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Disentangling child and family influences on maternal expressed emotion toward children with attention-deficit/hyperactivity disorder

KL Cartwright, P Bitsakou, D Daley, RH Gramzow, L Psychogiou, E Simonoff, MJ Thompson and Edmund Barke (2011) JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY. 50(10). p.1042-1053
abstract
Objective: We used multi-level modelling of sibling-pair data to disentangle the influence of proband-specific and more general family influences on maternal expressed emotion (MEE) toward children and adolescents with attention-deficit/hyperactivity disorder (ADHD). Method: MEE was measured using the Five Minute Speech Sample (FMSS) for 60 sibling pairs (aged 5 through 17 years) each comprising one proband with ADHD and one child without ADHD. Questionnaire measures were used to assess child and adolescent conduct and emotional problems and maternal depression and ADHD. Multi-level models partitioned the effects of five MEE components (initial statement [IS], relationship [REL], warmth [WAR], critical comments [CC], and positive comments [PC]) into proband-specific and general family effects. Results: Significant proband-specific effects were confirmed for all MEE components, with higher levels of MEE expressed toward probands with ADHD than siblings without ADHD. For REL, PC, and CC, this effect was explained by comorbid child conduct problems rather than ADHD. Only low WAR was associated with child ADHD itself. Furthermore, only low WAR was related to variations in more general family characteristics, especially levels of maternal depression. Conclusions: MEE toward children with ADHD was influenced by proband-specific factors. For most components, these were driven by comorbid symptoms of conduct problems rather than ADHD itself. WAR was different; it was influenced by both child-specific and more general characteristics of the family. Further studies utilising a longitudinal design are required to establish the direction of causation and extend our understanding of the relationship between EE components and ADHD. J. Am. Acad. Child Adolesc. Psychiatry, 2011;50(10):1042-1053.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
child effects, family effects, sibpairs, expressed emotion, ADHD, CONDUCT, DEPRESSION, SYMPTOMS, PSYCHOPATHOLOGY, ADHD CHILDREN, DISRUPTIVE BEHAVIOR, PSYCHOMETRIC PROPERTIES, DIFFICULTIES QUESTIONNAIRE, PSYCHIATRIC-PATIENTS, DEFICIT HYPERACTIVITY DISORDER
journal title
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
J. Am. Acad. Child Adolesc. Psychiatr.
volume
50
issue
10
pages
1042 - 1053
Web of Science type
Article
Web of Science id
000295562700011
JCR category
PEDIATRICS
JCR impact factor
6.444 (2011)
JCR rank
1/113 (2011)
JCR quartile
1 (2011)
ISSN
0890-8567
DOI
10.1016/j.jaac.2011.07.006
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2071794
handle
http://hdl.handle.net/1854/LU-2071794
date created
2012-03-21 15:20:21
date last changed
2016-12-19 15:44:52
@article{2071794,
  abstract     = {Objective: We used multi-level modelling of sibling-pair data to disentangle the influence of proband-specific and more general family influences on maternal expressed emotion (MEE) toward children and adolescents with attention-deficit/hyperactivity disorder (ADHD). Method: MEE was measured using the Five Minute Speech Sample (FMSS) for 60 sibling pairs (aged 5 through 17 years) each comprising one proband with ADHD and one child without ADHD. Questionnaire measures were used to assess child and adolescent conduct and emotional problems and maternal depression and ADHD. Multi-level models partitioned the effects of five MEE components (initial statement [IS], relationship [REL], warmth [WAR], critical comments [CC], and positive comments [PC]) into proband-specific and general family effects. Results: Significant proband-specific effects were confirmed for all MEE components, with higher levels of MEE expressed toward probands with ADHD than siblings without ADHD. For REL, PC, and CC, this effect was explained by comorbid child conduct problems rather than ADHD. Only low WAR was associated with child ADHD itself. Furthermore, only low WAR was related to variations in more general family characteristics, especially levels of maternal depression. Conclusions: MEE toward children with ADHD was influenced by proband-specific factors. For most components, these were driven by comorbid symptoms of conduct problems rather than ADHD itself. WAR was different; it was influenced by both child-specific and more general characteristics of the family. Further studies utilising a longitudinal design are required to establish the direction of causation and extend our understanding of the relationship between EE components and ADHD. J. Am. Acad. Child Adolesc. Psychiatry, 2011;50(10):1042-1053.},
  author       = {Cartwright, KL and Bitsakou, P and Daley, D and Gramzow, RH and Psychogiou, L and Simonoff, E and Thompson, MJ and Barke, Edmund},
  issn         = {0890-8567},
  journal      = {JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY},
  keyword      = {child effects,family effects,sibpairs,expressed emotion,ADHD,CONDUCT,DEPRESSION,SYMPTOMS,PSYCHOPATHOLOGY,ADHD CHILDREN,DISRUPTIVE BEHAVIOR,PSYCHOMETRIC PROPERTIES,DIFFICULTIES QUESTIONNAIRE,PSYCHIATRIC-PATIENTS,DEFICIT HYPERACTIVITY DISORDER},
  language     = {eng},
  number       = {10},
  pages        = {1042--1053},
  title        = {Disentangling child and family influences on maternal expressed emotion toward children with attention-deficit/hyperactivity disorder},
  url          = {http://dx.doi.org/10.1016/j.jaac.2011.07.006},
  volume       = {50},
  year         = {2011},
}

Chicago
Cartwright, KL, P Bitsakou, D Daley, RH Gramzow, L Psychogiou, E Simonoff, MJ Thompson, and Edmund Barke. 2011. “Disentangling Child and Family Influences on Maternal Expressed Emotion Toward Children with Attention-deficit/hyperactivity Disorder.” Journal of the American Academy of Child and Adolescent Psychiatry 50 (10): 1042–1053.
APA
Cartwright, K., Bitsakou, P., Daley, D., Gramzow, R., Psychogiou, L., Simonoff, E., Thompson, M., et al. (2011). Disentangling child and family influences on maternal expressed emotion toward children with attention-deficit/hyperactivity disorder. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 50(10), 1042–1053.
Vancouver
1.
Cartwright K, Bitsakou P, Daley D, Gramzow R, Psychogiou L, Simonoff E, et al. Disentangling child and family influences on maternal expressed emotion toward children with attention-deficit/hyperactivity disorder. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY. 2011;50(10):1042–53.
MLA
Cartwright, KL, P Bitsakou, D Daley, et al. “Disentangling Child and Family Influences on Maternal Expressed Emotion Toward Children with Attention-deficit/hyperactivity Disorder.” JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY 50.10 (2011): 1042–1053. Print.