Individual differences in attention deficit hyperactivity disorder symptoms and associated executive dysfunction and traits: Sex, ethnicity, and family income.
Open accessAbstract
The goal of the present investigation was to investigate sex, ethnic, and socioeconomic status (SES) influences on attention deficit hyperactivity disorder (ADHD) symptoms and risk markers, including executive dysfunction and temperament traits. Participants were 109 children who were 3 to 6 years old (64% male; 36% ethnic minority) and their primary caregivers and teachers who completed a multistage, multi-informant screening, and diagnostic procedure. Parents completed a diagnostic interview and diagnostic and temperament questionnaires, teachers completed questionnaires, and children completed cognitive control tasks. Because of targeted overrecruitment of clinical cases, 56% of children in the sample were diagnosed with ADHD. Results suggested minimal sex differences, but prominent ethnic differences, in ADHD symptoms and temperament and executive function risk markers. Further, low family income was associated with increased ADHD symptoms and more temperament and executive function risk markers, and low family income explained many ethnic differences in ADHD symptoms and these risk markers. There were prominent interactions among child sex, ethnicity, and family income. Thus, study results suggest that children with multiple individual difference demographic risk factors (e.g., such as being male and ethnic minority) are at highly increased risk of ADHD symptoms and associated risk markers in the temperament and executive function domains.
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This WMH result is inconsistent with other evidence suggesting that adult ADHD is associated with low family income.
“This result is inconsistent with other evidence suggesting that adult ADHD is associated with low family income”
From The descriptive epidemiology of DSM-IV adult ADHD in the world health organization world mental health surveys (2017) · cites this paper as Martel 2013
The Results report lower family income in the ADHD diagnostic groups, and the Discussion links lower family income to increased ADHD symptoms. But the study concerns children, not adults, so it does not establish the claimed association for adult ADHD. Page numbers were not supplied. (LLM, conf=0.88)
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Cites
Beyond diathesis stress: differential susceptibility to environmental influences
Belsky, J., & Pluess, M. (2009) · Psychological Bulletin · doi:10.1037/a0017376 · Cited by 3,039 · see citing works
Executive function in preschoolers: A review using an integrative framework.
Garon, N., Bryson, S. E., & Smith, I. M. (2008) · Psychological Bulletin · doi:10.1037/0033-2909.134.1.31 · Cited by 2,695 · see citing works
Egger, H. L., & Angold, A. (2006) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01618.x · Cited by 1,575 · see citing works
Bull, R., Espy, K. A., & Wiebe, S. A. (2008) · Developmental Neuropsychology · doi:10.1080/87565640801982312 · Cited by 1,544 · see citing works
Gender differences in temperament: A meta-analysis.
Else-Quest, N. M., Hyde, J. S., Goldsmith, H. H., & Van Hulle, C. A. (2006) · Psychological Bulletin · doi:10.1037/0033-2909.132.1.33 · Cited by 1,169 · cited 1× · see citing works
“Temperamental effortful control was marginally lower in boys, compared with girls, in line with prior work (Else-Quest et al., 2006; Kochanska et al., 1997).”
ResultBarkley, R. A. (1997) · Psychological Bulletin · doi:10.1037//0033-2909.121.1.65 · Cited by 580 · see citing works
McCrae, R. R., Costa, P. T., Terracciano, A., Parker, W. D., Mills, C. J., De Fruyt, F., & Mervielde, I. (2002) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.83.6.1456 · Cited by 499 · see citing works
WILENS, T. E., BIEDERMAN, J., BROWN, S., TANGUAY, S., MONUTEAUX, M. C., BLAKE, C., & SPENCER, T. J. (2002) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200203000-00005 · Cited by 391 · see citing works
Nigg, J. T., Goldsmith, H. H., & Sachek, J. (2004) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3301_5 · Cited by 383 · see citing works
Guilt and empathy: Sex differences and implications for the development of depression
Zahn-Waxler, C., Cole, P. M., & Barrett, K. C. (1991) · The Development of Emotion Regulation and Dysregulation · doi:10.1017/cbo9780511663963.012 · Cited by 231 · see citing works
Effects of ethnicity on treatment attendance, stimulant response/dose, and 14-month outcome in ADHD
Arnold, L. E., Elliott, M., Sachs, L., Bird, H., Kraemer, H. C., Wells, K. C., Abikoff, H. B., Comarda, A., Conners, C. K., Elliott, G. R., et al. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.71.4.713 · Cited by 159 · cited 1× · see citing works
“This is in line with ADHD treatment outcome work that found that SES moderated treatment effects, but ethnicity did not (Arnold et al., 2003; Rieppi et al., 2002).”
ResultMiller, T. W., Nigg, J. T., & Miller, R. L. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.10.001 · Cited by 152 · see citing works
Flagged first, then by citations
Research works printed but not linked: 69
- Appleyard K Egeland B van Dulmen MHM Sroufe LA When more is not better: The role of cumulative risk in child behavior outcomes Journal of Child Psychology and Psychiatry 2005 46 235 245 15755300
- Barbarin OA Coping and resilience: Exploring the inner lives of African American children Journal of Black Psychology 1993 19 478 492
- Barbarin OA Soler RE Behavioral, emotional, and academic adjustment in a national probability sample of African American children: Effects of age, gender, and family structure Journal of Black Psychology 1993 19 423 446
- Barkley RA Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment 2006 The Guilford Press New York, NY
- Barkley RA Murphy KR Attention-deficit hyperactivity disorder: A clinical workbook 2006 The Guilford Press New York, NY 3rd
- Belsky J Hsieh K Crnic K Mothering, fathering, and infant negativity as antecedents of boys’ externalizing problems and inhibition at age 3 years: Differential susceptibility to rearing experience? Development and Psychopathology 1998 10 301 319 9635226
- Biederman J Milberger S Faraone SV Kiely K Guite J Mick E Reed E Family-environment risk factors for Attention-Deficit Hyperactivity Disorder: A test of Rutter’s indicators of adversity Archives of General Psychiatry 1995 52 464 470 7771916
- Brocki KC Bohlin G Executive functions in children aged 6 to 13: A dimensional and developmental study Developmental Neuropsychology 2004 26 571 593 15456685
- Costa PT Terracciano A McCrae RR Gender differences in personality traits across cultures: Robust and surprising findings Journal of Personality and Social Psychology 2001 81 322 331 11519935
- Cuffe SP Moore CG McKeown RE Prevalence and correlates of ADHD symptoms in the National Health Interview Survey Journal of Attention Disorders 2005 9 392 401 16371662
- Davies PT Lindsay LL Interparental conflict and adolescent adjustment: Why does gender moderate early adolescent vulnerability? Journal of Family Psychology 2004 18 160 170 14992618
- De Pauw SSW Mervielde I The role of temperament and personality in problem behaviors of children with ADHD Journal of Abnormal Child Psychology 2011 39 277 291 20862537
- Diamantopoulou S Rydell A Thorell LB Bohlin G Impact of executive functioning and symptoms of Attention Deficit Hyperactivity Disorder on children’s peer relations and school performance Developmental Neuropsychology 2007 32 521 542 17650992
- Epstein JN March JS Conners CK Jackson DL Racial differences on the Conners teacher rating scale Journal of Abnormal Child Psychology 1998 26 109 118 9634133
- Epstein JN Willoughby M Valencia EY Tonev ST Abikoff HB Arnold LE Hinshaw SP The role of children’s ethnicity in the relationship between teacher ratings of Attention-Deficit/Hyperactivity Disorder and observed classroom behavior Journal of Consulting and Clinical Psychology 2005 73 424 434 15982140
- Espy KA Bull R Martin J Stroup W Measuring the development of executive control with the Shape School Psychological Assessment 2006 18 373 381 17154758
- Espy KA Cwik MF The development of a trail-making test in young children: The TRAILS-P Clinical Neuropsychology 2004 18 1 2 PMC2700546 15739812
- Espy KA McDiarmind MM Cwik MF Stalets MM Hamby A Senn TE The contribution of executive functions to emergent mathematics skills in preschool children Developmental Neuropsychology 2004 26 465 486 15276905
- Fite PJ Stoppelbein L Greening L Proactive and reactive aggression in a child psychiatric inpatient population Journal of Clinical Child & Adolescent Psychology 2009 38 199 205 19283598 PMC2664256
- Garcia Coll C Crnic K Lamberty G Wasik BH Jenkins R Carcia HV McAdoo HP An integrative model for the study of developmental competencies in minority children Child Development 1996 67 1891 1914 9022222
- Gaub M Carlson CL Gender differences in ADHD: A meta-analysis and critical review Journal of the American Academy of Child and Adolescent Psychiatry 1997 36 1036 1045 9256583
- Gershon J A meta-analytic review of gender differences in ADHD Journal of Attention Disorders 2002 5 3 143 154 11911007
- Gingerich KJ Turnock P Litfin JK Rosen LA Diversity and attention deficit hyperactivity disorder Journal of Clinical Psychology 1998 54 415 426 9623746
- Hackman DA Farah MJ Socioeconomic status and the developing brain Trends in Cognitive Science 2009 13 2 65 73 PMC3575682 19135405
- Hackman DA Farah MJ Meaney MJ Socioeconomic status and the brain: Mechanistic insights from human and animal research Nature Reviews Neuroscience 2010 11 651 659 PMC2950073 20725096
- Hartung CM Widiger TA Gender differences in the diagnosis of mental disorders: Conclusions and controversies of the DSM-IV Psychological Bulletin 1998 123 260 278 9602559
- Hartung CM Willcutt EG Lahey BB Pelham WE Loney J Stein MA Keenan K Sex differences in young children who meet criteria for attention deficit hyperactivity disorder Journal of Clinical Child and Adolescent Psychology 2002 31 453 464 12402565
- Haslam N Williams B Prior M Haslam R Graetz B Sawyer M The latent structure of attention-deficit/hyperactivity disorder: A taxonomic analysis Australian and New Zealand Journal of Psychiatry 2006 40 639 647 16866759
- Hillemeier MM Foster EM Heinrichs B Heier B Conduct Problems Prevention Group Racial differences in parental reports of attention-deficit/hyperactivity disorder behaviors Journal of Developmental Behavioral Pediatrics 2007 28 353 361 18049317 PMC3396128
- Hosterman SJ DuPaul GJ Jitendra AK Teacher ratings of ADHD symptoms in ethnic minority students: Bias or behavioral difference? School Psychology Quarterly 2008 23 418 435
- Hudson CG Socioeconomic status and mental illness: Tests of the social causation and selection hypotheses American Journal of Orthopsychiatry 2005 75 3 18 15709846
- Isquith PK Crawford JS Espy KA Gioia GA Assessment of executive function in preschool-aged children Mental Retardation and Developmental Disabilities 2005 11 209 215 PMC3648805 16161093
- Kochanska G Murray K Coy KC Inhibitory control as a contributor to conscience in childhood: From toddler to early school age Child Development 1997 68 263 277 9180001
- Lahey BB Willcutt EG Predictive validity of a continuous alternative to nominal subtypes of attention-deficit/hyperactivity disorder for DSM-V Journal of Clinical Child & Adolescent Psychology 2010 39 761 775 21058124 PMC3056555
- Leblanc N Boivin M Dionne G Brendgen M Vitaro F Tremblay RE Perusse D The development of hyperactive-impulsive behaviors during the preschool years: The predictive validity of parental assessments Journal of Abnormal Child Psychology 2008 36 977 987 18330688
- Lee DH Oakland T Jackson G Glutting J Estimated prevalence of attention-deficit/hyperactivity disorder symptoms among college freshman: Gender, race, and rater effects Journal of Learning Disabilities 2008 41 371 384 18560023
- Lengua LJ The contribution of emotionality and self-regulation to the understanding of children’s response to multiple risk Child Development 2002 73 144 161 14717249
- Levy F Hay DA McStephen M Wood CH Waldman I Attention-deficit/hyperactivity disorder: A category or a continuum? Genetic analysis of a large-scale twin study American Academy of Child & Adolescent Psychiatry 1997 36 737 744 9183127
- Mann EM Ikeda Y Mueller CW Takahaski A Tao KT Humris E Chin D Cross-cultural differences in rating hyperactive-disruptive behaviors in children American Journal of Psychiatry 1992 149 1539 1542 1415822
- Martel MM A new perspective on attention-deficit/hyperactivity disorder: Emotion dysregulation and trait models Journal of Child Psychology & Psychiatry 2009 50 1042 1051 19508495
- Martel MM Goth-Owens T Martinez-Torteya C Nigg JT A person-centered personality approach to heterogeneity in attention-deficit/hyperactivity disorder (ADHD) Journal of Abnormal Psychology 2010 119 186 196 20141255 PMC2846424
- McLaughlin KA Hilt LM Nolen-Hoeksema S Racial/ethnic differences in internalizing and externalizing symptoms in adolescents Journal of Abnormal Child Psychology 2007 35 801 816 17508278 PMC2881593
- Nigg JT Willcutt EG Doyle AE Sonuga-Barke EJS Causal heterogeneity in attention-deficit/hyperactivity disorder: Do we need neuropsychologically impaired subtypes? Biological Psychiatry 2005 57 1224 1230 15949992
- Noble KG McCandliss BD Farah MJ Socioeconomic gradients predict individual differences in neurocognitive abilities Developmental Science 2007 10 464 480 17552936
- Noble KG Norman MF Farah MJ Neurocognitive correlates of socioeconomic status in kindergarten children Developmental Science 2005 8 74 87 15647068
- Pelham WE Jr. Fabiano GA Massetti GM Evidence based assessment of attention-deficit/hyperactivity disorder in children and adolescents Journal of Clinical Child and Adolescent Psychology 2005 34 449 476 16026214
- Pelham WE Foster M Robb JA The economic impact of attention-deficit/hyperactivity disorder in children and adolescents Ambulatory Pediatrics 2007 7 1S 121 131 17261491
- Pelletier J Collett B Gimple G Cowley S Assessment of disruptive behaviors in preschoolers: Psychometric properties of the Disruptive Behavior Disorders Rating Scale and School Situations Questionnaire Journal of Psychoeducational Assessment 2006 24 3 18
- Pennington BF Ozonoff S Executive functions and developmental psychopathology Journal of Child Psychology and Psychiatry 1996 37 51 87 8655658
- Pineda D Ardila A Rosselli M Arias BE Henao GC Gomez LF Miranda ML Prevalence of attention-deficit/hyperactivity disorder symptoms in 4- to 17-year-old children in the general population Journal of Abnormal Child Psychology 1999 27 455 462 10821627
- Putnam SP Rothbart MK Development of short and very short forms of the Children’s Behavior Questionnaire Journal of Personality Assessment 2006 87 103 113 16856791
- Reid R Casat CD Horton J Anastopoulos AD Temple EP Using behavioral rating scales for ADHD across ethnic groups: The IOWA Conners Journal of Emotional and Behavioral Disorders 2001 9 210 218
- Reid R DuPaul GJ Power TJ Anastopoulos AD Rogers-Adkinson D Noll M Riccio C Assessing culturally different students for attention deficit hyperactivity disorder using behavior rating scales Journal of Abnormal Child Psychology 1998 26 187 198 9650625
- Reid R Riccio CA Kessler RH DuPaul GJ Power TJ Anastopoulos AD Noll M Gender and ethnic differences in ADHD as assessed by behavior ratings Journal of Emotional and Behavioral Disorders 2000 8 38 48
- Rieppi R Greenhill LL Ford RE Chuang S Wu M Davies M Wigal T Socioeconomic status as a moderator of ADHD treatment outcomes Journal of the American Academy of Child & Adolescent Psychiatry 2002 41 269 277 11886021
- Rothbart MK Ahadi SA Hershey KL Fisher P Investigations of temperament at three to seven years: The Children’s Behavior Questionnaire Child Development 2001 72 1394 1408 11699677
- Rothbart MK Posner MI Cicchetti D Cohen D Temperament, attention, and developmental psychopathology Developmental psychopathology (Vol. 2): Developmental neuroscience 2006 465 501 John Wiley and Sons Hoboken, NJ
- Rutter M Kent MW Rolf JE Protective factors in children’s responses to stress and disadvantage Primary prevention of psychopathology (Vol. 3): Social competence in children 1979 49 74 University of New England Press Hanover, NH
- Samuel VJ Biederman J Faraone SV George P Mick E Thornell A Brome D Clinical characteristics of attention deficit hyperactivity disorder in African American children American Journal of Psychiatry 1998 155 696 698 9585726
- Samuel VJ Curtis S Thornell A George P Taylor A Brome DR Faraone SV The unexplored void of ADHD and African American research: A review of the literature Journal of Attention Disorders 1997 1 4 197 207
- Sarsour K Sheridan M Jutte D Huru-Jeter A Hinshaw S Boyce WT Family socioeconomic status and child executive functions: The roles of language, home environment, and single parenthood Journal of the International Neuropsychological Society 2011 17 120 132 21073770
- Seidman LJ Biederman J Monuteaux MC Valera E Doyle AE Faraone SV Impact of gender and age on executive functioning: Do girls and boys with and without attention deficit hyperactivity disorder differ neuropsychologically in preteen and teenage years? Developmental Neuropsychology 2005 27 79 105 15737943
- Shields A Cicchetti D Reactive aggression among mal-treated children: The contributions of attention and emotion dysregulation Journal of Clinical Child Psychology 1998 27 381 395 9866075
- Shih JH Eberhart NK Hammen CL Brennan PA Differential exposure and reactivity to interpersonal stress predict sex differences in adolescent depression Journal of Clinical Child and Adolescent Psychology 2006 35 103 115 16390306
- Sonuga-Barke EJS Causal models of attention-deficit/hyperactivity disorder: From common simple deficits to multiple developmental pathways Biological Psychiatry 2005 57 1231 1238 15949993
- Sonuga-Barke E Bitsakou P Thompson M Beyond the dual pathway model: Evidence for the dissociation of timing, inhibitory, and delay-related impairments in attention-deficit/hyperactivity disorder Journal of the American Academy of Child & Adolescent Psychiatry 2010 49 345 355 20410727
- Tackett J Evaluating models of the personality-psychopathology relationship in children and adolescents Clinical Psychology Review 2006 26 584 599 16820251
- Wiebe SA Espy KA Charak D Using confirmatory factor analysis to understand executive control in preschool children: I Latent structure. Developmental Psychology 2008 44 575 587 18331145
- Zahn-Waxler C Usher B Suomi S Cole PM Stoff DM Susman EJ Interactions of biology and behavior in young children’s antisocial patterns: The role of development, gender and socialization Developmental psychobiology of aggression 2005 141 160 Cambridge University Press New York, NY
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Patterns of Comorbidity Among Girls With ADHD: A Meta-analysis
Tung, I., Li, J. J., Meza, J. I., Jezior, K. L., Kianmahd, J. S. V., Hentschel, P. G., O’Neil, P. M., & Lee, S. S. (2016) · Pediatrics · doi:10.1542/peds.2016-0430 · Cited by 108 · see citing works
- Authors
- Martel, M. M.
- Affiliations
- LSU New Orleans (US)
- Corresponding author
- Martel, Michelle M.
- ORCID
- Martel, Michelle M.
- Venue
- American Journal of Orthopsychiatry
- Published
- 2013-04
- Volume
- 83
- Issue
- 2-3
- Pages
- 165-175
- ISSN
- 0002-9432 (ISSN-L)
- 1939-0025
- PMC
- PMC4306561
- OpenAlex
- W2032021759
- Cited by
- 40
- References
- 12
- Citations by year
- 2026: 2 · 2024: 5 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 5 · 2018: 2 · 2017: 3 · 2016: 5 · 2015: 5 · 2014: 5
- FWCI
- 3.25
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- American Journal of Orthopsychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- Sponsor name not included (5R03 HD062599-02)
- 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, executive dysfunction, temperament traits, sex differences, ethnic minority children, household income, socioeconomic status, cognitive control, early childhood, risk factors, individual differences
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Child, Child Development, Child, Preschool, Cognition Disorders, Ethnicity, Female, Humans, Individuality, Male, Risk Factors, Sex Characteristics, Social Class, Temperament, Executive Function
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