Adjustment, Social Skills, and Self-Esteem in College Students With Symptoms of ADHD

Many studies of ADHD have shown that the problems associated with the disorder continue into adolescence and beyond for 10% to 60% of patients. The present study assesses several aspects of college adjustment, social skills, and self-esteem in a nonreferred sample of college students meeting criteria for a Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnosis of ADHD. Twenty-one undergraduate students with symptoms of ADHD are compared to 20 students without significant ADHD symptoms, who match the ADHD students on age, gender, and grade point average. Students with ADHD symptoms show decreased functioning in several areas of college adjustment as well as lower levels of self-reported social skills and self-esteem. The results also suggest that the relation between ADHD and college adjustment is partially mediated by self-reported levels of self-esteem.

[1]  R. Klein,et al.  Long-term outcome of hyperactive children: a review. , 1991, Journal of the American Academy of Child and Adolescent Psychiatry.

[2]  L. Hildman,et al.  Kaufman Brief Intelligence Test , 1993 .

[3]  Karen C. Wells,et al.  A New Self-Report Scale for Assessment of Adolescent Psychopathology: Factor Structure, Reliability, Validity, and Diagnostic Sensitivity , 1997, Journal of abnormal child psychology.

[4]  Stephen P. Hinshaw,et al.  Attention Deficits and Hyperactivity in Children , 1993 .

[5]  Frank M. Gresham,et al.  Children's Social Skills: Assessment and Classification Practices , 1987 .

[6]  C. Carlson,et al.  The Social Functioning Of Children With ADD With Hyperactivity And ADD Without Hyperactivity , 1994 .

[7]  Gloria Grenwald-Mayes,et al.  Relationship between current quality of life and family of origin dynamics for college students with Attention- Deficit/Hyperactivity Disorder , 2001, Journal of attention disorders.

[8]  P. Wender,et al.  The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. , 1993, The American journal of psychiatry.

[9]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[10]  John A. Rice,et al.  Neuropsychological performance of a sample of adults with ADHD, Developmental Reading Disorder, and controls , 1998 .

[11]  J. Deffenbacher,et al.  Driving anger and other driving-related behaviors in high and low ADHD symptom college students , 2002, Journal of attention disorders.

[12]  L. Rosén,et al.  Self-Esteem in College Students with a Childhood History of Attention Deficit Hyperactivity Disorder , 1997 .

[13]  R. Barkley,et al.  Attention deficit hyperactivity disorder adults: comorbidities and adaptive impairments. , 1996, Comprehensive psychiatry.

[14]  Diagnosing ADD-H in adolescents. , 1985, Psychopharmacology bulletin.

[15]  G. Weiss,et al.  Hyperactives as young adults: a controlled prospective ten-year follow-up of 75 children. , 1979, Archives of general psychiatry.

[16]  L. A. Goodman On the Exact Variance of Products , 1960 .

[17]  G. Weiss,et al.  Hyperactive children grown up : empirical findings and theoretical considerations , 1986 .

[18]  Cleborne D. Maddux,et al.  Peer Relations , 1983 .

[19]  D. J. Lee Society and the Adolescent Self-Image , 1969 .

[20]  L. Rosén,et al.  Diversity and attention deficit hyperactivity disorder. , 1998, Journal of clinical psychology.

[21]  A. Robin,et al.  Validation of a Measure for Adolescent Self‐Report of Attention Deficit Disorder Symptoms , 1996, Journal of developmental and behavioral pediatrics : JDBP.

[22]  W. Canu,et al.  Differences in heterosocial behavior and outcomes of ADHD-symptomatic subtypes in a college sample , 2003, Journal of attention disorders.

[23]  Jonathon D. Brown Motivational Conflict and the Self: The Double-Bind of Low Self-Esteem , 1993 .

[24]  John P. Robinson,et al.  Measures of social psychological attitudes , 1976 .

[25]  W. Marshall,et al.  Self-esteem and its relationship to sexual offending , 1997 .

[26]  M. Rosenberg Society and the adolescent self-image , 1966 .

[27]  Joseph Biederman,et al.  Influence of gender on attention deficit hyperactivity disorder in children referred to a psychiatric clinic. , 2002, The American journal of psychiatry.

[28]  G. Weiss,et al.  STUDIES ON THE HYPERACTIVE CHILD , 1966 .

[29]  M. Hynes,et al.  Educational and occupational outcome of hyperactive boys grown up. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[30]  L. Weyandt,et al.  The Internal Restlessness Scale , 2003, Journal of learning disabilities.

[31]  G. Weiss,et al.  Studies on the Hyperactive Child: VIII. Five-Year Follow-up , 1971 .

[32]  W. Marshall,et al.  The Social Self-Esteem Inventory , 1979 .

[33]  K. Minde,et al.  The hyperactive child at adolescence: Cognitive, emotional, and social functioning , 1978, Journal of abnormal child psychology.

[34]  R. Baumeister Self-esteem : the puzzle of low self-regard , 1993 .

[35]  W. Marshall,et al.  The Enhancement of Social Self-Esteem. , 1982 .

[36]  M. Sobel Asymptotic Confidence Intervals for Indirect Effects in Structural Equation Models , 1982 .

[37]  L. E. Arnold,et al.  Sex differences in ADHD: Conference summary , 1996, Journal of abnormal child psychology.

[38]  Jonathan Gershon,et al.  A Meta-Analytic Review of Gender Differences in ADHD , 2002, Journal of attention disorders.

[39]  R. Keeling,et al.  Presentation of unrecognized attention deficit hyperactivity disorder in college students. , 1995, Journal of American college health : J of ACH.

[40]  L. Wolf,et al.  College Students with ADHD and Other Hidden Disabilities , 2001, Annals of the New York Academy of Sciences.

[41]  E. Heiligenstein,et al.  Psychological and academic functioning in college students with attention deficit hyperactivity disorder. , 1999, Journal of American college health : J of ACH.

[42]  R. Barkley,et al.  Psychological adjustment and adaptive impairments in young adults with ADHD , 1996 .

[43]  John A. Rice,et al.  Reported prevalence of attentional difficulties in a general sample of college students , 1995 .

[44]  H. Faigel Attention deficit disorder in college students: facts, fallacies, and treatment. , 1995, Journal of American college health : J of ACH.

[45]  C. Slomkowski,et al.  Is self-esteem an important outcome in hyperactive children? , 1995, Journal of abnormal child psychology.

[46]  R. Klein,et al.  Long-term prognosis in attention-deficit/hyperactivity disorder. , 2000, Child and adolescent psychiatric clinics of North America.

[47]  P. Adelman,et al.  The Success of College Students with Learning Disabilities: Factors Related to Educational Attainment , 1992, Journal of learning disabilities.

[48]  G. Weiss,et al.  Psychiatric status of hyperactives as adults: a controlled prospective 15-year follow-up of 63 hyperactive children. , 1985, Journal of the American Academy of Child Psychiatry.

[49]  C. Carlson,et al.  Gender differences in ADHD: a meta-analysis and critical review. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[50]  Ronald G. Stansfield,et al.  Sociological Methodology 1982 , 1983 .

[51]  J. Cautela,et al.  A self-report measure of social skill , 1978 .

[52]  S. Faraone,et al.  Gender differences in a sample of adults with attention deficit hyperactivity disorder , 1994, Psychiatry Research.

[53]  C. Conners Issues in the study of adolescent ADD-H/hyperactivity. , 1985, Psychopharmacology bulletin.

[54]  R. Klein,et al.  Adult outcome of hyperactive boys. Educational achievement, occupational rank, and psychiatric status. , 1993, Archives of general psychiatry.

[55]  L. Weyandt,et al.  Self-Report of ADHD Symptoms in University Students , 2001, Journal of learning disabilities.

[56]  M. First,et al.  The Structured Clinical Interview for DSM-III-R (SCID). I: History, rationale, and description. , 1992, Archives of general psychiatry.