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The three-year outcome of emotional symptoms in clinically referred youth with ADHD and their relationship to neuropsychological functions

Tallberg, Pia LU ; Svanberg, Kristina ; Hallin, Anne-Li LU ; Råstam, Maria LU orcid ; Gustafsson, Peik LU orcid and Perrin, Sean LU orcid (2022) In Scandinavian Journal of Child and Adolescent Psychiatry and Psychology 10(1). p.72-86
Abstract
Background: Further knowledge is needed regarding long-term outcome of
emotional symptoms, and the interplay between these symptoms and neuropsychological functioning in youth with attention deficit hyperactivity disorder (ADHD). Objective: We aimed to explore the effect of performance-based neurocognitive functions and parent-rated behavioral executive functioning (EF) on self-rated and parent-rated internalizing symptoms longitudinally in clinically referred youth with ADHD (n = 137; mean age = 12.4 years). We also aimed to examine the change in self-rated emotional symptoms in the ADHD group and a Control group (n = 59; mean age = 11.9 years). Method: At baseline, and three years later, parents completed rating scales of their... (More)
Background: Further knowledge is needed regarding long-term outcome of
emotional symptoms, and the interplay between these symptoms and neuropsychological functioning in youth with attention deficit hyperactivity disorder (ADHD). Objective: We aimed to explore the effect of performance-based neurocognitive functions and parent-rated behavioral executive functioning (EF) on self-rated and parent-rated internalizing symptoms longitudinally in clinically referred youth with ADHD (n = 137; mean age = 12.4 years). We also aimed to examine the change in self-rated emotional symptoms in the ADHD group and a Control group (n = 59; mean age = 11.9 years). Method: At baseline, and three years later, parents completed rating scales of their child’s ADHD symptoms (Swanson Nolan Pelham Scale, Version IV – SNAP-IV), emotional symptoms (Five To Fifteen Questionnaire, Strengths and Difficulties Questionnaire), and EF (Behavior Rating Inventory of Executive Function). At the same time, the child completed self-report measures of Anxiety, Depression, and Anger Inventories (the Beck Youth Inventories) and
neurocognitive measures (Conner’s Continuous Performance Test, Version II (CPT-II), Working Memory and Processing Speed composites (Wechsler Intelligence Scales). Statistical analyses were linear and logistic mixed models. Results: Using longitudinal data, parent- and self-ratings of emotional symptoms were associated with parent-ratings of EF behavior in youth with ADHD. Planning/organizing deficits were associated with Anxiety and Anger over and above other metacognitive subscales, while Emotional Control was related to Anger over and above other behavior regulation subscales. In the ADHD group, Anger symptoms improved across measuring points. When controlling for age, Anxiety, and Depression symptoms were largely stable in both groups, however at higher levels in the ADHD group. The differences in anxiety and depression symptoms
across groups decreased over time. Conclusions: The current study emphasizes the importance of identification, monitoring, and treatment of emotional symptoms, and behavioral aspects of EF in youth with ADHD. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
ADHD, Emotional Symptoms, Executive functioning, Follow up study, Youth
in
Scandinavian Journal of Child and Adolescent Psychiatry and Psychology
volume
10
issue
1
pages
14 pages
external identifiers
  • pmid:35903554
ISSN
2245-8875
DOI
10.2478/sjcapp-2022-0008
project
Validity of neurocognitive assessment methods in children with ADHD
language
English
LU publication?
yes
id
c0eee41a-7a6e-42d8-8406-53c34a100b54
date added to LUP
2022-05-10 11:41:33
date last changed
2022-10-04 03:00:15
@article{c0eee41a-7a6e-42d8-8406-53c34a100b54,
  abstract     = {{Background: Further knowledge is needed regarding long-term outcome of<br/>emotional symptoms, and the interplay between these symptoms and neuropsychological functioning in youth with attention deficit hyperactivity disorder (ADHD). Objective: We aimed to explore the effect of performance-based neurocognitive functions and parent-rated behavioral executive functioning (EF) on self-rated and parent-rated internalizing symptoms longitudinally in clinically referred youth with ADHD (n = 137; mean age = 12.4 years). We also aimed to examine the change in self-rated emotional symptoms in the ADHD group and a Control group (n = 59; mean age = 11.9 years). Method: At baseline, and three years later, parents completed rating scales of their child’s ADHD symptoms (Swanson Nolan Pelham Scale, Version IV – SNAP-IV), emotional symptoms (Five To Fifteen Questionnaire, Strengths and Difficulties Questionnaire), and EF (Behavior Rating Inventory of Executive Function). At the same time, the child completed self-report measures of Anxiety, Depression, and Anger Inventories (the Beck Youth Inventories) and<br/>neurocognitive measures (Conner’s Continuous Performance Test, Version II (CPT-II), Working Memory and Processing Speed composites (Wechsler Intelligence Scales). Statistical analyses were linear and logistic mixed models. Results: Using longitudinal data, parent- and self-ratings of emotional symptoms were associated with parent-ratings of EF behavior in youth with ADHD. Planning/organizing deficits were associated with Anxiety and Anger over and above other metacognitive subscales, while Emotional Control was related to Anger over and above other behavior regulation subscales. In the ADHD group, Anger symptoms improved across measuring points. When controlling for age, Anxiety, and Depression symptoms were largely stable in both groups, however at higher levels in the ADHD group. The differences in anxiety and depression symptoms<br/>across groups decreased over time. Conclusions: The current study emphasizes the importance of identification, monitoring, and treatment of emotional symptoms, and behavioral aspects of EF in youth with ADHD.}},
  author       = {{Tallberg, Pia and Svanberg, Kristina and Hallin, Anne-Li and Råstam, Maria and Gustafsson, Peik and Perrin, Sean}},
  issn         = {{2245-8875}},
  keywords     = {{ADHD; Emotional Symptoms; Executive functioning; Follow up study; Youth}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{72--86}},
  series       = {{Scandinavian Journal of Child and Adolescent Psychiatry and Psychology}},
  title        = {{The three-year outcome of emotional symptoms in clinically referred youth with ADHD and their relationship to neuropsychological functions}},
  url          = {{http://dx.doi.org/10.2478/sjcapp-2022-0008}},
  doi          = {{10.2478/sjcapp-2022-0008}},
  volume       = {{10}},
  year         = {{2022}},
}