Influence of personal and family factors on the negative course of ADHD
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Abstract
Objective. To study the effect of the cumulative adversity on the course of ADHD symptoms, associated problems and dysfunctionality of ADHD children. Method. 61 families of children with a clinical diagnosis of ADHD combined subtype were evaluated on two different times (Time I: mean age = 8.7; Time II: mean age = 11). We developed a personal risk index (high levels of ADHD symptoms, high number of associated problems, presence of oppositionism, stressful child characteristics and family history of ADHD), a family risk index (presence of mothers’ psychopathology, high parental stress and dysfunctional discipline style) and a total risk index. Results. The overall risk index significantly predicted symptoms of ADHD, comorbid problems and dysfunction in adolescence. The personal risk index was more related to future externalizing problems while family risk index was more related to the development of inattention symptoms. Conclusions. There is a cumulative adversity effect of family and personal factors that negatively influences the course of ADHD.
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References
Abidin, R. (1990). Parenting Stress Index (3ª ed.). Charlosteville, VA: Pediatric Psychology Press.
Ackerman, B. P., Izard C. E., Schoff, K., Youngstrom, E. A. & Kogos, J. (1999). Contextual risk, caregiver emotionality, and the problem behaviors of six and seven year old children from economically disadvantaged families. Child Development, 70, 1415-1427.
Arnold, D., O’Leary, S. Wolf, L. & Acker, M. (1993). The parenting scale: A measure of dysfunctional parenting in discipline situations. Psychological Assessment, 15, 137-144.
Asherson, P., Image Consortium. (2004). Attention-Deficit Hyperactivity Disorder in the postgenomic era. European Child and Adolescescent Psychiatry, 13, 150-170.
Asociación Americana de Psiquiatría (APA). (2002). Manual Diagnóstico y Estadístico de los Trastornos Mentales DSM-IV-TR. Barcelona: Masson.
Barkley, R. A., Murphy, K. R., & Fischer, M. (2008). ADHD in adults: What the Science Says. New York, NY: Guilford Press.
Biederman, J., Faraone, S. V., & Monuteaux, M. C. (2002). Differential effect of environmental adversity by gender: Rutter’s index of adversity in a group of boys and girls with and without ADHD. The American Journal of Psychiatry, 159, 1556-1562.
Biederman, J., Monuteaux, M. C., Mick, E., Spencer, T., Wilens, T. E., Silva, J. M., Snyder, L. E. & Faraone, S. V. (2006). Young adult outcome of attention deficit hyperactivity disorder: A controlled 10-year follow-up study. Psychological Medicine, 36, 167-179.
Biederman, J., Petty, C. R., Clarke, A., Lomedico, A., & Faraone, S. V. (2011). Predictors of persistent ADHD: An 11-year follow-up study. Journal of Psychiatric Research, 45(2), 150-155.
Biederman, J., Petty, C. R., Dolan, C., Hughes, S., Mick, E., Monuteaux, M. C., & Faraone, S. V. (2008). The long-term longitudinal course of oppositional defiant disorder and conduct disorder in ADHD boys: Findings from a controlled 10-year prospective longitudinal follow-up study. Psychological Medicine, 38(7), 1027-1036.
Cherkasova, M., Sulla, E. M., Dalena K. L., Pondé, M. P., & Hechtman, L. (2013). Developmental course of attention deficit hyperactivity disorder and its predictors. Journal of Canadian Academy of Child and Adolescent Psychiatry, 22, 47-54.
Conners, C. K. (2001). Conners’ Parent Rating Scale-Revised: long version (CPRS-R:L). Canada: MHS.
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.
Deault, L. D. (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 and Human Development, 41, 168-192.
Faraone, S., Biederman, J. & Mick, E. (2006). The age-dependent decline of attention deficit hyperactivity disorder: A meta-analysis of follow-up studies. Psychological Medicine, 36, 159-165.
Grau Sevilla, M. D. (2007). Análisis del Contexto Familiar en Niños con TDAH. Tesis doctoral. Universidad de Valencia, Valencia.
Jensen, P. S., Martin, D. y Cantwell, D. P. (1997). Comorbidity in ADHD: implications for research, practice, and DSMIV. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1065-1079.
Jones, D. J., Forehand, R., Brody, G. & Armistead, L. (2002). Psychosocial Adjustment of African American Children in Single-Mother Families: A Test of Three Risk Models. Journal of Marriage and the Family, 64, 105-115.
Kim, D. K. & Yoo, I. Y. (2013). Relationship between attention deficit hyperactive disorder symptoms and perceived parenting practices of school-age children. Journal of Clinical Nursery, 22, 1133-1139.
Klassen, A. F., Miller, A. & Fine, S. (2005). Health-related quality of life in children and adolescents who have a diagnosis of attention-deficit/hyperactivity disorder. Pediatrics, 114, 541-547.
Kutner, M. H., Nachtsheim, C. J., & Neter, J. (.2004). Applied Linear Regression Models. New York: Mcgraw-Hill Irwin.
Miranda, A., Marco, R. & Grau, M. (2007). Parenting stress in families of children with attentiondeficit/ hyperactivity disorder. The impact of ADH subtype and oppositional defiant disorder comorbidity. En T. E. Scruggs y M. A. Mastropiere (Eds), Advances in learning and behavioral disabilities. (Vol 20, pp. 139-162).New York: Elsevier JAI Press.
Moffitt, T.E. & Caspi, A. (2001). Childhood predictors differentiate life-course persistent and adolescence limited antisocial pathways, among males and females. Developmental Psychopathology, 13, 355-75.
Nigg, J., Nikolas, M., Friderici, K., Park, L. & Zucker, R. A. (2007). Genotype and neuropsychological response inhibition as resilience promoters for attention-deficit/hyperactivity disorder, oppositional defiant disorder, and conduct disorder under conditions of psychosocial adversity. Development and Psychopathology, 19, 767-786.
Rutter, M. (1979). Protective factor in children´s responses to stress and disadvantage. En M. W. Kent & J. E. Rolf (Eds.), Primary prevention of psychopathology (Vol.3. Social competence in children (pp. 49-74).N.H, Hanover: University Press of New England.
Sameroff, A. J. (2000). Dialectical Processes in Developmental Psychopathology. En A. Sameroff, M. Lewis & S. Miller (Eds.), Handbook of Developmental Psychopathology (2ª ed, pp.23-40). New York: Kluwer Academic/Plenum Publishers.
Sciberras, E., Roos, L. E., & Efron, D. (2009). Review of prospective longitudinal studies of children with ADHD: Mental health, educational, and social outcomes. Current Attention Disorders Reports, 1, 171-177.