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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Veröffentlicht in:Prevention science 2024-05, Vol.25 (Suppl 2), p.249-271
Hauptverfasser: 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.
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container_end_page 271
container_issue Suppl 2
container_start_page 249
container_title Prevention science
container_volume 25
creator 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.
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.
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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. 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A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children</title><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></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-1ea1a477696d6bd106e67a14a7308936acfcc69c1e49ff9dfc81781f3be6dfc93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Academic disciplines</topic><topic>Associations</topic><topic>Attention Deficit Disorder with Hyperactivity - epidemiology</topic><topic>Attention Deficit Disorder with Hyperactivity - psychology</topic><topic>Attention deficit hyperactivity disorder</topic><topic>Behavior management</topic><topic>Child</topic><topic>Child and School Psychology</topic><topic>Child development</topic><topic>Children</topic><topic>Childrens health</topic><topic>Developmental disorders</topic><topic>Disorders</topic><topic>Divorce</topic><topic>Executive function</topic><topic>Families &amp; family life</topic><topic>Health Psychology</topic><topic>Heterogeneity</topic><topic>Home environment</topic><topic>Humans</topic><topic>Hyperactivity</topic><topic>Imprisonment</topic><topic>Impulsivity</topic><topic>Intrusiveness</topic><topic>Literature reviews</topic><topic>Longitudinal studies</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Meta-analysis</topic><topic>Multiple symptoms</topic><topic>Parenthood education</topic><topic>Parenting - psychology</topic><topic>Parents &amp; parenting</topic><topic>Prevention</topic><topic>Public Health</topic><topic>Reactivity</topic><topic>Risk Factors</topic><topic>Self regulation</topic><topic>Symptoms</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Claussen, Angelika H.</creatorcontrib><creatorcontrib>Holbrook, Joseph R.</creatorcontrib><creatorcontrib>Hutchins, Helena J.</creatorcontrib><creatorcontrib>Robinson, Lara R.</creatorcontrib><creatorcontrib>Bloomfield, Jeanette</creatorcontrib><creatorcontrib>Meng, Lu</creatorcontrib><creatorcontrib>Bitsko, Rebecca H.</creatorcontrib><creatorcontrib>O’Masta, Brenna</creatorcontrib><creatorcontrib>Cerles, Audrey</creatorcontrib><creatorcontrib>Maher, Brion</creatorcontrib><creatorcontrib>Rush, Margaret</creatorcontrib><creatorcontrib>Kaminski, Jennifer W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PAIS Index</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Prevention science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Claussen, Angelika H.</au><au>Holbrook, Joseph R.</au><au>Hutchins, Helena J.</au><au>Robinson, Lara R.</au><au>Bloomfield, Jeanette</au><au>Meng, Lu</au><au>Bitsko, Rebecca H.</au><au>O’Masta, Brenna</au><au>Cerles, Audrey</au><au>Maher, Brion</au><au>Rush, Margaret</au><au>Kaminski, Jennifer W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>All in the Family? 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source MEDLINE; PAIS Index; SpringerLink Journals
subjects Academic disciplines
Associations
Attention Deficit Disorder with Hyperactivity - epidemiology
Attention Deficit Disorder with Hyperactivity - psychology
Attention deficit hyperactivity disorder
Behavior management
Child
Child and School Psychology
Child development
Children
Childrens health
Developmental disorders
Disorders
Divorce
Executive function
Families & family life
Health Psychology
Heterogeneity
Home environment
Humans
Hyperactivity
Imprisonment
Impulsivity
Intrusiveness
Literature reviews
Longitudinal studies
Medical diagnosis
Medicine
Medicine & Public Health
Meta-analysis
Multiple symptoms
Parenthood education
Parenting - psychology
Parents & parenting
Prevention
Public Health
Reactivity
Risk Factors
Self regulation
Symptoms
Systematic review
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
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