Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-23T20:29:27.827Z Has data issue: false hasContentIssue false

Peer relationships in boys with attention-deficit hyperactivity disorder with and without comorbid aggression

Published online by Cambridge University Press:  04 March 2009

Stephen P. Hinshaw*
Affiliation:
University of California, Berkeley
Sharon M. Melnick
Affiliation:
University of California, Berkeley
*
Stephen P. Hinshaw, Department of Psychology, Tolman Hall #1650, University of California, Berkeley, CA 94720–1650.

Abstract

Peer relationship difficulties and peer rejection are common in youngsters with attention-deficit hyperactivity disorder (ADHD), mandating focus on assessment issues, underlying reasons for peer approval and disapproval, links with comorbid aggression, and the mediating role of sociocognitive mechanisms as well as emotion regulation strategies. With previously unfamiliar ADHD and comparison boys who attended naturalistic summer research programs, we found the following: (a) parent and teacher estimates (but not self-reports) showed moderate correspondence with peer-nominated social preference; (b) ADHD boys were more likely than their comparison peers to accept other ADHD agemates; (c) aggression and noncompliance Predominated as self-reported reasons for rejecting agemates in both ADHD and comparison groups, with Perceived similarity the chief mediator of peer acceptance; (d) the high-aggressive subgroup of ADHD boys showed markedly worse peer sociometric status than did ADHD boys without aggression, for whom social isolation was also a predictor of peer reputation; and (e) self-reported social goals of a sensation-seeking nature and observed emotional reactivity characterized high-aggressive boys with ADHD and predicted end-of-program peer disapproval. We discuss implications for normal developmental processes and for intervention efforts.

Type
Articles
Copyright
Copyright © Cambridge University Press 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Achenbach, T. M. (1991). Manual for the Child Behavior Checklist 14–18 and 1991 Profile. Burlington: University of Vermont.Google Scholar
Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213232.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.Google Scholar
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
Anderson, C. A., Hinshaw, S. P., & Simmel, C. (1994). Mother-child interactions in ADHD and comparison boys: Relationships to overt and covert externalizing behavior. Journal of Abnormal Child Psychology, 22, 247265.CrossRefGoogle ScholarPubMed
Barkley, R. A. (1990). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: Guilford Press.Google Scholar
Bennet, D. S., & Shroff, J. M. (1991, April). Assessment of peer status: Categorical versus dimensional sociometric measures. Paper presented at the meeting of the Society for Research in Child Development, Seattle WA.Google Scholar
Bickett, L., & Milich, R. (1990). First impressions formed of boys with attention deficit disorder. Journal of Learning Disabilities, 23, 253259.Google Scholar
Biederman, J., Newcorn, J., & Sprich, S. (1991). Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. American Journal of Psychiatry, 148, 564577.Google ScholarPubMed
Block, J. H. (1965). The child-rearing practices report: A technique for evaluating parental socialization orientations. Berkeley, CA: Institute of Human Development.Google Scholar
Buhrmester, D., MacDonald, V., & Heller, T. (1989, April). Social goals and sociometric status of hyperactive and normal boys. Poster presented at the meeting of the Society for Research in Child Development, Kansas City, KS.Google Scholar
Cairns, R. B., Cairns, B. D., Neckerman, H. J., Gest, S. D., & Gariepy, J.-L. (1988). Social networks and aggressive behavior: Peer support or peer rejection? Developmental Psychology, 24, 815823.CrossRefGoogle Scholar
Carte, E. T., Nigg, J. T., & Hinshaw, S. P. (in press). Neuropsychological functioning, motor speed, and language processing in boys with and without. ADHD. Journal of Abnormal Child Psychology.Google Scholar
Cicchetti, D. (1990). Perspectives on the interface between normal and atypical development. Development and Psychopathology, 2, 329333.CrossRefGoogle Scholar
Cicchetti, D. (1993). Developmental psychopathology: Reactions, reflections, projections. Developmental Review, 13, 471502.CrossRefGoogle Scholar
Cillessen, A. H. N., Van Ijzendoorn, H. W., & Lieshout, C. F. M. (1992). Heterogeneity among peerrejected boys: Subtypes and stabilities. Child Development, 63, 893905.Google Scholar
Coie, J. D. (1990). Towards a theory of peer rejection. In Asher, S. R. & Coie, J. D. (Eds.), Peer rejection in childhood (pp. 365402). Cambridge: Cambridge University Press.Google Scholar
Coie, J. D., Dodge, K. A., & Coppotelli, H. A. (1982). Dimensions and types of social status: A cross-age perspective. Developmental Psychology, 18, 557589.CrossRefGoogle Scholar
Coie, J. D., Dodge, K. A., & Kupersmidt, J. (1990). Peer group behavior and social status. In Asher, S. R. & Coie, J. D. (Eds.), Peer rejection in childhood (pp. 1759). New York: Cambridge University Press.Google Scholar
Coie, J. D., & Kupersmidt, J. B. (1983). A behavioral analysis of emerging social status in boys* groups. Child Development. 54, 14001416.Google Scholar
Crick, N. R., & Dodge, K. A. (1994). A review and reformulation of social information-processing mechanisms in children's social adjustment. Psychological Bulletin, 115, 74101.CrossRefGoogle Scholar
Cunningham, C. E., Siegel, L. S., & Offord, D. R. (1985). A developmental dose-response analysis of the effects of methylphenidate on the peer interactions of attention deficit disordered boys. Journal of Child Psychology and Psychiatry, 26, 955971.CrossRefGoogle ScholarPubMed
Dodge, K. A. (1983). Behavioral antecedents of peer social status. Child Development, 54, 13861399.CrossRefGoogle Scholar
Dodge, K. A. (1991). Emotion and social information processing. In Garber, J. & Dodge, K. A., (Eds.), The development of emotion regulation and dysregulation (pp. 159179). Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Dodge, K. A., & Somberg, D. R. (1987). Hostile attributional biases among aggressive boys are exacerbated under conditions of threats to the self. Child Development, 58, 213224.Google Scholar
Douglas, V. I. (1983). Attention and cognitive problems. In Rutter, M. (Ed.), Developmental neuropsychiatry (pp. 280329). New York: Guilford Press.Google Scholar
Eisenberg, N., Fabes, R. A., Bernzweig, J., Karbon, C., Poulin, R., & Hanish, L. (1993). The relations of emotionality and regulation to preschoolers' social skills and sociometric status. Child Development, 64, 14181438.CrossRefGoogle ScholarPubMed
Eisenberg, N., Fabes, R. A., Nyman, M., Bernzweig, J., & Pinuelas, A. (1994). The relations of emotionality and regulation to children's anger-related reactions. Child Development, 65, 109128.Google Scholar
Erdley, C. E., & Asher, S. R. (1993, March). To aggress or not to aggress: Social-cognitive mediators to children's responses to ambiguous provocation. Paper presented at the biennial meeting of the Society for Research in Child Development, New Orleans, LA.Google Scholar
Erhardt, D., & Hinshaw, S. P. (1994). Initial sociometric impressions of hyperactive and comparison boys: Predictions from social behaviors and from nonbehavioral variables. Journal of Consulting and Clinical Psychology, 62, 833842.Google Scholar
Faraone, S. V., Biederman, J., Keenan, K., & Tsuang, M. T. (1991). Separation of DSM-III attention deficit disorder and conduct disorder: Evidence from a family genetic study of American child psychiatric patients. Psychological Medicine, 21, 109121.CrossRefGoogle ScholarPubMed
French, D. W. (1988). Heterogeneity of peer-rejected boys: Aggressive and nonaggressive subtypes. Child Development, 59, 976985.CrossRefGoogle ScholarPubMed
Garcia, J. A., Hinshaw, S. P., & Zupan, B. A. (1995). Multi-informant appraisal of aggression in boys with attention-deficit hyperactivity disorder. Unpublished manuscript, University of California, Berkeley.Google Scholar
Gottman, J. M. (1983). How children become friends. Monographs of the Society for Research in Child Development. (2, Serial No. 201).Google Scholar
Gottman, J. M. (1986). Merging social cognition and social behavior. Commentary to Dodge et al., 1986. Monographs of the Society for Research in Child Development. (2, Serial No. 213, pp. 8185.)Google Scholar
Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data on Revised Conners Parent and Teacher Rating Scales. Journal of Abnormal Child Psychology, 6, 221236.CrossRefGoogle ScholarPubMed
Hinshaw, S. P. (1987). On the distinction between attentional dcficits/hyperactivity and conduct problems/aggression in child psychopathology. Psychological Bulletin, 101, 443463.CrossRefGoogle ScholarPubMed
Hinshaw, S. P. (1991). Stimulant medication and the treatment of aggression in children with attentional deficits. Journal of Clinical Child Psychology. 20, 301312.Google Scholar
Hinshaw, S. P. (1992). Externalizing behavior problems and academic underachievement in childhood and adolescence: Causal relationships and underlying mechanisms. Psychological Bulletin, 111, 127155.CrossRefGoogle ScholarPubMed
Hinshaw, S. P. (1994). Attention deficits and hyperactivity in children. Thousand Oaks, CA: Sage.CrossRefGoogle Scholar
Hinshaw, S. P., Heller, T., & McHale, J. P. (1992). Covert antisocial behavior in boys with attentiondeficit hyperactivity disorder: External validation and effects of methylphenidate. Journal of Consulting and Clinical Psychology, 60, 274281.Google Scholar
Hinshaw, S. P., Henker, B., Whalen, C. K., Erhardt, D., & Dunnington, R. E. (1989). Aggressive, prosocial, and nonsocial behavior in hyperactive boys: Dose effects of methylphenidate in naturalistic settings. Journal of Consulting and Clinical Psychology, 57, 636643.Google Scholar
Hinshaw, S. P., & McHale, J. P. (1991). Stimulant medication and the social interactions of hyperactive children: Effects and implications. In Gilbert, D. G. & Connolly, J. J. (Eds.), Personality, social skills, and psychopathology: An individual differences approach (pp. 229253). New York: Plenum Press.Google Scholar
Hinshaw, S. P., Simmel, C., & Heller, T. (1995). Multimethod assessment of covert antisocial behavior in children: Laboratory observations, adult ratings, and child self-report. Psychological Assessment, 7, 209219.Google Scholar
Hubbard, J. A., & Coie, J. D. (1994). Emotional correlates of social competence in children's peer relationships. Merrill-Palmer Quarterly, 40, 120.Google Scholar
Hymel, S., Bowker, A., & Woody, E. (1993). Aggressive versus withdrawn unpopular children: Variations in peer and self-perceptions in multiple domains. Child Development, 64, 879896.Google Scholar
Jacobvitz, D., & Sroufe, L. A. (1987). The early caregiver-mother relationship and attention deficit disorder with hyperactivity in kindergarten: A prospective study. Child Development, 58, 14881495.Google Scholar
Kenrick, D. T., & Funder, D. C. (1988). Profiting from controversy: Lessons from the person-situation debate. American Psychologist, 43, 2334.CrossRefGoogle ScholarPubMed
Klein, R. G., & Mannuzza, S. (1991). Long-term outcome of hyperactive children: A review. Journal the American Academy of Child and Adolescent Psychiatry, 30, 383387.CrossRefGoogle ScholarPubMed
Landau, S., & Milich, R. (1988). Social communication patterns of attention-deficit-disordered boys. Journal of Abnormal Child Psychology, 16, 6981.Google Scholar
Lochman, J. E., Wayland, K. K., & White, K. J. (1993). Social goals: Relationships to adolescent adjustment and to social problem solving. Journal of Abnormal Child Psychology, 21, 135151.Google Scholar
Madan-Swain, A., & Zentall, S. S. (1990). Behavioral comparisons of liked and disliked hyperactive children in play contexts and the behavioral accommodations by their classmates. Journal of Consulting and Clinical Psychology, 58, 197209.CrossRefGoogle ScholarPubMed
Melnick, S. M. (1995). Emotion regulation in the families of boys with ADHD and comparison boys. Manuscript in preparation.Google Scholar
Melnick, S. M., & Hinshaw, S. P. (in press). What want and what they get: The social goals of with ADHD and comparison boys. Journal of Abnormal Child Psychology.Google Scholar
Milich, R., & Dodge, K. A. (1984). Social information processing in child psychiatry populations. Journal of Abnormal Child Psychology, 12, 471489.Google Scholar
Milich, R., & Landau, S. (1982). Socialization peer relations in hyperactive children. In Gadow, K. D. & Bialer, I. (Eds.), Advances in learning behavioral disabilities (Vol. 1., pp. 283339). Greenwich, CT: JAI Press.Google Scholar
Milich, R., & Landau, S. (1989). The role of social status variables in differentiating subgroups of hyperactive children. In Bloomingdale, L. M. & Swanson, J. (Eds.), Attention deficit disorder (Vol. pp. 116). Oxford: Pergamon Press.Google Scholar
Miller, N., Cowan, P. A., Cowan, C. P., Hetherington, E. M., & Clingempeel, W. G. (1993). Externalizing in preschoolers and early adolescents: A cross-study replication of a family model. Developmental Psychology, 29, 318.CrossRefGoogle Scholar
Murphy, D. A., Pelham, W. E., & Lang, A. R. (1992). Aggression in boys with attention deficit hyperactivity disorder: Methylphenidate effects on naturalistically observed aggression, response to provocation, and social information processing. Journal Abnormal Child Psychology, 20, 451466.CrossRefGoogle ScholarPubMed
Newcomb, A. F., Bukowski, W. M., & Pattee, L. (1993). Children's peer relations: A meta-analytic review of popular, rejected, neglected, controversial, and average sociometric status. Psychological Bulletin, 113, 99128.CrossRefGoogle ScholarPubMed
Nigg, J. T., Hinshaw, S. P., & Halperin, J. M. (1995). The continuous performance test in boys ADHD: Methylphenidate dose response and relationships with observed behavior. Manuscript submitted for publication.Google Scholar
Nigg, J. T., Swanson, J. M., & Hinshaw, S. P. (1995). Visual orienting in boys with attention-deficit hyperactivity disorder: Lateral effects, methylphenidate response, and results in parents. Manuscript submitted for publication.Google Scholar
Parke, R. D., & Ladd, G. W. (1992). Family-peer relationships: Modes of linkage. Hillsdalc, NJ: Erlbaum.Google Scholar
Parker, J. G., & Ashcr, S. R. (1987). Peer relations later personal adjustment: Are low-accepted children at risk? Psychological Bulletin, 102, 357389.CrossRefGoogle ScholarPubMed
Patterson, G. R., DeBaryshe, B. D., & Ramsey, E. (1989). A developmental perspective on antisocial behavior. American Psychologist, 44, 329335.Google Scholar
Patterson, C. J., Kupersmidt, J. B., & Griesler, P. C. (1990). Children's perceptions of self and of relations with others as a function of sociometric status. Child Development, 61, 13351349.Google Scholar
Pedhazur, E. J. (1982). Multiple regression in behavioral research: Explanation and prediction (2nd ed.). New York: Holt, Rinehart & Winston.Google Scholar
Pelham, W. E., & Bender, M. E. (1982). Peer relationships in hyperactive children: Description and treatment. In Gadow, K. & Bialer, I. (Eds.), Advances in learning and behavioral disabilities (Vol. 1, pp. 365436). Greenwich, CT: JAI Press.Google Scholar
Richters, J., Jensen, P. S., Arnold, L. E., Abikoff, H., Conners, C. K., Greenhill, L. L., Hechtman, L. T., Hinshaw, S. P., Pelham, W. E., & Swanson, J. M. (in press). The National Institute of Mental Health Collaborative Multisite Multimodal Treatment Study of Children with Attention Deficit/Hyperactivity Disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 9871000.CrossRefGoogle Scholar
Simmel, C. (1995, March). Covert antisocial behavior in boys with ADHD: Laboratory observations, child self-report, and parenting styles. Poster presented at the biennial meeting of the Society for Research in Child Development, Indianapolis IN.Google Scholar
Szatmari, P., Offord, D. R., & Boyle, M. H. (1989). Ontario Child Health Study: Prevalence of attention deficit disorder with hyperactivity. Journal Child Psychology and Psychiatry, 30, 219230.Google Scholar
Thompson, R. A. (1994). Emotion regulation:Atheme in search of definition. In N. A. Fox (Ed.), The development of emotion regulation: Biological and behavioral considerations (pp. 2552). Monographs of the Society for Research in Child Development (2–3, Serial No. 240).Google Scholar
Whalen, C. K., & Henker, B. (1985). The social worlds of hyperactive (ADDH) children. Clinical Psychology Review, 5, 447478.CrossRefGoogle Scholar
Whalen, C. K., & Henker, B. (1992). The social profile of attention-deficit hyperactivity disorder: Five fundamental facets. Child and Adolescent Psychiatric Clinics of North America, 1, 395410.Google Scholar
Whalen, C. K., Henker, B., Buhrmester, D., Hinshaw, S. P., Huber, A., & Laski, K. (1989). Does stimulant medication improve the peer status of hyperactive children? Journal of Consulting and Clinical Psychology, 57, 545549.Google Scholar
Whalen, C. K., Henker, B., Collins, B. E., McAuliffe, S., & Vaux, A. (1979). Peer interaction in a structured communication task: Comparisons of normal and hyperactive boys and of methylphenidate (Ritalin) and placebo effects. Child Development, 50, 388401.Google Scholar
Whalen, C. K., Henker, B., & Granger, D. (1990). Social judgment processes in hyperactive boys: Effects of methylphenidate and comparisons with normal peers. Journal of Abnormal Child Psychology, 18, 297316.Google Scholar
Wheeler, J., & Carlson, C. L. (1994). The social functioning of children with ADD with hyperactivity and ADD without hyperactivity: A comparison of their peer relations and social deficits. Journal of Emotional and Behavioral Disorders, 2, 212.Google Scholar