Childhood ADHD and Executive Functioning: Unique Predictions of Early Adolescent Depression.

Childhood ADHD and Executive Functioning: Unique Predictions of Early Adolescent Depression.
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儿童多动症和执行功能:早期青少年抑郁症的独特预测。

DOI:
10.1007/s10802-021-00845-6
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发表时间:
2022-06
影响因子:
2.5
通讯作者:
Lee, Steve S.
Lee, Steve S.
中科院分区:
心理学2区
文献类型:
--
作者:
Fenesy, Michelle C.;Lee, Steve S.

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鉴于青少年抑郁症的患病率越来越高,确定其早期预测因素并阐明其个体差异背后的机制是必要的。控制基线执行功能(EF),我们测试了单独的ADHD维度(即注意力不集中,多动-冲动)作为早期青少年抑郁的独立预测因子,包括学术功能和社会问题的时间顺序因果中介,使用结构方程模型。在基线时,参与者包括216名6-9岁的儿童(67%为男性),患有(n = 112)和没有(n = 104)多动症,他们随后分别在大约2年和4年后完成了第2和第3轮随访。预测因子包括单独的家长和老师对儿童多动症的评分和基于实验室的关键EF域评估。在第二阶段,家长和老师完成了青少年学业和社会功能的规范评定量表;青少年完成了标准化的学业成绩评估。在第三阶段,年轻人自我报告抑郁。基线注意力不集中对早期青少年抑郁有积极的预测作用,而儿童期多动冲动性和EF则没有。学业和社会功能均未显著调节基线ADHD和EF对抑郁的预测。我们考虑从注意力不集中预测青少年早期抑郁,包括未来干预和预防研究的方向。
Given the increasing prevalence of adolescent depression, identification of its early predictors and elucidation of the mechanisms underlying its individual differences is imperative. Controlling for baseline executive functioning (EF), we tested separate ADHD dimensions (i.e., inattention, hyperactivity-impulsivity) as independent predictors of early adolescent depression, including temporally-ordered causal mediation by academic functioning and social problems, using structural equation modeling. At baseline, participants consisted of 216 children (67% male) ages 6–9 years old with (n = 112) and without (n = 104) ADHD who subsequently completed Wave 2 and 3 follow-ups approximately two and four years later, respectively. Predictors consisted of separate parent and teacher ratings of childhood ADHD and laboratory-based assessments of key EF domains. At Wave 2, parents and teachers completed normed rating scales of youth academic and social functioning; youth completed standardized assessments of academic achievement. At Wave 3, youth self-reported depression. Baseline inattention positively predicted early adolescent depression whereas childhood hyperactivity-impulsivity and EF did not. Neither academic nor social functioning significantly mediated predictions of depression from baseline ADHD and EF. We consider prediction of early adolescent depression from inattention, including directions for future intervention and prevention research.
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