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The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions

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 neuroco...

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Autores principales: Tallberg, Pia, Svanberg, Kristina, Hallin, Anne-Li, Rastam, Maria, Gustafsson, Peik, Perrin, Sean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sciendo 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284941/
https://www.ncbi.nlm.nih.gov/pubmed/35903554
http://dx.doi.org/10.2478/sjcapp-2022-0008
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author Tallberg, Pia
Svanberg, Kristina
Hallin, Anne-Li
Rastam, Maria
Gustafsson, Peik
Perrin, Sean
author_facet Tallberg, Pia
Svanberg, Kristina
Hallin, Anne-Li
Rastam, Maria
Gustafsson, Peik
Perrin, Sean
author_sort Tallberg, Pia
collection PubMed
description 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. Plan/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.
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spelling pubmed-92849412022-07-27 The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions Tallberg, Pia Svanberg, Kristina Hallin, Anne-Li Rastam, Maria Gustafsson, Peik Perrin, Sean Scand J Child Adolesc Psychiatr Psychol Research Article 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. Plan/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. Sciendo 2022-07-03 /pmc/articles/PMC9284941/ /pubmed/35903554 http://dx.doi.org/10.2478/sjcapp-2022-0008 Text en © 2022 Pia Tallberg, Kristina Svanberg, Anne-Li Hallin, Maria Rastam, Peik Gustafsson, and Sean Perrin, published by Sciendo https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
spellingShingle Research Article
Tallberg, Pia
Svanberg, Kristina
Hallin, Anne-Li
Rastam, Maria
Gustafsson, Peik
Perrin, Sean
The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions
title The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions
title_full The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions
title_fullStr The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions
title_full_unstemmed The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions
title_short The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions
title_sort three-year outcome of emotional symptoms in clinically referred youth with adhd and their relationship to neuropsychological functions
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284941/
https://www.ncbi.nlm.nih.gov/pubmed/35903554
http://dx.doi.org/10.2478/sjcapp-2022-0008
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