Although social difficulties are a common feature of Attention-Deficit Hyperactivity Disorder (ADHD), little is known about the diversity of social problems, their etiology, or their relationship to disorders of social behavior, such as autism or Pervasive Developmental Disorder (PDD). In 379 children and adolescents with ADHD, social functioning was assessed using the Child Behavior Checklist (Achenbach, 1991). Factor analysis and structural equation modeling revealed two factors that we labeled Peer Rejection and Social Immaturity. A factor reflecting `PDD risk' was defined from eight items of a separate screening instrument for PDD and examined for its association with these two social factors. There was a significant association with both factors, but the association was much stronger for the Social Immaturity (Standardized Beta [β ] = .51) than Peer Rejection (β = .29) factors. Social Immaturity was also associated with a greater number of hyperactive symptoms while high Peer Rejection was associated with increased aggression and lower IQ in the ADHD children.
Achenbach, T.M. (1991). Manual for the child behavior checklist/4-18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.
2.
Achenbach, T.M., & Edelbrock, C. (1983). The child behavior checklist. Burlington, VT: University Associates in Psychiatry .
3.
Allison, P. (2002). Missing data. Thousand Oaks, CA: SAGE.
4.
Anastasi, A., & Urbina, S. (1998). Psychological testing (7th ed.).Upper Saddle River, NJ: Prentice Hall.
5.
Antshel, K.M., & Remer, R. (2003). Social skills training in children with attention deficit hyperactivity disorder: A randomized-controlled clinical trial. Journal of Clinical Child and Adolescent Psychology, 32(1), 153-165.
6.
APA. (1994). Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington, DC: American Psychiatric Association.
7.
Barkley, R.A. (1990). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: Guilford Press.
Berument, S.K., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism screening questionnaire: Diagnostic validity . British Journal of Psychiatry, 175, 444-451.
10.
Biederman, J., Newcorn, J., & Sprich, S. (1991). Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. American Journal of Psychiatry, 148(5), 564-577.
11.
Bolton, P.F., Pickles, A., Murphy, M., & Rutter, M. (1998). Autism, affective and other psychiatric disorders: Patterns of familial aggregation. Psychological Medicine, 28(2), 385-395.
12.
Browne, M.W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K.A. Bollen, & J.S. Long (Eds.), Testing structural equation models (pp. 136-162). Newbury Park, CA: SAGE.
13.
Cantwell, D.P. (1996). Attention deficit disorder: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 35(8), 978-987.
14.
Carlson, C.L., & Mann, M. (2000). Attention-deficit/hyperactivity disorder, predominantly inattentive subtype. Child and Adolescent Psychiatric Clinics of North America, 9(3), 499-510.
15.
Charlop-Christy, M.H., & Kelso, S.E. (1999). Autism. In V.L. Schwean, & D.H. Saklofske (Eds.), Handbook of psychosocial characteristics of exceptional children (pp. 247-273). New York: Plenum Press.
16.
Clark, T., Feehan, C., Tinline, C., & Vostanis, P. (1999). Autistic symptoms in children with attention deficit-hyperactivity disorder. European Child and Adolescent Psychiatry, 8(1), 50-55.
17.
Comrey, A.L., & Lee, H.B. (1992). A first course in factor analysis (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
18.
Downs, A., & Smith, T. (2004). Emotional understanding, cooperation, and social behavior in high-functioning children with autism. Journal of Autism and Developmental Disorders, 34(6), 625-635.
19.
Flicek, M. (1992). Social status of boys with both academic problems and attention-deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 20(4), 353-366.
20.
Flicek, M., & Landau, S. (1985). Social status problems of learning disabled and hyperactive/learning disabled boys. Journal of Clinical Child Psychology, 14(4), 340-344.
21.
Frazier, J.A., Biederman, J., Bellordre, C.A., Garfield, S.B., Geller, D.A., Coffey, B.J., et al. (2001). Should the diagnosis of attention-deficit/hyperactivity disorder be considered in children with pervasive developmental disorder? Journal of Attention Disorders, 4(4), 203-211.
22.
Friedman, S.R., Rapport, L.J., Lumley, M., Tzelepis, A., VanVoorhis, A., Stettner, L., et al. (2003). Aspects of social and emotional competence in adult attentiondeficit/hyperactivity disorder. Neuropsychology , 17(1), 50-58.
23.
Fyer, A.J., Endicott, J., Mannuzza, S., & Klein, D.F. (1995). Schedule for affective disorders and schizophrenia-lifetime version modified for the study of anxiety disorders. New York: New York State Psychiatric Institute, Anxiety Genetics Unit.
24.
Gillberg, C. (2003). Deficits in attention, motor control, and perception: A brief review. Archives of Disease in Childhood, 88, 904-910.
25.
Goldstein, S., & Schwebach, A.J. (2004). The comorbidity of pervasive developmental disorder and attention deficit hyperactivity disorder: Results of a retrospective chart review. Journal of Autism and Developmental Disorders, 34(3), 329-339.
26.
Greene, R.W., Biederman, J., Faraone, S.V., Ouellette, C.A., Penn, C., & Griffin, S.M. (1996). Toward a new psychometric definition of social disability in children with attention-deficit hyperactivity disorder. Journal of the American Academy for Child and Adolescent Psychiatry , 35(5), 571-578.
27.
Guevremont, D.C., & Dumas, M.C. (1994). Peer relationship problems and disruptive behavior disorders. Journal of Emotional and Behavioral Disorders, 2(3), 164-172.
28.
Hodgens, J.B., Cole, J., & Boldizar, J. (2000). Peer-based differences among boys with ADHD. Journal of Clinical Child Psychology, 29(3), 443-452.
29.
Hollingshead, A.B. (1957). Two factor index of social position. New Haven, CT: Yale University, Department of Psychiatry .
30.
Hu, L., & Bentler, P.M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424-453.
31.
Kaplan, D. (2000). Structural equation modeling. Thousand Oaks, CA: SAGE.
32.
Karustis, J.L., Power, T.J., Rescorla, L.A., Eiraldi, R.B., & Gallagher, P.R. (2000). Anxiety and depression in children with ADHD: Unique associations with academic and social functioning . Journal of Attention Disorders, 4(3), 133-149.
33.
Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children - present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal for the American Academy of Child and Adolescent Psychiatry, 36(7), 980-988.
34.
Klin, A., & Volkmar, F.R. (1999). Autism and other pervasive developmental disorders . In S. Goldstein, & C.R. Reynolds (Eds.), Handbook of neurodevelopmental and genetic disorders in children (pp. 247-274). New York: Guilford Press.
35.
Kline, R.B. (2005). Principles and practice of structural equation modeling. New York: Guilford Press .
36.
Krasny, L., Williams, B.J., Provencal, S., & Ozonoff, S. (2003). Social skills interventions for the autism spectrum: Essential ingredients and a model curriculum. Child and Adolescent Psychiatric Clinics of North America, 12(1), 107-122.
37.
Landau, S., Milich, R., & Diener, M. (1998). Peer relations of children with attention-deficit hyperactivity disorder. Reading and Writing Quarterly: Overcoming Learning Difficulties, 14(1), 83-105.
38.
Lehtonen, R., & Pahkinen, E. (2004). Practical methods for design and analysis of complex surveys. Chichester, England: John Wiley & Sons.
39.
Luteijn, E.F., Serra, M., Jackson, S., Steenhuis, M.P., Althaus, M., Volkmar, F., et al. (2000). How unspecified are disorders of children with a pervasive developmental disorder not otherwise specified? A study of social problems in children with PDD-NOS and ADHD. European Child and Adolescent Psychiatry, 9(3), 168-179.
Muthén, B.O. (1993). Goodness of fit with categorical and other non-normal variables. In K.A. Bollen, & J.S. Long (Eds.), Testing structural equation models (pp. 205-543). Newbury Park, CA: SAGE.
42.
Muthén, B.O., du Toit, S.H.C., & Spisic, D. (1997). Robust inference using weighted least squares and quadratic estimating equations in latent variable modeling with categorical and continuous outcomes. Los Angeles, CA: University of California.
Pelham, W.E., & Bender, M.E. (1982). Behavior therapy, behavioral assessment and psychostimulant medication in the treatment of attention deficit disorders: An interactive approach. In L.M. Bloomingdale, & J. Swanson (Eds.), Advances in learning and behavioral disabilities (Vol. 1, pp. 365-436). Greenwich, CT: JAI Press.
45.
Pelham, W.E., McBurnett, K., Harper, G.W., Milich, R., Murphy, D.A., Clinton, J., et al. (1990). Methylphenidate and baseball playing in ADHD children: Who's on first? Journal of Consulting and Clinical Psychology, 58(1), 130-133.
46.
Reiersen, A.M., Constantino, J.N., Volk, H.E., & Todd, R.D. (2007). Autistic traits in a population-based ADHD twin sample. Journal of Child Psychology and Psychiatry, 48(5), 464-472.
47.
Santosh, P.J., & Mijovic, A. (2004). Social impairment in hyperkinetic disorder: Relationship to psychopathology and environmental stressors. European Child and Adolescent Psychiatry, 13(3), 141-150.
48.
SAS. (1999). Sas procedures guide for personal computers (version 8.2). Cary, NC: SAS Institute.
49.
Sigman, M.D., & Ruskin, E. (1999). Social competence in children with autism, Down Syndrome and other developmental delays: A longitudinal study. Monographs of the Society for Research in Child Development, 64(1), Serial No. 256.
50.
Smalley, S.L., Loo, S.K., Yang, M.H., & Cantor, R.M. (2005). Toward localizing genes underlying cerebral asymmetry and mental health. American Journal of Medical Genetics Part B Neuropsychiatric Genetics, 135(1), 79-84.
51.
Smalley, S.L., McGough, J.J., Del'Homme, M., NewDelman, J., Gordon, E., Kim, T., et al. (2000). Familial clustering of symptoms and disruptive behaviors in multiplex families with attention-deficit/hyperactivity disorder . Journal of the American Academy for Child and Adolescent Psychiatry, 39(9), 1135-1143.
52.
Smith, T., Magyar, C., & Arnold-Saritepe, A. (2002). Autism spectrum disorder . In D.T. Marsh, & M.A. Fristad (Eds.), Handbook of serious emotional disturbance in children and adolescents (pp. 131-148). New York: John Wiley & Sons, Inc.
53.
Sturm, H., Fernell, E., & Gillberg, C. (2004). Autism spectrum disorders in children with normal intellectual levels: Associated impairments and subgroups. Developmental Medicine and Child Neurology, 46(7), 444-447.
54.
Swanson, J.M. (1995). SNAP-IV scale. Irvine, CA: University of California Child Development Center.
55.
Tabachnick, B.G., & Fidell, L.S. (1996). Using multivariate statistics (2nd ed.). New York: Harper Collins .
56.
Tabachnick, B.G., & Fidell, L.S. (2001). Using multivariate statistics (4th ed.). New York: Harper Collins .
57.
Taylor, J.F. (1994). Helping your hyperactive/attention deficit child . Rocklin, CA: Prima Lifestyles .
58.
Terry, R., & Coie, J.D. (1991). A comparison of methods for defining sociometric status among children. Developmental Psychology, 27, 867-880.
59.
Travis, L.L., & Sigman, M.D. (2000). A developmental approach to autism. In A.J. Sameroff, M. Lewis , & S.M. Miller (Eds.), Handbook of developmental psychopathology (2nd ed., pp. 641-655). New York: Kluwer Academic/Plenum Publishers.
60.
Twatchman-Cullen, D. (1998). Language and communication in high-functioning Autism and Asperger syndrome. In E. Schopler , G.B. Mesibov, & L.J. Kunce (Eds.), Asperger syndrome or high functioning autism? (pp. 199-225). New York: Plenum Press.
61.
Whalen, C.K., & Henker, B. (1985). The social worlds of hyperactive (ADHD) children . Clinical Psychology Review, Special Issue: Attention deficit disorder: Issues in assessment and intervention, 5(5), 447-478.
62.
Wolfberg, P.J., Zercher, C., Lieber, J., Capell, K., Matias, D., Hanson, M., & Odom, S.L. (1999). `Can I play with you?' Peer culture in inclusive preschool programs. Journal for the Association for Persons with Severe Handicaps, 24, 69-84.
63.
Yoshida, Y., & Uchiyama, T. (2004). The clinical necessity for assessing attention deficit/hyperactivity disorder (AD/HD) symptoms in children with high-functioning pervasive developmental disorder (PDD). European Child and Adolescent Psychiatry, 13(5), 307-314.
