Abstract
We investigated whether the correlates of family psychosocial characteristics among Japanese children with attention-deficit hyperactivity disorder (ADHD) differ according to the comorbid condition of oppositional defiant disorder (ODD) or conduct disorder (CD). Three groups of children (12 ADHD, 15 ADHD + ODD/ CD, and 14 control) were compared on family psychosocial variables. Findings indicated that the interpersonal relationships in ADHD + ODD/ CD children's family were more conflictive and less organized than those of the control. Mental health among mothers of ADHD + ODD/CD children was worse than those of ADHD and control children. Childhood ADHD symptoms of parents were the most severe among parents of ADHD + ODD/CD children. These results support the nosological distinction between ADHD comorbid with ODD and CD. The need for specific clinical intervention according to the comorbid condition is stressed.
Similar content being viewed by others
References
Kanbayashi, Y, Nakata, Y, Fujii, K, Kita, M, Wada, K: ADHD-related behavior among non-referred children: Parents' ratings of DSM-III-R symptoms. Child Psychiat Hum Develpm 25: 13–29, 1994.
American Psychiatric Association: Diagnostic and statistical manual of mental disorders, 4th ed.—Text Revision. Washington, DC: American Psychiatric Association, 1994.
Bird, HR, Canino, G, Rubio-Stipec, M, Gould, MS, Ribera, J, Sesman, M, Woodbury, M, Huertas-Goldman, S, Pagan, A, Sanchez-Lacay, A: Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico. the use of combined measures. Arch Gen Psychiat 45: 1120–1126, 1988.
Biederman, J, Newcorn, J, Sprich, S: Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. Am J Psychiat 148: 564–577, 1991.
Faraone, SV, Biederman, J, Keenan, K, Tsuang, MT: Separation of DSM-III attention deficit disorder and conduct disorder: Evidence from a family-genetic study of American child psychiatric patients. Psychol Med 21: 109–121, 1991.
Frick, PJ, Lahey, BB, Loeber, R, Stouthamer-Loeber, M, Christ, MA, Hanson, K: Familial risk factors to oppositional defiant disorder and conduct disorder: Parental psychopathology and maternal parenting. J Consult Clin Psychol 60: 49–55, 1992.
Lahey, BB, Loeber, R, Quay, HC, Frick, PJ, Grimm, J: Oppositional defiant and conduct disorders: Issues to be resolved for DSM-IV. J Am Acad Child Adolesc Psychiatry 31: 539–546, 1992.
Schachar, RJ, Wachsmuth, R: Oppositional disorder in children: A validation study comparing conduct disorder, oppositional disorder and normal control children. J Child Psychol Psychiatry 31: 1089–1102, 1990.
Eaves, L, Rutter, M, Silberg, JL, Shillady, L, Maes, H, Pickles, A: Genetic and environmental causes of covariation in interview assessments of disruptive behavior in child and adolescent twins. Behav Genet 30: 321–334, 2000.
Inoue, K, Nadaoka, T, Oiji, A, Morioka, Y, Totsuka, S, Kanbayashi, Y, Hukui, T: Clinical evaluation of attention-deficit hyperactivity disorder by objective quantitative measures. Child Psychiat Hum Develpm 28: 179–188, 1998.
Wada, N, Yamashita, Y, Matsuishi, T, Ohtani, Y, Kato, H: The test of variables of attention (TOVA) is useful in the diagnosis of Japanese male children with attention deficit hyperactivity disorder. Brain Dev 22: 378–382, 2000.
Harada, Y, Yamazaki, T, Saitoh, K: Psychosocial problems in attention-deficit hyperactivity disorder with oppositional defiant disorder. Psychiatry Clin Neurosci 56: 365–369, 2002.
Hinshaw, SP: On the distinction between attention deficit/hyperactivity and conduct problems/aggression in child psychopathology. Psychol Bull 101: 443–463, 1987.
Loeber, R: Development and risk factors of juvenile antisocial behavior and delinquency. Clin Psychol Rev 10: 1–41, 1990.
Leung, PWL, Ho, TP, Luk, SL, Taylor, E, Bacon-Shone, J, Mak, FL: Separation and comorbidity of hyperactivity and conduct disturbance in Chinese schoolboys. J Child Psychol Psychiatry 37: 841–853, 1996.
Tiet, QQ, Bird, HR, Hoven, CW, Moore, R, Wu, P, Wicks, J, Jensen, PS, Goodman, S, Cohen, P: Relationship between specific adverse life events and psychiatric disorders. J Abnorm Child Psychol 29: 153–164, 2001.
Gomez, R, Sanson, AV: Mother-child interactions and noncompliance in hyperactive boys with and without conduct problems. J Child Psychol Psychiatry 35: 477–490, 1994.
Fletcher, KE, Fischer, M, Barkley, RA, Smallish, L: Sequential analysis of the mother-adolescent interactions of ADHD, ADHD/ODD, and normal teenagers during neutral and conflict discussions. J Abnorm Child Psychol 24: 271–297, 1996.
Johnston, C: Parent characteristics and parent-child interactions in families of nonproblem children and ADHD children with higher and lower levels of oppositional-defiant behavior. J Abnorm Child Psychol 24: 85–104, 1996.
Podolski, C, Nigg, JT: Parent stress and coping in relation to child ADHD severity and associated child disruptive behavior problems. J Clin Child Psychol 30: 503–513, 2001.
Stewart, MA, DeBlois, CS, Cummings, C: Psychiatric disorder in the parents of hyperactive boys and those with conduct disorder. J Child Psychol Psychiatry 21: 283–292, 1980.
Lahey, BB, Piacentini, JC, McBurnett, K, Stone, P, Hartdagen, S, Hynd, G: Psychopathology in the parents of children with conduct disorder and hyperactivity. J Am Acad Child Adolesc Psychiatry 27: 163–170, 1988.
Frick, PJ, Lahey, BB, Christ, MG et al.: History of childhood behavior problems in biological relatives of boys with attention deficit hyperactivity disorder and conduct disorder. J Clin Child Psychol 20: 445–451, 1991.
Nigg, JT, Hinshaw, SP: Parent personality traits and psychopathology associated with antisocial behaviors in childhood attention-deficit hyperactivity disorder. J Child Psychol Psychiatry 39: 145–159, 1998.
Faraone, SV, Biederman, J, Jetton, JG, Tsuang, MT: Attention deficit disorder and conduct disorder: longitudinal evidence for a familial subtype. Psychol Med 27: 291–300, 1997.
Johnston, C, Mash, EJ: Families of children with attention-deficit/hyperactivity disorder: Review and recommendations for future research. Clin Child and Family Psychol Rev 4: 183–207, 2001.
Jensen, PS, Martin, D, Cantwell, DP: Comorbidity in ADHD: Implications for research, practice, and DSM-V. J Am Acad Child Adolesc Psychiatry 36: 1065–1079, 1997.
Reeves, JC, Werry, JS, Elkind, GS, Zametkin, A: Attention deficit, conduct, oppositional, and anxiety disorders in children: II. clinical characteristics. J Am Acad Child Adolesc Psychiatry 26: 144–155, 1987.
Stormont-Spurgin, M, Zentall, SS: Contributing factors in the manifestation of aggression in preschoolers with hyperactivity. J Child Psychol Psychiatry 36: 491–509, 1995.
Barkley, RA, Anastopoulos, AD, Guevremont, DC, Fletcher, KE: Adolescents with attention deficit hyperactivity disorder: Mother-adolescent interactions, family beliefs and conflicts, and maternal psychopathology. J Abnorm Child Psychol 20: 263–288, 1992.
Wechsler, D: Wechsler Intelligence Scale for Children Manual, 3rd ed. San Antonio, TX: Psychological Corporation, 1991.
Azuma, H, Ueno, K, Fujita, K, Maekawa, H, Ishikuma, T, Sano, H: Japanese version of the Wechsler Intelligence Scale for Children-Third Edition. Tokyo: Nihon Bunka Kagakusha, 1998 (Japanese).
Shaffer, D, Fisher, P, Lucas, CP, Dulcan, MK, Schwab-Stone, ME: NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 39: 28–38, 2000.
Satake, H, Yoshida, K, Yamashita, H, Kinukawa, N, Takagishi, T: Agreement between Parents and Teachers on Behavioral/ Emotional Problems in Japanese School Children using the Child Behavior Checklist. Child Psychiat Hum Develpm (in press).
Achenbach, TM: Manual for the Child Behavior Checklist/4–18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry, 1991.
Achenbach, TM: Manual for the Teacher's Report Form and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry, 1991.
Biederman, J, Faraone, SV, Doyle, A, Lehman, BK, Kraus, I, Perrin, J, Tsuang, MT: Convergence of the child behavior checklist with structured interview-based psychiatric diagnoses of ADHD children with and without comorbidity. J Child Psychol Psychiatry 34: 1241–1251, 1993.
Registrar General: Classification of Occupation. London: HMSO, 1980.
Itani, T, Kanbayashi, Y, Nakata, Y: Standardization of the Japanese version of the Child Behavior Checklist/4–18. J Child Psychiatry Neurology 41: 243–252, 2001 (Japanese).
Moos, R: Family environment scale and preliminary manual. Palo Alto, CA: Consulting Psychologist Press, 1974.
Noguchi, Y, Saito, S, Tezuka, I, Nomura, N: Family Environment Scale (FES) Japanese version: Translation and statistical assessment. Jpn J Family Ther 8: 147–158, 1991 (Japanese).
Goldberg, DP, Hillier, VF: A scaled version of the General Health Questionnaire. Psychol Med 9:139–145, 1979.
Nakagawa, Y, Daibou, I: Japanese Version of the General Health Questionnaire. Tokyo: Nihon Bunka Kagakusha, 1985 (Japanese).
Ward, MF, Wender, PH, Reimherr, FW: The Wender Utah Rating Scale: An aid in retrospective diagnosis of childhood attention deficit hyperactivity disorder. Am J Psychiatry 150: 885–890, 1993.
SPSS Inc.: SPSS 10.0J for Windows. Chicago: SPSS Inc., 2000.
Biederman, J, Faraone, SV, Milberger, S, Jetton, JG, Chen, L, Mick, E, Greene, RW, Russell, RL: Is childhood oppositional defiant disorder a precursor to adolescent conduct disorder? Findings from a four-year follow-up study of children with ADHD. J Am Acad Child Adolesc Psychiatry 35: 1193–1204, 1996.
Gadow, KD, Nolan, EE: Difference between preschool children with ODD, ADHD, and ODD+ADHD symptoms. J Child Psychol Psychiatry 43: 191–201, 2002.
Lindahl, KM: Family process variables and children's disruptive behavior problems. J Family Psychol 12: 420–436, 1998.
Faraone, SV, Biederman, J, Mennin, D, Russell, R, Tsuang, MT: Familial subtype of attention deficit hyperactivity disorder: A 4-year follow-up study of children from antisocial-ADHD families. J Child Psychol Psychiatry 39: 1045–1053, 1998.
Woodward, L, Taylor, E, Dowdney, L: The parenting and family functioning of children with hyperactivity. J Child Psychol Psychiatry 39: 161–169, 1998.
Baker, BL, Heller, TL: Preschool children with externalizing behaviors: Experience of fathers and mothers. J Abnorm Child Psychol 24: 513–32, 1996.
Webster-Stratton, C: Mothers' and fathers' perceptions of child deviance: Roles of parent and child behaviors and parent adjustment. J Consult Clin Psychol 56: 909–915, 1988.
Faraone, SV, Biederman, J, Jetton, JG, Tsuang, MT: Attention deficit disorder and conduct disorder: Longitudinal evidence for a familial subtype. Psychol Med 27: 291–300, 1997.
Thapar, A, Harrington, R, McGuffin, P: Examining the comorbidity of ADHD-related behaviors and conduct problems using a twin study design. Bri J Psychiatry 179: 224–229, 2001.
Hechtman, L: Genetic and neurobiological aspects of attention deficit hyperactive disorder: A review. J Psychiatry Neurosci 19: 193–201, 1994.
Cantwell, DP: Child psychiatry: Introduction and overview. In Comprehensive Textbook of Psychiatry/VI., ed. Kaplan, HI. Sadock, BJ: Baltimore: Williams & Wilkins, 1995.
Shafii, M, Carrigan, S, Whittinghill, JR, Derrick, A: Psychological autopsy of completed suicide in children and adolescents. Am J Psychiat 142: 1061–1064, 1985.
Buydens-Branchey, L, Branchey, MH, Noumair, D, Lieber, CS: Age of alcoholism onset. II. Relationship to susceptibility to serotonin precursor availability. Arch Gen Psychiatry 46: 231–236, 1989.
Caron, C, Rutter, M: Comorbidity in child psychopathology. Concepts, issues and research strategies. J Child Psychol Psychiatry 32: 1063–1080, 1991.
Nadder, TS, Silberg, JL, Rutter, M, Maes, HH, Eaves, LJ: Comparison of multiple measures of ADHD symptomatology: A multivariate genetic analysis. J Child Psychol Psychiatry 42: 475–486, 2001.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Satake, H., Yamashita, H. & Yoshida, K. The Family Psychosocial Characteristics of Children with Attention-Deficit Hyperactivity Disorder with or Without Oppositional or Conduct Problems in Japan. Child Psychiatry Hum Dev 34, 219–235 (2004). https://doi.org/10.1023/B:CHUD.0000014998.93858.1d
Issue Date:
DOI: https://doi.org/10.1023/B:CHUD.0000014998.93858.1d