Asian Journal of Human Services
Online ISSN : 2188-059X
Print ISSN : 2186-3350
ISSN-L : 2186-3350
ORIGINAL ARTICLES
Prosocial Behaviors and Related Factors in Preschool Children with ADHD;
A Cross-sectional Study and Secondary Data Analysis
Prakasit WANNAPASCHAIYONG
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JOURNAL OPEN ACCESS

2025 Volume 28 Pages 289-299

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Abstract
Prosocial behaviors, like empathy and sharing, are vital for social interaction. Preschool children with ADHD often struggle in these areas, impacting community engagement. Identifying factors influencing their prosocial behavior can inform treatments to improve social functioning and quality of life. This study aimed to assess the prevalence and factors associated with poor prosocial behavior among preschool children with ADHD. A cross-sectional study was conducted in preschool children with ADHD aged 4-6 between October and December 2023. Parents completed a demographic information form and the Strengths and Difficulties Questionnaire (SDQ). Demographic analysis, univariate and multivariate linear regression analysis were used to determine the prevalence and associated factors of impaired prosocial behavior. A total of 80 preschool children with ADHD were included in the study. The prevalence of impaired prosocial behavior at risk or problematic levels was 11.2%. A multivariate linear regression model indicated that emotional problems and peer relationship problems were negatively associated with impairment of prosocial behavior, with β values of −0.450 (95%CI = −0.540, −0.021) and −0.293 (95%CI = −0.428, −0.035), respectively. Additionally, the use of methylphenidate was positively associated with higher prosocial behavioral scores (β = 0.239, 95%CI = 0.149, 1.347). Preschool children with ADHD should be recognized as being at risk for impaired prosocial behavior. Addressing emotional regulation and fostering good peer relationships are essential for appropriate prosocial behavior. Furthermore, taking medication to control ADHD symptoms is positively associated with prosocial behavior.
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© 2025 Asian Society of Human Services
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