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Bidirectional effects of parenting and ADHD symptoms in young children: Effects of comorbid oppositional symptoms

Published online by Cambridge University Press:  14 October 2024

John V. Lavigne Open the ORCID record for John V. Lavigne [Opens in a new window] ,
Karen R. Gouze ,
Joyce Hopkins  and
Fred B. Bryant
John V. Lavigne*
Affiliation:
Department of Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children’s Hospital of Chicago and Feinberg School of Medicine, Chicago, IL, USA
Karen R. Gouze
Affiliation:
Department of Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children’s Hospital of Chicago and Feinberg School of Medicine, Chicago, IL, USA
Joyce Hopkins
Affiliation:
Department of Psychology, Illinois Institute of Technology, IL, USA
Fred B. Bryant
Affiliation:
Department of Psychology, Loyola University Chicago, Chicago, IL, USA
*
Corresponding author: John V. Lavigne; Email: [email protected]
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Abstract

Psychosocial factors play an important role in the manifestation of attention-deficit/hyperactivity disorder (ADHD) symptoms and accompanying impairment levels in children. In a community sample of 796 children evaluated at 4, 5, and 6 years of age, bidirectional effects were examined for each of three components of parenting (parental support, hostility, scaffolding skills) and ADHD-specific symptoms that are not associated with symptoms of oppositional defiant disorder. Results indicated that (a) age 4 parenting factors were not associated with changes in ADHD-I (inattention) or ADHD-H (hyperactive-impulsive) symptoms in the subsequent year, (b) ADHD-I and ADHD-H symptoms at age 4 were not associated with changes in parenting factors at age 5, (c) age 5 ADHD-I and ADHD-H symptoms were associated with decreases in parental scaffolding skills and increases in parental hostility from ages 5 to 6 years, and (d) parental support at age 5 was associated with a decrease in ADHD-H symptoms at age 6. Findings suggest that ADHD symptoms can lead to poorer parenting attitudes and behavior, while parental support during kindergarten has a small effect on decreasing ADHD-H symptoms over time.

Keywords

ADHDbidirectional effectsoppositional defiant disorderparenting
Type
Regular Article
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Development and Psychopathology , First View , pp. 1 - 14
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© The Author(s), 2024. Published by Cambridge University Press

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References

American Education Research Association, American Psychological Association, & National Council on Measurement in Education (2014). Standards for educational and psychological testing. Washington, DC: American Psychological Association.Google Scholar
Barkley, R. A., Fischer, M., Edelbrock, C. S., & Smallish, L. (1991). The adolescent outcome of hyperactive children diagnosed by research criteria-III. Mother–child interactions, family conflicts and maternal psychopathology. Jounal of Child Psychology & Psychiatry & Allied Disciplines, 32(2), 233–255.CrossRefGoogle ScholarPubMed
Bradley, R. H., & Corwyn, R. F. (2002). Socioeconomic status and child development. Annual Review of Psychology, 53(1), 371–399. https://doi.org/10.1146/annurev.psych.53.100901.135233 CrossRefGoogle ScholarPubMed
Braun, J. M., Kahn, R. S., Froehlich, T., Auinger, P., & Lanphear, B. P. (2006). Exposures to environment toxicants and attention deficit hyperactivity disorder in U.S. Children. Environmental Health Perspectives, 114(112), 1904–1909.CrossRefGoogle Scholar
Breaux, R. P., Brown, H. R., & Harvey, E. A. (2017). Mediators and moderators of the relation between parental ADHD symptomatology and the eary development of child ADHD and ODD symptoms. Journal of Abnormal Child Psychology, 45(3), 443–456. https://doi.org/10.1007/s10802-016-0213-1 CrossRefGoogle Scholar
Breaux, R. P., & Harvey, E. A. (2019). A longitudinal study of the relation between family functioning and preschool ADHD symptoms. Journal of Clinical Child & Adolescent Psychology, 48(5), 749–764. https://doi.org/10.1080/15374416.2018.1437737 CrossRefGoogle ScholarPubMed
Brown, T. A. (2006) Confirmatory factor analysis for applied research , Guilford.Google Scholar
Bryant, F. B., & Satorra, A. (2012). Principles and practice of scaled difference chi-square testing. Structural Equation Modeling, 19(3), 372–398. https://doi.org/10.1080/10705511.2012.687671 CrossRefGoogle Scholar
Burke, J. D., Pardini, D. A., & Loeber, R. (2008). Reciprocal relationships between parenting behavior and disruptive psychopathology from childhood through adolescence. Journal of Abnormal Child Psychology, 36(5), 679–692. https://doi.org/10.1007/s10802-008-9219-7 CrossRefGoogle Scholar
Census U. S. (2007). State and county quick facts. http://quickfacts.census.gov/qfd/states/17/17031.html.Google Scholar
Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9(2), 233–255.CrossRefGoogle Scholar
Choenni, V., Lambregtse-van den Berg, M. P., Verhulst, F. C., Tiemeier, H., & Kok, R. (2019). The longitudinal relation between observed maternal parenting in the preschool period and the occurrence of child ADHD symptoms in middle childhood. Journal of Abnormal Child Psychology, 47(5), 755–764. https://doi.org/10.1007/s10802-018-0492-9 CrossRefGoogle Scholar
Chronis-Tuscano, A., Wang, C. H., Woods, K. E., Strickland, J., & Stein, M. A. (2017). Parent ADHD and evidence-based treatment for their children. Review and Directions for Future Research. Journal of Abnormal Child Psychology, 45(3), 501–517. https://doi.org/10.1007/s10802-016-0238-5 Google ScholarPubMed
Claussen, A. H., Holbrook, J. R., Hutchins, H. J., Robinson, L. R., Bloomfield, J., Meng, L., Bitsko, R. H., O’Masta, B., Cerles, A., Maher, B. S., Rush, M., & Kaminski, J. W. (2022). All in the family? A systematic review and meta-anaysis of parenting and family environment as risk factors for attention deficit/Hyperactivity disorder (ADHD) in children. Prevention Science, 19(S2), 1–23. https://doi.org/10.1007/s11121-022-01358-4 Google Scholar
Coates, J., Taylor, J. A., & Sayal, K. (2015). Parenting interventions for ADHD: A systematic literature review and meta-analysis. Journal of Attention Disorders, 19(10), 831–843. https://doi.org/10.1177/1087054714535952 CrossRefGoogle ScholarPubMed
Daley, D., van der Oord, S., Ferrin, M., Danckaerts, M., Doepfner, M., Cortese, S., Sonuga-Barke, E. J. S.& on behalf of the European ADHD (2014). guidelines group, 2014, behavioral interventions in attention-deficit/Hyperactivity disorder: A meta-analysis of randomized controlled trials across multiple outcome domains. Journal of the Academy of Child and Adolescent Psychiatry, 53(8), 835–847.CrossRefGoogle ScholarPubMed
Deater-Deckard, K. (2017). Parents’ and children’s ADHD in a family system. Journal of Abnormal Child Psychology, 45(3), 519–525. https://doi.org/10.1007/s10802-017-0276-7 CrossRefGoogle Scholar
Deault, L. C. (2010). A systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit/Hyperactivitiy disorder (ADHD). Child Psychiatry and Human Development, 41, 168–192. https://doi.org/10/1007/s10578-009-0159-4 CrossRefGoogle Scholar
Deegan, J. (1978). On the occurrence of standardized regression coefficients greater than one. Educational and Psychological Measurement, 38(4), 873–888.CrossRefGoogle Scholar
Dunn, L., & Dunn, L. (1997). The peabody picture vocabulary test (3rd edn.). Circle Pines, MN: American Guidance Service.Google Scholar
DuPaul, G. J., Anastopoulos, A. D., Power, T. J., Reid, R., Ikeda, M. J., & McGoey, K. E. (1998). Parent ratings of attention-deficit/hyperactivity disorder symptoms: Factor structure and normative data. Psychopathology and Behavioral Assessment, 20(1), 83–102.CrossRefGoogle Scholar
Duval, S., Montminy, N., Brault Foisy, L.-M., Arapi, E., & Vezina, S.-A. (2023). Examining the relation between adult scaffolding of make-believe play and children’s executive functions: An observational study conducted in a natural educational setting. Early Childhood Development and Care, 193(8), 1022–1040. https://doi.org/10.1080/03004430.2023.2216891 CrossRefGoogle Scholar
Egger, H. E., Kondo, D., & Angold, A. (2006). The epidemiology and diagnostic issues in preschool attention-deficit/Hyperactivity disorder. Infants and Young Children, 19(2), 109–122.CrossRefGoogle Scholar
Ellis, B., & Nigg, J. T. (2009). Parenting practices and attention-deficit/Hyperactivity disorder: New findings suggest partial specificity of effects. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 146–154. https://doi.org/10.1097/CHI.06013e31819176d0 CrossRefGoogle Scholar
Eyberg, S., & Pincus, D. (1999). Eyberg child behavior inventory manual. Lutz, FL: Psychological Assessment Resources.Google Scholar
Faraone, S. V., Perlis, R. H., Doyle, A. E., Smoller, J. W., Goralnick, J. J., Holmgren, M. A., & Sklar, P. (2005). Molecular genetics of attention-deficit/Hyperactivity disorder. Biological Psychiatry, 57(11), 1313–1326. https://doi.org/10.1016/j.biopsych.2004.11.024 CrossRefGoogle ScholarPubMed
Fisher, P., & Lucas, C. (2006). Diagnostic interview schedule for children (DISC-IV)-young child. New York: Columbia University.Google Scholar
Gadeyne, E., Ghesquiere, P., & Onghena, P. (2004). Longitudinal relations between parenting and child adjustment in young children. Journal of Clinical Child & Adolescent Psychology, 33(2), 347–358.CrossRefGoogle ScholarPubMed
Gadow, K. D., & Sprafkin, J. (1997a). Child Symptom Inventory 4 Norms Manual. Stony Brook, NY: Checkmate Plus.Google Scholar
Gadow, K. D., & Sprafkin, J. (1997b). Early Childhood Inventory 4 Norms Manual. Stony Brook, NY: Checkmate Plus.Google Scholar
Gadow, K. D., & Sprafkin, J. (2000a). Early Childhood Inventory 4 Screening Manual. Stony Brook, NY: Checkmate Plus.Google Scholar
Gadow, K. D., & Sprafkin, J. (2000b). Early Childhood Symptom Inventory-4 Screening Manual. Stony Brook, NY: Checkmate Plus.Google Scholar
Gadow, K. D., Sprafkin, J., & Nolan, E. E. (2001). DSM-IV symptoms in community and clinic preschool children. Journal of the American Academy of Child and Adolescent Psychiatry, 40(12), 1383–1392.CrossRefGoogle ScholarPubMed
Garrison-Desany, H. M., Hong, X. H., Maher, B. S., Beaty, T. H., Wang, G., Pearson, C., Liang, L., Wang, X., & Ladd-Acosta, C. (2022). Individual and combined association between prenatal polysubstance exposure and childhood risk of attention-deficit/ hyperactivity disorder. JAMA Network Open, 5(3), e221957. https://doi.org/10.1001/jamanetworkopen.2022.1957 CrossRefGoogle Scholar
Goodman, S. H., Simon, H. F. M., Shamblaw, A. L., & Kim, C. Y. (2020). Parenting as a mediator of associations between depression in mothers and children’s functioning: A systematic review and meta-analysis. Clinical Child & Family Psychology Review, 23(4), 427–460. https://doi.org/10.1007/s10567-020-00322-4 CrossRefGoogle Scholar
Graham, J. W. (2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60(1), 549–576. https://doi.org/10.1146/annurev.psych.58.110405.085530 CrossRefGoogle ScholarPubMed
Groenman, A. P., Hornstra, R., Hoekstra, P. J., Steenhius, L., Aghebati, A., Boyer, B. E., Buitelaar, J. K., Chronis-Tuscano, A., Daley, D., Dehkordian, P., Dvorsky, M., Franke, N., DuPaul, G. J., Gershy, N., Harvey, E., Hennig, T., Herbert, S., Langberg, J., Mautone, J. A., & van der Oord, S. (2022). An individual participant data meta-analysis: Behavioral treatments for children and adolescents with attention-deficiti/Hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 61(2), 144–158.CrossRefGoogle ScholarPubMed
Harold, G. T., Leve, L. D., Barrett, D., Elam, K., Neiderhiser, J. M., Natsuaki, M. N., Shaw, D. S., Reiss, D., & Thapar, A. (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(10), 1038–1046. https://doi.org/10.1111./jccp.12100 CrossRefGoogle ScholarPubMed
Hawes, D. J., Dadds, M. R., Frost, A. D. J., & Russell, A. R. (2013). Parenting practices and prospective levels of hyperactivity/inattention across early- and middle-childhood. Journal of Psychopathology and Behavioral Assessment, 35(3), 273–282. https://doi.org/10.1007/s10862-013-9341-x CrossRefGoogle Scholar
Hoffman, C., Crnic, K. A., & Baker, J. K. (2006). Maternal depression and parenting: Implications for children’s emergent emotion regulation and behavioral functioning. Parenting: Science and Practice, 6(4), 271–295. https://doi.org/10.1207/s15327922par0604 CrossRefGoogle Scholar
Hollingshead, A. B. (1975). Four-factor index of social position. New Haven, CN: Yale University Department of Sociology.Google Scholar
Huhdanpaa, H., Morales-Munoz, I., Aronen, E. T., Polkki, P., & Saarenpaa-Heikkila, O. (2021). Prenatal and postnatal predictive factors for childlren’s inattentive and hyperactive symptoms at 5 years of age: The role of early family-related factors. Child Psychiatry and Human Development, 52, 783–799. https://doi.org/10.1007/s10578-020-0105-7 CrossRefGoogle Scholar
Johnston, C., & Chronis-Tuscano, A. (2015). Families and ADHD, attention-deficit hyperactvity disorder: A handbook for diagnosis and treatment. In Barkley, R. A., (4th ed.).191–209). Guilford.Google Scholar
Johnston, C., & Mash, E. J. (2001). Families of children with attention-deficit/Hyperactivity disorder: Review and recommendations for future research. Clinical Child & Family Psychology Review, 4(3), 183–207.CrossRefGoogle ScholarPubMed
Joreskog, K. G. (1999). How large can a standardized coefficient be? Unpublished report. http://www.ssicentral.com/lisrel/techdocs/HowLargeCanaStandardizedCoefficientBe.pdf.Google Scholar
Joreskog, K. G., & Sorbom, D. (2006). LISREL for windows. Chicago, IL: Scientific Software International.Google Scholar
Keown, L. J. (2012). Predictors of boys’ ADHD symptoms from early to middle childhood: The role of father-child and mother-child interactions. Journal of Abnormal Child Psychology, 40(4), 569–581. https://doi.org/10.1007/s10802-011-9586-3 CrossRefGoogle ScholarPubMed
Kline, R. B. (1998). Principles and practice of structural equation modeling , Guilford.Google Scholar
Lavigne, J. V., Bryant, F. B., Hopkins, J., & Gouze, K. R. (2015). Dimensions of oppositional defiant disorder in young children: Model comparisons, gender and longitudinal invariance. Journal of Abnormal Child Psychology, 43(3), 423–439. https://doi.org/10.1007/s10802-014-9919-0 CrossRefGoogle ScholarPubMed
Lavigne, J. V., Gouze, K. R., Hopkins, J., & Bryant, F. (2016). A multi-domain cascade model of early childhood risk factors associated with ODD symptoms in a community sample of 6-year-olds. Development and Psychopathology, 28, 1547–1562. https://doi.org/10/1017/S0954579415001194 CrossRefGoogle Scholar
Lavigne, J. V., Gouze, K. R., Hopkins, J., Bryant, F. B., & LeBailly, S. A. (2012). A multi-domain model of risk factors for ODD symptoms in a community sample of 4-year-olds. Journal of Abnormal Child Psychology, 40(5), 741–757. https://doi.org/10.1007/s10802-011-9603-6 CrossRefGoogle Scholar
Lavigne, J. V., LeBailly, S. A., Hopkins, J., Gouze, K. R., & Binns, H. J. (2009). The prevalence of ADHD, ODD, depression and anxiety in a community sample of 4-year-olds. Journal of Clinical Child and Adolescent Psychology, 38(3), 315–328. https://doi.org/10.1080/15374410902851382 CrossRefGoogle Scholar
Lifford, K. J., Harold, G. T., & Thapar, A. (2008). Parent-child relationships and ADHD symptoms: A longitudinal analysis. Journal of Abnormal Child Psychology, 38, 285–296. https://doi.org/10.1007/s.10802-007-9177-5 CrossRefGoogle Scholar
Lifford, K. J., Harold, G. T., & Thapar, A. (2009). Parent-child hostility and child ADHD symptoms: A genetically sensitivie and longitudinal analysis. Jounal of Child Psychology & Psychiatry & Allied Disciplines, 50(12), 1468–1476. https://doi.org/10.1111/j.1469-7610.2009.02107.x CrossRefGoogle Scholar
Lovejoy, M. C., Weis, R., O’Hare, E., & Rubin, E. C. (1999). Development and initial validation of the parent behavior inventory. Psychological Assessment, 11(4), 1–12. https://doi.org/10.1037/1040-3590.11.4.534 CrossRefGoogle Scholar
Mazursky-Horowitz, H., Thomas, S. R., Woods, K. E., Chrabaszcz, J. S., Deater-Deckard, K., & Chronis-Tuscano, A. (2018). Maternal executive functioning and scaffolding in families of children with and without parent-reported ADHD. Journal of Abnormal Child Psychology, 46(3), 463–475. https://doi.org/10.1007/s10802-017-0289-2 CrossRefGoogle ScholarPubMed
Miranda, A., Colomer, C., Fernandez, M. I., & Presentacion, M. J. (2015). Analysis of personal and family factors in the persistence of attention deficit hyperativity disorder: Results of a prospective follow-up study in childhood. PLoS ONE, 10(5), e0128325. https://doi.org/10.137/journal.pone.0128325 CrossRefGoogle Scholar
Moroney, E., Tung, I., Brammer, W. A., & Peris, T. S. (2017). Externalizing outcomes of youth with and without ADHD: Time-varying prediction by parental ADHD and mediated effects. Journal of Abnormal Child Psychology, 45(3), 457–470. https://doi.org/10.1007/s10802-016-0215-z CrossRefGoogle Scholar
Mulqueen, J. M., Bartley, C. A., & Bloch, M. H. (2015). Meta-analysis: Parental interventions for preschool ADHD. Journal of Attention Disorders, 19(2), 118–124. https://doi.org/10.1177/1087054713504135 CrossRefGoogle ScholarPubMed
Murray, D. W., Lawrence, J. R., & LaForett, D. R. (2018). The incredible years programs for ADHD in young children: A critical review of the evidence. Journal of Emotional & Behavioral Disorders, 26(4), 195–208.CrossRefGoogle Scholar
NICHD Early Childhood Research Network (1999). Child care and mother-child interaction in the first three years of life. Developmental Psychology, 35(6), 1399–1413.CrossRefGoogle Scholar
Nilsen, F. M., & Tulve, N. S. (2020). A systematic review and meta-analysis examining the interrelationships between chemical and non-chemical stressors and inherent characteristics in children with ADHD. Environmental Research, 180, 1–33. https://doi.org/10.1016/j.envres.2019.108884 CrossRefGoogle ScholarPubMed
Pfiffner, L. J. (2014). Meta-analysis supports efficacy of behavioral interventions for attention-deficit/Hyperactivity disorder-relaed problems. Journal of the Academy of Child and Adolescent Psychiatry, 53(8), 830–832.CrossRefGoogle ScholarPubMed
Satorra, A., & Bentler, P. M. (1994). Corrections to test statistics and standard errors in covariance structure analysis. In von Eye, A., & Clogg, C. C. (Eds.), Latent variables analysis: Applications for developmental research (pp. 399–419). Sage.Google Scholar
Sonuga-Barke, E. J. S., Auerbach, J., Campbell, S. B., Daley, D., & Thompson, M. (2005). Varieties of preschool hyperactivity: Multiple pathways from risk to disorder. Developmental Science, 8(2), 141–150.CrossRefGoogle ScholarPubMed
Sonuga-Barke, E. J. S., Brandeis, D., Cortese, S., Daley, D., Ferrin, M., Holtmann, M., Stevenson, J., Danckaerts, M., van der Oord, S., Dopfner, M., Dittman, R. W., Simonoff, E., Zuddas, A., Banaschewski, T., Buitelaar, J., Coghill, D., Hollis, C., Konofal, E., Lecendreux, M., and the European ADHD (2013). Nonpharmacological interventions for ADHD: Systematic review and meta-analysis of randomized controlled trials of dietary and psychological treatments. Guidelines Group, American Journal of Psychiatry, 170(3), 275–289.Google Scholar
Sterba, S. K., Egger, H. E., & Angold, A. (2007). Diagnostic specificity and nonspecificity in the dimensions of preschool psychopathology. Journal of Child Psychology and Psychiatry, 48(10), 1005–1013.CrossRefGoogle ScholarPubMed
Strickland, J., Keller, J., Lavigne, J. V., Gouze, K. R., Hopkins, J., & LeBailly, S. A. (2011). The structure of psychopathology in a community sample of preschoolers. Journal of Abnormal Child Psychology, 39(7), 601–610. https://doi.org/10.1007/s10802-008-9236-6 CrossRefGoogle Scholar
Sun, J., & Tang, Y. (2019). Maternal scaffolding strategies and early development of self-regulation in chinese preschoolers. Early Childhood Development and Care, 189(9), 1525–1573. https://doi.org/10.1080/03004430.2017.1395874 CrossRefGoogle Scholar
Thorell, L. B., Rydell, A. M., & Bohlin, G. (2012). Parent-child attachment and executive functioning in relation to ADHD symptoms in middle childhood. Attachment & Human Development, 14(5), 517–532. https://doi.org/10.1080/14616734.2012.706396 CrossRefGoogle ScholarPubMed
Tourjman, V., Louis-Nascan, G., Ahmed, G., DuBow, A., Cote, H., Daly, N., Daoud, G., Sespinet, S., Flood, J., Gagnier-Marandola, E., Gignac, M., Graziosi, G., Mansuri, Z., & Sadek, J. (2022). Psychosocial interventions for attention deficit/Hyperactivity disorder: A systematic review and meta-analysis by the CADDRA guidelines work GROUP. Brain Sciences, 12(8), 1–29. https://doi.org/10.3390/brainsci12081023 CrossRefGoogle ScholarPubMed
Wilens, T. E., Biederman, J., Brown, S. S., Tanguay, S., Monuteaux, M. C., Blake, C., & Spencer, T. J. (2002). Psychiatric comorbidity and functioning in clinically referred preschool children and school-age youths with ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 41(3), 262–268.CrossRefGoogle ScholarPubMed
Willoughby, M. T., Wirth, R. J., & Blair, C. B. (2012). Executive function in early childhood: Longitudinal measurement invariance and developmental change. Psychological Assessment, 24(2), 418–431. https://doi.org/10.1037/a0025779 CrossRefGoogle ScholarPubMed
Winsler, A. (1998). Parent-child interaction and private speech in boys with ADHD. Applied Developmental Science, 2(1), 17–39.CrossRefGoogle Scholar
Wolraich, M. L., Hagan, J. F., Allan, C., Chan, E., Davison, D., Earls, M., Evans, S. W., Flinn, S. K., Froehlich, T., Frost, J., Holbrook, J. R., Lehmann, C. U., Lessin, H. R., Okechukwu, K., Pierce, K. L., Winner, J. D., Zurhellen, W., & Disorder, S.o C.a A.w A.-D. H. (2019). Clinical practice guidelines for the diagnosis, evaluation, and treatment of attention-deficit/Hyperactivity disorder in children and adolescents. Pediatrics, 144(4), e20192528.CrossRefGoogle ScholarPubMed
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