Contextual Factors Impact the Variability in ADHD Symptoms in Preschoolers with Situational Hyperactivity

J Atten Disord. 2021 Nov;25(13):1834-1846. doi: 10.1177/1087054720938864. Epub 2020 Jul 13.

Abstract

Objective: This study examined preschoolers with teacher-reported or parent-reported situational hyperactivity, and whether they differed in terms of behavioral problems, attentional problems, and parenting perceptions. Method: We used the Conners' Kiddie Continuous Performance Test and the Color Flanker Task to assess 99 preschoolers with pervasive high-ADHD-symptoms (42), school-situational high-ADHD-symptoms (30), or home-situational high-ADHD-symptoms (27), plus 111 preschoolers with pervasive low-ADHD-symptoms. Parents and teachers reported externalizing/internalizing behavioral problems. Parenting perceptions were measured with the Parenting Stress Index-Short Form and a parenting perceptions scale. Results: Preschoolers with school-situational high-ADHD-symptoms had deficits in attentional control. Parents of preschoolers with home-situational high-ADHD-symptoms had higher levels of parental stress and perceived their parenting to be harsher. Preschoolers with pervasive high-ADHD-symptoms had deficits in attentional control, increased parental stress, and parents with harsher parenting perceptions. Conclusion: Preschoolers with situational high-ADHD-symptoms may have different contextual risk factors related to ADHD symptoms reported by parents versus teachers.

Keywords: ADHD; contextual factors; preschoolers; situational.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attention
  • Attention Deficit Disorder with Hyperactivity*
  • Humans
  • Parenting
  • Parents
  • Psychomotor Agitation