Cited by 149Attention Deficit Hyperactivity DisorderBehavioral and Psychological StudiesChild and Adolescent Psychosocial and Emotional Development

A randomized trial of a classroom intervention to increase peers' social inclusion of children with attention-deficit/hyperactivity disorder.

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Mikami, Amori Yee, Griggs, Marissa Swaim, Lerner, Matthew D., Emeh, Christina C., Reuland, Meg M., Jack, Allison, Anthony, Maria R.·2013·Journal of Consulting and Clinical Psychology

Abstract

OBJECTIVE: Interventions for peer problems among children with attention-deficit/hyperactivity disorder (ADHD) typically focus on improving these children's behaviors. This study tested the proposition that an adjunctive component encouraging the peer group to be socially inclusive of children with ADHD would augment the efficacy of traditional interventions. METHOD: Two interventions were compared: contingency management training (COMET), a traditional behavioral management treatment to improve socially competent behavior in children with ADHD, and Making Socially Accepting Inclusive Classrooms (MOSAIC), a novel treatment that supplemented behavioral management for children with ADHD with procedures training peers to be socially inclusive. Children ages 6.8-9.8 (24 with ADHD; 113 typically developing [TD]) attended a summer day program grouped into same-age, same-sex classrooms with previously unacquainted peers. Children with ADHD received both COMET and MOSAIC with a repeated measures crossover design. TD children provided sociometric information about the children with ADHD. RESULTS: Whereas the level of behavior problems displayed by children with ADHD did not differ across treatment conditions, children with ADHD displayed improved sociometric preference and more reciprocated friendships, and received more positive messages from peers, when they were in MOSAIC relative to COMET. However, the beneficial effects of MOSAIC over COMET predominantly occurred for boys relative to girls. CONCLUSIONS: Data support the concept that adjunctive procedures to increase the inclusiveness of the peer group may ameliorate peer problems among children with ADHD, and suggest the potential utility of modifying MOSAIC to be delivered in regular classroom settings.

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  • Classroom interventions might promote alliances with less disruptive children who can perhaps better model emotion regulation.

    “Children with ADHD often form cliques with disruptive others, and classroom interventions might promote alliances with less disruptive children who can perhaps better model emotion regulation.”

    From Emotion Dysregulation in Attention Deficit Hyperactivity Disorder (2014) · cites this paper as [136]

    The Method section (MOSAIC Treatment Condition; page not provided) describes teachers encouraging social bonds between children, and the Discussion says increasing peer inclusiveness may help children with ADHD. The paper does not say the intervention specifically promotes alliances with less disruptive children or that those children model emotion regulation. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Children with ADHD often form cliques with disruptive others.

    “Children with ADHD often form cliques with disruptive others, and classroom interventions might promote alliances with less disruptive children who can perhaps better model emotion regulation.”

    From Emotion Dysregulation in Attention Deficit Hyperactivity Disorder (2014) · cites this paper as [136]

    The ‘Exclusionary peer behavior’ section discusses rejection and friendship difficulties among children with ADHD, but does not say they form cliques with disruptive peers. Searches for cliques, disruptive friendships, and friend selection found no passage in our copy addressing that claim; the paper’s friendship results do not describe friends’ behavior. (LLM, conf=0.73)

    Experimental — accuracy not yet measured
  • The most effective social skills interventions require adults to actively instruct and support children in using social skills in context.

    “the most effective social skills interventions require active adult instruction and support for children to use social skills in context (e.g., Mikami et al., 2010; 2013).”

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Authors
Mikami, A. Y., Griggs, M. S., Lerner, M. D., Emeh, C. C., Reuland, M. M., Jack, A., & Anthony, M. R.
Affiliations
  • University of British Columbia (CA)
  • University of Virginia (US)
Venue
Journal of Consulting and Clinical Psychology
Published
2013-02
Volume
81
Issue
1
Pages
100-112
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2146707120
Cited by
148
References
55
Citations by year
2026: 5 · 2025: 10 · 2024: 7 · 2023: 4 · 2022: 9 · 2021: 9 · 2020: 8 · 2019: 12 · 2018: 17 · 2017: 15 · 2016: 12 · 2015: 12 · 2014: 20 · 2013: 6 · 2012: 2
FWCI
9.11
Type
journal article
Language
en
Open access
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (1R21 MH091486)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
attention deficit hyperactivity disorder, peer problems, classroom intervention, reciprocal friendship, peer acceptance, behavior management
MeSH terms
Attention, Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Child, Female, Humans, Interpersonal Relations, Male, Peer Group, Schools, Social Behavior, Sociometric Techniques, Cross-Over Studies, Friends, Social Marginalization

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