Category: ADHD - Child
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.
Florida International University
Friday, November 17
12:00 PM – 1:30 PM
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