Journal of Abnormal Child Psychology

, Volume 38, Issue 6, pp 737–749 | Cite as

Parental Influence on Children with Attention-Deficit/Hyperactivity Disorder: II. Results of a Pilot Intervention Training Parents as Friendship Coaches for Children

  • Amori Yee Mikami
  • Matthew D. Lerner
  • Marissa Swaim Griggs
  • Alison McGrath
  • Casey D. Calhoun


We report findings from a pilot intervention that trained parents to be “friendship coaches” for their children with Attention-Deficit/Hyperactivity Disorder (ADHD). Parents of 62 children with ADHD (ages 6–10; 68% male) were randomly assigned to receive the parental friendship coaching (PFC) intervention, or to be in a no-treatment control group. Families of 62 children without ADHD were included as normative comparisons. PFC was administered in eight, 90-minute sessions to parents; there was no child treatment component. Parents were taught to arrange a social context in which their children were optimally likely to develop good peer relationships. Receipt of PFC predicted improvements in children’s social skills and friendship quality on playdates as reported by parents, and peer acceptance and rejection as reported by teachers unaware of treatment status. PFC also predicted increases in observed parental facilitation and corrective feedback, and reductions in criticism during the child’s peer interaction, which mediated the improvements in children’s peer relationships. However, no effects for PFC were found on the number of playdates hosted or on teacher report of child social skills. Findings lend initial support to a treatment model that targets parental behaviors to address children’s peer problems.


ADHD Peer relationships Intervention 



This research was supported by NIMH grant 1R03MH12838 to Amori Mikami. We would like to thank the children, parents, and teachers who participated, and the schools and doctors who provided referrals for this study. We are grateful to the graduate students who served as therapists on this project: Jennifer Cruz, Jena Saporito Fisher, and Tara Grover. We also appreciate the consultation of Betsy Hoza and Linda Pfiffner on the therapeutic intervention.


  1. Abikoff, H. B., Hechtman, L., Klein, R. G., Gallagher, R., Fleiss, K., Etcovitch, J., et al. (2004). Social functioning in children with ADHD treated with long-term methylphenidate and multimodal psychosocial treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 820–829.CrossRefPubMedGoogle Scholar
  2. Achenbach, T. M. (1991a). Manual for child behavior checklist and revised child behavior profile. Burlington: University Associates in Psychiatry.Google Scholar
  3. Achenbach, T. M. (1991b). Manual for teacher’s report form and 1991 profile. Burlington: University Associates in Psychiatry.Google Scholar
  4. Antshel, K. M., & Remer, R. (2003). Social skills training in children with Attention Deficit Hyperactivity Disorder: a randomized-controlled clinical trial. Journal of Clinical Child and Adolescent Psychology, 32, 153–165.PubMedGoogle Scholar
  5. Barkley, R. A. (2004). Adolescents with attention-deficit/hyperactivity disorder: an overview of empirically based treatments. Journal of Psychiatric Practice, 10, 39–56.CrossRefPubMedGoogle Scholar
  6. Barkley, R. A. (2006). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (3rd ed.). New York: Guilford.Google Scholar
  7. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality & Social Psychology, 51, 1173–1182.CrossRefGoogle Scholar
  8. Beelman, A., Pfingsten, U., & Losel, F. (1994). Effects of training social competence in children: a meta-analysis of recent evaluation studies. Journal of Clinical Child Psychology, 23, 260–271.CrossRefGoogle Scholar
  9. Bierman, K. L., Miller, C. M., & Stabb, S. (1987). Improving the social behavior and peer acceptance of rejected boys: effects of social skills training with instructions and prohibitions. Journal of Consulting and Clinical Psychology, 55, 194–200.CrossRefPubMedGoogle Scholar
  10. Coie, J. D., Dodge, K. A., & Coppotelli, H. (1982). Dimensions and types of social status: a cross-age perspective. Developmental Psychology, 18, 557–570.CrossRefGoogle Scholar
  11. Conners, C. K. (2001). Conners’ Rating Scales-Revised technical manual. New York: Multi-Health Systems Inc.Google Scholar
  12. de Boo, G. M., & Prins, P. J. M. (2007). Social incompetence in children with ADHD: possible moderators and mediators in social skills training. Clinical Psychology Review, 27, 78–97.CrossRefPubMedGoogle Scholar
  13. Dishion, T. J. (1990). The peer context of troublesome child and adolescent behavior. In P. E. Leone (Ed.), Understanding troubled and troubling youth: Multiple perspectives (pp. 128–153). Thousand Oaks: Sage.Google Scholar
  14. Dishion, T. J., & Kavanagh, K. (2003). Intervening in adolescent problem behavior: A family-centered approach. New York: Guilford.Google Scholar
  15. Frankel, F. (2003). Measuring the quality of play dates.Unpublished manuscript.Google Scholar
  16. Frankel, F., Myatt, R., & Cantwell, D. P. (1995). Training outpatient boys to conform with the social ecology of popular peers. Journal of Clinical Child Psychology, 24, 300–310.CrossRefGoogle Scholar
  17. Frankel, F., Myatt, R., Cantwell, D. P., & Feinberg, D. (1997). Parent-assisted transfer of children’s social skills training: effects on children with and without attention-deficit hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1056–1064.CrossRefPubMedGoogle Scholar
  18. Gadow, K. D., & Sprafkin, J. (1994). Child Symptom Inventories manual. Stony Brook: Checkmate Plus.Google Scholar
  19. Gresham, F. M., & Elliott, S. N. (1990). Social skills rating system. Circle Pines: Assistance Service.Google Scholar
  20. Hodgens, J. B., Cole, J., & Boldizar, J. (2000). Peer-based differences among boys with ADHD. Journal of Child Clinical Psychology, 29, 443–452.CrossRefGoogle Scholar
  21. Hoza, B., Mrug, S., Pelham, W. E., Greiner, A. R., & Gnagy, E. M. (2003). A friendship intervention for children with attention-deficit/hyperactivity disorder: preliminary findings. Journal of Attention Disorders, 6, 87–98.CrossRefPubMedGoogle Scholar
  22. Hoza, B., Gerdes, A. C., Mrug, S., Hinshaw, S. P., Bukowski, W. M., Gold, J. A., et al. (2005). Peer-assessed outcomes in the Multimodal Treatment Study of children with Attention Deficit Hyperactivity Disorder. Journal of Clinical Child and Adolescent Psychology, 34, 74–86.CrossRefPubMedGoogle Scholar
  23. Hoza, B., Mrug, S., Gerdes, A. C., Bukowski, W. M., Kraemer, H. C., Wigal, T., et al. (2005). What aspects of peer relationships are impaired in children with Attention-deficit/Hyperactivity Disorder? Journal of Consulting and Clinical Psychology, 73, 411–423.CrossRefPubMedGoogle Scholar
  24. Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting & Clinical Psychology, 59, 12–19.CrossRefGoogle Scholar
  25. Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 695–702.Google Scholar
  26. Ladd, G. W. (1990). Having friends, keeping friends, making friends, and being liked by peers in the classroom: predictors of children’s early school adjustment? Child Development, 61, 1081–1100.CrossRefPubMedGoogle Scholar
  27. Ladd, G. W., & Hart, C. H. (1992). Creating informal play opportunities: are parents’ and preschoolers’ initiations related to children’s competence with peers? Developmental Psychology, 28, 1179–1187.CrossRefGoogle Scholar
  28. Mikami, A. Y., & Hinshaw, S. P. (2006). Resilient adolescent adjustment among girls: buffers of childhood peer rejection and Attention-Deficit/Hyperactivity Disorder. Journal of Abnormal Child Psychology, 26, 823–837.CrossRefGoogle Scholar
  29. Mikami, A. Y., & Hinshaw, S. P. (2008). Attention-Deficit/Hyperactivity Disorder in girls. In K. McBurnett & L. J. Pfiffner (Eds.), Attention Deficit/Hyperactivity Disorder: Concepts, controversies, new directions (pp. 259–272). New York: Informa Healthcare.Google Scholar
  30. Mikami, A. Y., Lerner, M. D., & Lun, J. (in press). Social context influences on children’s rejection by their peers. Child Development Perspectives.Google Scholar
  31. Mrug, S., Hoza, B., & Gerdes, A. C. (2001). Children with Attention-Deficit/Hyperactivity Disorder: peer relationships and peer-oriented interventions. New Directions for Child and Adolescent Development, 91, 51–77.CrossRefPubMedGoogle Scholar
  32. MTA Cooperative Group. (1999a). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56, 1073–1086.CrossRefGoogle Scholar
  33. MTA Cooperative Group. (1999b). Moderators and mediators of treatment response for children with attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56, 1088–1096.CrossRefGoogle Scholar
  34. Parke, R. D., Burks, V. M., Carson, J. L., Neville, B., & Boyum, L. A. (1994). Family-peer relationships: A tripartite model. In R. D. Parke & S. G. Kellam (Eds.), Exploring family relationships with other social contexts (pp. 115–146). Hillsdale: Lawrence Erlbaum Associates.Google Scholar
  35. Pelham, W. E., Wheeler, T., & Chronis, A. M. (1998). Empirically supported psychosocial treatments for attention deficit hyperactivity disorder. Journal of Child Clinical Psychology, 27, 190–205.CrossRefGoogle Scholar
  36. Pfiffner, L. J., & McBurnett, K. (1997). Social skills training with parent generalization: treatment effects for children with attention deficit disorder. Journal of Consulting and Clinical Psychology, 65, 749–757.CrossRefPubMedGoogle Scholar
  37. Pfiffner, L. J., Mikami, A. Y., Huang-Pollock, C. L., Easterlin, B., Zalecki, C. A., & McBurnett, K. (2007). A randomized controlled trial of integrated home-school behavioral treatment for ADHD, Predominantly Inattentive Type. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1041–1050.CrossRefPubMedGoogle Scholar
  38. Quinn, M. M., Kavale, K. A., Mathur, S. R., Rutherford, R. B., & Forness, S. R. (1999). A meta-analysis of social skills interventions for students with emotional or behavioral disorders. Journal of Emotional and Behavioral Disorders, 7, 54–65.CrossRefGoogle Scholar
  39. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods. Thousand Oaks: Sage Publications.Google Scholar
  40. Russell, A., & Finnie, V. (1990). Preschool children’s social status and maternal instructions to assist group entry. Developmental Psychology, 26, 603–611.CrossRefGoogle Scholar
  41. Wechsler, D. (2003). Manual for the Wechsler Intelligence Scale for Children—Fourth Edition (WISC-IV). New York: Psychological Corporation/Harcourt Brace.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Amori Yee Mikami
    • 1
    • 4
  • Matthew D. Lerner
    • 1
  • Marissa Swaim Griggs
    • 1
  • Alison McGrath
    • 2
  • Casey D. Calhoun
    • 3
  1. 1.University of VirginiaCharlottesvilleUSA
  2. 2.Massachusetts School of Professional PsychologyBostonUSA
  3. 3.University of South FloridaTampaUSA
  4. 4.CharlottesvilleUSA

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