[Meta-Analytic Review of Studies on the Relationship Between Adult Attention-Deficit/Hyperactivity Disorder and Parenting Behaviour: Comparison of Studies Using Self-Report and Observation]. / A felnottkori figyelemhiányos/hiperaktivitás zavar és a szüloi viselkedés összefüggését vizsgáló tanulmányok metaanalízise: a megfigyeléses és az önbeszámolót alkalmazó kutatások összehasonlítása.

BACKGROUND/AIMS: Adult attention-deficit/hyperactivity disorder (ADHD) affects parental functioning which in turn has an impact on the off spring's psychopathology. The aim of this meta-analysis was to assess the relationship between parental ADHD symptoms and parental behaviour, focusing on comparative evaluation of studies using self-report and behavioural observation. METHOD: A systematic literature search was conducted in three databases (Web of Science, PubMed, Scopus) resulting 13 studies and 87 effect-sizes (N = 2018) for a metaanalysis. We used random effect model, assessed heterogeneity, and evaluated the possibility of publication bias. We conducted subgroup analyses by method of assessing parental behaviour (self-report/observation), valence of parental behaviour (positive/negative), domain of negative parental behaviour (inconsistent discipline, hostility, corporal punishment), and ADHD symptom clusters (inattention, hyperactivity/impulsivity, combined). Meta-regression analyses were conducted to explore the eff ect of children's mean age, the ratio of mothers in the parent sample, and the ratio of boys and ADHD diagnosis in the children's sample. RESULTS: The mean effect size of the association of self-reported parental behaviour and ADHD symptoms was small but significant, higher levels of parental ADHD symptoms were related to higher levels of negative and lower levels of positive parental behaviour. The analysis did not suggest a publication bias. The effect was robust across ADHD symptom clusters. Children's mean age, the ratio of mothers in the parent sample, and the ratio of boys and ADHD diagnosis in the children's sample did not have a significant effect. On the other hand, behavioural observation of parental behavior was not related to parental ADHD symptoms. CONCLUSION: Our results underlie the importance of methodology of assessing parental behaviour. Multi-method and multi-informant assessment in parenting research is warranted.

Adult attention-deficit/hyperactivity symptoms and parental cognitions: a meta-analysis.

Introduction: Attention-deficit/hyperactivity disorder (ADHD) symptoms in adults interfere with parental functioning. Dysfunctional parental cognitions may play a role in this impairment. Despite the importance of parental cognitions on parents and children's outcomes, up to now, no systematic review or meta-analysis of these findings is available. To fill this gap, this meta-analysis aimed to evaluate the relationship between adult ADHD symptoms and parental cognitions. Methods: We conducted searches in Web of Science, PubMed, and ProQuest from January 2000 to June 2023. Studies were included if they provided data on the relationship between parental ADHD symptoms and parental cognitions by means of a row correlational coefficient, or means and standard deviation were reported for each study group. A random-effects model was used. Publication bias was assessed by funnel plot and Rosenthal's fail-safe N. Moderator analyses were conducted by means of subgroup analysis and meta-regression analyses. Results: Fifteen published papers were included (N = 2851), and 51 effect sizes were analysed. The weighted mean effect size was small but significant (Fisher's Z = 0.186, k = 15, 95% CI [0.120 - 0.252], z = 5.539, p < 0.001), indicating that ADHD symptoms in adults are associated with more negative and less positive parental cognitions. The Fail-Safe N analysis suggested a robust effect. Tweedie's trim and fill results suggested that five studies were missing; after five missing studies had been imputed, the mean overall effect size dropped to 0.116 (0.080 - 0.152). There was significant heterogeneity among effect sizes. The methodology of the study was found to be a significant moderator. Meta-regression analyses revealed that the lower age of the parent and the child were related to more negative parental cognitions. Discussion: Though the analysis might be inflated by publication bias, our results suggest a significant association between ADHD symptom level and dysfunctional parental cognitions. Biased negative perceptions of the parental role, the child and co-parenting may play a central mediator role between parental ADHD and parent and child outcomes. Given the familiar nature of ADHD, targeting dysfunctional parental cognitions in parent training programs is warranted. Systematic review registration: osf.io/pnur7.