Category: ADHD - Child

Symposium

Relational Impairments, Sluggish Cognitive Tempo, and Inattention Characterize Adolescents with ADHD and Depressive Symptoms

Friday, November 17
12:00 PM - 1:30 PM
Location: Sapphire Ballroom K & L, Level 4, Sapphire Level

Keywords: Child | Depression | Social Relationships
Presentation Type: Symposium

Individuals with ADHD are at significantly increased risk for developing depression and related problems throughout adolescence compared to their non-affected peers. However, the risk factors that explain the co-occurrence between ADHD and depressive symptoms in this developmental period are not yet clear. This study evaluated clinical characteristics of 342 adolescents (71% male, mean age = 13 years old) diagnosed with DSM-IV-TR ADHD that may contribute to comorbid depressive symptoms, including inattention and hyperactivity/impulsivity symptoms, sluggish cognitive tempo (SCT), and academic and relational impairments. We hypothesized that elevated inattentive (IN) and SCT symptoms, separately, would interact with each domain of impairment (i.e., parent relationship, social problems, and academic problems) to predict particularly elevated depressive symptoms.

Parents and adolescents completed a baseline assessment as a part of a psychosocial treatment study. Parent-rated ADHD symptoms, SCT, and social and academic impairment were obtained along with youths’ ratings of depressive symptoms and conflict with parents. Multiple regression analyses indicated that elevated depressive symptoms were significantly associated with greater IN (β= 0.18; p <.05) and SCT symptom severity (β= 0.16; p <.05), lower HI symptom severity (β= -0.18; p <.05), greater social impairment (β= 0.16; p <.05), and greater parent-teen conflict (β= 0.14; p <.05). Furthermore, a significant interaction effect indicated that clinically elevated depressive symptoms were most likely to occur when both high inattentive symptoms and high levels of parent-teen conflict were present (β = -.15, p<.05).

As expected, IN, SCT and peer- and parent-relational problems were associated with depressive symptoms while a profile of high IN/high SCT/low HI symptoms combined with high parent-youth conflict was particularly linked to depressive symptoms. Depression prevention efforts for adolescents with ADHD might target IN/SCT symptom management, as well as improving interpersonal relationships.

Anthony R. Ward

Doctoral Candidate
Florida International University

Presentation(s):

Send Email for Anthony Ward


Assets

Relational Impairments, Sluggish Cognitive Tempo, and Inattention Characterize Adolescents with ADHD and Depressive Symptoms



Attendees who have favorited this

Please enter your access key

The asset you are trying to access is locked. Please enter your access key to unlock.

Send Email for Relational Impairments, Sluggish Cognitive Tempo, and Inattention Characterize Adolescents with ADHD and Depressive Symptoms