Relationship of family environment and parental psychiatric diagnosis to impairment in ADHD.

OBJECTIVE: Family environmental factors as well as parental attention-deficit/hyperactivity disorder (ADHD) status have shown associations with variability in ADHD. The purpose of the present study was to examine the links among family environment, parental psychiatric diagnosis, and child impairment within a sample of ADHD-affected sibling pairs (ASPs) ages 5 to 18 years. METHOD: Parents in 220 ASP families completed a measure of family functioning, the Family Environment Scale. Children's impairment was measured by clinical ratings of global functioning and by maternal ratings of behavior. RESULTS: Parents of children with ADHD rate their families as higher in conflict and lower in achievement and organization than normative samples. High family conflict is significantly associated with impairment in ADHD ASPs accounting for approximately 40% of the sibling similarity in impairment. Parental psychiatric diagnosis revealed no significant direct link to sibling impairment, but rather a significant indirect link to impairment mediated by family conflict. Direct associations with parental diagnosis depend on birth order of the ASP members despite the comparable mean impairment scores for older and younger ADHD siblings. CONCLUSIONS: There are strong links between impairment in children with ADHD and family environment. Different processes and mechanisms may contribute to impairment in different children in the same family.

Popularity, friendship quantity, and friendship quality: interactive influences on children's loneliness and depression.

A mediational model positing that the effects of popularity on children's loneliness and depression are passed through indexes of friendship experiences was tested using structural equation modeling. Children (193 3rd through 6th graders) completed a battery of sociometric and self-report questionnaires from which measures of popularity, multiple friendship dimensions (i.e., quantity and quality of best and good friendships), and loneliness and depression were derived. Confirmation of a slightly modified model supported the mediational hypothesis. Although popularity exerted no direct impact on the adjustment indexes, it strongly influenced friendship, which, in turn, affected depression through its strong association with loneliness. It appears that popularity is important for setting the stage for relationship development, but that it is dyadic friendship experiences that most directly influence feelings of loneliness and depression.