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Sibling Relationships Among Children With ADHD

Sibling Relationships Among Children With ADHD,10.1177/1087054706295670,Journal of Attention Disorders,Amori Yee Mikami,Linda J. Pfiffner

Sibling Relationships Among Children With ADHD   (Citations: 6)
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Objective: This study investigated the quality of sibling relationships among children with ADHD relative to those without ADHD. Additional analyses examined whether externalizing and internalizing problems comorbid with ADHD affected sibling relationships. Method: Participants were 77 children with ADHD and 14 nonproblem control children. Sibling relationships were assessed via three informants: mother report, self-report, and sibling report. Results: In analyses utilizing hierarchical linear modeling to combine data from the three informants, children with ADHD showed increased conflict in sibling relationships, relative to nonproblem children. Comorbid externalizing problems were associated with less warmth/ closeness and increased conflict in the sibling relationship and largely accounted for the finding that children with ADHD showed greater sibling relationship problems. Comorbid internalizing problems were associated with less warmth/closeness in the sibling relationship. Conclusion: It is recommended that sibling relationships be incorporated into theories of social impairment in ADHD. (J. of Att. Dis. 2008;11(4) 482-492)
Journal: Journal of Attention Disorders - J ATTEN DISORD , vol. 11, no. 4, pp. 482-492, 2008
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    • ...including peer relationships [3‐6], sibling relationships [7], and parent‐child relationships [8]...
    • ...Studies directly examining sibling relationship among children with ADHD are relatively scarce [7] and these studies are limited by small sample sizes (less than 50 children), lack of normal controls, and lack of examination of the additional impact of having ODD symptoms...
    • ...Only Mikami and Pfiffner’s [7] and Greene et al.’s [10] studies had relatively large sample sizes (n = 91 and n = 501, respectively), included normal controls, and examined the effect of comorbidity with ODD in children with ADHD...
    • ...Similarly, Mikami and Pfiffner [7] found that children with ADHD showed more sibling relationship problems than normal children; and further, comorbidity with ODD and/or CD increased conflicts and decreased warmth/ closeness in the relationships with siblings...
    • ...The findings as to sibling relationships are largely in line with the previous studies which have suggested that children with ADHD have more conflicts [7] and negative interactions with their siblings [10] and that children with ODD show more problems in their relationships with their siblings [9] when compared to children without these disorders...
    • ...Further, our findings are congruent with Mikami and Pfiffner’s [7] findings in their study of clinically-diagnosed children with ADHD that comorbidity with ODD symptoms largely accounted for the association between ADHD symptoms and sibling relationship problems...
    • ...They found that once comorbidity of ODD/CD was taken into account, the association between ADHD symptoms and negative sibling relationships became nonsignificant [7]...

    Wan-Ling Tsenget al. Social Adjustment Among Taiwanese Children with Symptoms of ADHD, ODD,...

    • ...The limited available evidence suggests that confl ict between siblings is heightened whenever one member of the sibling dyad has ADHD [21,22]...

    Arthur D. Anastopouloset al. ADHD and family functioning

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