Abstract
Previous observational studies conducted in highly structured, analog situations indicate that children with Attention-Deficit/Hyperactivity Disorder (ADHD) mismanage their relationships with same-age peers and friends. Such structured situations may not, however, fully represent the true nature of children’s play, which is typically characterized by free choice, intrinsic motivation, and spontaneity. The unique objective of the current observational study was to describe how 87 children with ADHD and 46 comparison (76% boys) aged 7–13 years behave when interacting with their real-life dyadic friends during an unstructured, free-play situation. Results indicate that dyads comprising one referred child with ADHD and an invited friend (“ADHD dyads”) engaged in less cooperative play, displayed less companionship, and showed less sensitivity to friends than comparison dyads. ADHD dyads also engaged in more conflict and exhibited significantly more negative affect than comparison dyads. These findings complement and extend, possibly with somewhat enhanced ecological validity, results obtained in previous studies on the friendships of children with ADHD featuring closed-field observations and questionnaire methodology.
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This research was financially supported by a grant from the Canadian Institutes of Health Research. We express appreciation to all the children, parents, and teachers who participated in our study, and the schools and health professionals who provided referrals. The dedicated assistance of several research assistants, coders, and volunteers is also gratefully acknowledged. Some of the research reported herein was completed for a doctoral thesis (Marie Michèle Soucisse) and for an honors thesis (Marie Pier Vézina Melançon) at the Université du Québec en Outaouais, supervised by Sébastien Normand.
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All procedures performed in the study involving human participants were in accordance with the ethical standards of the University of Ottawa and Children’s Hospital of Eastern Ontario institutional research committees and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Normand, S., Soucisse, M.M., Melançon, M.P.V. et al. Observed Free-Play Patterns of Children with ADHD and Their Real-Life Friends. J Abnorm Child Psychol 47, 259–271 (2019). https://doi.org/10.1007/s10802-018-0437-3
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DOI: https://doi.org/10.1007/s10802-018-0437-3