logo
Dark
logo
ADHD and Relationships
Dark
Linking ADHD Symptoms with Personality Traits in Adults
How ADHD Influences Sibling Bonds
ADHD's Impact on Social Life in Older Adults
Friendship Changes in Kids with ADHD Over Six Months
Impact of ADHD on Teen Romance
Studying ADHD's Impact on Kids' School Life and Friendships
Impact of Emotional Difficulties on School and Healthcare in ADHD Kids
How Feeling Accepted Helps Teens with ADHD in School
ADHD's Long-Term Impact on Self-Esteem and Social Life
Adult ADHD Subtypes and Their Impact on Social Adjustment
Effects of ADHD in Parents
ADHD: Education and employment as young adults.
Impulsivity in Boys: Its Connection to ADHD and ODD
Anxiety and depression among children with ADHD and their parents
How does adult ADHD affect relationships at work and with friends?
How do ADHD symptoms relate to social acceptance and loneliness?
How does ADHD impact family dynamics and relationships?
What is the impact of ADHD on sibling relationships?
How do ADHD symptoms in parents affect parenting practices and home environment?
Does having friends help children with ADHD in school?
How does ADHD affect romantic relationships in adolescents?
Visual Abstract

Sibling relationships among children with ADHD

How ADHD Influences Sibling Bonds

Mikami AY, Pfiffner LJ
Summarized by:
Charles Li, MD
February 28, 2024
study source
J Atten Disord
2008 Jan
🔎
What they studied
They looked at how ADHD affects sibling relationships compared to kids without ADHD.
💡
What they found
ADHD kids had more conflict with siblings, especially if they also had other behavior problems.
👩‍⚕️
Why it matters
This suggests that ADHD can make sibling relationships harder, and other issues can make it even tougher.

Objectives

The study embarked on examining how ADHD impacts sibling relationships, with a deeper look into how associated externalizing and internalizing issues might further affect these dynamics. Externalizing behaviors are about acting out towards the outside world, which might include aggression or rule-breaking. Internalizing behaviors, on the other hand, are about keeping distressing feelings like sadness or anxiety inside. Understanding these behaviors is crucial, especially for those working with children, as they influence academic performance, social interactions, and self-perception.

Study Quote
Mikami et al, 2008

This study investigated the quality of sibling relationships among children with ADHD relative to those without ADHD. Additional analyses examined whether externalizing and internalizing problems comorbid with ADHD affected sibling relationships.

Methods

In this study, 77 children with ADHD and 14 children without any reported problems participated. To understand their sibling relationships, the research gathered information from three sources: the children themselves, their mothers, and their siblings. This approach provided a well-rounded view of the sibling dynamics from different perspectives.

Study Quote
Mikami et al, 2008

Participants were 77 children with ADHD and 14 nonproblem control children. Sibling relationships were assessed via three informants: mother report, self-report, and sibling report.

Results

The findings revealed that children with ADHD tend to have more conflicts with their siblings compared to those without ADHD. When ADHD was accompanied by externalizing problems, there was even less warmth and more conflict in these sibling relationships. This suggests that the behavioral challenges associated with ADHD can spill over into family life, affecting bonds between brothers and sisters. Additionally, internalizing problems were linked to a decrease in warmth within the sibling relationship, indicating that emotional struggles can also strain these connections.

Study Quote
Mikami et al, 2008

In analyses utilizing hierarchical linear modeling to combine data from the three informants, children with ADHD showed increased conflict in sibling relationships, relative to nonproblem children. Comorbid externalizing problems were associated with less warmth/ closeness and increased ...

Show More

Conclusions

The study underscores the importance of considering sibling relationships when exploring the social challenges associated with ADHD. It highlights that ADHD doesn't just affect the individual but also their family dynamics, particularly with siblings. This insight is supported by other research findings, which suggest that empathy and social understanding, often challenged in those with ADHD, are crucial for maintaining healthy relationships.

Study Quote
Mikami et al, 2008

It is recommended that sibling relationships be incorporated into theories of social impairment in ADHD.

Key Takeaways

Increased sibling conflict in ADHD
Kids with ADHD tend to have more fights with their brothers and sisters, which can strain family life.
Other behavior problems amplify issues
When kids with ADHD also have other behavior issues, their relationships with siblings can be even more challenging.
Importance of considering sibling relationships
Understanding how ADHD affects siblings can help in managing the social challenges associated with ADHD.

Context

Other studies have shown that children with ADHD may struggle with empathy, which can contribute to relationship challenges. This lack of empathy and perspective-taking can make it difficult for them to understand and connect with their siblings, potentially leading to more conflicts.

Moreover, ADHD's impact extends beyond sibling relationships to other interpersonal connections, such as romantic relationships during adolescence. Research indicates that teenagers with ADHD tend to have more partners and engage in intimate relationships earlier than their peers, suggesting that ADHD influences various aspects of social and relational development.