scholarly journals Reciprocal Developmental Relations Between ADHD and Anxiety in Adolescence: A Within-Person Longitudinal Analysis of Commonly Co-Occurring Symptoms

2020 ◽  
pp. 108705472090833
Author(s):  
Aja Louise Murray ◽  
Arthur Caye ◽  
Karen McKenzie ◽  
Bonnie Auyeung ◽  
George Murray ◽  
...  

Objective: Significant anxiety often occurs in the presence of ADHD symptoms; however, the reasons are not well understood. We aimed to establish whether the relations between ADHD symptons and anxiety are bidirectional or unidirectional. Method: Weexamined the developmental relations between ADHD and anxiety symptoms across adolescence (ages 13, 15, and 17) in a community-ascertained, normative longitudinal sample of 1,483 youth (52% male). We used an autoregressive latent trajectory model with structured residuals (ALT-SR) to examine within-person developmental relations between ADHD and anxiety symptoms to determine whether it is ADHD symptoms that lead to anxiety symptoms and/or the reverse. Results: Results suggested that there are reciprocal within-person developmental relations between ADHD and anxiety symptoms. Conclusions: Our findings support the recommendation that targeting ADHD symptoms can be fruitful for addressing anxiety symptoms; however, they suggest that targeting anxiety symptoms may also benefit ADHD symptoms. Results also underline the importance of careful assessment for underlying ADHD symptoms among adolescents presenting with anxiety.

2021 ◽  
pp. 1-13
Author(s):  
Ann H. Farrell ◽  
Tracy Vaillancourt

Abstract Although indirectly aggressive behavior and anxiety symptoms can co-occur, it is unclear whether anxiety is an antecedent or outcome of indirect aggression at the individual level and whether other personality traits can contribute to these longitudinal associations. Therefore, the between- and within-person associations among indirect aggression, anxiety symptoms, and empathic concern were examined across adolescence from ages 11 to 16 in a cohort of individuals followed annually (N = 700; 52.9% girls; 76.0% White) controlling for direct aggression and demographic variables. Results of autoregressive latent trajectory models with structured residuals supported an acting out model at the within-person level. Specifically, anxiety symptoms positively predicted indirect aggression and indirect aggression negatively predicted empathic concern at each adjacent time point. These findings suggest that methods of reducing worries about the self and increasing healthy self-confidence could prevent indirect aggression and help build concern and compassion toward others.


2012 ◽  
Vol 18 (5) ◽  
pp. 447-455 ◽  
Author(s):  
Tai-Ling Liu ◽  
Pinchen Yang ◽  
Chih-Hung Ko ◽  
Ju-Yu Yen ◽  
Cheng-Fang Yen

2015 ◽  
Vol 22 (5) ◽  
pp. 506-514 ◽  
Author(s):  
Marija Maric ◽  
Francisca J. A. van Steensel ◽  
Susan M. Bögels

Objective: The objective of this study was to examine the efficacy of child cognitive-behavioral therapy (CCBT) versus family CBT (FCBT) in anxiety-disordered youth with high and low comorbid ADHD symptoms. Method: Youth with anxiety disorders ( n = 123, aged 8-18) were classified in four groups according to (a) the type of CBT received (child vs. family) and (b) their comorbid ADHD symptoms, measured with the Child Behavior Checklist (CBCL) Attention Problems syndrome scale level (normal vs. [sub]clinical). Severity of anxiety disorders was assessed with Anxiety Disorders Interview Schedule–Child and Parent (ADIS-C/P) version and anxiety symptoms via a 71-item anxiety symptom questionnaire, the Screen for Child Anxiety and Related Emotional Disorders (SCARED-71), before and after CBT, and at 3 months and 1-year follow-ups. Results: Based on the severity of anxiety disorders, children with high ADHD symptoms profit more from FCBT than CCBT in the long term. For children low on ADHD symptoms, and for anxiety symptoms and attention problems, no differences between CCBT and FCBT occurred. Conclusion: Family involvement seems a valuable addition to CBT for children with comorbid anxiety and ADHD symptoms.


Author(s):  
Francesco Bartolucci ◽  
Thomas Brendan Murphy

AbstractA finite mixture latent trajectory model is developed to study the performance and strategy of runners in a 24-h long ultra running race. The model facilitates clustering of runners based on their speed and propensity to rest and thus reveals the strategies used in the race. Inference for the adopted latent trajectory model is achieved using an expectation-maximization algorithm. Fitting the model to data from the 2013 World Championships reveals three clearly separated clusters of runners who exhibit different strategies throughout the race. The strategies show that runners can be grouped in terms of their average moving speed and their propensity to rest during the race. The effect of age and gender on the probability of belonging to each cluster is also investigated.


2018 ◽  
Author(s):  
Ting Li ◽  
Nina Roth Mota ◽  
Tessel E. Galesloot ◽  
Janita Bralten ◽  
Jan Buitelaar ◽  
...  

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder in children and adults. It is characterized by inappropriate levels of inattention (IA) and/or hyperactivity and impulsivity (HI). The ADHD diagnosis is hypothesized to represent the extreme of a continuous distribution of ADHD symptoms in the general population. In this study, we investigated whether factors linked to adult ADHD as a disorder are associated with adult ADHD symptoms in the general population. Our population-based sample included 4,987 adults (mean age 56.1 years; 53.8% female) recruited by the Nijmegen Biomedical Study (NBS). Participants completed the Dutch ADHD DSM-IV Rating Scale for current and childhood ADHD symptoms, the Symptom Check List-90-R (SCL-90-R) anxiety subscale, and the Eysenk Personality Questionnaire (EPQR-S). Partial Spearman correlation and Hurdle negative binomial regression analysis were used to assess how age, sex, childhood ADHD symptoms, anxiety symptoms, and personality traits (neuroticism, extraversion, and psychoticism) are associated with current IA and HI symptoms. Increasing age was associated with a lower proportion of participants reporting HI symptoms and with reduced levels of HI; IA levels remained fairly stable over the age-range, but the probability of reporting IA symptoms increased throughout middle/late adulthood. Females were more likely to report IA symptoms than males. Childhood ADHD symptoms, neuroticism, and psychoticism were positively associated with current IA and HI symptoms, while extraversion had an opposite association with these symptom domains. Anxiety symptoms affected HI symptoms in females. Our results indicate that factors associated with categorical ADHD are also correlated with ADHD symptoms in the adult population.


2020 ◽  
Author(s):  
Aja Louise Murray ◽  
Izabela Zych ◽  
Denis Ribeaud ◽  
Manuel Eisner

It has previously been hypothesised that individuals with elevated ADHD symptoms are at greater risk of bullying perpetration and victimization; however, a lack of high-quality longitudinal data has meant that this hypothesis is yet to be adequately tested. Using autoregressive latent trajectory models with structured residuals (ALT-SR) and four waves (ages 11, 13, 15 and 17) of longitudinal data from the BLINDED STUDY NAME (n=1526, 52% male), we evaluated the developmental relations between ADHD and bullying using both self- and teacher-reported ADHD symptom data. Analyses suggested that ADHD symptoms primarily increase the risk of bullying perpetration, with a within-person effect of ADHD symptoms on bullying perpetration symptoms identified across ages 13 to 15 (β=.13) and ages 15 to 17 (β=.19) based on self-reported ADHD symptoms; and a similar effect identified across ages 11 to 13 (β=.24) and 13 to 15 (β=.29) based on teacher-reported inattention symptoms. There were also some indications of reciprocal effects and effects involving victimization that merit further exploration in future research. Results imply that the content of bullying intervention and prevention programs should take account of ADHD symptoms in order to ensure that those with elevated ADHD symptoms can benefit from these interventions as much as their typically developing peers. This will involve addressing bullying perpetration that may reflect impulsive/reactive aggression and impaired social skills rather than instrumental aggression. Further, programs should go beyond classical curriculum/classroom-based delivery to ensure that individuals with elevated ADHD symptoms can be successfully engaged.


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