Does childhood executive function predict adolescent functional outcomes in girls with ADHD?

Does childhood executive function predict adolescent functional outcomes in girls with ADHD?
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DOI:
10.1007/s10802-009-9369-2
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发表时间:
2010-04
影响因子:
3.6
通讯作者:
Hinshaw, Stephen P.
Hinshaw, Stephen P.
中科院分区:
心理学2区
文献类型:
--
作者:
Miller, Meghan;Hinshaw, Stephen P.

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我们前瞻性地跟踪了患有多动症的青春期前女孩(n = 140)和匹配的对照女孩(n = 88)的种族和社会经济多样性样本,从童年中期到青春期早期/中期,为期5年。我们的目的是检验儿童执行功能(EF)测量方法预测青春期功能结果的能力。神经心理功能的测量由儿童预测因子组成,学业、社会和全球功能作为青少年的标准测量。结果表明,童年EF预测了(A)我们整个样本的学习成绩和社会功能(独立于诊断组状态)和(B)仅在患有ADHD的女孩中的全球功能(独立于智商)。这些结果突出了EF缺陷的非特异性,并表明评估和开发针对EF损伤的干预措施的重要性,特别是在那些具有负面结果的高风险人群中,以防止一系列重要功能领域的长期困难。
We prospectively followed an ethnically and socioeconomically diverse sample of preadolescent girls with ADHD (n = 140) and matched comparison girls (n = 88) over a period of 5 years, from middle childhood through early/mid-adolescence. Our aim was to examine the ability of measures of childhood executive function (EF) to predict functional outcomes in adolescence. Measures of neuropsychological functioning comprised the childhood predictors, with academic, social, and global functioning serving as adolescent criterion measures. Results indicated that childhood EF predicted (a) academic achievement and social functioning across our entire sample (independent of diagnostic group status) and (b) global functioning only in girls with ADHD (independent of IQ). These results highlight the non-specificity of EF deficits and suggest the importance of assessing and developing interventions that target EF impairments, particularly in those at high-risk for negative outcomes, in order to prevent long-term difficulties across a range of important functional domains.
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