Skip to main content

Advertisement

Log in

ADHD Symptoms and Attachment Representations: Considering the Role of Conduct Problems, Cognitive Deficits and Narrative Responses in Non-Attachment-Related Story Stems

  • Published:
Journal of Abnormal Child Psychology Aims and scope Submit manuscript

Abstract

The overall aim of the present study was to investigate ADHD symptoms in relation to attachment representations. We used both attachment- and non-attachment-related story stems, which allowed us to investigate whether problems with narrative production can explain the relation between ADHD symptoms and attachment representations. We also investigated the role of cognitive deficits and conduct problems in these relations. The sample consisted of 89 children (27 % girls) between 6 and 10 years old, with an oversampling of children with high levels of ADHD symptoms. ADHD symptoms and conduct problems were rated by parents and teachers. Cognitive functioning was investigated using laboratory tests of inhibition, working memory and sustained attention. Attachment representations were coded as secure, organized insecure and disorganized categories. Narrative responses to non-attachment-related story stems were coded for incoherence and negative content. Results showed that children in the disorganized attachment category had significantly higher levels of ADHD symptoms compared to those in the secure category. Both ADHD symptoms and disorganized attachment were related to incoherence and negative content. Attachment representations were not associated with ADHD symptoms when controlling for negative content in response to non-attachment-related story stems. These results suggest that the associations between attachment security and ADHD are yet to be fully understood. Importantly, a propensity to envisage negative events seems to characterize children with high levels of ADHD symptoms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Achenbach, T. M., & Edelbrock, C. S. (1981). Behavioral problems and competencies reported by parents of normal and disturbed children aged 4 through 16. Monographs of the Society for Research in Child Development, 46, 1–82.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV (4th ed.). Washington DC: American Psychiatric Association.

    Google Scholar 

  • Association, A. P. (2000). Diagnostic and statistical manual of mental disorders : DSM-IV-TR. (4th ed., text revision.). Washington DC: American Psychiatric Association.

    Google Scholar 

  • Bauermeister, J. J., Shrout, P. E., Ramírez, R., Bravo, M., Alegría, M., Martínez-Taboas, A., et al. (2007). ADHD correlates, comorbidity, and impairment in community and treated samples of children and adolescents. Journal of Abnormal Child Psychology, 35, 883–898.

    Article  PubMed Central  PubMed  Google Scholar 

  • Berlin, L., & Bohlin, G. (2002). Response inhibition, hyperactivity, and conduct problems among preschool children. Journal of Clinical Child and Adolescent Psychology, 31, 242–251.

    Article  PubMed  Google Scholar 

  • Berwid, O.G., Curko Kere, E.A., Marks, D.J., Santra, A., Bender, H.A., & Halperin, J.M. (2005). Sustained attention and response inhibition in young children at risk for Attention Deficit/Hyperactivity Disorder. 46, 1219–1229.

  • Biederman, J., Faraone, S. V., & Monuteaux, M. C. (2002). Differential effect of environmental adversity of gender: Ruttervi index of adversity in a group of boys and girls with and without ADHD. American Journal of Psychiatry, 159, 1556–1562.

    Article  PubMed  Google Scholar 

  • Bohlin, G., Eninger, L., Brocki, K. C., & Thorell, L. B. (2012). Disorganized attachment and inhibitory capacity: predicting externalizing problem behaviors. Journal of Abnormal Child Psychology, 40, 449–458.

    Article  PubMed  Google Scholar 

  • Bretherton, I., & Oppenheim, D. (2003). The MacArthur story stem battery: Development, administration, reliability, validity, and reflections about meaning. In R. N. Emde, D. P. Wolf, & D. Oppenheim (Eds.), Revealing the inner worlds of young children: The MacArthur Story Stem Battery and parent child narratives (pp. 55–80). Oxford: Oxford University Press.

    Google Scholar 

  • Bretherton, I., Ridgeway, D., & Cassidy, J. (1990). Assessing internal working models of the attachment relationship. In M. Greenberg, D. Cicchetti, & E. M. Cummings (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 273–308). Chicago: University of Chicago Press.

    Google Scholar 

  • Counts, C. A., Nigg, J. T., Stawicki, J. A., Rappley, M. D., & Von Eye, A. (2005). Family adversity in DSM-IV ADHD combined and inattentive subtypes and associated disruptive behavior problems. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 690–698.

    Article  PubMed  Google Scholar 

  • Crick, N. R., & Dodge, K. A. (1994). A review and reformulation of social information-processing mechanisms in children’s social adjustment. Psychological Bulletin, 115, 74–101.

    Article  Google Scholar 

  • Dunn, J., & Hughes, C. (2001). “I got some swords and you’re dead!”: Violent fantasy, antisocial behavior, friendship, and moral sensibility in young children. Child Development, 72, 491–505.

    Article  PubMed  Google Scholar 

  • DuPaul, G. J., Thomas, J., & Anastopoulos, A. D. (1998). ADHD rating scale-iv: Checklists, Norms, and Clinical Interpretation. New York: Guilford Press.

    Google Scholar 

  • Emde, R. N., Wolf, D., & Oppenheim, D. (2003). Revealing the inner worlds of young children: The MacArthur Story Stem Battery and parent-child narratives. Oxford: Oxford University Press.

    Google Scholar 

  • Fearon, R., Bakermans-Kranenburg, M. J., van Ijzendoorn, M. H., Lapsley, A. M., & Roisman, G. I. (2010). The significance of insecure attachment and disorganization in the development of children’s externalizing behavior: a meta-analytic study. Child Development, 81, 435–456.

    Article  PubMed  Google Scholar 

  • Flory, K., Milich, R., Lorch, E. P., Hayden, A. N., Strange, C., & Welsh, R. (2006). Online story comprehension among children with ADHD: which core deficits are involved? Journal of Abnormal Child Psychology, 34, 850–862.

    Article  Google Scholar 

  • George, C., & Solomon, J. (2000). Six-year attachment doll play classification system. In: Unpublished classification manual. Oakland: Mills College.

  • Gerstadt, C. L., Hong, Y. J., & Diamond, A. (1994). The relationship between cognition and action: performance of children-7 years old on a stroop-like day-night test. Cognition, 53, 129–153.

    Article  PubMed  Google Scholar 

  • Goldwyn, R., Stanley, C., Smith, V., & Green, J. (2000). The Manchester Child Attachment Story Task: relationship with parental AAI, SAT and child behaviour. Attachment & Human Development, 2, 71–84.

    Article  Google Scholar 

  • Greenberg, M. T., DeKlyen, M., Speltz, M. L., & Endriga, M. C. (1997). The role of attachment processes in externalizing psychopathology in young children. In L. Atkinson & K. J. Zucker (Eds.), Attachment and psychopathology (pp. 196–222). New York: Guilford.

    Google Scholar 

  • Holmberg, J., Robinson, J., Corbitt-Price, J., & Wiener, P. (2007). Using narratives to assess competencies and risks in young children: experiences with high risk and normal populations. Infant Mental Health Journal, 28, 647–666.

    Article  Google Scholar 

  • Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: Guilford Press.

    Google Scholar 

  • Kraemer, H. C., Noda, A., & O’Hara, R. (2004). Categorical versus dimensional approaches to diagnosis: methodological challenges. Journal of Psychiatric Research, 38, 17–25.

    Article  PubMed  Google Scholar 

  • Larsson, H., Anckarsater, H., Råstam, M., Chang, Z., & Lichtenstein, P. (2012). Childhood attention-deficit hyperactivity disorder as an extreme of a continuous trait: a quantitative genetic study of 8,500 twin pairs. Journal of Child Psychology and Psychiatry, 53, 73–80.

    Article  PubMed  Google Scholar 

  • Lorch, E. P., Milich, R., Flake, R. A., Ohlendorf, J., & Little, S. (2010). A developmental examination of story recall and coherence among children with ADHD. Journal of Abnormal Child Psychology, 38, 291–301.

    Article  PubMed Central  PubMed  Google Scholar 

  • McInerney, R. J., Hrabok, M., & Kerns, K. A. (2005). The children’s size-ordering task: a new measure of nonverbal working memory. Journal of Clinical and Experimental Neuropsychology, 27, 735–745.

    Article  PubMed  Google Scholar 

  • Oppenheim, D., & Waters, H. S. (1995). Narrative process and attachment representations: issues of development and assessment. Monographs of the Society for Research in Child Development, 60, 197–215.

    Article  Google Scholar 

  • Pinto, C., Turton, P., Hughes, P., White, S., & Gillberg, C. (2006). ADHD and infant disorganized attachment. Journal of Attention Disorders, 10, 83–91.

    Article  PubMed  Google Scholar 

  • Renz, K., Lorch, E. P., Milich, R., Lemberger, C., Bodner, A., & Welsh, R. (2003). On-line story representation in boys with attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 31, 93–104.

    Article  PubMed  Google Scholar 

  • Rutter, M., Tizard, J., & Whitmore, K. (1970). Education, health and behaviour. Longman Publishing Group.

  • Sher-Censor, E., & Oppenheim, D. (2004). Coherence and representations in preschoolers’ narratives: Associations with attachment in infancy. In M. W. Pratt & B. H. Fiese (Eds.), Family stories and the life course (pp. 77–108). Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Solomon, J., & George, C. (2008). The measurement of attachment security and related constructs in infancy and early childhood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications. New York: The Guilford Press.

    Google Scholar 

  • Solomon, J., George, C., & De Jong, A. (1995). Children classified as controlling at age six: evidence of disorganized representational strategies and aggression at home and at school. Development and Psychopathology, 7, 447–463.

    Article  Google Scholar 

  • Sonuga-Barke, E. J., Dalen, L., & Remington, B. (2003). Do executive deficits and delay aversion make independent contributions to preschool attention-deficit/hyperactivity disorder symptoms? Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1335–1342.

    Article  PubMed  Google Scholar 

  • Tannock, R., Purvis, K. L., & Schachar, R. J. (1993). Narrative abilities in children with attention deficit hyperactivity disorder and normal peers. Journal of Abnormal Child Psychology, 21, 103–117.

    Article  PubMed  Google Scholar 

  • Thorell, L. B., Rydell, A.-M., & Bohlin, G. (2012). Parent–child attachment and executive functioning in relation to ADHD symptoms in middle childhood. Attachment & Human Development, 14, 517–532.

    Article  Google Scholar 

  • van Ijzendoorn, M. H., Schuengel, C., & Bakermans-Kranenburg, M. J. (1999). Disorganized attachment in early childhood: meta-analysis of precursors, concomitants, and sequelae. Development and Psychopathology, 11, 225–250.

    Article  PubMed  Google Scholar 

  • von Klitzing, K., Kelsay, K., Emde, R. N., Robinson, J. A., & Schmitz, S. (2000). Gender-specific characteristics of 5-year-olds’ play narratives and associations with behavior ratings. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1017–1023.

    Article  Google Scholar 

  • Warren, S. L., Oppenheim, D., & Emde, R. N. (1996). Can emotions and themes in children’s play predict behavior problems? Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1331–1337.

    Article  PubMed  Google Scholar 

  • Weschler, D. (2003). Wechsler Intelligence Scale for Children–Fourth Edition (4th ed.). San Antonio: Pscyhological Corporation.

    Google Scholar 

  • Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biological Psychiatry, 57, 1336–1346.

    Article  PubMed  Google Scholar 

  • Zahn-Waxler, C., Cole, P. M., Richardson, D. T., & Friedman, R. J. (1994). Social problem solving in disruptive preschool children: reactions to hypothetical situations of conflict and distress. Merrill-Palmer Quarterly, 40, 98–119.

    Google Scholar 

Download references

Conflict of Interest

We have no interests to declare.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gunilla Bohlin.

Additional information

Author Note

This research was supported by a grant from The Swedish Council for Working Life and Social Research to Gunilla Bohlin

Rights and permissions

Reprints and permissions

About this article

Cite this article

Scholtens, S., Rydell, AM., Bohlin, G. et al. ADHD Symptoms and Attachment Representations: Considering the Role of Conduct Problems, Cognitive Deficits and Narrative Responses in Non-Attachment-Related Story Stems. J Abnorm Child Psychol 42, 1033–1042 (2014). https://doi.org/10.1007/s10802-014-9854-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10802-014-9854-0

Keywords

Navigation