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Involvement of family environmental, behavioral, and social functional factors in children with attention-deficit/hyperactivity disorder

Authors Huang Y, Xu H, Au W, Xu C, Wu K

Received 23 June 2018

Accepted for publication 11 August 2018

Published 9 October 2018 Volume 2018:11 Pages 447—457

DOI https://doi.org/10.2147/PRBM.S178080

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 3

Editor who approved publication: Professor Igor Elman


Yanhong Huang,1 Haiyun Xu,1 William Au,2,3 Chongtao Xu,1 Kusheng Wu2

1Mental Health Center, Shantou University Medical College, Shantou, People’s Republic of China; 2Department of Preventive Medicine, Shantou University Medical College, Shantou, People’s Republic of China; 3Institute of Advanced Studies, University of Medicine and Pharmacy, Tirgu Mures, Romania

Background: The objective of this study was to investigate relationships among family environmental characteristics, behavior problems, and social function impairments in children with ADHD.
Methods: Among children from four primary schools in Shantou city of China, 132 who were diagnosed with ADHD were selected and 138 typically developing children were recruited from the same schools. These children were evaluated using the self-designed questionnaire, FES-CV, CPRS, CTRS, and WFIRS-P for familial environment, behavioral problems, and social function impairment measures. In addition, children’s behavioral problems and functional impairments were evaluated using self-established field behavior observation method. Logistic regression model was used to estimate ORs and 95% CIs for ADHD risk with family environmental factors.
Results: In the unconditional logistic model, ADHD risk in children was increased with parents’ worse educational level, occupational status, and emotional stability with trend. Children with ADHD had lower scores on most subscales of FES-CV (P<0.01) but higher scores on Conflict subscale (P<0.001). Children with ADHD showed impairments on all the six WFIRS-P subscales tests (all P<0.001), and higher scores on the CPRS and CTRS scale subscales representing behavioral symptoms (all P<0.001 except Somatic Complaints), and more behavioral problems and functional impairments.
Conclusion: Compared with typically developing children, children with ADHD had worse family environment. Family characteristics especially parents’ emotional unstability, lower education levels, and worse occupation status may increase ADHD risk in children. In addition, the behavioral problems and social functional impairments may interact with adverse family environmental factors in children with ADHD. Therefore, early interventions with focus onto the compromising factors can be useful for improving the social-behavioral functions of children with ADHD.

Keywords: ADHD, primary school children, family characteristics, social functional impairment, behavior problems

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