Family and Parenting Factors Associated with the Development of Attention Deficit Hyperactivity Disorder in Children Aged 6-12 Years: a Case-Control Study

Authors

  • Chuleeporn Poovichayasumlit Department of Psychiatry, Ratchaburi Hospital, Ratchaburi.

Keywords:

ADHD, Family, Media exposure, Parenting

Abstract

Attention-deficit/hyperactivity disorder (ADHD), one of the most common psychiatric disorders in children and adolescents, has widespread impacts on the quality of life of affected individuals and their families. This study aimed to examine the association between family and parenting factors occurring before the age of five and the development of ADHD in children aged 6–12 years. A retrospective analytic case-control study was conducted. Participants included parents of 131 children diagnosed with ADHD and 126 control children without psychiatric disorders. Data were analyzed using descriptive statistics and multiple logistic regression.

The findings revealed several factors significantly associated with ADHD: being male (ORadj = 3.235, 95% CI: 1.698–6.163, p < 0.001), having divorced or separated parents (ORadj = 2.557, 95% CI: 1.360–4.809, p = 0.004), watching television before the age of five (ORadj = 2.106, 95% CI: 1.057–4.196, p = 0.034), and experiencing non-authoritative parenting styles (ORadj = 2.129, 95% CI: 1.146–3.953, p = 0.017).

Family and parenting factors before the age of five play a crucial role in the development of ADHD. Promoting warm and responsive parenting practices, along with reducing early television exposure, may significantly lower the risk of ADHD. These findings can be applied to the development of preventive measures and comprehensive treatment plans to improve outcomes for children with ADHD.

Downloads

Download data is not yet available.

Author Biography

Chuleeporn Poovichayasumlit, Department of Psychiatry, Ratchaburi Hospital, Ratchaburi.

Medical doctor, Professional Level. Department of Psychiatry, Ratchaburi Hospital, Ratchaburi.

References

Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.

Salari N, Ghasemi H, Abdoli N, Rahmani A, Shiri MH, Hashemian AH, et al. The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis. Ital J Pediatr. 2023;49(1):48. https://doi.org/10.1186/s13052-023-01456-1

ทวีศิลป์ วิษณุโยธิน, โชษิตา ภาวสุทธิไพศิฐ, พรทิพย์ วชิรดิลก, พัชรินทร์ อรุณเรือง, ธันวรุจน์ บูรณสุขสกุล. ความชุกโรคสมาธิสั้นในประเทศไทย. วารสารสุขภาพจิตแห่งประเทศไทย 2556;21(2):66-75.

Ministry of Public Health, Thailand. Health Data Center (HDC): Standard Report Database [Internet]. Nonthaburi: Ministry of Public Health; 2025 [cited 2025 Oct 9]. Available from: https://hdc.moph.go.th/center/public/standard-report-detail/e0678b73197151b3f181edcb0ee76b97

French B, Nalbant G, Wright H, Sayal K, Daley D, Groom MJ, et al. The impacts associated with having ADHD: an umbrella review. Front Psychiatry. 2024;15:1343314. https://doi.org/10.3389/fpsyt.2024.1343314

Shen F, Zhou H. Advances in the etiology and neuroimaging of children with attention deficit hyperactivity disorder. Front Pediatr. 2024;12:1400468. https://doi.org/10.3389/fped.2024.1400468

Núñez-Jaramillo L, Herrera-Solís A, Herrera-Morales WV. ADHD: Reviewing the Causes and Evaluating Solutions. J Pers Med. 2021;11(3). https://doi.org/10.3390/jpm11030166

Kim JH, Kim JY, Lee J, Jeong GH, Lee E, Lee S, et al. Environmental risk factors, protective factors, and peripheral biomarkers for ADHD: an umbrella review. Lancet Psychiatry. 2020;7(11):955-70. https://doi.org/10.1016/S2215-0366(20)30312-6

Jendreizik LT, Hautmann C, von Wirth E, Dose C, Thöne AK, Treier AK, et al. The importance of familial risk factors in children with ADHD: direct and indirect effects of family adversity, parental psychopathology and parenting practices on externalizing symptoms. CAPMH. 2022;16(1):96. https://doi.org/10.1186/s13034-022-00529-z

Baumrind D. The Discipline Controversy Revisited. FR. 1996;45(4):405-14. https://doi.org/10.2307/585170

ดุลยา จิตตะยโศธร. รูปแบบการเลี้ยงดู:แนวคิดของ Diana Baumrind. วารสารวิชาการ มหาวิทยาลัยหอการค้าไทย 2552;29(4):173-187.

Martin J, Langley K, Cooper M, Rouquette OY, John A, Sayal K, et al. Sex differences in attention‐deficit hyperactivity disorder diagnosis and clinical care: a national study of population healthcare records in Wales. JCPP. 2024;65(12):1648-58. https://doi.org/10.1111/jcpp.13987

Martin J. Why are females less likely to be diagnosed with ADHD in childhood than males? Lancet Psychiatry. 2024;11(4):303-10. https://doi.org/10.1016/S2215-0366(24)00010-5

Siddiqui U, Conover MM, Voss EA, Kern DM, Litvak M, Antunes J. Sex Differences in Diagnosis and Treatment Timing of Comorbid Depression/Anxiety and Disease Subtypes in Patients With ADHD: A Database Study. J Atten Disord. 2024;28(10):1347-56. https://doi.org/10.1177/10870547241251738

Claussen AH, Holbrook JR, Hutchins HJ, Robinson LR, Bloomfield J, Meng L, et al. All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children. Prev Sci. 2024;25(2):249-71. https://doi.org/10.1007/s11121-022-01358-4

Tamana SK, Ezeugwu V, Chikuma J, Lefebvre DL, Azad MB, Moraes TJ, et al. Screen-time is associated with inattention problems in preschoolers: Results from the CHILD birth cohort study. PLoS One. 2019;14(4):e0213995. https://doi.org/10.1371/journal.pone.0213995

Beyens I, Valkenburg PM, Piotrowski JT. Screen media use and ADHD-related behaviors: Four decades of research. Proc Natl Acad Sci U S A. 2018;115(40):9875-81. https://doi.org/10.1073/pnas.1611611114

Ferguson CJ. The influence of television and video game use on attention and school problems: a multivariate analysis with other risk factors controlled. J Psychiatr Res. 2011;45(6):808-13. https://doi.org/10.1016/j.jpsychires.2010.11.010

Cueli M, Martín N, Cañamero LM, Rodríguez C, González-Castro P. The Impact of Children's and Parents' Perceptions of Parenting Styles on Attention, Hyperactivity, Anxiety, and Emotional Regulation. Children (Basel). 2024;11(3):313. https://doi.org/10.3390/children11030313

Ellis B, Nigg J. Parenting practices and attention-deficit/hyperactivity disorder: new findings suggest partial specificity of effects. J Am Acad Child Adolesc Psychiatry. 2009;48(2):146-54. https://doi.org/10.1097/CHI.0b013e31819176d0

Duh-Leong C, Fuller A, Brown NM. Associations Between Family and Community Protective Factors and Attention-Deficit/Hyperactivity Disorder Outcomes Among US Children. J Dev Behav Pediatr. 2020;41(1):1-8. https://doi.org/10.1097/DBP.0000000000000720

Wüstner A, Otto C, Schlack R, Hölling H, Klasen F, Ravens-Sieberer U. Risk and protective factors for the development of ADHD symptoms in children and adolescents: Results of the longitudinal BELLA study. PLoS One. 2019;14(3):e0214412. https://doi.org/10.1371/journal.pone.0214412

Allmann AES, Klein DN, Kopala-Sibley DC. Bidirectional and transactional relationships between parenting styles and child symptoms of ADHD, ODD, depression, and anxiety over 6 years. Dev Psychopathol. 2022;34(4):1400-11. https://doi.org/10.1017/S0954579421000201

Downloads

Published

22-12-2025

How to Cite

1.
Poovichayasumlit C. Family and Parenting Factors Associated with the Development of Attention Deficit Hyperactivity Disorder in Children Aged 6-12 Years: a Case-Control Study . Singburi Hosp J [internet]. 2025 Dec. 22 [cited 2026 Jan. 3];34(3):B19-B29. available from: https://he01.tci-thaijo.org/index.php/shj/article/view/281283