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Journal of Pediatric Neurology
DOI: 10.1055/s-0043-1772159
Original Article

Effect of Internalized Stigma on Peer Relationships in Adolescents with Attention-Deficit/Hyperactivity Disorder

Tülay Yildirim Üşenmez 
1   Department of Psychiatric and Mental Health Nursing, Atatürk Health Sciences Faculty, Dicle University, Diyarbakir, Türkiye
,
Gülbeyaz Baran Durmaz 
2   Department of Pediatric Nursing, Atatürk Health Sciences Faculty, Dicle University, Diyarbakir, Türkiye
,
Funda Kavak Budak 
3   Department of Psychiatric and Mental Health Nursing, Nursing Faculty, Inonu University, Malatya, Türkiye
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Abstract

This study aimed to determine the effect of internalized stigma on peer relationships in adolescents with attention-deficit/hyperactivity disorder (ADHD). The study was conducted in a Special Education and Rehabilitation Center between August and September 2022. The correlational and cross-sectional study sample consisted of 70 adolescents with ADHD. The Descriptive Characteristics Form, the Internalized Stigma Scale for Children and Adolescents, and the Peer Relationship Scale were used to collect the data. It was determined that the mean total score of internalized stigma levels of adolescents was 93.24 (16.16), and the mean total score of peer relationships was 53.78 (10.76). It was determined that there was a strong negative correlation between the total score of internalized stigma and peer relationships (r = − 0.748, p = 0.001). In addition, it was determined that internalized stigma predicted peer relationships by 55%. It can be said that internalized stigma and peer relationships of adolescents are moderate, and as adolescents' internalized stigma levels increased, their peer relationships decreased.

Keywords

ADHD - internalized stigma - peer relationship - adolescent

Authors' Contribution

T.Y.U., F.K.B., and G.B.D. designed the study; T.Y.U. and F.K.B. analyzed the data; and the manuscript preparation was done by T.Y.U., F.K.B., and G.B.D. All authors have read and approved the final manuscript.




Publication History

Received: 02 June 2023

Accepted: 10 July 2023

Article published online:
08 August 2023

© 2023. Thieme. All rights reserved.

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  • References

  • 1 Krieger V, Amador-Campos JA, Gallardo-Pujol D. Temperament, executive function, and attention-deficit/hyperactivity disorder (ADHD) in adolescents: The mediating role of effortful control. J Clin Exp Neuropsychol 2019; 41 (06) 615-633
    CrossrefPubMedGoogle Scholar
  • 2 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-V. Washington, DC: American Psychiatric Association; 2013
    CrossrefGoogle Scholar
  • 3 Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 2007; 164 (06) 942-948
    CrossrefPubMedGoogle Scholar
  • 4 Angermeyer MC, Dietrich S. Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand 2006; 113 (03) 163-179
    CrossrefPubMedGoogle Scholar
  • 5 Mueller AK, Fuermaier ABM, Koerts J, Tucha L. Stigma in attention deficit hyperactivity disorder. Atten Defic Hyperact Disord 2012; 4 (03) 101-114
    CrossrefPubMedGoogle Scholar
  • 6 Walker JS, Coleman D, Lee J, Squire PN, Friesen BJ. Children's stigmatization of childhood depression and ADHD: magnitude and demographic variation in a national sample. J Am Acad Child Adolesc Psychiatry 2008; 47 (08) 912-920
    CrossrefPubMedGoogle Scholar
  • 7 Livingston JD, Boyd JE. Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Soc Sci Med 2010; 71 (12) 2150-2161
    CrossrefPubMedGoogle Scholar
  • 8 Sevindik CS, Özer ÖA, Kolat U, Önem R. Internalized stigmatization and its effect on functionality in patients with major depressive disorder or psychotic disorder. Sisli Etfal Hastan Tip Bul 2014; 48 (03) 198-207
    CrossrefPubMedGoogle Scholar
  • 9 Demir NÖ, Baran AG, Ulusoy D. Relations of adolescents with their peer groups-friends in ankara and deviated behaviors. Bilig 2005; 32: 83-108
    PubMedGoogle Scholar
  • 10 Özdemir S. Peer relationship problems of children with ad/hd: contributing factors and implications for practice. Int J Spec Educ 2010; 25 (01) 185-194
    PubMedGoogle Scholar
  • 11 Bacchini D, Affuso G, Trotta T. Temperament, ADHD and peer relations among schoolchildren: the mediating role of school bullying. Aggress Behav 2008; 34 (05) 447-459
    CrossrefPubMedGoogle Scholar
  • 12 Diamantopoulou S, Rydell AM, Thorell LB, Bohlin G. Impact of executive functioning and symptoms of attention deficit hyperactivity disorder on children's peer relations and school performance. Dev Neuropsychol 2007; 32 (01) 521-542
    CrossrefPubMedGoogle Scholar
  • 13 Hoza B, Mrug S, Gerdes AC. et al. What aspects of peer relationships are impaired in children with attention-deficit/hyperactivity disorder?. J Consult Clin Psychol 2005; 73 (03) 411-423
    CrossrefPubMedGoogle Scholar
  • 14 Çağlayan İD. The Relationship between Internalized Stigma, Self-Esteem, Hope and Depression in Children and Adolescents with Attention Deficit and Hyperactivity Disorder [Master's thesis]. 2019
    PubMed
  • 15 Kaner S. Peer relationship scale and peer deviation scale development studies. Ankara Univ J Faculty Educ Sci 2000; 33 (01) 77-89
    PubMedGoogle Scholar
  • 16 Lebowitz MS. Stigmatization of ADHD a developmental review. J Atten Disord 2016; 20 (03) 199-205
    CrossrefPubMedGoogle Scholar
  • 17 Martin JK, Pescosolido BA, Olafsdottir S, McLeod JD. The construction of fear: Americans' preferences for social distance from children and adolescents with mental health problems. J Health Soc Behav 2007; 48 (01) 50-67
    CrossrefPubMedGoogle Scholar
  • 18 Wiener J, Malone M, Varma A. et al. Children's perceptions of their ADHD symp toms: positive illusions, attributions, and stigma. Can J Sch Psychol 2012; 27 (03) 217-242
    CrossrefPubMedGoogle Scholar
  • 19 Bell L, Long S, Garvan C, Bussing R. The impact of teacher credentials on ADHD stigma perceptions. Psychol Sch 2011; 48 (02) 184-197
    CrossrefPubMedGoogle Scholar
  • 20 Kaushik A, Kostaki E, Kyriakopoulos M. The stigma of mental illness in children and adolescents: a systematic review. Psychiatry Res 2016; 243: 469-494
    CrossrefPubMedGoogle Scholar
  • 21 Wiener J, Mak M. Peer Victimization in children with attention-defcit/hyperactivity disorder. Psychol Sch 2009; 46 (02) 116-131
    CrossrefPubMedGoogle Scholar
  • 22 Heiman T. An examination of peer relationships of children with and without attention deficit hyperactivity disorder. Sch Psychol Int 2005; 26 (03) 330-339
    CrossrefPubMedGoogle Scholar
  • 23 McQuade JD. Peer functioning in adolescents with ADHD. In: Becker SP. ed. ADHD in Adolescents: Development, Assessment, and Treatment. New York, NY: The Guilford Press; 2020: 128-147
    Google Scholar
  • 24 McQuade JD, Hoza B. Peer relationships of children with ADHD. In: Barkley RA. ed. Attention Deficit Hyperactivity Disorder: A Manual for Diagnosis and Treatment. New York, NY: The Guilford Press; 2015: 210-222
    Google Scholar
  • 25 Timmermanis V, Wiener J. Social correlates of bullying in adolescents with attention-defcit/hyperactivity disorder. Can J Sch Psychol 2011; 26 (04) 301-318
    CrossrefPubMedGoogle Scholar
  • 26 Dewey D, Volkovinskaia A. Health-related quality of life and peer relationships in adolescents with developmental coordination disorder and attention-deficit-hyperactivity disorder. Dev Med Child Neurol 2018; 60 (07) 711-717
    CrossrefPubMedGoogle Scholar
  • 27 Örengül AC, Sabuncuoğlu OT. Peer victimization in children with attention-deficit/hyperactivity disorder. Anat J Psychiatr 2018; 19 (04) 405-410
    PubMedGoogle Scholar
  • 28 Gerdes AC, Hoza B. Maternal attributions, affect, and parenting in attention deficit hyperactivity disorder and comparison families. J Clin Child Adolesc Psychol 2006; 35 (03) 346-355
    CrossrefPubMedGoogle Scholar
  • 29 Cocks N, Barton B, Donelly M. Self-concept of boys with developmental coordination disorder. Phys Occup Ther Pediatr 2009; 29 (01) 6-22
    CrossrefPubMedGoogle Scholar
  • 30 Harter S. The Construction of the Self: a Developmental Perspective. New York, NY: Guilford Press; 1999
    Google Scholar
  • 31 Smit S, Mikami AY, Normand S. Correlates of loneliness in children with attention-deficit/hyperactivity disorder: comorbidities and peer problems. Child Psychiatry Hum Dev 2020; 51 (03) 478-489
    CrossrefPubMedGoogle Scholar
  • 32 Hurt EA, Hoza B, Pelham Jr WE. Parenting, family loneliness, and peer functioning in boys with attention-deficit/hyperactivity disorder. J Abnorm Child Psychol 2007; 35 (04) 543-555
    CrossrefPubMedGoogle Scholar