Attention Deficit / Hyperactivity Disorder (AD/HD) and Conduct Disorder (CD) constitute different diagnostic
categories in the DSM-IV. However, several authors propose that CD develops as secondary to ADHD, due to
coercive interaction patterns between children with ADHD and their parents that often originate from false parental
beliefs regarding child behaviour. The purpose of this study was to compare parental beliefs regarding hyperactivity
and conduct problems in the domains of severity, controllability, causality and appropriate parental responses. 317
mothers and 317 fathers of boys and girls aged 4-6, enrolled in kindergartens in Athens, completed the “SDQ” and
one version of “The Parental Account of the Causes of Childhood Problems Questionnaire”. Two versions were
based on vignettes presenting either a boy or a girl with ADHD and two others included vignettes presenting either a
boy or a girl with CD. Conduct problems were perceived as significantly more severe, controllable and impairing than
hyperactivity problems. Hyperactivity problems were more likely to be attributed to
biological reasons than conduct problems. Finally, strictness was the most likely reaction for
conduct problems but not hyperactivity. To conclude, parents usually fail to capture the interrelationship between
hyperactivity and conduct problems. Their negative views of the child’s conduct problems may lead to strict and
punishing strategies that can cause frequent conflictual encounters. Cognitive-behaviourally-based intervention
programs should help parents understand the interrelationship between ADHD symptoms and conduct problems in
order for them to adopt more effective responses.