Evidence map›Paper›PMID 30857751›Full record

ArticleSocial science & medicine (1982)2021

Associations between neighborhood, family factors and symptom change in childhood attention deficit hyperactivity disorder.

Wendy Sharp, Aman Mangalmurti, Carlisha Hall, Saadia Choudhury, Philip Shaw

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Exploring Transdiagnostic Mechanisms of Youth Externalizing Psychopathology: A Longitudinal Person-Centered Approach.Clinical psychological science : a journal of the Association for Psychological Science · 2026
    Article
  2. Article
  3. Article
  4. Developmental Pathways of Inattention, Hyperactivity/Impulsivity, and Disruptive Behaviors: A Longitudinal, Person-Centered Approach.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Assessing the Impact of Neighborhood Conditions on Neurodevelopmental Disorders during Childhood.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Wendy SharpOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD, 20892, USA. Electronic address: sharpw@mail.nih.gov.
Aman MangalmurtiNeurobehavioral Clinical Research Section, Social and Behavioral Research Branch, National Human Genome Research Institute, Bldg 31 B137, Bethesda, 20892, USA.
Carlisha HallNeurobehavioral Clinical Research Section, Social and Behavioral Research Branch, National Human Genome Research Institute, Bldg 31 B137, Bethesda, 20892, USA.
Saadia ChoudhuryNeurobehavioral Clinical Research Section, Social and Behavioral Research Branch, National Human Genome Research Institute, Bldg 31 B137, Bethesda, 20892, USA.
Philip ShawOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD, 20892, USA; Neurobehavioral Clinical Research Section, Social and Behavioral Research Branch, National Human Genome Research Institute, Bldg 31 B137, Bethesda, 20892, USA.

Funding

The neurobehavioral, environmental and genetic factors impacting ADHD.ZIAHG200378 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI SHAW, PHILIP · 2012 to 2025
$17.7M
Intramural NIH HHS Z99 MH999999NIMH NIH HHS Z99 MH999999
6 · The paper itself

Abstract

Transactional theories view development as partly shaped by processes proximal to a child, which in turn interact with more distal neighborhood and societal contexts. Here we apply this theory to parse the interplay between neighborhood and familial factors on age-related change in symptoms of inattention and hyperactivity-impulsivity (ADHD). A cohort of 190 children (96 with ADHD) had a range of neighborhood and familial factors ascertained and had repeated clinical assessments over an average of 2.5 years at a U.S. research center. Using mixed model regression, we found an association between neighborhood wealth, but not the built environment, and the annual rate of change of inattentive but not hyperactive-impulsive symptoms. Following the transactional model, we asked if familial processes explain (mediate), modify (moderate), or act alongside this effect of neighborhood wealth on the change in a child's symptoms of inattention with age. We found evidence for moderation. Specifically, several family level variables - parental economic/education status and degree of family conflict and order moderated the effects of neighborhood wealth on the change in a child's inattentive symptoms. Children living in relatively affluent neighborhoods showed improvement with age in inattention, largely independent of variation in a wide range of familial factors. By contrast, children living in less affluent neighborhoods showed clinical deterioration only if the family had high levels of conflict or if the parents were of lower economic/educational status. Such work might help identify children whose familial and neighborhood contexts place them at risk of having ADHD symptoms persist or increase with age.

Indexed as

Attention Deficit Disorder with HyperactivityChildCohort StudiesFamilyHumansImpulsive BehaviorParentsADHDBuilt environmentFamily conflictNeighborhood wealthSESSymptom trajectoriesTransactional model

Identifiers

PMID30857751
PMCPMC6748875

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.