{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:39:42Z","timestamp":1790419182386,"version":"4.1.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T00:00:00Z","timestamp":1513728000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Severe early deprivation has a causal role in attention-deficit\/hyperactivity disorder (ADHD). Adversity in the home is associated with increased ADHD and oppositional symptoms in children with ADHD. We aimed to replicate this in an independent clinic sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 247 sequential families with a child referred to child and adolescent mental health services (CAMHS) were invited to participate; 100 families completed the study. The Home Observation Measure of the Environment (HOME) assessment was completed in the family home; parents completed the Conners\u2019 Rating Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A less supportive home was associated with more symptoms of inattention ( r\u2009=\u2009.33, p\u2009=\u2009.001), hyperactivity\/impulsivity ( r\u2009=\u2009\u2212.22, p\u2009=\u2009.028) and oppositionality ( r\u2009=\u2009\u2212.48, significant at p\u2009&lt;\u2009.000001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The HOME correlates with ADHD and oppositional symptom severity in a clinic sample; more research is required to ascertain whether this is a causal association and the direction of causation. If causal, then the modification of the home environment may be a treatment strategy for ADHD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1359104517740712","type":"journal-article","created":{"date-parts":[[2017,12,23]],"date-time":"2017-12-23T14:32:28Z","timestamp":1514039548000},"page":"503-513","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["The Home Observation Measure of the Environment is associated with symptoms of ADHD and oppositionality in a CAMHS sample"],"prefix":"10.1177","volume":"23","author":[{"given":"Wai Wai","family":"Lai","sequence":"first","affiliation":[{"name":"School of Medicine, University College Dublin, Ireland"},{"name":"Dublin North City and County Child & Adolescent Mental Health Service, Health Services Exective, Dublin 1, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"O\u2019Mahony","sequence":"additional","affiliation":[{"name":"School of Medicine, University College Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7708-1177","authenticated-orcid":false,"given":"Aisling","family":"Mulligan","sequence":"additional","affiliation":[{"name":"Dublin North City and County Child & Adolescent Mental Health Service, Health Services Exective, Dublin 1, Ireland"},{"name":"Department of Child & Adolescent Psychiatry and Catherine McAuley Education & Research Centre, School of Medicine, University College Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,12,20]]},"reference":[{"key":"bibr1-1359104517740712","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr2-1359104517740712","doi-asserted-by":"publisher","DOI":"10.1016\/0361-476X(88)90006-9"},{"key":"bibr3-1359104517740712","doi-asserted-by":"publisher","DOI":"10.1038\/sj.mp.4001869"},{"key":"bibr4-1359104517740712","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2005.00546.x"},{"key":"bibr5-1359104517740712","volume-title":"HOME inventory administration manual","author":"Caldwell B.","year":"2001"},{"key":"bibr6-1359104517740712","volume-title":"Conners\u2019 Rating Scales \u2013 Revised (CRS-R) technical manual","author":"Conners C. 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