Effects of comorbidity on executive functions among children with ADHD, finding trends.

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY
Applied Neuropsychology: Child Pub Date : 2024-04-01 Epub Date: 2022-11-17 DOI:10.1080/21622965.2022.2135440
Eliana Medrano Nava, Julio C Flores-Lázaro, Humberto Nicolini Sánchez, Francisco Juárez García
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引用次数: 0

Abstract

There is still no basic overview about the effect of various types of comorbidity in executive functions due to two main reasons: (1) the type and number of comorbidities in ADHD is significantly varied, (2) EFs are very diverse and have different neuropsychological properties. Our objective was to determine the effect of comorbid disorders (number and type) on the performance in a wide range (seven) of executive functions in a sample of children with ADHD. Fifty-five male children aged seven to nine years with ADHD were divided into six groups: G1 = ADHD only (ADHD-O), G1 = Oppositional defiant disorder (ODD), G3 = (anxiety/depressive disorder (ADD), G4 = ODD + ADD, G5 = ODD + learning disorder (LD), G6 = ODD + LD + conduct disorder (CD). The six groups exhibited different number of deficits in EFs; G1 showed only 1 deficit in contrast, G6 presented 11. Statistical analysis (ANOVA and logistic regression) identified three most affected EFs: Working memory, generation/classification of semantic categories, and inhibitory control. Alterations in EFs increased mainly in relation to the increase of the specific number and type of comorbidity. To date, no studies have addressed comorbidity from this perspective. A wide range approach of EF confirms the need to further study comorbidity in ADHD from a wide range/variety perspective and determine all possible combinations (number/type) to clarify its contribution to the complex neuropsychology functioning in ADHD.

合并症对多动症儿童执行功能的影响,发现趋势。
关于各种类型的合并症对执行功能的影响,目前还没有一个基本的概述,主要原因有两个:(1)多动症合并症的类型和数量差异很大;(2)执行功能非常多样化,具有不同的神经心理学特性。我们的目的是确定合并症(数量和类型)对多动症儿童执行功能表现的影响。55名患有多动症的7至9岁男童被分为六组:G1 = 仅有多动症(ADHD-O),G1 = 对立违抗障碍(ODD),G3 = 焦虑/抑郁障碍(ADD),G4 = ODD + ADD,G5 = ODD + 学习障碍(LD),G6 = ODD + LD + 行为障碍(CD)。这六个组别表现出不同数量的 EFs 缺陷;G1 仅表现出 1 个缺陷,而 G6 则表现出 11 个缺陷。统计分析(方差分析和逻辑回归)确定了三种最受影响的 EF:工作记忆、语义类别的生成/分类和抑制控制。EF 的改变主要与具体合并症数量和类型的增加有关。迄今为止,还没有研究从这个角度探讨过合并症。广泛的EF方法证实,有必要从广泛/多样的角度进一步研究ADHD的合并症,并确定所有可能的组合(数量/类型),以明确其对ADHD复杂神经心理学功能的贡献。
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来源期刊
Applied Neuropsychology: Child
Applied Neuropsychology: Child CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.00
自引率
5.90%
发文量
47
期刊介绍: Applied Neuropsychology: Child publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in children. Full-length articles and brief communications are included. Case studies of child patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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