The findings highlight the importance of assessing parents' use of alternate treatments for ADHD and the potential role of parents' beliefs and attributions in shaping treatment choices.

Parenting responsiveness and over-reactivity were assessed among 25 mothers of 7-9-year-old sons with Attention-Deficit/Hyperactivity Disorder (ADHD) and oppositional behavior (Oppositional Defiant, OD), 24 mothers of sons with ADHD only, and 38 mothers of nonproblem sons. Responsiveness was observed during mother-son play and clean-up interactions and over-reactivity was assessed using self-reports of parenting in discipline situations. Mothers of sons with ADHD/OD were less responsive and more over-reactive than mothers of nonproblem sons, and mothers of sons with ADHD only did not differ from the other groups. Mothers of sons with ADHD/OD reported more hostility than mothers of nonproblem sons, and controlling for maternal hostility eliminated the significant group differences in responsiveness during clean-up and in over-reactivity. Controlling for the child's ADHD subtype did not alter the pattern of results. The implications for addressing responsiveness and over-reactivity as components of parent-mediated behavioral treatments for ADHD are considered.

No abstract

The authors examined changes over a 1-year period in mothers' attributions for child behavior and child oppositional behavior among 53 mothers and nonproblem sons and 44 mothers and sons with attention-deficit/hyperactivity disorder (ADHD). Boys averaged 8 years of age (SD = 11 months) at Time 1. Families were primarily of European Canadian cultural background and most were middle to upper middle class. Initial levels of child oppositionality did not predict changes in mothers' attributions over time. However, initial levels of mothers' attributions of oppositional child behavior to internal, stable, and global causes positively predicted child oppositional behavior, controlling for ADHD versus nonproblem status and the child's initial level of oppositional behavior. Although initial levels of overreactive and nonresponsive parenting also positively predicted child oppositional behavior, the contribution of mothers' attributions remained significant even with parenting variables controlled. Results suggest that mothers' attributions of child oppositional behavior to internal, stable, and global causes may contribute to maintenance of child problems over time and that these parenting cognitions have importance as intervention targets.

This study examined parent and child gender effects on parents' attributions and beliefs in regards to child symptoms of attention-deficit/hyperactivity disorder (ADHD). Participants included mothers and fathers of 19 girls and 17 boys with ADHD. Groups of boys and girls, aged 5-13 years, were equated on age and medication status, as well as ADHD symptom severity. These groups also were similar in the severity of comorbid oppositional behaviors and internalizing problems, as well as a variety of demographic characteristics. Parents' attributions for child behavior were assessed in response to written scenarios describing either hyperactive/impulsive or inattentive symptoms of ADHD. Parents also completed a questionnaire assessing beliefs and knowledge about ADHD. There were no child gender effects for parents' attributions or beliefs. All parents attributed inattentive symptoms to more internal, global and stable causes than impulsive symptoms. Mothers attributed both inattentive and impulsive child symptoms to more global and stable causes than did fathers. Fathers, but not mothers, reported more negative reactions to ADHD symptoms that were perceived as having an internal cause. Finally, mothers scored higher on beliefs in behavior management than did fathers, and fathers believed more in psychological causes and treatments for ADHD. Possible explanations for and implications of these results are explored.