Can prosocial behavior buffer symptom severity and impairment in children and adolescents with ADHD symptoms in a clinical setting?

被引:0
作者
Hysaj, Marsida [1 ,2 ]
Crone, Mathilde R. [2 ,3 ]
Kiefte-de Jong, Jessica C. [2 ]
Vermeiren, Robert R. J. M. [1 ]
机构
[1] Leiden Univ, Med Ctr, Dept Child & Adolescent Psychiat, Leiden, Netherlands
[2] Leiden Univ, Med Ctr, Dept Publ Hlth & Primary Care, Hlth Campus The Hague, The Hague, Netherlands
[3] Maastricht Univ, Fac Hlth Med & Life Sci, Dept Hlth Promot, Maastricht, Netherlands
关键词
ADHD symptoms; Prosocial behavior; Functional impairment; Resilience; Clinical setting; WELL-BEING ASSESSMENT; DIFFICULTIES QUESTIONNAIRE; RESILIENCE; STRENGTHS; COMPETENCE; VALIDATION; DISORDER; HEALTHY; MOTHERS; LINKS;
D O I
10.1186/s12888-025-06537-5
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
BackgroundMost research in children with ADHD has focused on risk factors and their outcomes, such as symptom severity as a risk factor for functional impairment. Yet, a small group of studies show that some children function well despite their symptom severity. Preliminary evidence suggests that social protective factors may protect children with ADHD against its negative impact across different domains. The purpose of this study was to evaluate whether prosocial behavior, as a protective factor, buffers the effects of symptoms on impairment in children and adolescents with ADHD symptoms.MethodsIn this cross-sectional study, we used routinely collected data from the Development and Well-Being Assessment (DAWBA). Reports were included from 822 mothers, 581 fathers, and 1109 teachers, who provided information on the children's symptoms, impairment and prosocial behavior (aged 5-18). To examine the effects of prosocial behavior on the relationship between symptoms and functional impairment, multiple regression analyses were conducted using data from these three perspectives.ResultsAlthough we did not find buffering effects, regression analyses revealed that parent- and teacher-reported prosocial behavior demonstrated promotive effects on functional impairment, indicating that prosocial behavior may be beneficial in reducing impairment on daily life of children with ADHD. These results were consistent across raters and age-groups, except the mother-rated model for adolescents. Additionally, when investigating these effects by gender, we found that higher prosocial behavior, as observed by fathers, was related to lower impairment for girls.ConclusionOur results suggest that prosocial behavior should be considered in clinical practice when evaluating impairment scores for ADHD. Finally, our findings plead for more in-depth measures of social protective factors and across different levels, including individual, family, and community levels. This approach will help identify factors that, independently of risks, may positively impact the functioning of these children.
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页数:10
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共 41 条
[1]   CHILD ADOLESCENT BEHAVIORAL AND EMOTIONAL-PROBLEMS - IMPLICATIONS OF CROSS-INFORMANT CORRELATIONS FOR SITUATIONAL SPECIFICITY [J].
ACHENBACH, TM ;
MCCONAUGHY, SH ;
HOWELL, CT .
PSYCHOLOGICAL BULLETIN, 1987, 101 (02) :213-232
[2]   The use of the development and well-being assessment (DAWBA) in clinical practice: a randomized trial [J].
Aebi, Marcel ;
Kuhn, Christine ;
Metzke, Christa Winkler ;
Stringaris, Argyris ;
Goodman, Robert ;
Steinhausen, Hans-Christoph .
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, 2012, 21 (10) :559-567
[3]   The association between preschool children's social functioning and their emergent academic skills [J].
Arnold, David H. ;
Kupersmidt, Janis B. ;
Voegler-Lee, Mary Ellen ;
Marshall, Nastassja A. .
EARLY CHILDHOOD RESEARCH QUARTERLY, 2012, 27 (03) :376-386
[4]   Validation of the parent and teacher SDQ in a clinical sample [J].
Becker, A ;
Woerner, W ;
Hasselhorn, M ;
Banaschewski, T ;
Rothenberger, A .
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, 2004, 13 (Suppl 2) :11-16
[5]   Normalized functioning in youths with persistent attention-deficit/hyperactivity disorder [J].
Biederman, J ;
Mick, E ;
Faraone, SV .
JOURNAL OF PEDIATRICS, 1998, 133 (04) :544-551
[6]   The Validity of the Multi-Informant Approach to Assessing Child and Adolescent Mental Health [J].
De Los Reyes, Andres ;
Augenstein, Tara M. ;
Wang, Mo ;
Thomas, Sarah A. ;
Drabick, Deborah A. G. ;
Burgers, Darcy E. ;
Rabinowitz, Jill .
PSYCHOLOGICAL BULLETIN, 2015, 141 (04) :858-900
[7]   The Protective Effects of Social Factors on the Academic Functioning of Adolescents With ADHD [J].
Dvorsky, Melissa R. ;
Langberg, Joshua M. ;
Evans, Steven W. ;
Becker, Stephen P. .
JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, 2018, 47 (05) :713-726
[8]   A Review of Factors that Promote Resilience in Youth with ADHD and ADHD Symptoms [J].
Dvorsky, Melissa R. ;
Langberg, Joshua M. .
CLINICAL CHILD AND FAMILY PSYCHOLOGY REVIEW, 2016, 19 (04) :368-391
[9]   Adolescent resilience: A framework for understanding healthy development in the face of risk [J].
Fergus, S ;
Zimmerman, MA .
ANNUAL REVIEW OF PUBLIC HEALTH, 2005, 26 :399-419
[10]   Exploring the clinical utility of the Development And Well-Being Assessment (DAWBA) in the detection of hyperkinetic disorders and associated diagnoses in clinical practice [J].
Foreman, David ;
Morton, Stephanie ;
Ford, Tamsin .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2009, 50 (04) :460-470