Do Children With Attention-Deficit/Hyperactivity Disorder Symptoms Become Socially Isolated? Longitudinal Within-Person Associations in a Nationally Representative Cohort.
Do Children With Attention-Deficit/Hyperactivity Disorder Symptoms Become Socially Isolated? Longitudinal Within-Person Associations in a Nationally Representative Cohort.
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DOI：
10.1016/j.jaacop.2023.02.001
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发表时间：
2023-06
期刊：
影响因子：
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通讯作者：
Arseneault, Louise
中科院分区：
文献类型：
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作者：
Thompson, Katherine N;Agnew-Blais, Jessica C;Allegrini, Andrea G;Bryan, Bridget T;Danese, Andrea;Odgers, Candice L;Matthews, Timothy;Arseneault, Louise
这项研究考察了儿童时期注意力缺陷/多动症（ADHD）症状与社会孤立之间的纵向关联。该研究测试了这种关联随时间的变化方向，同时考虑了先前存在的特征，并评估了这种关联是否因多动症表现、知情者、性别和社会经济地位而变化。参与者包括来自环境风险 (E-Risk) 纵向双胞胎研究的 2,232 名儿童。在 5、7、10 和 12 岁时测量了 ADHD 症状和社会孤立。随机截取交叉滞后面板模型用于评估整个童年时期关联的方向性。 ADHD 症状加重的儿童在童年后期被社会孤立的风险始终高于稳定的特征 (β = .05-.08)。这些纵向关联不是双向的；孤立的儿童以后不会有 ADHD 症状恶化的风险。与注意力不集中的儿童相比，患有多动症的儿童更有可能变得孤立。正如老师所观察到的那样，这一点在学校环境中很明显，但在家里的母亲们中却不然。研究结果强调了加强多动症儿童同伴社会支持和包容的重要性，特别是在学校环境中。这项研究增加了传统纵向方法之外的解释价值，因为结果代表了个体儿童相对于他们自己先前存在的特征如何随着时间的推移而变化。我们努力确保招募人类参与者时的性别和性别平衡。我们努力确保研究问卷的准备具有包容性。本文的一位或多位作者自我认同为科学界一个或多个历史上代表性不足的性和/或性别群体的成员。我们积极致力于促进作者群体中的性和性别平衡。本文的作者名单包括来自研究进行地点和/或社区的贡献者，他们参与了工作的数据收集、设计、分析和/或解释。
This study examined longitudinal associations between attention-deficit/hyperactivity disorder (ADHD) symptoms and social isolation across childhood. The study tested the direction of this association across time, while accounting for preexisting characteristics, and assessed whether this association varied by ADHD presentation, informant, sex, and socioeconomic status. Participants included 2,232 children from the Environmental Risk (E-Risk) Longitudinal Twin Study. ADHD symptoms and social isolation were measured at ages 5, 7, 10, and 12. Random-intercept cross-lagged panel models were used to assess the directionality of the association across childhood. Children with increased ADHD symptoms were consistently at increased risk of becoming socially isolated later in childhood, over and above stable characteristics (β = .05-.08). These longitudinal associations were not bidirectional; isolated children were not at risk of worsening ADHD symptoms later on. Children with hyperactive ADHD presentation were more likely to become isolated, compared with inattentive presentation. This was evident in the school setting, as observed by teachers, but not by mothers at home. The study findings highlight the importance of enhancing peer social support and inclusion for children with ADHD, particularly in school settings. This study adds explanatory value beyond traditional longitudinal methods, as the results represent how individual children change over time, relative to their own preexisting characteristics. We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented sexual and/or gender groups in science. We actively worked to promote sex and gender balance in our author group. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work.