Peer Support, Positive Mindset Predict Resilience in ADHD Teens: Study
Peer support, self-confidence, and a positive stress mindset are linked to greater resilience in older teens with ADHD, according to this longitudinal study.
August 28, 2024
Peer acceptance, a sense of self-efficacy, and a stress-is-enhancing mindset are strong predictors of resilience in older teens with ADHD, according to a small longitudinal study published in Child Psychiatry & Human Development.1
The study, which followed 113 adolescents with ADHD from 10th to 12th grade, found that higher levels of peer acceptance, self-efficacy, and a growth mindset in 10th or 11th grade predicted higher levels of resilience 1.5 to 2 years later.
Peer Acceptance & Mechanisms of Resilience
Participants from the present study were assessed at three points:
- Fall/winter of 10th grade for peer acceptance
- Spring of 10th or 11th grade for self-efficacy, a stress-is-enhancing mindset, and baseline resilience
- Spring of 11th or 12th grade for follow-up on resilience
Peer acceptance at the start of the study explained 24% of the variance in resilience at follow-up. Teens with less severe ADHD symptoms were significantly more likely to report feelings of peer acceptance.
Resilience was measured using the Brief Resilience Scale (BRS), which asked teens to measure their agreement with statements such as “I tend to bounce back quickly after hard times” and “I take a long time to get over setbacks in my life.”
Self-Efficacy
Self-efficacy mediated the relationship between peer acceptance and resilience, accounting for 39% of the variance in resilience at follow-up.
“Greater self-efficacy has been associated with positive outcomes for children and adolescents with ADHD, including lower levels of depression and internalizing symptoms, and reported higher quality of life,” wrote Elizabeth Chan, lead author of the study.
Though ADHD symptom severity did not change the positive effect of self-efficacy on resilience, existing research shows that ADHD symptoms can negatively impact self-esteem.
A Stress-Is-Enhancing Mindset
A stress-is-enhancing mindset accounted for 31% of the variance in resilience. Individuals with this mindset view obstacles as opportunities for learning and development. Teens with more severe ADHD symptoms needed at least a moderate stress-is-enhancing mindset to promote resilience.
A Positive Mindset Has Broad Impact
“One of the key attributes of resilient children and adults is when problems come up, they view these problems as challenges to be solved rather than overwhelmed by,” said Robert Brooks, Ph.D., a leading expert on resilience and motivation.
Healthy peer relationships are also critical for kids with ADHD, many of whom struggle to initiate and maintain friendships. Children tend to experience increased interpersonal problems as they enter adolescence.1 Between 50% and 80% experience peer rejection, according to one study, which found classmates’ opinions of ADHD students are developed within the first 30 minutes and persist long after.2
“We have to help our children become much better problem solvers and believe in themselves… to start to feel that there are these problems, but there are [also] things we can do,” said Brooks during his 2022 ADDitude webinar “Nurturing Resilience and Motivation in Children with ADHD: The Search for ‘Islands of Competence.”
Existing research on ADHD has associated adaptive outcomes with a growth mindset, as noted by the authors. A growth mindset — the belief that one can change their abilities and circumstances — predicts fewer negative emotions, greater efficacy, and less avoidant coping.3, 4
In contrast, those with a stress-is-debilitating mindset view stress consequentially and are more likely to act on impulse — a core symptom of ADHD. A study published by Society for Research in Child Development and cited by the authors found that, among 1,343 adolescents, more adverse life events predicted greater distress and decreased self-control.5 When participants viewed stress as beneficial, they were less likely to respond impulsively to negative events.
Support from Caregivers
No significant interaction was found between a stress-is-enhancing mindset and peer acceptance. According to research cited by the authors, support from parents and teachers may be more influential than support from peers in promoting this enhancing mindset, 6, 7 particularly when caregivers praise effort over ability.
Additionally, the presence of a charismatic adult — someone from whom children gather strength — has been associated with resilience in kids with ADHD.8 “In the absence of a good co-regulator, a solid, charismatic adult… we know that the likelihood of going on to have positive outcomes goes down,” said Cheryl Chase, Ph.D., in her 2022 webinar with ADDitude on how stress and trauma impact child development. “One charismatic adult can make a massive difference.”
“Despite the adverse outcomes associated with ADHD, some adolescents with ADHD perform as well as or better than their non-ADHD peers in one or more functional domain(s),” wrote Chan et al. “These individuals appear to exhibit resilience, or a pattern of positive adaptation, with some thriving despite the neurobehavioral risks associated with their diagnosis.”
Limitations & Future Research
This was the first study to look at peer acceptance as a predictor of resilience and self-efficacy as a mediator. It was also the first to examine a stress-is-enhancing mindset in the context of ADHD.
Analyses controlled for sex, ADHD symptoms, baseline resilience, and cohort. To be included, participants were required to meet DSM-5 criteria for ADHD combined or inattentive type. Adolescents were excluded if they had a previous or existing diagnosis of autism spectrum disorder, bipolar disorder, dissociative or psychotic disorder, or an organic sleep disorder.
Future research should examine the potential causes of gender discrepancy in levels of resilience, which were significantly lower among females with ADHD. A more diverse sample is also needed, as the population was mostly male (67%) and White or Non-Hispanic (81%). A large percentage of the variance in resilience (61%) was unaccounted for; researchers should consider other contributing factors. Self-report scales were used as a primary measure; more objective reporting tools should be considered for future studies. Exploring interventions that encourage greater peer acceptance and a stress-is-enhancing mindset would benefit the study population.
View Article Sources
1Chan, E.S.M., Dvorsky, M.R., Green, C.D., et al. (2024). Predictors and mechanisms of resilience for high school students with ADHD: a prospective longitudinal study. Child Psychiatry Hum Dev. https://doi.org/10.1007/s10578-024-01704-3
2Ferretti N.M., King S.L., Hilton D.C., Rondon A.T., & Jarrett M.A. (2019). Social functioning in youth with attention-deficit/hyperactivity disorder and sluggish cognitive tempo. Yale J Biol Med, 92(1), 29-35. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430168/
3 Burnette, J.L., Babij, A.D., Oddo, L.E., &Knouse, L.E. (2020). Self-regulation mindsets: relationship to coping, executive functioning, and ADHD. Journal of Social and Clinical Psychology, 39(2), 101-116. https://doi.org/10.1521/jscp.2020.39.02.101
4 Pay, C. (n.d.). How can I foster a growth mindset in my ADHD kids? Utah State University. https://extension.usu.edu/relationships/faq/how-can-i-foster-a-growth-mindset-in-my-adhd-kids
5 Park, D., Yu, A., Metz, S.E., Tsukayama, E., Crum, A.J., & Duckworth, A.L. (2018). Beliefs about stress attenuate the relation among adverse life events, perceived distress, and self-control. Child Dev 89(6), 2059–2069. https://doi.org/10.1111/cdev.12946
6 Haimovitz, K., & Dweck, C.S. (2016). What predicts children’s fixed and growth intelligence mindsets? Not their parents’ views of intelligence but their parents’ views of failure. Psychol Sci 27(6), 859–869. https://doi.org/10.1177/0956797616639727
7 Park, D., Gunderson, E.A., Tsukayama, E., Levine, S.C., & Beilock, S.L. (2016). Young children’s motivational frameworks and math achievement: relation to teacher-reported instructional practices, but not teacher theory of intelligence. J Educ Psychol 108(3), 300. https://doi.org/10.1037/edu0000064
8 Ofiesh, N.S., & Mather, N. (2023). Resilience and the child with learning disabilities. In: Goldstein, S., & Brooks, R.B. (Eds.). Handbook of resilience in children. Springer, Cham. https://doi.org/10.1007/978-3-031-14728-9_25
