Social adjustment among taiwanese children with symptoms of ADHD, ODD, and ADHD comorbid with ODD
Abstract
This study examined social problems at school and relationships with peers, siblings, mothers, and fathers among children with ADHD only (n = 41), ODD only (n = 14), ADHD + ODD (n = 47), and normal controls (n = 204) from a school-based sample of 2,463 first to ninth graders in Taiwan. ADHD and ODD symptoms were determined by teacher and mother reports on the Conners' Rating Scales and social adjustment problems were assessed by mother reports on the Social Adjustment Inventory for Children and Adolescents. Results indicated that relative to normal controls, children with ADHD + ODD displayed greater levels of social adjustment problems across domains (i.e., school, peers, siblings, and parents) while children with ADHD were significantly more impaired only in social adjustment at schools and children with ODD were more impaired only in social adjustment at home. Some similarities and differences in our findings, in relation to the Western literature, were discussed.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Children with only ODD are impaired in the family domain and have negative family relationships, especially with siblings, due to defiant behavior, suggesting ODD is associated with family dysfunction.
“Children with only ODD are impaired in the family domain, and have negative family relationships, especially with their siblings, due to their de fi ant behavior, as opposed to children with ADHD, suggesting that ODD is associated with family dysfunction”
From ADHD, CD, and ODD: Systematic review of genetic and environmental risk factors (2018) · cites this paper as Tseng et al., 2011
Children with only ADHD exhibit social maladjustment in school, experience rejection by peers, and manifest bullying.
“children with only ADHD exhibit social maladjustment in school, experience rejection by peers and manifest bullying”
From ADHD, CD, and ODD: Systematic review of genetic and environmental risk factors (2018) · cites this paper as Tseng et al., 2011
Children with ADHD and ODD display social maladjustment in several domains, including school, relationships with peers, parents, and siblings.
“Children with ADHD and ODD display social maladjustment in several domains (school, relationships with peers, parents and siblings)”
From ADHD, CD, and ODD: Systematic review of genetic and environmental risk factors (2018) · cites this paper as Tseng, Kawabata, & Gau, 2011
The nature of ADHD symptoms, particularly attentional problems, limits the acquisition of social skills, including through observation.
“the nature of ADHD symptoms, particularly attentional problems, limit the acquisition of social skills, including through observation”
From ADHD, CD, and ODD: Systematic review of genetic and environmental risk factors (2018) · cites this paper as Tseng et al., 2011
In ODD, the most affected domain is the family environment, but defiant behavior may explain why ODD is more strongly associated with family dysfunction.
“literature suggests that in ODD the most a ff ected domain is the family environment, but in this fi nding one must take into account the de fi ant behavior, which is typical of this disorder and may explain the fact that ODD is more strongly associated with family dysfunction”
From ADHD, CD, and ODD: Systematic review of genetic and environmental risk factors (2018) · cites this paper as Tseng et al., 2011
Children with ADHD display social maladjustment in several areas, which predisposes them to ODD behavior towards relatives or conduct disorders towards peers.
“children with ADHD display social maladjustment in several areas (e.g., school, peers, siblings, parents), which predisposes them to ODD behavior towards their relatives or conduct disorders towards their peers”
From ADHD, CD, and ODD: Systematic review of genetic and environmental risk factors (2018) · cites this paper as Tseng et al., 2011
Cites
Developmental systems and psychopathology
SAMEROFF, A. J. (2000) · Development and Psychopathology · doi:10.1017/s0954579400003035 · Cited by 670 · cited 1× · see citing works
“Therefore, consideration of the broader social and cultural context of psychopathology and maladjustment must be incorporated into research and conceptualization of the development of psychopathology and maladjustment [26].”
BackgroundHoza, B., Mrug, S., Gerdes, A. C., Hinshaw, S. P., Bukowski, W. M., Gold, J. A., Kraemer, H. C., Pelham, W. E., Wigal, T., & Arnold, L. E. (2005) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.73.3.411 · Cited by 617 · see citing works
JOHN, K., GAMMON, D. G., PRUSOFF, B. A., & WARNER, V. (1987) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198726060-00015 · Cited by 236 · see citing works
Impact of Comorbid Oppositional or Conduct Problems on Attention-Deficit Hyperactivity Disorder
KUHNE, M., SCHACHAR, R., & TANNOCK, R. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199712000-00020 · Cited by 209 · see citing works
Parent–Child Relationships and ADHD Symptoms: A Longitudinal Analysis
Lifford, K. J., Harold, G. T., & Thapar, A. (2008) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-007-9177-5 · Cited by 199 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Hsiao, M., Tseng, W., Huang, H.-Y., & Gau, S. S. (2012) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2012.08.001 · Cited by 104 · see citing works
Self-citationADHD, CD, and ODD: Systematic review of genetic and environmental risk factors
Azeredo, A., Moreira, D., & Barbosa, F. (2018) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2017.12.010 · Cited by 75 · see citing works
Lin, X., Li, L.-F., Chi, P., Wang, Z., Heath, M., Du, H., & Fang, X.-Y. (2016) · International Journal of Child Abuse & Neglect · doi:10.1016/j.chiabu.2015.10.013 · Cited by 71 · see citing works
Chiang, H., & Gau, S. S. (2015) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12450 · Cited by 63 · see citing works
Self-citationWu, S.-Y., & Gau, S. S. (2012) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2012.09.004 · Cited by 63 · see citing works
Self-citationTseng, W., Kawabata, Y., Gau, S. S., & Crick, N. R. (2014) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-014-9883-8 · Cited by 59 · see citing works
“Reflecting this view, hyperactive and impulsive behaviors in Chinese cultures have been found to be predictive of peer problems, including peer victimization (Xu et al. 2003), peer rejection, and fewer friendships (Kawabata et al. 2012; Tseng et al. 2011).”
BackgroundSelf-citationImpact of executive functions on school and peer functions in youths with ADHD
Chiang, H.-L., & Gau, S. S.-F. (2014) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2014.02.010 · Cited by 51 · see citing works
Self-citationGau, S. S., Tseng, W.-L., Tseng, W. I., Wu, M. Y., & Lo, Y.-C. (2014) · Psychological Medicine · doi:10.1017/s0033291714001664 · Cited by 45 · see citing works
“2006a,b) and community (Humphrey & Symes, 2010; Tseng et al. 2011; Kawabata et al. 2012) studies in child and adolescent populations.”
BackgroundSelf-citationGu, S.-L. H., Gau, S. S., Tzang, S.-W., & Hsu, W. (2013) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2013.07.025 · Cited by 48 · see citing works
Self-citationMarques, J. C. F. B., de Oliveira, J. A., Goulardins, J. B., do Nascimento, R. O., Lima, A. M., & Casella, E. B. (2013) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-11-186 · Cited by 49 · see citing works
“Weiss and Hechtman [35] reported that young people with ADHD tended to have fewer friends and experience intense difficulty in having a relationship with the opposite sex, leading to a poor QoL that will clearly jeopardize their future career, family, social, and academic prospects, as well as all other interfaces in…”
BackgroundLi, L., Lin, X., Chi, P., Heath, M. A., Fang, X., Du, H., & Wang, Z. (2016) · Journal of Interpersonal Violence · doi:10.1177/0886260515624234 · Cited by 41 · see citing works
Shang, C., & Gau, S. S. (2012) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2011.0149 · Cited by 36 · see citing works
“…to measure the school and social functioning in our previous clinical (Gau et al. 2006a; Gau 2007b; Lin et al. 2012) and community studies (Tseng et al. 2011; Kawabata et al. 2012) and an open-label drug trial (Gau et al. 2006b), lack of a double-blind design decreased the persuasiveness…”
Self-citationLi, L., Lin, X., Hinshaw, S. P., Du, H., Qin, S., & Fang, X. (2017) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-017-0359-5 · Cited by 36 · see citing works
“previous cross-sectional research (Li et al. 2014; Tseng et al. 2011) and provide support for the Bspillover^ hypothesis (see Nelson et al.”
BackgroundResultInfluentialCheng, C.-Y., Tseng, W., Chang, C.-F., Chang, C.-H., & Gau, S. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00673 · Cited by 27 · see citing works
“These scales are reliable and valid instruments for measuring ADHD-related symptoms (6, 19, 70 – 72).”
BackgroundSelf-citationBellaert, N., Morreale, K., & Tseng, W. (2023) · Journal of Child Psychology and Psychiatry and Allied Disciplines · doi:10.1111/jcpp.13911 · Cited by 26 · see citing works
Self-citationBurke, J. D., Rowe, R., & Boylan, K. (2013) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12150 · Cited by 181 · see citing works
McKinney, C., Stearns, M. A., & Szkody, E. M. (2018) · Journal of Interpersonal Violence · doi:10.1177/0886260518760014 · Cited by 21 · see citing works
“Indeed, parents often resort to physical methods to obtain compliance, such as kicking, slapping, or the use of objects (Tseng et al., 2011).”
Bullying and Victimisation among Taiwanese Students in Special Schools
Wei, H.-S., Chang, H.-H., & Chen, J.-K. (2016) · International Journal of Disability Development and Education · doi:10.1080/1034912x.2015.1092505 · Cited by 19 · see citing works
Ma, N., Roberts, R., Winefield, H. R., & Furber, G. (2016) · Journal of Family Studies · doi:10.1080/13229400.2015.1108994 · Cited by 18 · see citing works
“JOURNAL OF FAMILY STUDIES 315 Slomkowski et al., 1997; Stormont-Spurgin & Zentall, 1995; Tseng et al., 2011), almost twice as many studies as those that examined positive sibling relationship components (nine studies).”
BackgroundResultHuang, Y., Yeh, C., Chen, C.-H., Shang, C., & Gau, S. S. (2021) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2020.0104 · Cited by 18 · see citing works
Self-citationHe, T., Su, J.-N., Jiang, Y.-Q., Qin, S., Chi, P., & Lin, X. (2020) · Child Psychiatry and Human Development · doi:10.1007/s10578-020-00974-x · Cited by 10 · see citing works
Ding, W., Meza, J. I., Lin, X., He, T., Chen, H., Wang, Y., & Qin, S. (2019) · Child Indicators Research · doi:10.1007/s12187-019-09685-9 · Cited by 11 · see citing works
Joyce, L. C., Lai, K. Y. C., & Lo, J. W. K. (2016) · Social Work in Mental Health · doi:10.1080/15332985.2016.1261752 · Cited by 13 · see citing works
Stearns, M. A., & McKinney, C. (2019) · Family Process · doi:10.1111/famp.12459 · Cited by 8 · see citing works
Caselles-Pina, L., Quesada-López, A., Sújar, A., Hernandez, E., & Delgado-Gómez, D. (2024) · European Journal of Neuroscience · doi:10.1111/ejn.16288 · Cited by 8 · see citing works
“Mothers have been shown to rate their children more severely compared with fathers (Chi & Hinshaw, 2002; Tseng et al., 2011; Xia et al., 2015).”
Prout, T. A., Chacko, A., Spigelman, A., Aizin, S., Burger-Calderon, M., Chowdhury, T., Ramakrishnan, A., Peralta, S., Vardanian, M. M., Rice, T., et al. (2018) · Journal of Infant Child and Adolescent Psychotherapy · doi:10.1080/15289168.2018.1519755 · Cited by 9 · see citing works
Diagnostic Issues for ODD/CD with ADHD Comorbidity
Hudec, K. L., & Mikami, A. (2017) · doi:10.1002/9781119092254.ch4 · Cited by 7 · see citing works
Korsch, F., & Petermann, F. (2013) · Child Psychiatry and Human Development · doi:10.1007/s10578-013-0430-6 · Cited by 5 · see citing works
Tusa, B. S., Alati, R., Ayano, G., Betts, K. S., Weldesenbet, A. B., & Dachew, B. A. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116428 · Cited by 2 · see citing works
“The persistence of DBDs throughout development can give rise to frequent conflicts across various facets of an individual ’ s life and can extend to interactions with parents, teachers, supervisors, peers, and romantic partners (Burke et al., 2008, 2014; Munkvold et al., 2011; Tseng et al., 2011).”
He, T., Meza, J. I., Ding, W., Hinshaw, S. P., Zhou, Q., Akram, U., & Lin, X. (2023) · Behavioral Sciences · doi:10.3390/bs13020113 · Cited by 5 · see citing works
“Due to the significant risk that emotional and behavioral problems pose to adjustment in typically developing children [6,7], children with ODD who have comorbid emotional and behavioral problems might be at a much higher risk for child outcomes [1,8,9].”
BackgroundZhou, H., Han, F., Chen, R., Huang, J.-J., Chen, J., & Lin, X.-Y. (2024) · Behavioral Science · doi:10.3390/bs14060504 · Cited by 3 · see citing works
“Children with oppositional defiant symptoms are more likely to experience maltreatment, including physical and emotional abuse and emotional neglect [22,23].”
BackgroundA data science approach to optimize ADHD assessment with the BRIEF-2 questionnaire
Caselles-Pina, L., del Amo, P. S., Aguado, D., López-Castromán, J., Sanjuán-Antúnez, J. D. D., & Delgado-Gómez, D. (2024) · Translational Neuroscience · doi:10.1515/tnsci-2022-0349 · Cited by 3 · see citing works
Liu, C.-Y., Huang, W., Kao, W.-C., & Gau, S. S. (2017) · Child Psychiatry & Human Development · doi:10.1007/s10578-017-0710-7 · Cited by 59 · see citing works
Self-citationWang, Y., Tai, Y., Wu, Y., Chiu, Y., Tsai, W., & Gau, S. S. (2024) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2024.104768 · Cited by 2 · see citing works
Self-citationJiang, Y., & Lin, X. (2024) · The Family Journal · doi:10.1177/10664807241256133 · Cited by 3 · see citing works
Janbaz, F. K., Khanzadeh, A. A. H., & Abolghasemi, A. (2019) · Quarterly Journal of Child Mental Health · doi:10.29252/jcmh.6.1.9 · Cited by 2 · see citing works
Zheng, Q., Hui, B. K. H., Li, J., & Shum, K. K. (2025) · Child Psychiatry & Human Development · doi:10.1007/s10578-025-01867-7
Calub, C. A., Rapport, M. D., & Alexander, K. A. (2020) · Clinical Case Studies · doi:10.1177/1534650120958069 · Cited by 2 · see citing works
“Children with ODD experience an array of psychosocial problems including family conflict (Burke & Romano-Verthelyi, 2018; Tseng et al., 2011) and peer relationship problems”
BackgroundMahnegar, F., & Ahmaadi, A. (2020) · Qom Univ Med Sci J · doi:10.29252/qums.14.3.1 · Cited by 3 · see citing works
School Functions in Unaffected Siblings of Youths with Autism Spectrum Disorders
Chien, Y., Tu, E., & Gau, S. S. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3223-0 · Cited by 27 · see citing works
“Firstly, the autistic traits, ADHD and oppositional symptoms of the siblings could impair their social adjustment (Chiang and Gau 2015; Hsiao et al. 2013; Liu et al. 2017; Tseng et al. 2011).”
BackgroundSelf-citationTsai, Y.-J., Chang, L.-Y., Gau, S., & Shang, C. (2026) · Scientific Reports · doi:10.1038/s41598-026-60969-x
“Although the SAICA was originally developed as a semi-structured interview, the Chinese version has also been administered as a parent-reported questionnaire in previous Taiwanese studies to assess children’s real-world social adjustment across school, peer, and home domains 15,16 .”
Self-citationSocial Cognition in Children with Attention-Deficit/Hyperactivity Disorder
Parke, E. (2017) · Digital Scholarship - UNLV (University of Nevada Reno) · doi:10.34917/11156780
- Authors
- Tseng, W.-L., Kawabata, Y., & Gau, S. S.-F.
- Affiliations
- University of Minnesota (US)
- National Taiwan University (TW)
- Corresponding author
- Gau, Susan Shur-Fen
- Venue
- Child Psychiatry & Human Development
- Published
- 2010-10-01
- Volume
- 42
- Issue
- 2
- Pages
- 134-151
- ISSN
- 0009-398X (ISSN-L)
- 1573-3327
- OpenAlex
- W2091366608
- Cited by
- 47
- References
- 0
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 5 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 3 · 2014: 4 · 2013: 4 · 2012: 4
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Child Psychiatry & Human Development (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- attention deficit hyperactivity disorder, oppositional defiant disorder, comorbidities, social adaptation, peer relationships, sibling relationships, parent-child relationship, school adjustment, children, Taiwan
- MeSH terms
- Adolescent, Child, Humans, Interpersonal Relations, Parent-Child Relations, Peer Group, Surveys and Questionnaires, Sibling Relations, Social Adjustment, Taiwan, Attention Deficit and Disruptive Behavior Disorders, Asian People
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review