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Sibling relationships among children with ADHD.

Amori Yee Mikami¹, Linda J Pfiffner

¹University of Virginia, USA.

Journal of Attention Disorders

|May 15, 2007

Summary

Children with Attention-Deficit/Hyperactivity Disorder (ADHD) experience more sibling conflict and less closeness. Comorbid externalizing and internalizing problems worsen these sibling relationship issues, impacting social functioning.

Area of Science:

Child Psychology
Neurodevelopmental Disorders
Family Dynamics

Background:

Sibling relationships are crucial for social development.
Attention-Deficit/Hyperactivity Disorder (ADHD) is associated with social impairments.
The impact of ADHD and its comorbidities on sibling relationships requires further investigation.

Purpose of the Study:

To compare sibling relationship quality in children with and without ADHD.
To examine the influence of comorbid externalizing and internalizing problems on sibling relationships in ADHD.

Main Methods:

A study involving 77 children diagnosed with ADHD and 14 nonproblem control children.
Sibling relationship quality was assessed using multi-informant reports (mother, self, sibling).

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Hierarchical linear modeling was employed to analyze combined informant data.

Main Results:

Children with ADHD exhibited significantly higher levels of conflict with siblings compared to controls.
Comorbid externalizing problems were linked to reduced sibling warmth/closeness and increased conflict.
Comorbid internalizing problems were associated with decreased sibling warmth/closeness.

Conclusions:

Sibling relationship quality is significantly affected by ADHD and its comorbidities.
Findings suggest that sibling relationships should be integrated into theoretical models of social impairment in ADHD.
Interventions addressing social difficulties in ADHD may benefit from considering the sibling dyad.