Objective: This study examined the impact of inattention, hyperactivity, and oppositional defiant disorder (ODD) behaviors and gender on family life. Method: We created scales for the Family Experiences Inventory (FEI) in a nonclinical sample of Spaniard families with children ages 6 to 12 years (N = 369) and analyzed the perceived impact of these three behavior dimensions on family experiences. Results: Multiple regression analyses indicated that ODD behaviors were uniquely correlated with Total FEI and its dimensions. Inattention was also uniquely related to higher negative Impact on School Relations and lower Positive Impact on Parents scales. Finally, gender—hyperactivity interactions indicated that boys with higher hyperactivity scores were more likely to score higher on the FEI Total, School Relations, and Siblings scales, and more likely to score lower on the Positive Impact on Parents scale than girls. Conclusions: These findings suggested that parents perceive greater child-related impact and place greater burden from having a male child with hyperactivity. Inattention, hyperactivity, and oppositional defiant behaviors are associated with global parent—child interactive stress but the pattern of associations will vary depending upon the behavior, child gender, and context of family life examined.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author .
2.
Anastopoulos, A.D., Guevremont, D.C., Shelton, T.L., & DuPaul, G.J. (1992). Parenting stress among families of children with attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 20, 503-520.
3.
Barkley, R.A. ( 2006). Attention-deficit hyperactivity disorder. A handbook for diagnosis and treatment (3rd ed.). New York: Guilford.
4.
Barkley, R.A., Murphy, K.R., & Bauermeister, J.J. (1998). Trastorno por Déficit de Atención e Hiperactividad. New York: Guilford.
5.
Bauermeister, J.J. ( 1992). Factor analyses of teacher ratings of attention deficit-hyperactivity and oppositional defiant symptoms in children aged four through thirteen years . Journal of Clinical Child Psychology, 21, 27-34.
6.
Bauermeister, J.J., Matos, M., & Reina, G. ( 1999). Do the combined and inattentive types of ADHD have a similar impact on family life? ADHD Report, 7, 6-8.
7.
Bauermeister, J.J., Matos, M., Reina, G., Salas, C.C., Martínez, J.V., Cumba, E., et al. (2005). Comparison of the DSM-IV combined and inattentive types of ADHD in a school-based sample of Latino/Hispanic children. Journal of Child Psychology and Psychiatry, 46, 166-179.
8.
Bauermeister, J.J., Shrout, P.E., Chávez, L., Rubio-Stipec, M., Ramírez, R., Padilla, L., et al. (2007a). ADHD and gender: Are risks and sequela of ADHD the same for boys and girls? Journal of Child Psychology and Psychiatry, 48, 831-839.
9.
Bauermeister, J.J., Shrout, P.E., Ramírez, R., Bravo, M., Alegría, M., Martínez-Taboas, A., et al. (2007b). ADHD correlates, comorbidity and impairment in community and treated samples of children and adolescents. Journal of Abnormal Child Psychology, 35, 883-898.
10.
Bird H.R., Davies M., Duarte, C.S., Shen S., Loeber, R., & Canino, G.( 2006). A study of disruptive behavior disorders in Puerto Rican youth: II. Baseline prevalence, comorbidity, and correlates in two sites. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1042-1053.
11.
Breen, M.J., & Barkley, R.A. ( 1988). Child psychopathology and parenting stress in girls and boys having attention deficit disorder with hyperactivity. Journal of Pediatric Psychology, 13, 265-280.
12.
Bussing, R., Gary, F., Mason, D.M., Leon, C.E., Sinha, K., & Garvan, C.W. ( 2003). Child temperament, ADHD, and caregiver strain: exploring relationships in an epidemiological sample. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 184-192.
13.
Cabiya, J.J., Canino, G., Chávez, L., Ramírez, R., Alegría, M., Shrout, P. et al. (2006). Gender disparities in mental health service use of Puerto Rican children and adolescents. Journal of Child Psychology and Psychiatry, 47, 840-848.
14.
Canino, G., & Alegría, M. (2008). Psychiatric diagnosis-is it universal or relative to culture? Journal of Child Psychology and Psychiatry, 49, 237-250.
15.
Canino G., Shrout, P.E., Rubio-Stipec, M., Bird, H.R., Bravo, M., Ramírez, R., et al. (2004). The DSM-IV rates of child and adolescent disorders in Puerto Rico: prevalence, correlates, service use, and the effects of impairment. Archives of General Psychiatry, 61, 85-93.
16.
Christensen, A., Margolin, G., & Sullaway, M. ( 1992). Interparental agreement on child behavior problems. Psychological Assessment, 4, 419-425.
17.
Cumba-Avilés, E., Bauermeister, J.J., Martínez, J.V., Matos, M., & Reina, G. ( 2008). Factor structure and psychometric properties of the Family Experiences Inventory. Manuscript submitted for publication.
18.
Donenberg, J.G., & Baker, B.L. ( 1993). The impact of young children with externalizing behaviors on their families. Journal of Abnormal Child Psychology, 21, 179-198.
19.
Graetz, B.W., Sawyer, M.G., & Baghurst, P. ( 2005). Gender differences among children with DSM-IV ADHD in Australia. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 159-168.
20.
Harrison, C., & Sofronoff, K. ( 2002). ADHD and parental psychological distress: role of demographics, child behavioral characteristics, and parental cognitions. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 703-711.
21.
Hinshaw, S.P. ( 1987). On the distinction between attentional deficits/hyperactivity and conduct problems/aggression in child psychopathology. Psychological Bulletin, 101, 443-463.
22.
Hinshaw, S.P., & Lee, S.S. ( 2003). Conduct and oppositional defiant disorders. In E. J. Mash & R. A. Barkley (Eds.), Child Psychopathology (2nd ed., pp. 144-198). New York: Guilford .
23.
Klassen, A.F., Miller, A., & Fine, S. ( 2004). Health-related quality of life in children and adolescents who have a diagnosis of attention-deficit/hyperactivity disorder. Pediatrics, 114, e541-e547.
24.
Lahey, B.B., Applegate, B., McBurnett, K., Biederman, J., Greenhill, L., Hynd, G.W., et al. (1994). DSM-IV field trials for attention deficit/hyperactivity disorder in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 151, 1673-1685
25.
Lahey, B.B., Pelham, W.E., Stein, M.A., Loney, J., Trapani, C., Nugent, K., et al. (1998). Validity of DSM-IV attention-deficit/ hyperactivity disorder for younger children. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 695-702.
26.
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.
27.
Podolski, C., & Nigg, J.T. ( 2001). Parent stress and coping in relation to child ADHD severity and associated child disruptive behavior problems. Journal of Clinical Child Psychology, 30, 503-513.
