Preliminary data examined the relationships between mothers, their sons with Attention-Deficit/Hyperactivity Disorder (ADHD), and younger siblings. We hypothesized that the conflict between the mother and the son with ADHD would also occur in the relationship between the child with ADHD and the younger sibling.
Significant associations were found among ADHD behaviors, family conflict variables, conflict in the relationship between mother and child with ADHD, conflict in the relationship between mother and younger sibling, and conflict in the relationship between the child with ADHD and the younger sibling. Further, significant associations were found between behavior symptoms associated with ADHD and more problematic family relationships. Of particular interest was the finding of an unexpected inverse association between siblings' peer competence and mother-ADHD conflict; specifically, that conflict occurring at home from ADHD accounted for a greater percentage of the variance in peer competence as rated by teachers. Recommendations are made for future research with larger samples, alternative designs, older siblings, and fathers.
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References
1.
Achenbach, T. (1991). Manual for the Child Behavior Checklist/4-18 and 1991 Profile. Burlington, VT: University of Vermont, Department of Psychiatry.
2.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
3.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author .
4.
Arnold, J.E., Levine, A.G., & Patterson, J.R. (1975). Changes in sibling behavior following family intervention. Journal of Consulting and Clinical Psychology, 43, 683—688.
5.
Barkley, R.A. (1985). The parent-child interaction patterns of hyperactive children: Precursors to aggressive behavior? Advances in Developmental and Behavioral Pediatrics, 6, 117—150.
6.
Barkley, R.A. (1998). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (2nd ed.). New York: Guilford.
7.
Brody, G.H., & Stoneman, Z. (1983). Children with atypical siblings: Socialization outcomes and clinical participation. In B. Lahey & A. Kazdin (Eds.), Advances in clinical psychology (pp. 285-326). New York: Plenum.
8.
Buhrmester, D., Camparo, L., Christensen, A., Gonzalez, L.S., & Hinshaw, S.P. (1992). Mothers and fathers interacting in dyads and triads with normal and hyperactive sons. Developmental Psychology , 28, 500—509.
9.
Camparo, L., Christensen, A., Buhrmester, D., & Hinsliaw, S. (1994). System functioning in families withADHD and non-ADHD sons. Personal Relationships, 1, 301-308.
10.
Cicchetti, D., & Cohen, D. (1995). Perspectives on developmental psychopathology . In D. Cicchetti & D. Cohen (Eds.), Developmental psychopathology: Threory and methods (pp. 3-20). New York: Wiley & Sons.
11.
Cohen, N.J., Barwick, M.A., Horodezky, N., & Isaacson, L. (1996). Comorbidity of language and social-emotional disorders: Comparison of psychiatric outpatients and their siblings. Journal of Clinical Child Psychology, 25, 192—200.
12.
Committee on Quality Improvement, Subcommittee on Attention-Deficit/Hyperactivity Disorder. (2000). Clinical practice guideline: Diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder. Pediatrics, 105, 1158-1170.
13.
Cummings, E.M. & Davies, P.T. (1994). Children and marital conflict: The impact of family dispute and resolution. New York: Guilford Press.
14.
Dadds, M.R., Sanders, M.R., Morrison, M., & Rebgetz, M. (1992). Childhood depression and conduct disorder: II. An analysis of family interaction patterns in the home. Journal of Abnormal Psychology, 101, 505—513.
15.
Danforth, J.S., Barkley, R.A., & Stokes, T.F. (1991). Observations of parent-child interactions with hyperactive children: Research and clinical implications. Clinical Psychology Review, 11, 703-727.
16.
Dodge, K.A., McClaskey, C.L., & Feldman, E. (1985). Situational approach to the assessment of social competence in children. Journal of Consulting and Clinical Psychology, 53, 344—353.
17.
DuPaul, G.J., McGoey, K.E., Eckert, T.L., & VanBrackle, J. (2001). Preschool children with Attention-Deficit/ Hyperactivity Disorder: Impairments in behavioral, social, and school functioning. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 508-515.
18.
Faraone, S.V., et al. (1993). Intellectual performance and school failure in children with attention deficit hyperactivity disorder and in their siblings . Journal of Abnormal Psychology, 102, 616—623.
19.
Furman, W., & Bulmnester, D. (1985). Children's perceptions of the qualities of sibling relationships. Child Development , 56, 448-461.
20.
Graham-Bermann, S. A. (1994). The assessment of childhood sibling relationships: Varying perspectives on cooperation and conflict. The Journal of Genetic Psychology, 155, 457—469.
21.
Hechtman, L. (1996). Families of children with attention deficit hyperactivity disorder: A review. Canadian Journal of Psychiatry, 41, 350—360.
22.
Hollidge, C. (2000). Well children living with diabetic siblings: Implications for emotional adjustment utilizing a psychodynamic framework. Psychoanalytic Social Work, 7,49—74.
23.
Johnston, C. (1996). Parent characteristics and parent-child interactions in families of nonproblem children and ADHD children with higher and lower levels of oppositional-defiant behavior. Journal of Abnormal Child Psychology, 24, 85—104.
24.
Johnston, C. & Mash, E.J. (in press). Families of children with Attention-Deficit/Hyperactivity Disorder: Review and recommendations for future research. Clinical Child and Family Psychology Review.
25.
Lindahl, K.R. (1998). Family process variables and children's disruptive behavior problems. Journal of Family Psychology, 12, 420—436.
26.
Lobato, D., Barbour, L., Hall, L.J., & Miller, C.T. (1987). Psychosocial characteristics of preschool siblings of handicapped and nonhandicapped children. Journal of Abnormal Child Psychology, 15, 329—338.
27.
Mash, E.J., & Johnston, C. (1983). Sibling interactions of hyperactive and normal children and their relationship to reports of maternal stress and self-esteem . Journal of Clinical Child Psychology. 12, 91-99.
28.
Mash, E.J. & Johnston, C. (1990). Determinants of parenting stress; Illustrations from families of hyperactive children and families of physically abused children . Journal of Clinical Child Psychology. 19, 313-328.
29.
Mash, E.J., & Mercer, B.J. (1979). A comparison of the behavior of deviant and non-deviant boys while playing alone and interacting with a sibling. Journal of Child Psychology and Psychiatry, 20, 197-207.
30.
Prinz, R.J., Foster, S.L., Kent, R N., & O'Leary, K.D. (1979). Multivariate assessment of conflict in distressed and nondistressed mother-adolescent dyads. Journal of Applied Behavior Analysis, 12, 691—700.
31.
Reynolds, C.R., & Kamphaus, R.W. (1992). Behavior Assessment System for Children (BASC) manual. Circle Pines, MN: American Guidance Services.
32.
Samudra, K. & Cantwell, D.P. (1999). Risk factors for Attention-Defcit/Hyperactivity Disorder. In A.C. Quay and A.E. Hogan (Eds.), Handbook of Disruptive Behavior Disorders (pp. 199-220). New York: Kluwer Academic/ Plenum Publishers.
33.
Sroufe, L.A. (1997). Psychopathology as an outcome of development. Development and Psychopathology, 9, 251—268.
34.
Stoneman, Z., Brody, G H., Davis, C.H., & Crapps , J.M. (1987). Mentally retarded children and their older same-sex siblings: Naturalistic in-home observations. American Journal of Mental Retardation , 92, 290-298.
35.
Stoneman, Z., Brody, G H., Davis, C.H., Crapps, J.M., & Malone , D.M. (1991). Ascribed role relations between children with mental retardation and their younger siblings. American Journal of Mental Retardation, 95, 537-550.
36.
Stormont-Spurgin, M. & Zcntall, S.S. (1995). Contributing factors in the manifestation of aggression in preschoolers with hyperactivity. Journal of Child Psychology and Psychiatry.36, 491—509.
37.
Tarver-Behring, S., Barkley, R.A., & Karlsson, J. (1985). The mother-child interactions of hyperactive boys and their normal siblings. American Journal of Orthopsychiatry , 52, 202-209.
38.
Taylor, S.C. (1980). The effect of chronic childhood illnesses upon well siblings. Maternal-Child Nursing Journal, 9, 109—116.
39.
Waldman, I.D., et al. (1998). Association and linkage of the dopamine transporter gene and attention-deficit hyperactivity disorder in children: Heterogeneity owing to diagnostic subtype and severity. American Journal of Human Genetics, 63, 1767-1776.
40.
Whalen, C.K. & Henker, B. (1992). The social profile of attention-deficit hyperactivity disorder. Five fundamental facets. Child and Adolescent Psychiatric Clinics of North America, 1, 395-,410.
