Parental ADHD Symptoms and Inhibitory Control in Relation to Parenting Among Mothers of Children With and Without ADHD

Abstract

Objective: The study examined how the interplay between maternal ADHD symptoms and maternal inhibitory control and child ADHD is related to parenting behaviors. Method: The sample included 141 mothers and their 8- to 12-year-old children, 61 children with ADHD and 80 without. Parenting was measured using self-reports (i.e., overreactive and lax parenting) and observation (i.e., negative and supportive parenting). Maternal inhibitory control was measured using a neurocognitive task. Hierarchical multiple regressions were conducted to predict parenting, controlling for child sex, conduct behaviors, and parenting distress. Results: Interactions between maternal ADHD symptoms and maternal inhibitory control suggested that hyperactive–impulsive symptoms were linked to parenting negativity only when inhibitory control was low, and maternal inattention symptoms were related to lax parenting only when maternal inhibitory control was high or when children did not have ADHD. Conclusion: Results indicate the importance of maternal regulation processes in the mechanisms linking maternal ADHD with parenting.

Keywords

parental ADHD inhibition parenting child ADHD

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References

Abidin

R. R.

(1995). Parenting stress index 3rd edition: Professional manual. Psychological Assessment Resources, Inc, Odessa, TX.

Adler

L. A.

Spencer

Faraone

S. V.

Kessler

R. C.

Howes

M. J.

Biederman

Secnik

(2006). Validity of pilot adult ADHD Self-Report Scale (ASRS) to rate adult ADHD symptoms. Annals of Clinical Psychiatry, 18, 145-148.

Allison

B. N.

Schultz

J. B.

(2004). Parent-adolescent conflict in early adolescence. Adolescence, 39, 101-119.

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

Arney

Rogers

Baghurst

Sawyer

Prior

(2008). The reliability and validity of the parenting scale for Australian mothers of preschool-aged children. Australian Journal of Psychology, 60, 44-52.

Arnold

D. S.

O’leary

S. G.

Wolff

L. S.

Acker

M. M.

(1993). The parenting scale: A measure of dysfunctional parenting in discipline situations. Psychological Assessment, 5, 137-144.

Babinski

D. E.

Pelham

W. E.

Jr. Molina

B. S. G.

Gnagy

E. M.

Waschbusch

D. A.

Wymbs

B. T.

. . . Kuriyan

A. B.

(2016). Maternal ADHD, parenting, and psychopathology among mothers of adolescents with ADHD. Journal of Attention Disorders, 20, 458-468.

10.

Banks

Ninowski

J. E.

Mash

E. J.

Semple

D. L.

(2008). Parenting behavior and cognitions in a community sample of mothers with and without symptoms of attention-deficit/hyperactivity disorder. Journal of Child and Family Studies, 17, 28-43.

11.

Barkley

R. A.

(1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65-94.

12.

Barkley

R. A.

(2008). Challenges in diagnosing adults with ADHD. The Journal of Clinical Psychiatry, 69(12), e36.

13.

Barkley

R. A.

Fischer

Edelbrock

Smallish

(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.

14.

Becker

S. P.

Langberg

J. M.

Vaughn

A. J.

Epstein

J. N.

(2012). Clinical utility of the Vanderbilt ADHD diagnostic parent rating scale comorbidity screening scales. Journal of Developmental and Behavioral Pediatrics, 33, 221-228.

15.

Belendiuk

K. A.

Clarke

T. L.

Chronis

A. M.

Raggi

V. L.

(2007). Assessing the concordance of measures used to diagnose adult ADHD. Journal of Attention Disorders, 10, 276-287.

16.

Belsky

(1984). The determinants of parenting: A process model. Child Development, 55, 83-96.

17.

Bögels

S. M.

Hellemans

van Deursen

Römer

van der Meulen

(2014). Mindful parenting in mental health care: Effects on parental and child psychopathology, parental stress, parenting, coparenting, and marital functioning. Mindfulness, 5, 536-551.

18.

Bögels

S. M.

Lehtonen

Restifo

(2010). Mindful parenting in mental health care. Mindfulness, 1, 107-120.

19.

Bridgett

D. J.

Kanya

M. J.

Rutherford

H. J. V.

Mayes

L. C.

(2017). Maternal executive functioning as a mechanism in the intergenerational transmission of parenting: Preliminary evidence. Journal of Family Psychology, 31, 19-29.

20.

Chen

Johnston

(2007). Maternal inattention and impulsivity and parenting behaviors. Journal of Clinical Child & Adolescent Psychology, 36, 455-468.

21.

Chronis-Tuscano

Raggi

V. L.

Clarke

T. L.

Rooney

M. E.

Diaz

Pian

(2008). Associations between maternal attention-deficit/hyperactivity disorder symptoms and parenting. Journal of Abnormal Child Psychology, 36, 1237-1250.

22.

Cohen

(1992). A power primer. Psychological Bulletin, 112, 155-159.

23.

Cohen

West

S. G.

Aiken

L. S.

(2003). Applied multiple correlation/regression analysis for the behavioral sciences(3rd ed.). Mahwah, NJ: Lawrence Erlbaum.

24.

Collins

W. A.

Maccoby

E. E.

Steinberg

Hetherington

E. M.

Bornstein

M. H.

(2000). Contemporary research on parenting: The case for nature and nurture. American Psychologist, 55, 218-832.

25.

Connor

D. F.

Edwards

Fletcher

K. E.

Baird

Barkley

R. A.

Steingard

R. J.

(2003). Correlates of comorbid psychopathology in children with ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 193-200.

26.

Crandall

Deater-Deckard

Riley

A. W.

(2015). Maternal emotion and cognitive control capacities and parenting: A conceptual framework. Developmental Review, 36, 105-126.

27.

Cummings

E. M.

Koss

K. J.

Davies

P. T.

(2015). Prospective relations between family conflict and adolescent maladjustment: Security in the family system as a mediating process. Journal of Abnormal Child Psychology, 43, 503-515.

28.

Deater-Deckard

Sewell

M. D.

Petrill

S. A.

Thompson

L. A.

(2010). Maternal working memory and reactive negativity in parenting. Psychological Science, 21, 75-79.

29.

Deater-Deckard

Wang

Chen

Bell

M. A.

(2012). Maternal executive function, harsh parenting, and child conduct problems. Journal of Child Psychology and Psychiatry, 53, 1084-1091.

30.

Deault

L. C.

(2010). A systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit/hyperactivity disorder (ADHD). Child Psychiatry & Human Development, 41, 168-192.

31.

DeLambo

K. E.

Ievers-Landis

Drotar

Quittner

A. L.

(2004). Association of observed family relationship quality and problem-solving skills with treatment adherence in older children and adolescents with cystic fibrosis. Journal of Pediatric Psychology, 29, 343-353.

32.

Dishion

Rivera

E. K.

Verberkmoes

Jones

Patras

J. M.

(2002). Relationship process code training manual: A system for coding relationship interactions. Corvallis: Child and Family Center, University of Oregon.

33.

DuPaul

G. J.

Anastopoulos

A. D.

Power

T. J.

Reid

Ikeda

M. J.

McGoey

K. E.

(1998). Parent ratings of attention-deficit/hyperactivity disorder symptoms: Factor structure and normative data. Journal of Psychopathology and Behavioral Assessment, 20, 83-102.

34.

Edwards

Barkley

R. A.

Laneri

Fletcher

Metevia

(2001). Parent–adolescent conflict in teenagers with ADHD and ODD. Journal of Abnormal Child Psychology, 29, 557-572.

35.

Ellis

Nigg

(2009). Parenting practices and attention-deficit/hyperactivity disorder: New findings suggest partial specificity of effects. Journal of the American Academy of Child & Adolescent Psychiatry, 48, 146-154.

36.

Faraone

S. V.

Asherson

Banaschewski

Biederman

Buitelaar

J. K.

Ramos-Quiroga

J. A.

. . . Franke

(2015). Attention-deficit/hyperactivity disorder. Nature Reviews. Disease Primers, 1, 15020.

37.

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 Disabilities, 40, 49-65.

38.

Geva-Regev

(2015). The relationship between symptoms of depression, anxiety and attention-deficit/hyperactivity disorder and attention functioning in adults. (Unpublished doctoral dissertation).The Hebrew University, Jerusalem, Israel.

39.

Gomez

Corr

P. J.

(2014). ADHD and personality: A meta-analytic review. Clinical Psychology Review, 34, 376-388.

40.

Goodman

(1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581-586.

41.

Goodman

(2001). Psychometric properties of the Strengths and Difficulties Questionnaire. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1337-1345.

42.

Grewal

Cote

J. A.

Baumgartner

(2004). Multicollinearity and measurement error in structural equation models: Implications for theory testing. Marketing Science, 23, 519-529.

43.

Grimbos

Wiener

(2016). Testing the similarity fit/misfit hypothesis in adolescents and parents with ADHD. Journal of Attention Disorders, 22, 1224–1234. doi:1087054715622014

44.

Harvey

Danforth

J. S.

McKee

T. E.

Ulaszek

W. R.

Friedman

J. L.

(2003). Parenting of children with attention-deficit/hyperactivity disorder (ADHD): The role of parental ADHD symptomatology. Journal of Attention Disorders, 7, 31-42.

45.

Hayes

A. F.

(2013). Model templates for PROCESS for SPSS and SAS. Retrieved from http://www.ahayes.com/public/templates.pdf

46.

Hendriks

A. M.

Van der Giessen

Stams

G. J. J. M.

Overbeek

(2018). The association between parent-reported and observed parenting: A multi-level meta-analysis. Psychological Assessment, 30, 621-633. doi:10.1037/pas0000500

47.

Holmbeck

G. N.

(1996). A model of family relational transformations during the transition to adolescence: Parent–adolescent conflict and adaptation. In Graber

Brooks-Funn

Petersen

(Eds.), Transitions through adolescence: Interpersonal domains and context. New Jersey: Lawrence Erlbaum Associates.

48.

Hutchison

Feder

Abar

Winsler

(2016). Relations between parenting stress, parenting style, and child executive functioning for children with ADHD or autism. Journal of Child and Family Studies, 25, 3644-3656.

49.

Johnston

Chronis-Tuscano

(2015). Families and ADHD. In Barkley

R. A.

(Ed.), Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (pp. 191-209). New York, NY, US: Guilford Press.

50.

Johnston

Lee-Flynn

S. C.

(2011). Family functioning. Attention Deficit Hyperactivity Disorder: State of the Science & Best Practices, 2, 17-11.

51.

Johnston

Mash

E. J.

Miller

Ninowski

J. E.

(2012). Parenting in adults with attention-deficit/hyperactivity disorder (ADHD). Clinical Psychology Review, 32, 215-228.

52.

Johnston

Williamson

Noyes

Stewart

Weiss

M. D.

(2016). Parent and child ADHD symptoms in relation to parental attitudes and parenting: Testing the similarity-fit hypothesis. Journal of Clinical Child & Adolescent Psychology, 30, 1-10.

53.

Karazsia

B. T.

van Dulmen

M. H. M.

Wildman

B. G.

(2008). Confirmatory factor analysis of Arnold et al.’s parenting scale across race, age, and sex. Journal of Child and Family Studies, 17, 500-516.

54.

Kerr

Stattin

(2003). Parenting of adolescents: Action or reaction? In Crouter

A. C.

Booth

(Eds.), Children’s influence on family dynamics: The neglected side of family relationships (pp. 121-151). Mahwah, NJ: Lawrence Erlbaum.

55.

Kessler

R. C.

Adler

Ames

Demler

Faraone

Hiripi

. . . Spencer

(2005). The world health organization adult ADHD Self-Report Scale (ASRS): A short screening scale for use in the general population. Psychological Medicine, 35, 245-256.

56.

Kochanska

Aksan

Joy

M. E.

(2007). Children’s fearfulness as a moderator of parenting in early socialization: Two longitudinal studies. Developmental Psychology, 43, 222-237.

57.

Lowry

L. S.

Schatz

N. K.

Fabiano

G. A.

(2015). Exploring parent beliefs and behavior: The contribution of ADHD symptomology within mothers and fathers. Journal of Attention Disorders, 22, 1255–1265.doi:10.1177/1087054714562587

58.

Lui

J. H. L.

Johnston

Lee

C. M.

Lee-Flynn

(2013). Parental ADHD symptoms and self-reports of positive parenting. Journal of Consulting and Clinical Psychology, 81, 988-998.

59.

Lunkenheimer

E. S.

(2014). Dyadic interaction code-v2.0. Training manual. A System for Coding Dyadic Parent-Child Interactions in Early Childhood. Colorado State University.

60.

Mangold

(2017). Interact. Arnstorf, Germany: Mangold International GmbH.

61.

Markel

Wiener

(2014). Attribution processes in parent–adolescent conflict in families of adolescents with and without ADHD. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 46, 40-48.

62.

Mazursky-Horowitz

Felton

J. W.

MacPherson

Ehrlich

K. B.

Cassidy

Lejuez

C. W.

Chronis-Tuscano

(2015). Maternal emotion regulation mediates the association between adult attention-deficit/hyperactivity disorder symptoms and parenting. Journal of Abnormal Child Psychology, 43, 121-131.

63.

McKelvey

L. M.

Whiteside-Mansell

Faldowski

R. A.

Shears

Ayoub

Hart

A. D.

(2009). Validity of the short form of the parenting stress index for fathers of toddlers. Journal of Child and Family Studies, 18, 102-111.

64.

Miyake

Friedman

N. P.

Emerson

M. J.

Witzki

A. H.

Howerter

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.

65.

Mokrova

O’Brien

Calkins

Keane

(2010). Parental ADHD symptomology and ineffective parenting: The connecting link of home chaos. Parenting: Science and Practice, 10, 119-135.

66.

Molina

B. S.

Donovan

J. E.

Belendiuk

K. A.

(2010). Familial loading for alcoholism and offspring behavior: Mediating and moderating influences. Alcoholism: Clinical & Experimental Research, 34, 1972-1984.

67.

Mulligan

Anney

Butler

O’Regan

Richardson

Tulewicz

E. M.

. . . Gill

(2013). Home environment: Association with hyperactivity/impulsivity in children with ADHD and their non-ADHD siblings. Child: Care, Health and Development, 39, 202-212.

68.

Murray

Johnston

(2006). Parenting in mothers with and without attention-deficit/hyperactivity disorder. Journal of Abnormal Psychology, 115, 52-61.

69.

Neitzel

Stright

A. D.

(2003). Mothers’ scaffolding of children’s problem solving: Establishing a foundation of academic self-regulatory competence. Journal of Family Psychology, 17, 147-159.

70.

Nikolas

M. A.

Burt

S. A.

(2010). Genetic and environmental influences on ADHD symptom dimensions of inattention and hyperactivity: A meta-analysis. Journal of Abnormal Psychology, 119, 1-17.

71.

Palmieri

P. A.

Smith

G. C.

(2007). Examining the structural validity of the Strengths and Difficulties Questionnaire (SDQ) in a U.S. sample of custodial grandmothers. Psychological Assessment, 19, 189-198.

72.

Park

J. L.

Hudec

K. L.

Johnston

(2017). Parental ADHD symptoms and parenting behaviors: A meta-analytic review. Clinical Psychology Review, 56, 25-39. doi:10.1016/j.cpr.2017.05.003

73.

Posner

M. I.

Rothbart

M. K.

(2007). Research on attention networks as a model for the integration of psychological science. Annual Review of Psychology, 58, 1-23.

74.

Psychogiou

Daley

D. M.

Thompson

M. J.

Sonuga-Barke

(2007). Testing the interactive effect of parent and child ADHD on parenting in mothers and fathers: A further test of the similarity-fit hypothesis. British Journal of Developmental Psychology, 25, 419-433.

75.

Psychogiou

Daley

D. M.

Thompson

M. J.

Sonuga-Barke

(2008). Do maternal attention-deficit/hyperactivity disorder symptoms exacerbate or ameliorate the negative effect of child attention-deficit/hyperactivity disorder symptoms on parenting? Development and Psychopathology, 20, 121-137.

76.

Recchia

H. E.

Ross

H. S.

Vickar

(2010). Power and conflict resolution in sibling, parent-child, and spousal negotiations. Journal of Family Psychology, 24, 605-615.

77.

Rhoades

K. A.

O’Leary

S. G.

(2007). Factor structure and validity of the parenting scale. Journal of Clinical Child & Adolescent Psychology, 36, 137-146.

78.

Robin

A. L.

Foster

S. L.

(1989). Negotiating parent-adolescent conflict: A behavioral–family systems approach. New York, NY: Guilford Press.

79.

Salari

Terreros

Sarkadi

(2012). Parenting scale: Which version should we use? Journal of Psychopathology and Behavioral Assessment, 34, 268-281.

80.

Sanders

M. R.

Mazzucchelli

T. G.

(2013). The promotion of self-regulation through parenting interventions. Clinical Child and Family Psychology Review, 16, 1-17.

81.

Scaramella

L. V.

Leve

L. D.

(2004). Clarifying parent-child reciprocities during early childhood: The early childhood coercion model. Clinical Child and Family Psychology Review, 7, 89-107.

82.

Shaffer

Obradović

(2017). Unique contributions of emotion regulation and executive functions in predicting the quality of parent-child interaction behaviors. Journal of Family Psychology, 31, 150-159.

83.

Shiels

Hawk

L. W.

(2010). Self-regulation in ADHD: The role of error processing. Clinical Psychology Review, 30, 951-961. doi:10.1016/j.cpr.2010.06.010

84.

Sturge-Apple

M. L.

Davies

P. T.

Cicchetti

Hentges

R. F.

Coe

J. L.

(2017). Family instability and children’s effortful control in the context of poverty: Sometimes a bird in the hand is worth two in the bush. Development and Psychopathology, 29, 685-696.

85.

Sturge-Apple

M. L.

Jones

H. R.

Suor

J. H.

(2017). When stress gets into your head: Socioeconomic risk, executive functions, and maternal sensitivity across childrearing contexts. Journal of Family Psychology, 31, 160-169.

86.

Takeda

Stotesbery

Power

Ambrosini

P. J.

Berrettini

Hakonarson

Elia

(2010). Parental ADHD status and its association with proband ADHD subtype and severity. The Journal of Pediatrics, 157(6), 995-1000e1.

87.

Theule

Wiener

Tannock

Jenkins

J. M.

(2013). Parenting stress in families of children with ADHD: A meta-analysis. Journal of Emotional and Behavioral Disorders, 21, 3-17.

88.

Tsal

Shalev

Mevorach

(2005). The diversity of attention deficits in ADHD: The prevalence of four cognitive factors in ADHD versus controls. Journal of Learning Disabilities, 38, 142-157.

89.

Van Dijk

F. E.

Mostert

Glennon

Onnink

Dammers

Vasquez

A. A.

. . . Franke

. (2017). Five factor model personality traits relate to adult attention-deficit/hyperactivity disorder but not to their distinct neurocognitive profiles. Psychiatry Research, 258, 255-261.

90.

Walther

C. A.

Cheong

Molina

B. S.

Pelham

W. E.

Jr Wymbs

B. T.

Belendiuk

K. A.

Pedersen

S. L.

(2012). Substance use and delinquency among adolescents with childhood ADHD: the protective role of parenting. Psychology of Addictive Behaviors, 26, 585-598.

91.

Waschbusch

D. A.

(2002). A meta-analytic examination of comorbid hyperactive-impulsive-attention problems and conduct problems. Psychological Bulletin, 128, 118-150.

92.

Wiener

Biondic

Grimbos

Herbert

(2016). Parenting stress of parents of adolescents with attention-deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 44, 561-574.

93.

Wietecha

Young

Ruff

Dunn

Findling

R. L.

Saylor

(2012). Atomoxetine once daily for 24 weeks in adults with attention-deficit/hyperactivity disorder (ADHD): Impact of treatment on family functioning. Clinical Neuropharmacology, 35, 125-133.

94.

Willcutt

E. G.

Doyle

A. E.

Nigg

J. T.

Faraone

S. V.

Pennington

B. F.

(2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological Psychiatry, 57, 1336-1346.

95.

Williamson

Johnston

Noyes

Stewart

Weiss

M. D.

(2017). Attention-deficit/hyperactivity disorder symptoms in mothers and fathers: Family level interactions in relation to parenting. Journal of Abnormal Child Psychology, 45, 485-500.

96.

Zisser

A. R.

Eyberg

S. M.

(2012). Maternal ADHD: Parent-child interactions and relations with child disruptive behavior. Child & Family Behavior Therapy, 34, 33-52.

97.

Zohar

A. H.

Konfortes

(2010). Diagnosing ADHD in Israeli adults: The psychometric properties of the adult ADHD Self Report Scale (ASRS) in Hebrew. The Israel Journal of Psychiatry and Related Sciences, 47, 308-315.