Russell Amanda, Hoxha Dejla, Murray Aja
Department of Psychology, Northumbria University, Newcastle upon Tyne, UK.
Department of Psychology, University of Edinburgh, Edinburgh, EH8 9JZ, UK.
Eur Child Adolesc Psychiatry. 2025 May 31. doi: 10.1007/s00787-025-02752-3.
Previous research has suggested that adolescents with attention deficit hyperactivity disorder (ADHD) symptoms experience poorer self-esteem than their peers. Difficulties with peer problems may represent a key mediating mechanism. Using a large UK longitudinal study (the Millennium Cohort Study), we fit longitudinal mediation models (RI-CLPMs) across ages 11,14, and 17 (n = 4912 male, n = 4825 female) to examine the (bi-)directional relations among ADHD symptoms, peer problems, and self-esteem. We additionally examined the mediating role of peer problems in the developmental relation between ADHD symptoms and self-esteem. We found some evidence of reciprocal developmental associations between ADHD symptoms, peer problems, and self-esteem; however, peer problems did not mediate the links between ADHD symptoms and later self-esteem. Results suggest that there are inter-linkages between ADHD symptoms, peer problems and self-esteem that could be taken account of in interventions, such as addressing the self-esteem effects of peer problems in social skills interventions. Future research studies addressing the relations between ADHD symptoms, peer problems, and self-esteem over shorter time lags are also recommended.
先前的研究表明，有注意力缺陷多动障碍（ADHD）症状的青少年比同龄人自尊水平更低。同伴问题方面的困难可能是一个关键的中介机制。利用一项大型英国纵向研究（千禧队列研究），我们对年龄在11岁、14岁和17岁的人群（n = 4912名男性，n = 4825名女性）建立纵向中介模型（RI-CLPMs），以检验ADHD症状、同伴问题和自尊之间的（双）向关系。我们还检验了同伴问题在ADHD症状与自尊之间的发展关系中的中介作用。我们发现了一些ADHD症状、同伴问题和自尊之间相互发展关联的证据；然而，同伴问题并未介导ADHD症状与后期自尊之间的联系。结果表明，ADHD症状、同伴问题和自尊之间存在相互联系，在干预措施中可以考虑到这些联系，比如在社交技能干预中解决同伴问题对自尊的影响。还建议未来开展研究，在更短的时间跨度内探讨ADHD症状、同伴问题和自尊之间的关系。
