Do boys with attention-deficit/hyperactivity disorder have positive illusory self-concepts?

One hundred ninety-five boys with attention-deficit/hyperactivity disorder (ADHD) were compared with 73 comparison boys (M = 9.83 years, SD = 1.30) on self-perceptions relative to a teacher-rated criterion. Emphasis was placed on ADHD subgroup comparisons according to level of aggression, academic achievement, and depression compared with control boys. Consistent with the authors' prediction, ADHD boys overestimated relative to teacher report, more than did controls, in the scholastic competence, social acceptance, and behavioral conduct domains. Examination of discrepancy scores (child rating - teacher rating) by comorbidity subgroups suggested that aggressive and low-achieving ADHD boys tended to overestimate their competence the most in the domains in which they were the most impaired. Results are discussed in terms of prior literature on "positive illusions" in ADHD children.

[1]  T. Achenbach Manual for the child behavior checklist/4-18 and 1991 profile , 1991 .

[2]  J. Kruger,et al.  Unskilled and unaware of it: how difficulties in recognizing one's own incompetence lead to inflated self-assessments. , 1999, Journal of personality and social psychology.

[3]  Philip C. Kendall,et al.  Child and adolescent therapy : cognitive-behavioral procedures , 1991 .

[4]  E. Woody,et al.  Aggressive versus withdrawn unpopular children: variations in peer and self-perceptions in multiple domains. , 1993, Child development.

[5]  W. Pelham,et al.  The self-perceptions and attributions of attention deficit hyperactivity disordered and nonreferred boys , 1993, Journal of abnormal child psychology.

[6]  G. Bear,et al.  Discrepancies Between Competence and Importance in Self-Perceptions of Children in Integrated Classes , 1992 .

[7]  W. Pelham,et al.  Intensive treatment: A summer treatment program for children with ADHD. , 1996 .

[8]  W. Pelham,et al.  Social-Cognitive Predictors of Treatment Response in Children with ADHD , 1995 .

[9]  R. Tannock,et al.  Impact of comorbid oppositional or conduct problems on attention-deficit hyperactivity disorder. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[10]  S. Hinshaw,et al.  Depression and Self-Esteem in Boys with Attention-Deficit/Hyperactivity Disorder: Associations with Comorbid Aggression and Explanatory Attributional Mechanisms , 2001, Journal of abnormal child psychology.

[11]  F. Gresham,et al.  Comorbidity of Hyperactivity-Impulsivity-Inattention and Conduct Problems: Risk Factors in Social, Affective, and Academic Domains , 1998, Journal of abnormal child psychology.

[12]  William E. Pelham,et al.  Academic task persistence of normally achieving ADHD and control boys: Self-evaluations, and attributions. , 2001 .

[13]  N. Ialongo,et al.  Effects of psychostimulant medication on self-perceptions of competence, control, and mood in children with attention deficit hyperactivity disorder , 1994 .

[14]  M. Thompson,et al.  Applying the criteria for empirically supported treatments to studies of psychosocial interventions for child and adolescent depression. , 1998, Journal of clinical child psychology.

[15]  J. Sattler Assessment of Children , 1992 .

[16]  J. Lochman,et al.  Client characteristics associated with behavior change for treated and untreated aggressive boys , 1985, Journal of abnormal child psychology.

[17]  W. Horn,et al.  Sex differences in school-aged children with pervasive attention deficit hyperactivity disorder , 1989, Journal of abnormal child psychology.

[18]  P. Jensen,et al.  Psychosocial treatments for child and adolescent disorders : empirically based strategies for clinical practice , 1996 .

[19]  J. Beitchman,et al.  Learning disorders with a special emphasis on reading disorders: a review of the past 10 years. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[20]  J. Asarnow,et al.  Depression in child psychiatric inpatients: Cognitive and attributional patterns , 1988, Journal of abnormal child psychology.

[21]  A. La Greca,et al.  LD Status and Achievement , 1990, Journal of learning disabilities.

[22]  T. Achenbach,et al.  Manual for the Teacher's Report Form and 1991 Profile , 1991 .

[23]  W. Pelham,et al.  Attention-deficit/hyperactivity disordered and control boys' responses to social success and failure. , 2000, Child development.

[24]  M. Drake Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) , 1988 .

[25]  Tom V. Hanley,et al.  Evaluation of learning disorders in children with a psychiatric disorder: An example from the Multimodal Treatment Study for ADHD (MTA Study). , 2000 .

[26]  Dc Washington Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. , 1994 .

[27]  M. Sawyer,et al.  Childhood cancer: a two-year prospective study of the psychological adjustment of children and parents. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[28]  A. Raskin,et al.  Depression in Childhood: Diagnosis, Treatment and Conceptual Models , 1977, Psychological Medicine.

[29]  W. Pelham,et al.  Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. , 1992, Journal of the American Academy of Child and Adolescent Psychiatry.

[30]  Deborah S. Smith,et al.  Self-Perceptions and Social Comparisons Among Children with LD , 1995, Journal of learning disabilities.

[31]  R. Baumeister,et al.  Relation of threatened egotism to violence and aggression: the dark side of high self-esteem. , 1996, Psychological review.

[32]  R. Milich,et al.  Effects of positive feedback on the social interactions of boys with attention deficit hyperactivity disorder: a test of the self-protective hypothesis. , 1997, Journal of clinical child psychology.

[33]  J. Chapman Learning Disabled Children’s Self-Concepts , 1988 .

[34]  L. Greenhill Learning disabilities : implications for psychiatric treatment , 2000 .

[35]  J. Hughes,et al.  A positive view of self: Risk or protection for aggressive children? , 1997, Development and Psychopathology.