Department of Psychology, University of Amsterdam, Nieuwe Achtergracht 129B, 1018WS, Amsterdam, The Netherlands.
Department of Forensic Psychiatry and Complex Behavioral Disorders, De Bascule, Academic Center for Child- and Adolescent Psychiatry, Duivendrecht, The Netherlands.
Eur Child Adolesc Psychiatry. 2021 Apr;30(4):657-669. doi: 10.1007/s00787-020-01579-4. Epub 2020 Jul 22.
Parents of children with ADHD experience several difficulties while raising their children and report lower levels of knowledge about their children's life and behaviors. A recent study found that low levels of parental knowledge mediated the association between ADHD symptoms and risk-taking behavior (RTB) in adolescents. The current study aimed to investigate this previous finding further by replicating it, by taking peer influence into account as additional social factor of importance and by extending it and also investigate the role of parental knowledge in the association between ADHD symptoms and homework problems. Three studies were performed: study 1 (N=234) replicated previous work on parental knowledge mediating the association between ADHD symptoms and RTB, study 2 (pre-registered, N=313) added peer influence, and study 3 (pre-registered, N=315) assessed whether parental knowledge mediated the association between ADHD symptoms and homework behavior. Parental knowledge consistently mediated the association between ADHD symptoms on one hand and RTB and homework problems on the other, and also predicted stronger resistance to peer influence. Because parental knowledge was repeatedly linked to ADHD-related problems, it seems promising to include parental knowledge in treatment of ADHD-related problems in adolescents, by improving the parent-child relationship. Future studies should test more directly how improvement of the parent-child relationship can be used to optimize parental knowledge, which in its turn reduces ADHD-related problems.
患有注意缺陷多动障碍（ADHD）的儿童的父母在养育子女的过程中会遇到一些困难，并报告称对子女的生活和行为了解较少。最近的一项研究发现，父母知识水平较低会影响 ADHD 症状与青少年冒险行为（RTB）之间的关联。本研究旨在进一步复制这一先前的发现，考虑到同伴影响是另一个重要的社会因素，将其纳入研究范围，并扩展研究范围，同时还探讨了父母知识在 ADHD 症状与家庭作业问题之间的关联中的作用。进行了三项研究：研究 1（N=234）复制了先前关于父母知识在 ADHD 症状与 RTB 之间的关联中起中介作用的工作，研究 2（预先注册，N=313）增加了同伴影响，研究 3（预先注册，N=315）评估了父母知识是否在 ADHD 症状与家庭作业行为之间的关联中起中介作用。父母知识始终在 ADHD 症状与 RTB 和家庭作业问题之间的关联中起中介作用，并且还预测了对同伴影响的更强抵抗力。由于父母知识与 ADHD 相关问题反复相关，因此似乎有希望通过改善亲子关系，将父母知识纳入青少年 ADHD 相关问题的治疗中。未来的研究应该更直接地测试如何改善亲子关系可以用来优化父母知识，从而减少 ADHD 相关问题。
