Unraveling the longitudinal relationship between adhd and anxiety disorders: The contribution of parenting
Item
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Title
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Unraveling the longitudinal relationship between adhd and anxiety disorders: The contribution of parenting
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Identifier
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d_2009_2013:ea3b7bff56d7:12076
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identifier
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12696
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Creator
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Curchack-Lichtin, Jocelyn,
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Contributor
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Jeffrey M. Halperin
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Date
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2013
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Language
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English
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Publisher
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City University of New York.
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Subject
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Clinical psychology | Developmental psychology | Mental health | ADHD | Anxiety | Early childhood | Parenting | Positive Parenting | Psychopathology
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Abstract
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Background: The substantially elevated risk for anxiety disorders among children with attention-deficit/hyperactivity disorder (ADHD) is well documented, although a causal explanation for the high comorbidity has yet to be identified. Objective:To investigate the extent to which ADHD in young children affects parenting practices, which, in turn, place children at risk for anxiety disorders. Method: A sample of 200 children was assessed at ages 3-4 years (Baseline; BL) and at three follow-up time-points (ages 5, 6, and 8 years). Presence or absence of ADHD at BL and presence or absence of anxiety disorder at ages 6 and 8 were determined via semi-structured interview with parents. Parenting behaviors were ascertained at BL, age 5, and age 6, via parental self-report on the Alabama Parenting Questionnaire - Preschool Revision (APQ-PR) and observer-coded video recordings of parent-child interactions (PCI) within the lab. Results: (1) Age 3-4 ADHD predicted greater rates of anxiety disorders at age 8. (2) Early ADHD predicted less parent-rated positive parenting at ages 5-6 and more observer-rated parental negative emotionality and lack of respect for autonomy at ages 3-4 and 5; early ADHD also predicted poorer observer-rated quality of support in parents of 6 year-olds. (3) Lower parent-rated positive parenting between the ages of 3 and 5 years, and higher observer-rated parental negative expressions of emotion at ages 5 and 6, were predictive of child anxiety disorders at age 8, even after controlling for early temperament. (4) Mediation analyses found parenting, particularly that characterized by rejection, low warmth, and poor positive contingency management, to partially mediate the relationship between preschool ADHD and age 8 anxiety disorders. Conclusions: Parenting plays an important role in contributing to or alleviating risk for the development of anxiety disorders in children with ADHD. Implications for prevention and intervention are discussed.
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Type
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dissertation
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Source
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2009_2013.csv
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degree
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Ph.D.
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Program
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Psychology
