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All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children

Parenting and family environment have significant impact on child development, including development of executive function, attention, and self-regulation, and may affect the risk of developmental disorders including attention-deficit/hyperactivity disorder (ADHD). This paper examines the relationsh...

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Autores principales: Claussen, Angelika H., Holbrook, Joseph R., Hutchins, Helena J., Robinson, Lara R., Bloomfield, Jeanette, Meng, Lu, Bitsko, Rebecca H., O’Masta, Brenna, Cerles, Audrey, Maher, Brion, Rush, Margaret, Kaminski, Jennifer W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017071/
https://www.ncbi.nlm.nih.gov/pubmed/35438451
http://dx.doi.org/10.1007/s11121-022-01358-4
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author Claussen, Angelika H.
Holbrook, Joseph R.
Hutchins, Helena J.
Robinson, Lara R.
Bloomfield, Jeanette
Meng, Lu
Bitsko, Rebecca H.
O’Masta, Brenna
Cerles, Audrey
Maher, Brion
Rush, Margaret
Kaminski, Jennifer W.
author_facet Claussen, Angelika H.
Holbrook, Joseph R.
Hutchins, Helena J.
Robinson, Lara R.
Bloomfield, Jeanette
Meng, Lu
Bitsko, Rebecca H.
O’Masta, Brenna
Cerles, Audrey
Maher, Brion
Rush, Margaret
Kaminski, Jennifer W.
author_sort Claussen, Angelika H.
collection PubMed
description Parenting and family environment have significant impact on child development, including development of executive function, attention, and self-regulation, and may affect the risk of developmental disorders including attention-deficit/hyperactivity disorder (ADHD). This paper examines the relationship of parenting and family environment factors with ADHD. A systematic review of the literature was conducted in 2014 and identified 52 longitudinal studies. A follow-up search in 2021 identified 7 additional articles, for a total of 59 studies that examined the association of parenting factors with ADHD outcomes: ADHD overall (diagnosis or symptoms), ADHD diagnosis specifically, or presence of the specific ADHD symptoms of inattention and hyperactivity/impulsivity. For parenting factors that were present in three or more studies, pooled effect sizes were calculated separately for dichotomous or continuous ADHD outcomes, accounting for each study’s conditional variance. Factors with sufficient information for analysis were parenting interaction quality (sensitivity/warmth, intrusiveness/reactivity, and negativity/harsh discipline), maltreatment (general maltreatment and physical abuse), parental relationship status (divorce, single parenting), parental incarceration, and child media exposure. All factors showed a significant direct association with ADHD outcomes, except sensitivity/warmth which had an inverse association. Parenting factors predicted diagnosis and overall symptoms as well as inattentive and hyperactive symptoms when measured, but multiple factors showed significant heterogeneity across studies. These findings support the possibility that parenting and family environment influences ADHD symptoms and may affect a child’s likelihood of being diagnosed with ADHD. Prevention strategies that support parents, such as decreasing parenting challenges and increasing access to parent training in behavior management, may improve children’s long-term developmental health. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11121-022-01358-4.
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spelling pubmed-90170712022-04-19 All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children Claussen, Angelika H. Holbrook, Joseph R. Hutchins, Helena J. Robinson, Lara R. Bloomfield, Jeanette Meng, Lu Bitsko, Rebecca H. O’Masta, Brenna Cerles, Audrey Maher, Brion Rush, Margaret Kaminski, Jennifer W. Prev Sci Article Parenting and family environment have significant impact on child development, including development of executive function, attention, and self-regulation, and may affect the risk of developmental disorders including attention-deficit/hyperactivity disorder (ADHD). This paper examines the relationship of parenting and family environment factors with ADHD. A systematic review of the literature was conducted in 2014 and identified 52 longitudinal studies. A follow-up search in 2021 identified 7 additional articles, for a total of 59 studies that examined the association of parenting factors with ADHD outcomes: ADHD overall (diagnosis or symptoms), ADHD diagnosis specifically, or presence of the specific ADHD symptoms of inattention and hyperactivity/impulsivity. For parenting factors that were present in three or more studies, pooled effect sizes were calculated separately for dichotomous or continuous ADHD outcomes, accounting for each study’s conditional variance. Factors with sufficient information for analysis were parenting interaction quality (sensitivity/warmth, intrusiveness/reactivity, and negativity/harsh discipline), maltreatment (general maltreatment and physical abuse), parental relationship status (divorce, single parenting), parental incarceration, and child media exposure. All factors showed a significant direct association with ADHD outcomes, except sensitivity/warmth which had an inverse association. Parenting factors predicted diagnosis and overall symptoms as well as inattentive and hyperactive symptoms when measured, but multiple factors showed significant heterogeneity across studies. These findings support the possibility that parenting and family environment influences ADHD symptoms and may affect a child’s likelihood of being diagnosed with ADHD. Prevention strategies that support parents, such as decreasing parenting challenges and increasing access to parent training in behavior management, may improve children’s long-term developmental health. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11121-022-01358-4. Springer US 2022-04-19 /pmc/articles/PMC9017071/ /pubmed/35438451 http://dx.doi.org/10.1007/s11121-022-01358-4 Text en © This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Claussen, Angelika H.
Holbrook, Joseph R.
Hutchins, Helena J.
Robinson, Lara R.
Bloomfield, Jeanette
Meng, Lu
Bitsko, Rebecca H.
O’Masta, Brenna
Cerles, Audrey
Maher, Brion
Rush, Margaret
Kaminski, Jennifer W.
All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children
title All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children
title_full All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children
title_fullStr All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children
title_full_unstemmed All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children
title_short All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children
title_sort all in the family? a systematic review and meta-analysis of parenting and family environment as risk factors for attention-deficit/hyperactivity disorder (adhd) in children
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017071/
https://www.ncbi.nlm.nih.gov/pubmed/35438451
http://dx.doi.org/10.1007/s11121-022-01358-4
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