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Objective: Family environmental factors as well as parental attention-deficit/hyperactivity disorder (ADHD) status have shown associations with variability in ADHD. The purpose of the present study was to examine the links among family environment, parental psychiatric diagnosis, and child impairment within a sample of ADHD-affected sibling pairs (ASPs) ages 5 to 18 years. Method: Parents in 220 ASP families completed a measure of family functioning, the Family Environment Scale. Children's impairment was measured by clinical ratings of global functioning and by maternal ratings of behavior. Results: Parents of children with ADHD rate their families as higher in conflict and lower in achievement and organization than normative samples. High family conflict is significantly associated with impairment in ADHD ASPs accounting for -40% of the sibling similarity in impairment. Parental psychiatric diagnosis revealed no significant direct link to sibling impairment, but rather a significant indirect link to impairment mediated by family conflict. Direct associations with parental diagnosis depend on birth order of the ASP members despite the comparable mean impairment scores for older and younger ADHD siblings. Conclusions: There are strong links between impairment in children with ADHD and family environment. Different processes and mechanisms may contribute to impairment in different children in the same family.

Titel:	Relationship of family environment and parental psychiatric diagnosis to impairment in ADHD
Autor/in / Beteiligte Person:	PRESSMAN, Leah J ; LOO, Sandra K ; CARPENTER, Erika M ; ASARNOW, Joan R ; LYNN, Deborah ; MCCRACKEN, James T ; MCGOUGH, James J ; LUBKE, Gitta H ; YANG, May H ; SMALLEY, Susan L
Link:	View record from PASCAL Archive
Zeitschrift:	Journal of the American Academy of Child and Adolescent Psychiatry, Jg. 45 (2006), Heft 3, S. 346-354
Veröffentlichung:	Hagerstown, MD: Lippincott, 2006
Medientyp:	academicJournal
Umfang:	print, 27 ref
ISSN:	0890-8567 (print)
Schlagwort:	Amérique du Nord North America America del norte Amérique America Etats Unis United States Estados Unidos Pediatrics Pédiatrie Psychology, psychopathology, psychiatry Psychologie, psychopathologie, psychiatrie Sciences biologiques et medicales Biological and medical sciences Sciences medicales Medical sciences Psychopathologie. Psychiatrie Psychopathology. Psychiatry Etude clinique de l'enfant Child clinical studies Troubles de l'attention. Hyperactivité Attention deficit disorders. Hyperactivity Psychiatrie sociale. Ethnopsychiatrie Social psychiatry. Ethnopsychiatry Milieu familial. Histoire familiale Family environment. Family history Psychologie. Psychanalyse. Psychiatrie Psychology. Psychoanalysis. Psychiatry PSYCHOPATHOLOGIE. PSYCHIATRIE Homme Human Hombre Interaction sociale Social interaction Interacción social Adolescent Adolescente Age préscolaire Preschool age Edad preescolar Age scolaire School age Edad escolar Association morbide Concomitant disease Asociación morbosa Conflit Conflict Conflicto Enfant Child Niño Environnement social Social environment Contexto social Etude familiale Family study Estudio familiar Fratrie Sibling Hermandad Hyperactivité Hyperactivity Hiperactividad Milieu familial Family environment Medio familiar Parent Pariente Psychopathologie Psychopathology Psicopatología Relation familiale Familial relation Relación familiar Santé mentale Mental health Salud mental Santé publique Public health Salud pública Trouble attention Attentional disorder Trastorno atención Trouble psychiatrique Mental disorder Trastorno psiquiátrico Trouble de l'attention avec hyperactivité Attention disorder with hyperactivity Trastorno por déficit de atención e hiperactividad Trouble déficitaire de l'attention avec hyperactivité Family Environment Scale comorbidity family conflict parental psychopathology sibling Subject Geographic: Amérique du Nord North America America del norte Amérique America Etats Unis United States Estados Unidos
Sonstiges:	Nachgewiesen in: PASCAL Archive Sprachen: English Original Material: INIST-CNRS Document Type: Article File Description: text Language: English Author Affiliations: Department of Psychiatry, UCLA Semel Institute, Los Angeles, United States ; Department of Psychology, Notre Dame University, Notre Dame, Ind, United States Rights: Copyright 2007 INIST-CNRS ; CC BY 4.0 ; Sauf mention contraire ci-dessus, le contenu de cette notice bibliographique peut être utilisé dans le cadre d’une licence CC BY 4.0 Inist-CNRS / Unless otherwise stated above, the content of this bibliographic record may be used under a CC BY 4.0 licence by Inist-CNRS / A menos que se haya señalado antes, el contenido de este registro bibliográfico puede ser utilizado al amparo de una licencia CC BY 4.0 Inist-CNRS Notes: Psychopathology. Psychiatry. Clinical psychology ; FRANCIS

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Relationship of family environment and parental psychiatric diagnosis to impairment in ADHD