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Journal of Pediatric Psychology Advance Access published online on February 23, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsi029
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Journal of Pediatric Psychology © Society of Pediatric Psychology 2005; all rights reserved.
Received August 22, 2003
Revised April 5, 2004
Accepted July 27, 2004

Article

Coping Skills and Parent Support Mediate the Association Between Childhood Attention-Deficit/Hyperactivity Disorder and Adolescent Cigarette Use

Brooke S. G. Molina PhD1*, Michael P. Marshal PhD2, William E. Pelham Jr. PhD3, and R. J. Wirth 4

1 Departments of Psychiatry and Psychology, University of Pittsburgh School of Medicine
2 Department of Psychiatry, University of Pittsburgh School of Medicine
3 Departments of Psychology, Pediatrics, and Psychiatry, State University of New York at Buffalo, and
4 Department of Psychology, University of North Carolina at Chapel Hill

* To whom correspondence should be addressed.
Brooke S. G. Molina, E-mail: molinab{at}upmc.edu


  Abstract

Objective To examine mediators of the association between childhood attention-deficit/hyperactivity disorder (ADHD) and adolescent cigarette use. Method Participants were 142 adolescents diagnosed with ADHD in childhood and 100 adolescents without ADHD. Results Among probands, cigarette smoking was more frequent, adaptive coping skills (behavioral and cognitive) were fewer, and parental support was lower. Coping and support partially mediated the ADHD association with smoking. Persistence of ADHD and adolescent conduct disorder were also important. Conclusions Vulnerability to smoking among probands may be partly due to fewer problem-solving resources. Coping skill deficits and parent-child communication may be important treatment targets for smoking prevention.

Keywords: smoking; cigarettes; ADHD; attention deficit; adolescence.
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