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Responsiveness in interactions of mothers and sons with ADHD: relations to maternal and child characteristics
Charlotte Johnston1, Candice Murray, Stephen P Hinshaw
1Department of Psychology, University of British Columbia, Vancouver, Canada. cjohnston@cortex.psych
Insights
Maternal responsiveness in families with attention-deficit/hyperactivity disorder (ADHD) boys was linked to fewer conduct problems and lower maternal depression. Parenting style is crucial for understanding ADHD and related behavioral issues.
Area of Science:
- Child Psychology
- Developmental Psychology
- Clinical Psychology
Background:
- Attention-deficit/hyperactivity disorder (ADHD) significantly impacts family dynamics.
- Understanding maternal factors is crucial for managing ADHD symptoms and co-occurring conditions.
Purpose of the Study:
- To examine the relationship between maternal responsiveness and child outcomes in boys with ADHD.
- To investigate the association between maternal responsiveness and maternal mental health.
Main Methods:
- Observation of mother-child interactions in 136 families with 7-10-year-old boys diagnosed with ADHD.
- Independent coding of maternal behavior, focusing on responsiveness, sensitivity, warmth, and control.
- Factor analysis to identify key components of maternal responsiveness.
Main Results:
- Maternal responsiveness showed a significant negative association with child conduct problems, independent of other factors.
- Maternal responsiveness was negatively related to maternal depressive symptoms.
- No significant association was found between maternal responsiveness and boys' ADHD symptoms.
Conclusions:
- Parenting style, specifically maternal responsiveness, plays a unique role in mitigating conduct problems in children with ADHD.
- Maternal mental health, indicated by depressive symptoms, is linked to parenting behaviors.
- Further research into parenting interventions for ADHD families is warranted.
Abstract:
We observed mother-child interactions, at baseline, in 136 families of 7-10-year-old boys with attention-deficit/hyperactivity disorder (ADHD) who were part of a large clinical trial, the Multimodal Treatment Study of Children with ADHD. Independent coders rated stylistic aspects of maternal behavior and factor analyses revealed a responsiveness factor that included overall responsiveness and sensitivity to the child, warmth and acceptance, and appropriate control. We examined relations between maternal responsiveness and (a) maternal depressive symptoms and maternal childhood ADHD symptoms, and (b) boys' ADHD and conduct problem symptoms. Controlling for all other variables, maternal responsiveness displayed a unique negative association with mother-reported child conduct problems, but not with child ADHD symptoms, and also was negatively related to maternal depressive symptoms. We discuss the unique association between mother-reported child conduct problems and parenting, and note the utility of studying parenting style in families of children with ADHD. We describe the results within the framework of a transactional model.
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