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Longitudinal attention-deficit/hyperactivity disorder symptom networks in childhood and adolescence: Key symptoms, stability, and predictive validity.
Journal of Psychopathology and Clinical Science ( IF 3.1 ) Pub Date : 2021-07-01 , DOI: 10.1037/abn0000661
Michelle M Martel 1 , Patrick K Goh 1 , Christine A Lee 2 , Sarah L Karalunas 3 , Joel T Nigg 3
Affiliation  

The current study visualized attention-deficit/hyperactivity disorder (ADHD) symptom networks in a longitudinal sample of participants across childhood and adolescence with exploratory examination of age and gender effects. Eight hundred thirty-six children ages 7-13 years were followed annually for 8 years in total. Across parent and teacher report, results suggested "is easily distracted" and "difficulties sustaining attention" as central symptoms across three testing points (i.e., Year 1, Year 3, and Years 5-8 collapsed). "Difficulties following instructions" and "intrudes/interrupts" also emerged as parent-reported central symptoms. Assessment of network structure across the three testing points suggested global robustness of relations among ADHD symptoms from midchildhood into early adolescence. However, relations among symptoms that cause problems in school settings (i.e., being easily distracted) were stronger in teacher-reported than parent-reported networks. When aggregated into a sum score, central symptoms during Year 1 predicted total difficulties related to mental health problems 5 years later just as well as all 18 symptoms. Central symptoms of ADHD may be useful as screeners of future emotional and behavioral difficulties. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译:


儿童和青春期纵向注意力缺陷/多动障碍症状网络:关键症状、稳定性和预测有效性。



目前的研究通过对年龄和性别影响的探索性检查,将儿童期和青春期参与者的纵向样本中的注意力缺陷/多动症(ADHD)症状网络可视化。每年对 836 名 7-13 岁儿童进行随访,为期 8 年。在家长和老师的报告中,结果表明“容易分心”和“难以保持注意力”是三个测试点(即第一年、第三年和第五至第八年崩溃)的中心症状。 “难以遵循指示”和“侵入/打断”也成为家长报告的主要症状。对三个测试点的网络结构的评估表明,从童年中期到青春期早期,多动症症状之间的关系具有整体稳健性。然而,在学校环境中引起问题(即容易分心)的症状之间的关系在教师报告的网络中比家长报告的网络中更强。当汇总为总分时,第一年的中心症状以及所有 18 种症状可以预测 5 年后与心理健康问题相关的总体困难。 ADHD 的中心症状可能有助于筛查未来的情绪和行为困难。 (PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。
更新日期:2021-07-01
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