A cognitive-contextual framework. Psychological Bulletin, 108, 267—290.
39.
Grych, J.H., Seid, M., & Fincham, F.D. (1992). Assessing marital conflict from the child's perspective: The Children's Perception of Interparental Conflict Scale. Child Development, 63, 558—572.
40.
Harold, G.T., Fincham, F.D., Osborne, L.N., & Conger, R.D. (1997). Mom and dad are at it again: Adolescent perceptions of marital conflict and adolescent psychological distress. Developmental Psychology, 33, 333—350.
41.
Hill, R.W., Zrull, M.C., & McIntire, K. (1998). Differences between self-and peer ratings of interpersonal problems. Assessment, 5, 67—83.
42.
Hope, T.L., Adams, C., Reynolds, L., Powers, D., Perez, R.A.N., & Kelly, M.L. (1999). Parent vs. self-report: Contributions toward diagnosis of adolescent psychopathology. Journal of Psychopathology and Behavioral Assessment, 21, 349—363.
43.
Hoza, B., Gerdes, A.C., Hinshaw, S.P., Arnold, L.E., Pelham, W.E., Molina, B.S.G., et al. (2004). Self-perceptions of competence in children with ADHD and comparison children. Journal of Consulting and Clinical Psychology, 72, 382—391.
44.
Hoza, B., Pelham, W.E., Dobbs, J., Owens, J.S., & Pillow, D.R. (2002). Do boys with attention-deficit/hyperactivity disorder have positive illusory self-concepts? Journal of Abnormal Psychology, 111, 268—278.
45.
Hunsley, J., Pinsent, C., Lefebvre, M., James-Tanner, S., & Vito, D. (1995). Construct validity of the short forms of the Dyadic Adjustment Scale. Family Relations, 44, 231—237.
46.
Jacobson, N.S., & Margolin, G. (1979). Marital therapy: Strategies based on social learning and behavior exchange principles. New York: Brunner/Mazel .
47.
Jenkins, J., Simpson, A., Dunn, J., Rasbash, J., & O'Connor, T.G. (2005). Mutual influence of marital conflict and children's behavior problems: Shared and nonshared family risks . Child Development, 76, 24—39.
48.
Johnston, C., & Behrenz, K. (1993). Childrearing discussions in families of nonproblem children and ADHD children with higher and lower levels of aggressive-defiant behavior. Canadian Journal of School Psychology, 9, 53—65.
49.
Johnston, C., & Mash, E.J. (2001). Families of children with attention-deficit/hyperactivity disorder: Review and recommendations for future research. Clinical Child and Family Psychology Review, 4, 183—207.
50.
Karney, B.R., & Bradbury, T.N. (1995). The longitudinal course of marital quality and stability: A review of theory, method, and research . Psychological Bulletin, 118, 3—34.
51.
Klaczynski, P.A., & Cummings, E.M. (1989). Responding to anger in aggressive and nonaggressive boys: A research note. Journal of Child Psychology and Psychiatry, 30, 309—314.
52.
Lahey, B.B., Hartdagen, S.E., Frick, P.J., McBurnett, K., Connor, R., & Hynd, G.W. (1988). Conduct disorder: Parsing the confounded relation to parental divorce and antisocial personality. Journal of Abnormal Psychology, 97, 334—337.
53.
Lindahl, K.M. (1998). Family process variables and children's disruptive behavior problems. Journal of Family Psychology, 12, 420—436.
54.
Mann, B.J., & MacKenzie, E.P. (1996). Pathways among marital functioning, parental behaviors, and child behavior problems in school-age boys. Journal of Clinical Child Psychology, 25, 183—191.
55.
Molina, B.S.G., Marshal, M.P., Pelham, W.E., & Wirth, R.J. (2005). Coping skills and parent support mediate the association between childhood attention-deficit/hyperactivity disorder and adolescent cigarette use. Journal of Pediatric Psychology, 30, 345—357.
56.
Molina, B.S.G., Pelham, W.E., Jr., Gnagy, E.M., Thompson, A.L., & Marshal, M.P. (2007). ADHD risk for heavy drinking and alcohol use disorder is age-specific in adolescence and young adulthood. Alcoholism: Experimental and Clinical Research, 31, 1—12.
57.
Molina, B.S.G., Smith, B.H., & Pelham, W.E. (2001). Factor structure and criterion validity of secondary school teacher ratings of ADHD and ODD. Journal of Abnormal Child Psychology, 29, 71—82.
58.
Mrug, S., Hoza, B., & Gerdes, A.C. (2001). Children with attention-deficit/hyperactivity disorder: Peer relationships and peer-oriented interventions. New Directions for Child and Adolescent Development, 91, 51—77.
59.
MTA Cooperative Group. (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56, 1073—1086.
60.
Owens, J.S., & Hoza, B. (2003). The role of inattention and hyperactivity/ impulsivity in the positive illusory bias. Journal of Consulting and Clinical Psychology, 71, 680—691.
61.
Pedro-Carroll, J. (1997). The Children of Divorce Intervention Program: Fostering resilient outcomes for school-aged children. In G. W. Albee & T. P Gullotta (Eds.), Primary prevention works (pp. 213—238). Thousand Oaks, CA: Sage.
62.
Pelham, W.E., Fabiano, G.A., Gnagy, E.M., Greiner, A.R., & Hoza, B. (2005). The role of summer treatment programs in the context of comprehensive psychosocial treatment for attention-deficit/ hyperactivity disorder. In E. Hibbs & P. Jensen (Eds.), Psychosocial treatments for child and adolescent disorders: Empirically based strategies for clinical practice (2nd ed.). Washington, DC: American Psychiatric Association.
63.
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.
64.
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 and Adolescent Psychiatry, 31, 210—218.
65.
Pelham, W.E., Milich, R., Cummings, E.M., Murphy, D.A., Schaughency, E.A., & Greiner, A.R. (1991). Effects of background anger, provocation, and methylphenidate on emotional arousal and aggressive responding in attention-deficit hyperactivity disordered boys with and without concurrent aggressiveness. Journal of Abnormal Child Psychology, 19, 407—426.
66.
Pelham, W.E., Wheeler, T., & Chronis, A. (1998). Empirically supported psychosocial treatments for ADHD. Journal of Clinical Child Psychology, 27, 190—205.
67.
Power, T.J., Andrews, T.J., Eiraldi, R.B., Doherty, B.J., Ikeda, M.J., DuPaul, G.J., et al. (1998). Evaluating attention deficit hyperactivity disorder using multiple informants: The incremental utility of combining teacher with parent reports. Psychological Assessment, 10, 250—260.
68.
Reid, M.J., Webster-Stratton, C., & Hammond, M. (2003). Follow-up of children who received the incredible years intervention for oppositional-defiant disorder: Maintenance and prediction of 2-year outcome. Behavior Therapy, 34, 471—491.
69.
Robin, A.L. (1998). ADHD in adolescents: Diagnosis and treatment. New York: Guilford.
70.
Robin, A.L., & Foster, S.L. (1989). Negotiating parent-adolescent conflict: A behavioral-family systems approach. New York: Guilford .
71.
Rogge, R.D., & Bradbury, T.N. (1999). Till violence does us part: The differing roles of communication and aggression in predicting adverse marital outcomes. Journal of Consulting and Clinical Psychology , 67, 340—351.
72.
Schachar, R., & Wachsmuth, R. (1991). Family dysfunction and psychosocial adversity: Comparison of attention deficit disorder, conduct disorder, normal and clinical controls. Canadian Journal of Behavioural Science, 23, 332—348.
73.
Smith, B.H., Pelham, W.E., Gnagy, E.M., Molina, B.S.G., & Evans, S. (2000). The reliability, validity, and unique contributions of self-report by adolescents receiving treatment for ADHD. Journal of Consulting and Clinical Psychology, 68, 489—499.
74.
Spanier, G.B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and Family, 38, 15—28.
75.
Straus, M.A. (1979). Measuring intrafamily conflict and violence: The Conflict Tactics (CT) Scales. Journal of Marriage and Family , 41, 75—88.
76.
Waschbusch, D.A. (2002). A meta-analytic examination of comorbid hyperactive-impulsive-attention problems and conduct problems. Psychological Bulletin, 128, 118—150.
77.
Whalen, C.K., & Henker, B. (1999). The child with attention-deficit/hyperactivity disorder in family contexts. In H. C. Quay & A. E. Hogan (Eds.), Handbook of disruptive behavior disorders (pp. 139—155). New York : Kluwer Academic/Plenum.
78.
Wierson, M., Forehand, R., & McCombs, A. (1988). The relationship of early adolescent functioning to parent-reported and adolescent-perceived interparental conflict. Journal of Abnormal Child Psychology, 16, 707—718.
79.
Wymbs, B.T., Pelham, W.E., Gnagy, E.M., Buchheit, J.M., Maiorana, N., Emerson, J.M., et al. (2006, November). Does disruptive child behavior cause interparental discord? An experimental manipulation. Poster presented at the 40th annual conference of the Association for Behavioral and Cognitive Therapies, Chicago.
80.
Wymbs, B.T., Pelham, W.E., Molina, B.S.G., Gnagy, E.M., & Wilson, T. (2007). Trajectory and predictors of divorce among parents of adolescents and young adults with attention-deficit hyperactivity disorder . Manuscript under review.
