The family psychosocial characteristics of children with attention-deficit hyperactivity disorder with or without oppositional or conduct problems in Japan

Child Psychiatry Hum Dev. 2004 Spring;34(3):219-35. doi: 10.1023/B:CHUD.0000014998.93858.1d.

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.

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / ethnology*
  • Attention Deficit Disorder with Hyperactivity / psychology*
  • Attention Deficit and Disruptive Behavior Disorders / epidemiology
  • Attention Deficit and Disruptive Behavior Disorders / ethnology*
  • Attention Deficit and Disruptive Behavior Disorders / psychology*
  • Child
  • Comorbidity
  • Conduct Disorder / epidemiology
  • Conduct Disorder / ethnology*
  • Conduct Disorder / psychology*
  • Family / ethnology*
  • Family / psychology*
  • Female
  • Humans
  • Japan / epidemiology
  • Male
  • Prevalence
  • Sampling Studies
  • Social Environment
  • Surveys and Questionnaires