A randomized trial of a classroom intervention to increase peers' social inclusion of children with attention-deficit/hyperactivity disorder.
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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 measuredChildren 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 measuredThe 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).”
From Improving Outcomes for Youth with ADHD: A Conceptual Framework for Combined Neurocognitive and Skill-Based Treatment Approaches (2014) · cites this paper as Mikami et al., 2013
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Ragnarsdóttir, B., Hannesdottir, D. K., Halldórsson, F., & Njarðvík, U. (2018) · Child & Family Behavior Therapy · doi:10.1080/07317107.2018.1522152 · Cited by 29 · see citing works
Peachey, A. A., Wenos, J. Z., & Baller, S. L. (2017) · OTJR Occupational Therapy Journal of Research · doi:10.1177/1539449217715859 · Cited by 28 · see citing works
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Veenman, B., Luman, M., & Oosterlaan, J. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01157 · Cited by 27 · see citing works
Mikami, A. Y., Reuland, M. M., Griggs, M. S., & Jia, M. (2013) · School Psychology Review · doi:10.1080/02796015.2013.12087466 · Cited by 24 · see citing works
Self-citationAndrade, B. F., Browne, D. T., & Tannock, R. (2014) · PeerJ · doi:10.7717/peerj.487 · Cited by 27 · see citing works
McQuade, J. D., Breslend, N. L., & Groff, D. (2018) · Aggressive Behavior · doi:10.1002/ab.21762 · Cited by 24 · see citing works
Gasser, L., Grütter, J., & Torchetti, L. (2018) · Journal of School Psychology · doi:10.1016/j.jsp.2018.10.005 · Cited by 23 · see citing works
Positively Biased Self-Perceptions in Children with ADHD: Unique Predictor of Future Maladjustment
Jia, M., Jiang, Y., & Mikami, A. Y. (2015) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-015-0056-1 · Cited by 23 · see citing works
Self-citationFerretti, N., King, S. L., Hilton, D. C., Rondon, A. T., & Jarrett, M. A. (2019) · Europe PMC (PubMed Central) · Cited by 22 · see citing works
Social Resilience in Children with ADHD: Parent and Teacher Factors
Jia, R. M., Mikami, A. Y., & Normand, S. (2021) · Journal of Child and Family Studies · doi:10.1007/s10826-021-01907-5 · Cited by 21 · see citing works
Self-citationSchool inclusion of children with intellectual disability: An intervention program
Nota, L., Ginevra, M. C., & Soresi, S. (2018) · Journal of Intellectual & Developmental Disability · doi:10.3109/13668250.2018.1428785 · Cited by 21 · see citing works
Friendships of Adolescents With Attention-Deficit/Hyperactivity Disorder
Beristain, C. M., & Wiener, J. (2020) · Canadian Journal of School Psychology · doi:10.1177/0829573520936469 · Cited by 21 · see citing works
Social participation to support good mental health in neurodisability
Brooks, R., Lambert, C., Coulthard, L., Pennington, L., & Kolehmainen, N. (2021) · Child Care Health and Development · doi:10.1111/cch.12876 · Cited by 20 · see citing works
BACETE, F. J. G., Perrin, G. M., & Mikami, A. Y. (2019) · Journal of School Psychology · doi:10.1016/j.jsp.2019.09.001 · Cited by 23 · see citing works
Self-citationGálvez‐Lara, M., Corpas, J., Moreno, E. M., Martínez, J. F. V., Sánchez-Raya, A., & Moriana, J. A. (2018) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-018-0257-6 · Cited by 20 · see citing works
Effectiveness and Sustainability of School-Based Interventions for Youth with or at Risk for ADHD
Watabe, Y., Stewart, J. L., Owens, J. S., Andrews, N., & Griffeth, J. C. (2012) · School Mental Health · doi:10.1007/s12310-012-9094-9 · Cited by 19 · see citing works
Explicit and Implicit Positive Illusory Bias in Children With ADHD
Emeh, C. C., Mikami, A. Y., & Teachman, B. A. (2015) · Journal of Attention Disorders · doi:10.1177/1087054715612261 · Cited by 19 · see citing works
Self-citationWhat mediates the longitudinal relationship between psychotic experiences and psychopathology?
Healy, C., Coughlan, H., Clarke, M. C., Kelleher, I., & Cannon, M. D. (2020) · Journal of Abnormal Psychology · doi:10.1037/abn0000523 · Cited by 20 · see citing works
Caro‐Cañizares, I., Serrano-Drozdowskyj, E., Pfang, B., Baca‐García, E., & Carballo, J. J. (2017) · Journal of Attention Disorders · doi:10.1177/1087054717691829 · Cited by 18 · see citing works
Gregus, S. J., Craig, J. T., & Cavell, T. A. (2020) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2020.1727796 · Cited by 19 · see citing works
Escuelas inclusivas: aprendizaje cooperativo y TAC con alumnado con TDAH
Cosculluela, C. L., Orús, M. L., & Toledo, S. V. (2018) · Magis Revista Internacional de Investigación en Educación · doi:10.11144/javeriana.m10-21.eatt · Cited by 17 · see citing works
Normand, S., Mikami, A. Y., Savalei, V., & Guiet, J. (2020) · Psychological Assessment · doi:10.1037/pas0000824 · Cited by 17 · see citing works
Self-citationCLASSROOM VICTIMIZATION: CONSEQUENCES FOR SOCIAL AND ACADEMIC ADJUSTMENT IN ELEMENTARY SCHOOL
Reuland, M. M., & Mikami, A. Y. (2014) · Psychology in the Schools · doi:10.1002/pits.21770 · Cited by 16 · see citing works
Self-citationSkills Versus Pills: Psychosocial Treatments for ADHD in Childhood and Adolescence
Schoenfelder, E. N., & Sasser, T. R. (2016) · Pediatric Annals · doi:10.3928/19382359-20160920-04 · Cited by 16 · see citing works
Mikami, A. Y., & Mercer, S. H. (2017) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2017.36.6.506 · Cited by 15 · see citing works
Self-citationInterventions for Attention-Deficit Hyperactivity Disorder: A Year in Review
Johnston, C., & Park, J. L. (2015) · Current Developmental Disorders Reports · doi:10.1007/s40474-014-0034-2 · Cited by 14 · see citing works
Székely, E., Pappa, I., Wilson, J. D., Bhamidi, S., Jaddoe, V. W. V., Verhulst, F. C., Tiemeier, H. W., & Shaw, P. (2015) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12493 · Cited by 14 · see citing works
Cordier, R., Munro, N., Wilkes‐Gillan, S., Ling, L. S., Docking, K. M., & Pearce, W. M. (2016) · Australian Occupational Therapy Journal · doi:10.1111/1440-1630.12299 · Cited by 14 · see citing works
Mikami, A. Y., Smit, S., & Johnston, C. (2019) · Psychology in the Schools · doi:10.1002/pits.22250 · Cited by 14 · see citing works
Self-citationPre-existing Perceptions of ADHD Predict Children’s Sociometrics Given to Classmates with ADHD
Na, J. J., & Mikami, A. Y. (2018) · Journal of Child and Family Studies · doi:10.1007/s10826-018-1147-8 · Cited by 13 · see citing works
Self-citationOwens, J. S., Allan, D. M., Kassab, H. D., & Mikami, A. Y. (2019) · School Mental Health · doi:10.1007/s12310-019-09347-9 · Cited by 13 · see citing works
Self-citationGini, G., Angelini, F., & Pozzoli, T. (2024) · Journal of School Psychology · doi:10.1016/j.jsp.2024.101395 · Cited by 14 · see citing works
Psychosocial Adjustment and Sociometric Status in Primary Education: Gender Differences
Muñoz‐Silva, A., de la Corte, C. M. D. L. C., Lara, B. L., & Sánchez‐García, M. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.607274 · Cited by 11 · see citing works
Ter-Stepanian, M., Martin‐Storey, A., Bizier-Lacroix, R., Déry, M., Lemelin, J., & Temcheff, C. E. (2019) · Child Psychiatry & Human Development · doi:10.1007/s10578-019-00903-7 · Cited by 10 · see citing works
Neprily, K., Climie, E. A., McCrimmon, A. W., & Makarenko, E. M. (2025) · Frontiers in Developmental Psychology · doi:10.3389/fdpys.2024.1390791 · Cited by 11 · see citing works
Integrating Theory and Empirical Science in School Psychology: Progress and Remaining Challenges
Hughes, J. N. (2015) · School Psychology Review · doi:10.17105/spr-15-0060.1 · Cited by 9 · see citing works
Havewala, M., Lorenzo, N. E., Seddio, K., Oddo, L. E., Novick, D. R., Fox, N. A., & Chronis-Tuscano, A. M. (2022) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-021-00891-0 · Cited by 9 · see citing works
Danforth, J. S. (2016) · Behavior Analysis in Practice · doi:10.1007/s40617-016-0103-6 · Cited by 9 · see citing works
Cordier, R., Parsons, L., Wilkes‐Gillan, S., Cook, M., McCloskey-Martinez, M., Graham, P., Littlefair, D., Kent, C., & Speyer, R. (2023) · PLoS ONE · doi:10.1371/journal.pone.0295917 · Cited by 8 · see citing works
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Mackenzie, G. (2018) · Journal of ADHD And Care · doi:10.14302/issn.3066-8042.jac-17-1843 · Cited by 9 · see citing works
Friendship Problems in Children with ADHD What Do We Know and What Can We Do
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Akartuna, D., Menon, P., & Küçük, Z. D. (2025) · Journal for the Study of Spirituality · doi:10.1080/20440243.2024.2439807 · Cited by 7 · see citing works
Becker, S. P. (2020) · Canadian Journal of School Psychology · doi:10.1177/0829573520954584 · Cited by 7 · see citing works
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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
- PMC
- PMC3522754
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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