Comorbid anxiety and irritability symptoms and their association with cognitive functioning in children with ADHD.

IF 3.6
Nicola Read, Melissa Mulraney, Jane McGillivray, Emma Sciberras
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引用次数: 2

Abstract

Anxiety and irritability symptoms frequently co-occur in children with Attention-Deficit/Hyperactivity Disorder (ADHD). This study aims to investigate whether irritability and anxiety are uniquely associated with performance on measures of cognitive functioning in children with ADHD and whether these associations hold when accounting for confounding variables. Baseline data was used from a randomised controlled trial of cognitive behavioural therapy for anxiety in children with ADHD (N = 219, 8-13 years). Anxiety was assessed using the child- and parent-reported Spence Children's Anxiety Scale, while irritability was assessed using the parent-reported Affective Reactivity Index. Children completed the National Institutes of Health Toolbox - Cognition Battery. Higher symptoms of anxiety were uniquely associated with performance on the Dimensional Card Change Sort Test (β = -2.75, confidence interval (CI) [-4.97, -.52], p = .02) and the List Sort Working Memory Test (β = -2.57, CI [-4.43, -.70], p = .01), while higher symptoms of irritability were negatively associated with Picture Vocabulary Test (β = -2.00, CI [-3.83, -.16], p = .03). These associations did not survive correction for multiple comparisons. There was little evidence of an association between anxiety or irritability symptoms and cognitive functioning. Frequent co-occurrence of anxiety and irritability suggests clinicians working with children with ADHD should assess co-morbid symptom profiles to inform the provision of optimum care.

ADHD患儿的共病焦虑和易怒症状及其与认知功能的关系
焦虑和易怒症状经常同时出现在儿童的注意力缺陷/多动障碍(ADHD)。本研究旨在探讨易怒和焦虑是否与多动症儿童认知功能测试的表现有独特的联系,以及在考虑混杂变量时这些联系是否成立。基线数据来自一项认知行为疗法治疗ADHD儿童焦虑的随机对照试验(N = 219, 8-13岁)。使用儿童和父母报告的斯宾塞儿童焦虑量表评估焦虑,而使用父母报告的情感反应指数评估易怒。孩子们完成了美国国立卫生研究院工具箱-认知电池。较高的焦虑症状与维度卡片变化排序测试的表现有独特的相关性(β = -2.75,置信区间(CI)[-4.97, -]。52], p = .02)和列表排序工作记忆测试(β = -2.57, CI[-4.43, -。70], p = 0.01),而较高的易怒症状与图片词汇测试呈负相关(β = -2.00, CI[-3.83, -。[16], p = .03)。这些关联在多次比较校正后失效。几乎没有证据表明焦虑或易怒症状与认知功能之间存在关联。焦虑和易怒的频繁共存提示治疗ADHD儿童的临床医生应评估共病症状概况,以提供最佳护理。
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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