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Jendreizik, Lea T.; von Wirth, Elena; Döpfner, Manfred

Familial Factors Associated With Symptom Severity in Children and Adolescents With ADHD: A Meta-Analysis and Supplemental Review

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  • Media type: E-Article
  • Title: Familial Factors Associated With Symptom Severity in Children and Adolescents With ADHD: A Meta-Analysis and Supplemental Review
  • Contributor: Jendreizik, Lea T.; von Wirth, Elena; Döpfner, Manfred
  • Published: SAGE Publications, 2023
  • Published in: Journal of Attention Disorders, 27 (2023) 2, Seite 124-144
  • Language: English
  • DOI: 10.1177/10870547221132793
  • ISSN: 1087-0547; 1557-1246
  • Origination:
  • Footnote:
  • Description: Objective: Both genetic and environmental factors contribute to the development of ADHD, but associations between risk factors and ADHD symptom severity in affected children remain unclear. This systematic review and meta-analysis synthesizes evidence on the association between familial factors and symptom severity in children with ADHD (PROSPERO CRD42020076440). Method: PubMed and PsycINFO were searched for eligible studies. Results: Forty-three studies ( N = 11,123 participants) were meta-analyzed. Five additional studies ( N = 2,643 participants) were considered in the supplemental review. Parenting stress ( r = .25), negative parenting practices ( r = .19), broken parental partnership ( r = .19), critical life events ( r = .17), parental psychopathologies ( r = .14–.16), socioeconomic status ( r = −.10), and single-parent family ( r = .10) were significantly associated with ADHD symptom severity. Conclusion: These results suggest that psychosocial familial factors show small but significant associations with symptom severity in children with ADHD. Implications are discussed.