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 |
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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. |
doi_str_mv | 10.1007/s11121-022-01358-4 |
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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><source>MEDLINE</source><source>PAIS Index</source><source>SpringerLink Journals</source><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.</creator><creatorcontrib>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.</creatorcontrib><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.</description><identifier>ISSN: 1389-4986</identifier><identifier>ISSN: 1573-6695</identifier><identifier>EISSN: 1573-6695</identifier><identifier>DOI: 10.1007/s11121-022-01358-4</identifier><identifier>PMID: 35438451</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>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</subject><ispartof>Prevention science, 2024-05, Vol.25 (Suppl 2), p.249-271</ispartof><rights>This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2022</rights><rights>2022. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.</rights><rights>This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2022.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-1ea1a477696d6bd106e67a14a7308936acfcc69c1e49ff9dfc81781f3be6dfc93</citedby><cites>FETCH-LOGICAL-c474t-1ea1a477696d6bd106e67a14a7308936acfcc69c1e49ff9dfc81781f3be6dfc93</cites><orcidid>0000-0002-5053-2043</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11121-022-01358-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11121-022-01358-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27843,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35438451$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><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><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><title>Prevention science</title><addtitle>Prev Sci</addtitle><addtitle>Prev Sci</addtitle><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.</description><subject>Academic disciplines</subject><subject>Associations</subject><subject>Attention Deficit Disorder with Hyperactivity - epidemiology</subject><subject>Attention Deficit Disorder with Hyperactivity - psychology</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Behavior management</subject><subject>Child</subject><subject>Child and School Psychology</subject><subject>Child development</subject><subject>Children</subject><subject>Childrens health</subject><subject>Developmental disorders</subject><subject>Disorders</subject><subject>Divorce</subject><subject>Executive function</subject><subject>Families & family life</subject><subject>Health Psychology</subject><subject>Heterogeneity</subject><subject>Home environment</subject><subject>Humans</subject><subject>Hyperactivity</subject><subject>Imprisonment</subject><subject>Impulsivity</subject><subject>Intrusiveness</subject><subject>Literature reviews</subject><subject>Longitudinal studies</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Multiple symptoms</subject><subject>Parenthood education</subject><subject>Parenting - psychology</subject><subject>Parents & parenting</subject><subject>Prevention</subject><subject>Public Health</subject><subject>Reactivity</subject><subject>Risk Factors</subject><subject>Self regulation</subject><subject>Symptoms</subject><subject>Systematic review</subject><issn>1389-4986</issn><issn>1573-6695</issn><issn>1573-6695</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNp9Uk1vFCEYnhiNrdU_4MGQeKmHsbwDA8PFZrLbuiY1mqpnwjLMLnUGVmDXzH_yR8p2a_04eALyfL3AUxTPAb8GjPlZBIAKSlxVJQZSNyV9UBxDzUnJmKgf5j1pRElFw46KJzHeYAysJvhxcURqShpaw3Hxox0GZB1Ka4Mu1WiH6Ry16NMUkxlVshpdm50135FyHXpvkiqVU8MUbUS-Rx9VMC5Zt7qFD3J04XY2eDdmBKmIrm38miGdfIio9wG1Ke1F3pVz01tt09li2piQGXZn04TmNvrQmYBO2_li_mo_3Gxthy5HPS0e9WqI5tndelJ8ubz4PFuUVx_evpu1V6WmnKYSjAJFOWeCdWzZAWaGcQVUcYIbQZjSvdZMaDBU9L3oet0Ab6AnS8PyQZCT4s3Bd7NdjqbTed6gBrkJdlRhkl5Z-Tfi7Fqu_E4KDBxzyAandwbBf9uamORoozbDoJzx2ygrVld1U2G-z3r5D_XGb0N-5CgJZljUQOnesDqwdPAxBtPfDwNY7ssgD2WQuQzytgySZtGLP69xL_n1-5lADoSYIbcy4Xf2f2x_AliFwik</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>Claussen, Angelika H.</creator><creator>Holbrook, Joseph R.</creator><creator>Hutchins, Helena J.</creator><creator>Robinson, Lara R.</creator><creator>Bloomfield, Jeanette</creator><creator>Meng, Lu</creator><creator>Bitsko, Rebecca H.</creator><creator>O’Masta, Brenna</creator><creator>Cerles, Audrey</creator><creator>Maher, Brion</creator><creator>Rush, Margaret</creator><creator>Kaminski, Jennifer W.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TQ</scope><scope>8BJ</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5053-2043</orcidid></search><sort><creationdate>20240501</creationdate><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><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 & 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 & Public Health</topic><topic>Meta-analysis</topic><topic>Multiple symptoms</topic><topic>Parenthood education</topic><topic>Parenting - psychology</topic><topic>Parents & 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 & 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? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children</atitle><jtitle>Prevention science</jtitle><stitle>Prev Sci</stitle><addtitle>Prev Sci</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>25</volume><issue>Suppl 2</issue><spage>249</spage><epage>271</epage><pages>249-271</pages><issn>1389-4986</issn><issn>1573-6695</issn><eissn>1573-6695</eissn><abstract>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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35438451</pmid><doi>10.1007/s11121-022-01358-4</doi><tpages>23</tpages><orcidid>https://orcid.org/0000-0002-5053-2043</orcidid><oa>free_for_read</oa></addata></record> |
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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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