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A Typology of Management Styles in Families with Children with ADHD

Oregon Health & Science University, kendalju{at}ohsu.edu

Kathleen Shelton, P.N.P., Ph.D.

Oregon Health & Science University

Although studies have demonstrated that family dysfunction is common in families with attention deficit hyperactivity disorder (ADHD) children and that family members often suffer serious psychological effects, knowledge is lacking as to how to intervene to help these families manage the negative sequelae common to this disorder. This grounded theory study explored the effects of ADHD on family life and describes four family management styles exhibited in 15 families with children and adolescents with ADHD: the chaotic family, ADHD-controlled family, the surviving family, and the reinvested family. Descriptions and clinical recommendations are provided that addresses each family management type. By describing an initial typology of family management styles in this population, specific health-related issues and family assessment and intervention strategies can be more specifically directed.

Key Words: family management styles • ADHD • clinical recommendations • grounded theory

Journal of Family Nursing, Vol. 9, No. 3, 257-280 (2003)
DOI: 10.1177/1074840703255446


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