The importance of familial risk factors in children with ADHD: direct and indirect effects of family adversity, parental psychopathology and parenting practices on externalizing symptoms

Child and Adolescent Psychiatry and Mental Health

Research

Thomas Jans¹  Julia Geissler¹  Sabina Millenet²  Tobias Banaschewski²  Anna Kaiser²  Sarah Hohmann²  Daniel Brandeis³  Luise Poustka⁴  Michael Huss⁵  Katja Becker⁶  Johannes Hebebrand⁷  Priska Schneider⁸  Martin Holtmann⁹  Christopher Hautmann^1,10  Christina Dose^1,10  Ann-Kathrin Thöne^1,10  Lea Teresa Jendreizik^1,10  Elena von Wirth^1,10  Anne-Katrin Treier^1,10  Manfred Döpfner^1,11 

[1] Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Würzburg, Würzburg, Germany;Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany;Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany;Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric Hospital, University of Zürich, Zurich, Switzerland;Neuroscience Center Zürich, University and ETH Zürich, Zurich, Switzerland;Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany;Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany;Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Medical Faculty of the Philipps-University Marburg, Marburg, Germany;Center for Mind, Brain and Behavior (CMBB), University of Marburg and Justus Liebig University Giessen, Marburg, Germany;Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Essen, Germany;Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Tübingen, Tübingen, Germany;LWL-University Hospital for Child and Adolescent Psychiatry, Ruhr-University Bochum, Hamm, Germany;School of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany;School of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany;Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany;

关键词: Attention-deficit/hyperactivity disorder;    Oppositional defiant disorder;    Family adversity;    Parental mental health;    Parenting;    Structural equation modeling;   

DOI  :  10.1186/s13034-022-00529-z

 received in 2022-10-28, accepted in 2022-11-17,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundChildren experiencing unfavorable family circumstances have an increased risk of developing externalizing symptoms. The present study examines the direct, indirect and total effects of family adversity, parental psychopathology, and positive and negative parenting practices on symptoms of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in children with ADHD.MethodsData from 555 children (M = 8.9 years old, 80.5% boys) who participated in a multicenter study on the treatment of ADHD (ESCAschool) were analyzed using structural equation modeling (SEM).ResultsThe SEM analyses revealed that (a) family adversity and parental psychopathology are associated with both child ADHD and ODD symptoms while negative parenting practices are only related to child ODD symptoms; (b) family adversity is only indirectly associated with child ADHD and ODD symptoms, via parental psychopathology and negative parenting practices; (c) the detrimental effect of negative parenting practices on child ADHD and ODD symptoms is stronger in girls than in boys (multi-sample SEM); (d) there are no significant associations between positive parenting practices and child ADHD or ODD symptoms.ConclusionsFamily adversity, parental psychopathology, and negative parenting practices should be routinely assessed by clinicians and considered in treatment planning.Trial registration (18th December 2015): German Clinical Trials Register (DRKS) DRKS00008973.

【 授权许可】

CC BY   
© The Author(s) 2022