Gender and Age Differences in Social Skills Among Children with ADHD: Peer Problems and Prosocial Behavior

Abstract

Gender differences in peer problems and prosocial behavior among children with attention-deficit hyperactivity disorder (ADHD) were examined. Parents and teachers rated social functioning on the Strengths and Difficulties Questionnaire (SDQ) among 592 children (age 5–10?years) with ADHD and among 215 children (age 6–10?years) in a community sample. Results in the clinical group revealed significant interaction effects where older boys showed fewer peer problems than younger boys, but older girls had similar peer problems as younger girls. Teachers reported less prosocial behavior among younger girls than older girls. No gender differences in social problems emerged for the nonclinical comparison group.     

Furthering the use of the strengths and difficulties questionnaire: reliability with younger child respondents

A sample of 917 children, aged 7 to 17 years, their parents, and their teachers each completed the appropriate version of the Strengths and Difficulties Questionnaire (SDQ), and 120 from each group did so again 2 weeks later. The results indicate that the SDQ demonstrates sound interinformant and test-retest reliability. Younger children, whose self-reports have not been assessed in previous studies, were reliable in their responding, although not as reliable as older children by these measures. However, the internal reliability of the various subscales, in particular, the peer problems subscale, is questionable for both older and younger child respondents. Overall the findings suggest that the SDQ's use may be extended cautiously to include self-report from younger children.     

The Construct Validity of the Strengths and Difficulties Questionnaire for Aboriginal Children Living in Urban New South Wales,Australia

The current study explores the construct validity of the standard Strengths and Difficulties Questionnaire (SDQ) for Aboriginal children living in urban communities in New South Wales, Australia. Parent report SDQ data from the first 717 Aboriginal children aged 4–17 years who participated in the baseline survey of the Study of Environment on Aboriginal Resilience and Child Health were analysed. The overall construct validity of the SDQ in our sample was acceptable but not “good.” The internal consistency reliability was excellent overall and good for all subscales with the exception of peer problems, a concept that may have a different significance for urban Aboriginal parents. Removing the peer relationships subscale, however, did not improve the fit of the model. The convergent validity of the SDQ was good. The prosocial behaviours scale and both the peer and conduct problems scales were highly correlated suggesting Aboriginal parents conceptualise these differently and that prosocial behaviours may be considered a key indicator of well‐being for Aboriginal children. Overall, the SDQ is a promising tool for urban Aboriginal children in New South Wales. Those working with Aboriginal young people should focus on the SDQ total difficulties score and limit their reliance on the peer relationships subscale.     

Development of Social Problem Solving in Early Childhood: Stability,Change, and Associations With Social Competence

Kindergarten and 1st-grade boys were administered social cognitive interviews in 2 consecutive years to investigate the response-generation step of N. R. Crick and K. A. Dodge's (1994) social information processing model. Boys generated responses to 4 types of hypothetical social dilemmas. Responses to these situations were primarily prosocial, with a large minority of avoidant and antisocial solutions. In general, older boys provided more effective solutions than did their younger peers, and stabilities were modest but significant for subcategories of both prosocial and antisocial responses. Boys who were accepted by their peers provided more prosocial and effective solutions than did boys of lower peer status, but no status differences emerged for antisocial responses. The data also suggest that young children view aggression as an acceptable means to solving peer conflict.     

Development of social problem solving in early childhood: stability,change, and associations with social competence

Kindergarten and 1st-grade boys were administered social cognitive interviews in 2 consecutive years to investigate the response-generation step of N. R. Crick and K. A. Dodge's (1994) social information processing model. Boys generated responses to 4 types of hypothetical social dilemmas. Responses to these situations were primarily prosocial, with a large minority of avoidant and antisocial solutions. In general, older boys provided more effective solutions than did their younger peers, and stabilities were modest but significant for subcategories of both prosocial and antisocial responses. Boys who were accepted by their peers provided more prosocial and effective solutions than did boys of lower peer status, but no status differences emerged for antisocial responses. The data also suggest that young children view aggression as an acceptable means to solving peer conflict.     

When to Use Broader Internalising and Externalising Subscales Instead of the Hypothesised Five Subscales on the Strengths and Difficulties Questionnaire (SDQ): Data from British Parents,Teachers and Children

The Strengths and Difficulties Questionnaire (SDQ) is a widely used child mental health questionnaire with five hypothesised subscales. There is theoretical and preliminary empirical support for combining the SDQ’s hypothesised emotional and peer subscales into an ‘internalizing’ subscale and the hypothesised behavioral and hyperactivity subscales into an ‘externalizing’ subscale (alongside the fifth prosocial subscale). We examine this using parent, teacher and youth SDQ data from a representative sample of 5–16 year olds in Britain (N = 18,222). Factor analyses generally supported second-order internalizing and externalizing factors, and the internalizing and externalizing subscales showed good convergent and discriminant validity across informants and with respect to clinical disorder. By contrast, discriminant validity was poorer between the emotional and peer subscales and between the behavioral, hyperactivity and prosocial subscales. This applied particularly to children with low scores on those subscales. We conclude that there are advantages to using the broader internalizing and externalizing SDQ subscales for analyses in low-risk samples, while retaining all five subscales when screening for disorder.     

Behaviour–emotional characteristics of primary‐school children rated as having language problems

Background Primary‐school teachers are expected to detect problems related to language function, but the teachers' evaluations may be heavily influenced by gender and classroom behaviour. Aim To investigate the relationship between language problems (LPs) and behaviour–emotional problems as rated by primary‐school teachers. Methods All participants participated in a population‐based study, the Bergen Child Study (BCS). Teachers of 9,072 children and parents of 6,234 children completed forms containing questions pertaining to language function and the strengths and difficulties questionnaire (SDQ) to screen for behaviour–emotional problems. LP was defined as a score above the 95th percentile on the sum score of five language items. Children achieving a total SDQ score above the 90th percentile were defined as high scorers, indicating a high risk for behavioural–emotional problems. Results Based on teacher reports, 540 children were defined as having LP, more boys (N = 366) than girls. Children defined as having LP were reported to have significantly higher scores on all SDQ subscales, and a higher total difficulty score than children without language problems (NLP). More LP boys than LP girls were defined as high scorers on the SDQ, with the highest effect size on the hyperactivity–inattention subscore. The agreement between teachers and parents was moderate to low, with the highest consensus of behaviour–emotional problems in children with LP. Conclusions Primary‐school children defined as having LP according to their teachers are frequently characterized by behavioural–emotional problems. Further assessment is warranted for primary‐school children defined as having LP by their teachers.     

Do Mothers and Fathers Perceive Their Child’s Problems and Prosocial Behaviors Differently?

The aim of this study was to compare mothers’ and fathers’ ratings of their young children’s problems and prosocial behaviors using the Korean version of the Strengths and Difficulties Questionnaire (SDQ). Furthermore, the present study examined whether parental depressive symptoms were linked to agreement between mothers’ and fathers’ ratings of their young children’s behavior. The sample consisted of 302 parents whose 5-year-old children attended childcare centers in Korea. The parents completed the Korean version of the SDQ and the Center for the Epidemiological Studies of Depression short form. The results revealed that both the mothers’ and fathers’ reports moderately correlated for both boys and girls, with greater correlations for externalizing problems than for internalizing problems. Whereas there were no significant differences between mothers’ and fathers’ reports of their children’s problems, mothers reported significantly more prosocial behaviors than fathers did, regardless of the child’s gender. Polynomial regression showed that mothers’ reports were more strongly associated with fathers’ report of their children’s prosocial behavior when mothers reported lower levels of depressive symptoms. The findings provide empirical evidence that mothers and fathers reported more similarities than differences in assessing child problems. Further analyses suggest considering maternal depressive symptoms when interpreting interparental agreement on their children’s prosocial behaviors.     

Peer relationships in ADDH and normal children: A developmental analysis of peer and teacher ratings

Peer and teacher perceptions of younger and older ADDH and normal children were compared. Peer nominations on the Pupil Evaluation Inventory revealed that ADDH children received more nominations on the Aggression factor and fewer on the Likability factor. ADDH boys received more nominations on the Withdrawal factor. Generally, older children received fewer nominations, but age did not interact with diagnosis; that is, younger and older ADDH children were perceived by peers as equally deviant. Discriminant analyses showed that peer ratings were useful in discriminating between ADDH and normal boys, but not between ADDH and normal girls. Teacher ratings of peer behavior suggested that older ADDH girls were perceived as less disturbed than younger girls. However, teacher ratings of boys revealed no age by diagnosis interactions. Low to moderate correlations were found between peer and teacher ratings of ADDH boys, and the pattern of relationship varied with age.During the writing of this report, Charlotte Johnston was supported by a Sir James Lougheed Fellowship, Alberta Heritage Scholarship Fund.     

Social perspective-taking and teacher ratings of peer interaction in hyperactive boys

Hyperactive and matched control boys at two age levels were compared on teacher ratings of peer interaction and three measures of social perspective-taking. The teachers' ratings of peer interaction discriminated between the hyperactive children and their controls. In addition, a significant interaction effect indicated that teachers rated the older hyperactive group as more deviant with peers than both their younger hyperactive counterparts and their age-matched controls. In a structured laboratory setting, the hyperactive children did not differ from control children on the three measures of social perspective-taking. The perspective-taking measures did, however, show differences across age groups. Implications for treatment are examined.The research reported in this paper is based on master's thesis submitted to the Graduate Faculty of Arts and Sciences of the University of Pittsburgh by the first author. The authors are indebted to Dr. C. Keith Conners for his assistance in recruiting hyperactive subjects and to Drs. Alex Siegel and Carl Barenboim for their critical evaluations regarding this investigation. Appreciation is expressed to the staff, teachers, parents, and students of the Forest Grove Elementary School for their cooperation.     

Preliminary acceptability and psychometrics of the infant–toddler social and emotional assessment (ITSEA): A new adult-report questionnaire

The preliminary acceptability, internal consistency, test–retest reliability, and validity of the Infant–Toddler Social and Emotional Assessment (ITSEA), a parent-report questionnaire concerning social-emotional problems and competencies, were examined in a sociodemographically diverse pediatric sample of 214 parents of 12- to 36-month-olds. Results supported the ITSEA's acceptability and preliminary internal consistency, test–retest reliability, and validity. Most parents had a positive response to the ITSEA, found the questions easy to understand, and would consider recommending it to a friend. Confirmatory factor analyses supported 16 conceptually hypothesized problem and competence scales. Most scales had strong internal consistency, good to excellent 2-week test–retest reliability, and moderate 1-year test–retest reliability. Significant correlations among ITSEA scales and parent reports of child temperament and problem behaviors supported the ITSEA's validity. Psychometric findings are viewed as preliminary due to the relatively small sample size. Parents reported greater competence and more maladaptive behaviors in older children than younger children. Consistent with observational studies, boys lagged behind girls in certain parent-reported competencies, including empathy, compliance, prosocial peer interactions, and emotional awareness. Parent reports yielded empirically coherent problem and competence scales and domains, suggesting the early emergence of parental perceptions of organized and differentiated clusters of social-emotional behaviors.     

比较母亲和老师对幼儿亲社会行为的评价：一致性和预测性

采用儿童移情和亲社会反应量表,由母亲（n=86）和老师（n=8）分别对86名3-5岁儿童进行评价,并记录实验情境中儿童的亲社会反应,考察母评和师评间的一致性,以及两种评价对儿童亲社会反应的预测性。结果发现：（1）母评得分高于师评,两种评价只在男孩中存在中等程度正相关;（2）只有师评能预测男孩的亲社会反应,两种评价对女孩的亲社会反应都有预测作用。结果提示评价者间的差异反映了不同评价者在儿童亲社会行为关注点上的特点。     

Parental values, reinforcement, and young children's prosocial behavior: a longitudinal study.

In this study, the authors assessed the relation of parental reinforcement and parental values to young children's prosocial behaviors. Parents' dyadic interactions with their 1- to 2-year-old children were videotaped in the home on two occasions approximately 6 months apart. The children also were videotaped playing with a peer at 3 1/2 to 4 1/2 years of age. Parental reinforcement of the children's prosocial behaviors was coded, as were the children's prosocial behaviors with the peer. The frequency of girls' spontaneous prosocial behaviors decreased in the early years; modest consistency was observed for boys (but not girls) across the two parental sessions. No relation existed between the frequency of children's prosocial behaviors with their parents and their behaviors with peers. Both maternal and paternal valuing of compliance were negatively related to the mothers' use of reinforcement for children's spontaneous prosocial behaviors. Parental reinforcement of compliant prosocial behaviors was negatively related to children's compliance with a peer's request for prosocial behavior and positively related to defensive behavior with the peer. Fathers' valuing of prosocial behavior was associated with children's compliance with the peer's requests for prosocial action. Parents who valued compliance had children who exhibited low levels of compliant prosocial behaviors with the peer, possibly because of the depressed level of peer interaction.     

The Etiology of Behavior Problems in 7-Year-Old Twins: Substantial Genetic Influence and Negligible Shared Environmental Influence for Parent Ratings and Ratings by Same and Different Teachers

Parent ratings of behavior problems in childhood show substantial genetic influence and modest shared environmental influence. However, few studies have compared these results to teacher ratings and no previous studies have compared same-teacher ratings to different-teacher ratings. 3,714 7-year-old twin pairs in the Twins Early Development Study were rated by parents and teachers on the Strengths and Difficulties Questionnaire. Substantial heritability and negligible shared environmental influence were found for data from all three raters for total behavior problems, hyperactivity, prosocial behavior, peer problems, conduct problems, and emotional symptoms. Sex-limitation models revealed similar results for males and females, although there was some evidence for greater heritability for boys, especially when twins were rated by the same teacher.     

幼儿二级错误信念认知、亲社会行为与同伴接纳的关系

探讨了113名3~6岁儿童的二级错误信念认知、亲社会行为与同伴接纳之间的关系,结果表明：在总体上,儿童的亲社会行为是其同伴接纳的最佳预测变量;二级错误信念认知和亲社会行为对儿童同伴接纳的影响存在一定的年龄效应,二级错误信念认知是年幼组儿童同伴接纳的最佳预测变量,而亲社会行为则是年长组儿童同伴接纳的最佳预测变量。     

Socially Anxious and Peer-Victimized Preadolescents: “Doubly Primed” for Distress?

We examined independent and interactive associations linking preadolescents' socially anxious feelings and peer victimization experiences with their social behaviors (rated by parents and teachers) and psychophysiological arousal during lab simulations of salient peer stress situations in preadolescence (peer evaluation and peer rebuff). Sixty-three preadolescents and one parent per preadolescent participated. Respiratory sinus arrhythmia (RSA), skin conductance level (SCL), and heart rate (HR) were assessed during peer stress situations. Preadolescents provided reports of social anxiety; preadolescents and parents reported on peer victimization; and parents and teachers rated prosocial and aggressive behaviors. Peer victimization moderated associations between social anxiety and both physiological arousal and social-behavior problems. As hypothesized, social anxiety was more strongly associated with lower RSA, higher HR, and higher aggressive behavior among preadolescents who experienced higher levels of peer victimization, compared to preadolescents who experienced lower levels of peer victimization.     

A psychosocial study of hyperactive and learning-disabled boys

Adequately reading hyperactive boys, normally behaved learning-disabled (LD) boys, and normal controls were contrasted on tests measuring personality traits, cognitive role taking, and moral reasoning. Additionally, parents and teachers rated all children on a number of behaviors, and parents were interviewed in a process-oriented fashion to assess home stimulation potential. Hyperactive boys were rated more aggressive and anxious than LD boys and controls and had not been encouraged as much by parents to achieve. Hyperactives had been born to younger parents, on the average, and 25% lived with their mothers and stepfathers. None of the LD or control boys had stepfathers. The groups did not differ significantly in moral reasoning ability, cognitive role taking, or locus of control; on the Junior Personality Inventory hyperactives tended to have elevated scores on the neuroticism scale while LD boys had higher scores on the lie scale.This research was supported by Grant HDNS-09119 from the National Institute of Child Health and Human Development.     

Gender differences in the relationship between young children's peer-related social competence and individual differences in theory of mind

In this study, the author examined the relationship between theory-of-mind understanding and preschool-aged children's peer-related social competence. One hundred eleven 3- to 5-year-old children (48 boys, 63 girls) participated in 2 theory-of-mind tasks designed to assess their understanding of false belief. Teachers rated children's peer-related social behavior in terms of prosocial behavior, aggressive or disruptive behavior, and shy or withdrawn behavior. Results indicated that, after controlling for age, theory-of-mind understanding significantly predicted aggressive or disruptive behavior for boys and prosocial behavior for girls. Theory-of-mind understanding also was related to lower scores of shy or withdrawn behavior for boys. Results are discussed in terms of the gender differences in the factors contributing to early peer competence.     

Health Status and Peer Relationships in Early Adolescence: The Role of Peer Contact, Self-esteem, and Social Anxiety

We examined associations between children’s health status and the quality of their peer relationships, as well as factors that may account for individual variation in the quality of chronically ill and healthy children’s peer relationships. Our sample included 268 children (138 boys; 130 girls) with 149 European-Americans and 119 African-Americans. There were 91 children with a chronic illness; 35 with asthma, 26 with diabetes, and 30 with obesity. Chronically ill children were characterized by teachers as displaying less prosocial behavior, less overt aggression, and less relational aggression with peers than healthy children. Chronically ill children reported lower levels of peer contact and higher levels of social anxiety than healthy children. Among chronically ill children those with high self-esteem were more prosocial and less aggressive than those with low self-esteem. Our findings suggest that chronically ill children are at risk for peer relationship difficulties, but that self-esteem may serve as a protective factor against poor peer relationships for some chronically ill children.