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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

20-06-2022

Associations among ADHD symptoms, ODD symptoms, and borderline personality features: A network analysis

Auteurs: Grace M. Brennan, Pevitr S. Bansal, James G. Waxmonsky, Daniel A. Waschbusch, Dara E. Babinski

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 11/2022

Abstract

Attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) are common childhood syndromes that exhibit a high degree of comorbidity. Both ADHD and ODD symptoms in childhood predict higher levels of borderline personality features (BPF) later in development. Yet ADHD, ODD, and BPF each consist of a heterogeneous group of symptoms, and symptom-level associations between these groups remain unclear. The present study examined symptom-level associations, as well as sex differences in symptom-level associations, among ADHD, ODD, and BPF using network analysis. Caregivers of 962 children between the ages of 5 and 12 completed rating scales of ADHD, ODD, and BPF. Assessment of Bridge Expected Influence indicated a number of bridge symptoms linking ADHD to ODD; these bridge symptoms were primarily from the hyperactive-impulsive (rather than the inattentive) dimension of ADHD (e.g., blurts out answers, leaves seat, runs excessively). A smaller number of bridge symptoms were identified linking ADHD and ODD to BPF, and these bridge symptoms were different for girls versus boys. Overall, several ADHD hyperactive-impulsive symptoms were related to the BPF item gets in trouble for doing things without thinking, and the ODD item touchy/easily annoyed was related to the BPF item goes back and forth between different feelings. Moreover, whereas we observed stronger links between ODD antagonistic symptoms (e.g., blames others) and BPF among girls, we observed stronger links between ODD oppositional symptoms (e.g., defies/refuses to comply) and BPF among boys. Taken together, results provide a more nuanced, symptom-level understanding of the overlap among ADHD, ODD, and BPF.

vorige artikel Do Executive Dysfunction, Delay Aversion, and Time Perception Deficit Predict ADHD Symptoms and Early Academic Performance in Preschoolers

volgende artikel Joint Consideration of Inhibitory Control and Irritability in Young Children: Contributions to Emergent Psychopathology

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Due to the wide age range of our sample and potential differences in manifestations of ADHD symptoms, ODD symptoms, and BPF in younger children compared with older children, supplemental analyses investigated networks of these symptoms in younger (i.e., 5–8 years old) and older (i.e., 9–12 years old) children separately (see Supplemental Results, Table S4, and Table S5 in online resources).

Descriptive statistics for these items (see Table S2 in online resources) indicated that all item distributions were roughly normal, justifying the use of Gaussian models.

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Titel: Associations among ADHD symptoms, ODD symptoms, and borderline personality features: A network analysis
Auteurs: Grace M. Brennan
Pevitr S. Bansal
James G. Waxmonsky
Daniel A. Waschbusch
Dara E. Babinski
Publicatiedatum: 20-06-2022
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 11/2022
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-022-00943-z

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