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Peer Relationship Problems and Disruptive Behavior Disorders

David Guevremont is a licensed clinical child psychologist and associate professor of psychiatry at the University of Massachusetts Medical Center. Dr. Guevremont has been on the faculty in the Attention Deficit-Hyperactivity Disorders (ADHD) Clinic for the past 6 years. He is currently a psychologist at the Blackstone Valley Psychological Institute in Rhode Island. He specializes in the assessment and treatment of children and adolescents with ADHD and associated behavioral and learning disorders and is actively involved in research on ADHD, focusing on the peer relationships of children with this disorder. Address: David C. Guevremont, Department of Psychiatry, University of Massachusetts Medical Center, 55 Lake Avenue, North, Worcester, MA 01655.

Mark C. Dumas

Mark C. Dumas is a postdoctoral fellow in the Departments of Psychiatry and Pediatrics and at the Center for Attention Deficit-Hyperactivity Disorder at the University of Massachusetts Medical Center. Dr. Dumas specializes in the assessment and treatment of children and adolescents with ADHD and associated behavioral and learning disorders. His research interests include ADHD, with special focus on the peer interactions and relationships of children with disruptive behavioral disorders.

About half of all children with attention deficit–hyperactivity disorder (ADHD) have significant problems with their peer relationships. These social difficulties appear to be related to a high rate of intrusive behavior, deficits in conversation and reciprocity, social–cognitive biases, and poor emotional regulation. Social skills interventions have been advocated to teach children and adolescents how to interact more successfully with their peers. To date, few studies have systematically evaluated social skills interventions for children with ADHD. However, studies with children and adolescents who are disruptive have pointed to serious limitations in the generalization of treatment effects to the natural environment and questionable changes in peer relationships as a result of these treatments. These limitations and potentially useful adjunctive and alternative treatment strategies are discussed, including careful attention to setting events, the strategic use of peers, and the impact of medications on peer interactions.

Journal of Emotional and Behavioral Disorders, Vol. 2, No. 3, 164-172 (1994)
DOI: 10.1177/106342669400200304


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