Adults with ADHD and their children – A multiplecase study of attachment

Attention deficit hyperactivity disorder (ADHD) is a common psychiatric condition, characterized by the core symptoms of inattention, hyperactivity and impulsivity. In previous studies, ADHD has been associated with psychosocial difficulties in parenting and attachment relationships. However, little is known about the sensitivity and attachment strategies of adults with ADHD and that of their children. For this reason, the present thesis focuses on these topics. This thesis consists of three internationally published peer-reviewed articles (Studies I-III). Study I explored the self-protective strategies of adults with ADHD and their histories of dangers and traumas, as presented in retrospect. In Study I, nine adults with the ADHD diagnosis were interviewed using the modified Adult Attachment Interview (the DMM AAI). Studies II and III examined the selfprotective strategies of parents with ADHD and the sensitivity they displayed in dyadic interaction with their children. The parents were interviewed with the DMM AAI. Parental sensitivity was assessed using the CARE-Index. Additionally, Study III explored the self-protective strategies of parents with ADHD as well as those of their children as mediated by parental sensitivity. The self-protective strategies of the children were assessed with the Strange Situation Procedure (SSP) or the Preschool Assessment of Attachment (PAA). In Studies II and III, six parents with the ADHD diagnosis and their children, aged between 7 and 36 months, participated. One parent took part with her both children.