Maternal Executive Functioning and Scaffolding in Families of Children with and without Parent-Reported ADHD
Parental scaffolding robustly predicts child developmental outcomes, including improved self-regulation and peer relationships and fewer externalizing behaviors. However, few studies have examined parental characteristics associated with a parent’s ability to scaffold. Executive functioning (EF) may be an important individual difference factor associated with maternal scaffolding that has yet to be examined empirically. Scaffolding may be particularly important for children with attention-deficit/hyperactivity disorder (ADHD) and disruptive behavior disorder (DBD) symptoms due to their core difficulties with inattention, disorganization, EF, and self-regulation, their need for greater parental structure, and higher-than-average rates of parental EF deficits. Yet, little research has examined child ADHD in relation to parental scaffolding. This cross-sectional study examined: (1) the association between maternal EF (as measured by the Hotel Test, Barkley’s Deficits in Executive Functioning Scale, and Digit Span) and observed scaffolding, (2) the association between parent-reported child ADHD/DBD symptoms and scaffolding, and (3) the interaction between child ADHD/DBD symptoms and maternal EF in predicting scaffolding. In a sample of 84 mothers and their 5–10 year-old biological children (62% male) with and without parent-reported ADHD, we found that maternal EF, as measured by Digit Span and the Hotel Test, predicted observed maternal scaffolding. However, child ADHD/DBD symptoms did not significantly predict maternal scaffolding controlling for child age, maternal education, and maternal EF, nor did the interaction of maternal EF and parent-reported child ADHD/DBD symptoms. Working memory and task shifting may be key components of parental EF that could be targeted in interventions to improve parental scaffolding.
KeywordsParenting Scaffolding Attention-deficit/hyperactivity disorder Executive functioning
This study was funded by the National Institute of Child Health and Human Development (1F31HD083028-01A1).
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflicts of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Barkley, R. A. (2011). Barkley deficits in executive functioning scale (BDEFS). New York: Guilford Press.Google Scholar
- Barkley, R. A., & Murphy, K. R. (2011). The nature of executive function (EF) deficits in daily life activities in adults with ADHD and their relationship to performance on EF tests. Journal of Psychopathology and Behavioral Assessment, 33, 137–158. doi: 10.1007/s10862-011-9217-x.CrossRefGoogle Scholar
- Barrett, J., & Fleming, A. S. (2011). Annual research review: All mothers are not created equal: Neural and psychobiological perspectives on mothering and the importance of individual differences. Journal of Child Psychology and Psychiatry, 52, 368–397. doi: 10.1111/j.1469-7610.2010.02306.x.CrossRefPubMedGoogle Scholar
- Chronis-Tuscano, A., Clarke, T. L., O’Brien, K. A., Raggi, V. L., Diaz, Y., Mintz, A. D., et al. (2013). Development and preliminary evaluation of an integrated treatment targeting parenting and depressive symptoms in mothers of children with attention-deficit/hyperactivity disorder. Journal of Consulting and Clinical Psychology, 81, 918–925. doi: 10.1037/a0032112.CrossRefPubMedPubMedCentralGoogle Scholar
- Chronis-Tuscano, A., Wang, C. H., Strickland, J., Almirall, D., & Stein, M. A. (2016). Personalized treatment of mothers with ADHD and their young at-risk children: A SMART pilot. Journal of Clinical Child & Adolescent Psychology, 45, 510–521. doi: 10.1080/15374416.2015.1102069.CrossRefGoogle Scholar
- Cuevas, K., Deater-Deckard, K., Kim-Spoon, J., Watson, A. J., Morasch, K. C., & Bell, M. A. (2013). What’s mom got to do with it? Contributions of maternal executive function and caregiving to the development of executive function across early childhood. Developmental Science, 17, 224–238. doi: 10.1111/desc.12073.CrossRefGoogle Scholar
- Deater-Deckard, K., Pylas, M. V., & Petrill, S. A. (1997). Parent-child interaction system (PARCHISY). London: Institute of Psychiatry.Google Scholar
- Deater-Deckard, K., Pike, A., Petrill, S. A., Cutting, A. L., Hughes, C., & O’Connor, T. G. (2001). Nonshared environmental processes in social-emotional development: An observational study of identical twin differences in the preschool period. Developmental Science, 4, F1–F6. doi: 10.1111/1467-7687.00157.CrossRefGoogle Scholar
- DeNavas-Walt, C., Proctor, B. D., & Smith, J. C. (2014). Income and poverty in the United States: 2013. Washington, DC: United States Census Bureau.Google Scholar
- Fabiano, G. A., Pelham, W. E., Waschbusch, D. A., Gnagy, E. M., Lahey, B. B., Chronis, A. M., et al. (2006). A practical measure of impairment: Psychometric properties of the impairment rating scale in samples of children with attention deficit hyperactivity disorder and two school-based samples. Journal of Clinical Child and Adolescent Psychology, 35, 369–385. doi: 10.1207/s15374424jccp3503_3.CrossRefPubMedGoogle Scholar
- Flory, K., Milich, R., Lynam, D. R., Leukefeld, C., & Clayton, R. (2003). Relation between childhood disruptive behavior disorders and substance use and dependence symptoms in young adulthood: Individuals with symptoms of attention-deficit/hyperactivity disorder are uniquely at risk. Psychology of Addictive Behaviors, 17, 151–158.CrossRefPubMedGoogle Scholar
- Gregory, C., Lough, S., Stone, V., Erzinclioglu, S., Martin, L., Baron-Cohen, S., & Hodges, J. R. (2002). Theory of mind in patients with frontal variant frontotemporal dementia and Alzheimer's disease: Theoretical and practical implications. Brain: A Journal of Neurology, 125, 752–764. doi: 10.1093/brain/awf079d.CrossRefGoogle Scholar
- Harold, G. T., Leve, L. D., Barrett, D., Elam, K., Neiderhiser, J. M., Natsuaki, M. N., et al. (2013). Biological and rearing mother influences on child ADHD symptoms: Revisiting the developmental interface between nature and nurture. Journal of Child Psychology and Psychiatry, 54, 1038–1046. doi: 10.1111/jcpp.12100.CrossRefPubMedPubMedCentralGoogle Scholar
- Johnston, C., & Chronis-Tuscano, A. (2014). Families and ADHD. In R. A. Barkley (Ed.), Attention-deficit/hyperactivity disorder: A handbook for diagnosis and treatment (4th ed.). New York: Guilford.Google Scholar
- Kaufman, J., Birmaher, B., Brent, D., Rao, U. M. A., 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 & Adolescent Psychiatry, 36, 980–988.CrossRefGoogle Scholar
- Mazursky-Horowitz, H., Bell, M. A., & Deater-Deckard, K. (2015a). The role of parental chronic stressors and executive functioning in predicting parental scaffolding. Philadelphia: Poster presented at the meeting of the Society for Research in child development.Google Scholar
- Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., Howerter, A., & Wager, T. D. (2000). The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: A latent variable analysis. Cognitive Psychology, 41, 49–100. doi: 10.1006/cogp.1999.0734.CrossRefPubMedGoogle Scholar
- National Alliance for Caregiving. (2009). Caregiving in the U.S. [Data file]. Retrieved from http://www.caregiving.org/data/Caregiving_in_the_US_2009_full_report.pdf.
- Norman, D. A., & Shallice, T. (1986). Attention to action: Willed and automatic control of behaviour. In R. J. Davidson, G. E. Schwartz, & D. Shapiro (Eds.), Consciousness and self-regulation: Advances in research and theory (pp. 1–18). New York: Plenum.Google Scholar
- Owen, A., Lee, A., & Williams, H. (2000). Dissociating aspects of verbal working memory within the human frontal lobe: Further evidence for 'process-specific' model of lateral frontal organization. Journal of Psychobiology, 28, 146–155.Google Scholar
- Pelham, W. E., & Lang, A. R. (1999). Can your children drive you to drink?: Stress and parenting in adults interacting with children with ADHD. Alcohol Research & Health, 23, 292–298.Google Scholar
- Team, R. C. (2015). R: A language and environment for statistical computing [computer software]. Vienna: R Foundation for Statistical Computing.Google Scholar
- Torralva, T., Roca, M., Gleichgerrcht, E., Bekinschtein, T., & Manes, F. (2009). A neuropsychological battery to detect specific executive and social cognitive impairments in early frontotemporal dementia. Brain, 132(5), 1299–1309.Google Scholar
- Wang, C. H., Mazursky-Horowitz, H., & Chronis-Tuscano, A. (2014). Delivering evidence-based treatments for child attention-deficit/hyperactivity disorder (ADHD) in the context of parental ADHD. Current Psychiatry Reports, 16, 474, 1–8. doi: 10.1007/s11920-014-0474-8.
- Wechsler, D. (2003). Wechsler intelligence scale for children – Fourth edition (WISX-IV). San Antonio: The Psychological Corporation.Google Scholar
- Wechsler, D. (2002). Wechsler preschool and primary scale of intelligence, third edition (WPPSI-III). San Antonio: The Psychological Corporation.Google Scholar
- Wechsler, D. (2008). Wechsler adult intelligence scale–fourth edition (WAIS–IV). San Antonio: NCS Pearson.Google Scholar