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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

01-06-2014

Examining Anxiety and Depression as Moderators of the Associations Between ADHD Symptoms and Academic and Social Problems in Hispanic Adolescents

Auteurs: Stephen P. Becker, Paula J. Fite, Michael L. Vitulano, Sonia L. Rubens, Spencer C. Evans, John L. Cooley

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2014

Abstract

The effects of attention-deficit/hyperactivity disorder (ADHD) symptoms on the psychosocial functioning of Hispanic youth have been understudied. It also remains unclear if the well-established associations between ADHD symptoms and academic and social impairment are exacerbated by co-occurring internalizing symptoms. The purposes of the present study were to (1) examine whether ADHD symptoms would be associated with academic and social problems while also controlling for oppositional defiant disorder (ODD) symptoms, and (2) test the hypothesis that anxious and depressive symptoms would moderate the relations between ADHD symptoms and academic and social problems. Participants were 142 at-risk Hispanic adolescents (54 % male, ages 14–19) who reported on their anxious and depressive symptoms, as well as their teachers who reported on adolescents’ ADHD symptoms, ODD symptoms, academic problems, and social problems. When the psychopathology variables were included simultaneously in a path model, ADHD was the only domain significantly positively associated with academic problems. In contrast, ODD and depressive symptoms were the only domains significantly positively associated with social problems when all of the psychopathology variables were included in the path model. No moderation effects were found in relation to academic problems, although a significant ADHD × depression interaction was found in relation to social problems. Specifically, ADHD symptoms were not associated with social problems among adolescents who reported low levels of depressive symptoms, but the association between ADHD symptoms and social problems was significant at higher levels of depression. In addition to targeting oppositionality, attending to the combined presence of ADHD and depressive symptoms will be important for reducing the social impairments among Hispanic adolescents.

vorige artikel A Study of the Psychometric Properties of the Social Support Scale for Children

volgende artikel Strategies for the Control of Unwanted Thoughts in Adolescents: The Adolescent Thought Control Questionnaire (TCQ-A)

Given the significant bivariate correlation between sex and academic problems, sex was included as a covariate in the subsequent path models. However, results were unchanged when sex was no longer included as a covariate. Since sex differences may be present when examining the interrelations of social functioning and internalizing symptoms among youth with ADHD (Becker et al. 2013), additional analyses were also conducted in order to determine if our primary results might differ between males and females. When three-way interactions (i.e., ADHD × Depression × Sex and ADHD × Anxiety × Sex) were added to the model, neither were statistically significant (ps > .05), indicating that our results were not due to differences in associations between males and females.

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for ASEBA school-age forms and profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families.

Albano, A. M., Chorpita, B. F., & Barlow, D. H. (2003). Childhood anxiety disorders. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (2nd ed., pp. 279–329). New York: Guilford Press.

Alva, S. A., & de Los Reyes, R. (1999). Psychosocial stress, internalizing symptoms, and the academic achievement of Hispanic adolescents. Journal of Adolescent Research, 14, 343–358. doi:10.1177/0743558499143004.CrossRef

Antshel, K. M., Faraone, S. V., & Gordon, M. (2012). Cognitive behavioral treatment outcomes in adolescent ADHD. Journal of Attention Disorder. doi:10.1177/1087054712443155. Advance online publication.

APA Task Force on Immigration. (2012). Crossroads: The psychology of immigration in the new century. Washington, DC: American Psychological Association.

Aspiazu, G. G., Bauer, S. C., & Spillett, M. D. (1998). Improving the academic performance of Hispanic youth: a community education model. Bilingual Research Journal, 22, 127–147. doi:10.1080/15235882.1998.10162719.CrossRef

Baker, J. A. (2006). Contributions of teacher-child relationships to positive school adjustment during elementary school. Journal of School Psychology, 44, 211–229. doi:10.1016/j.jsp.2006.02.002.CrossRef

Bauermeister, J. J., Canino, G., Bravo, M., Ramírez, R., Jensen, P. S., Chavez, L., et al. (2003). Stimulant and psychosocial treatment of ADHD in Latino/Hispanic children. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 851–855. doi:10.1097/01.CHI.0000046864.56865.30.PubMedCrossRef

Bauermeister, J. J., Matos, M., Reina, G., Salas, C. C., Martínez, J. V., & Barkley, R. A. (2005). Comparison of the DSM-IV combined and inattentive types of ADHD in a school-based sample of Latino/Hispanic children. Journal of Child Psychology and Psychiatry, 46, 166–179. doi:10.1111/j.1469-7610.2004.00343.x.PubMedCrossRef

Becker, S. P., Fite, P. J., Luebbe, A. M., Stoppelbein, L., & Greening, L. (2012a). Friendship intimacy exchange buffers the relation between ADHD symptoms and later social problems among children attending an after-school care program. Journal of Psychopathology and Behavioral Assessment. doi:10.1007/s10862-012-9334-1. Advance online publication.

Becker, S. P., Langberg, J. M., Vaughn, A. J., & Epstein, J. N. (2012b). Clinical utility of the Vanderbilt ADHD Diagnostic Parent Rating Scale comorbidity screening scales. Journal of Developmental and Behavioral Pediatrics, 33, 221–228. doi:10.1097/DBP.0b013e318245615b.PubMedCentralPubMedCrossRef

Becker, S. P., Luebbe, A. M., & Langberg, J. M. (2012c). Co-occurring mental health problems and peer functioning among youth with attention-deficit/hyperactivity disorder: A review and recommendations for future research. Clinical Child and Family Psychology Review, 15, 279–302. doi:10.1007/s10567-012-0122-y.PubMedCrossRef

Becker, S. P., McBurnett, K., Hinshaw, S. P., & Pfiffner, L. J. (2013). Negative social preference in relation to internalizing symptoms among children with ADHD predominantly inattentive type: girls fare worse than boys. Journal of Clinical Child and Adolescent Psychology. doi:10.1080/15374416.2013.828298. Advance online publication.

Bernal, G., & Domenech Rodríguez, M. M. (2009). Advances in Latino family research: cultural adaptations of evidence-based interventions. Family Process, 48, 169–178. doi:10.1111/j.1545-5300.2009.01275.x.PubMedCrossRef

Biederman, J., Faraone, S. V., Mick, E., Moore, P., & Lelon, E. (1996). Child Behavior Checklist findings further support comorbidity between ADHD and major depression in a referred sample. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 734–742. doi:10.1097/00004583-199606000-00013.PubMedCrossRef

Biederman, J., Ball, S. W., Monuteaux, M. C., Mick, E., Spencer, T. J., & Faraone, S. V. (2008). New insights into the comorbidity between ADHD and major depression in adolescent and young adult females. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 426–434. doi:10.1097/CHI.0b013e31816429d3.PubMedCrossRef

Blackman, G. L., Ostrander, R., & Herman, K. C. (2005). Children with ADHD and depression: a multisource, multimethod assessment of clinical, social, and academic functioning. Journal of Attention Disorders, 8, 195–207. doi:10.1177/1087054705278777.PubMedCrossRef

Cowen, E. L., Zax, M., Klein, R., Izzo, L. D., & Trost, M. (1971). The relation of anxiety in school children to school record, achievement, and behavioural measures. In E. Gaudry & C. D. Spielberger (Eds.), Anxiety and educational achievement (pp. 85–116). New York: Wiley.

Cuffe, S. P., Moore, C. G., & McKeown, R. E. (2005). Prevalence and correlates of ADHD symptoms in the National Health Interview Survey. Journal of Attention Disorders, 9, 392–401. doi:10.1177/1087054705280413.PubMedCrossRef

de Ramirez, R. D., & Shapiro, E. S. (1998). Teacher ratings of attention deficit hyperactivity disorder symptoms in Hispanic children. Journal of Psychopathology and Behavioral Assessment, 20, 275–293. doi:10.1023/A:1021934705392.CrossRef

deGarmo, D. S., & Martinez, C. R., Jr. (2006). A culturally informed model of academic well-being for Latino youth: the importance of discriminatory experiences and social support. Family Relations, 55, 267–278. doi:10.1111/j.1741-3729.2006.00401.x.PubMedCentralPubMedCrossRef

DuPaul, G. J. (1991). Parent and teacher ratings of ADHD symptoms: psychometric properties in a community-based sample. Journal of Clinical Child and Adolescent Psychology, 20, 245–253. doi:10.1207/s15374424jccp2003_3.CrossRef

DuPaul, G. J., & Stoner, G. (2003). ADHD in the schools: Assessment and intervention strategies (2nd ed.). New York: Guilford Press.

Eiraldi, E. B., Mazzuca, L. B., Clarke, A. T., & Power, T. J. (2006). Service utilization among ethnic minority children with ADHD: a model of help-seeking behavior. Administration and Policy in Mental Health and Mental Health Services Research, 33, 607–622. doi:10.1007/s10488-006-0063-1.PubMedCrossRef

Ennis, S. R., Ríos-Vargas, M., & Albert, N. G. (2011). The Hispanic population: 2010. Washington, DC: U.S. Census Bureau.

Faraone, S. V., Biederman, J., Lehman, B. K., Spencer, T., Norman, D., & Tsuang, M. T. (1993). Intellectual performance and school failure in children with attention deficit hyperactivity disorder and in their siblings. Journal of Abnormal Psychology, 102, 616–623. doi:10.1037/0021-843X.102.4.616.PubMedCrossRef

Fauber, R., Forehand, R., Long, N., Burke, M., & Faust, J. (1987). The relationship of young adolescent Children’s Depression Inventory (CDI) scores to their social and cognitive functioning. Journal of Psychopathology and Behavioral Assessment, 9, 161–172. doi:10.1007/BF00960572.CrossRef

Fergusson, D. M., & Horwood, L. J. (1995). Early disruptive behavior, IQ, and later school achievement and delinquent behavior. Journal of Abnormal Child Psychology, 23, 183–199. doi:10.1007/BF01447088.PubMedCrossRef

Flook, L., Repetti, R. L., & Ullman, J. B. (2005). Classroom social experiences as predictors of academic performance. Developmental Psychology, 41, 319–327. doi:10.1037/0012-1649.41.2.319.PubMedCrossRef

Frazier, T. W., Youngstrom, E. A., Glutting, J. J., & Watkins, M. W. (2007). ADHD and achievement: meta-analysis of the child, adolescent, and adult literatures and a concomitant study with college students. Journal of Learning Disabilities, 40, 49–65. doi:10.1177/00222194070400010401.PubMedCrossRef

Fröjd, S. A., Nissinen, E. S., Pelkonen, M. U. I., Marttunen, M. J., Koivisto, A.-M., & Kaltiala-Heino, R. (2008). Depression and school performance in middle adolescent boys and girls. Journal of Adolescence, 31, 485–498. doi:10.1016/j.adolescence.2007.08.006.PubMedCrossRef

Gillock, K. L., & Reyes, O. (1999). Stress, support, and academic performance of urban, low-income, Mexican-American adolescents. Journal of Youth and Adolescence, 28, 259–282. doi:10.1023/A:1021657516275.CrossRef

Hervey-Jumper, H., Douyon, K., Falcone, T., & Franco, K. N. (2008). Identifying, evaluating, diagnosing, and treating ADHD in minority youth. Journal of Attention Disorders, 11, 522–528. doi:10.1177/1087054707311054.PubMedCrossRef

Hinshaw, S. P. (1992). Academic underachievement, attention deficits, and aggression: comorbidity and implications for intervention. Journal of Consulting and Clinical Psychology, 60, 893–903. doi:10.1037/0022-006X.60.6.893.PubMedCrossRef

Houghton, S., Alsalmi, N., Tan, C., Taylor, M., & Durkin, K. (2013). Treating comorbid anxiety in adolescents with ADHD using a cognitive behavior therapy program approach. Journal of Attention Disorders. doi:10.1177/1087054712473182. Advance online publication.PubMed

Hoza, B. (2007). Peer functioning in children with ADHD. Journal of Pediatric Psychology, 32, 655–663. doi:10.1016/j.ambp.2006.04.011.PubMedCrossRef

Ialongo, N., Edelsohn, G., Werthamer-Larsson, L., Crockett, L., & Kellam, S. (1994). The significance of self-reported anxious symptoms in first-grade children. Journal of Abnormal Child Psychology, 22, 441–455. doi:10.1007/BF02168084.PubMedCrossRef

Ialongo, N., Edelsohn, G., Werthamer-Larsson, L., Crockett, L., & Kellam, S. (1995). The significance of self-reported anxious symptoms in first grade children: prediction to anxious symptoms and adaptive functioning in fifth grade. Journal of Child Psychology and Psychiatry, 36, 427–437. doi:10.1111/j.1469-7610.1995.tb01300.x.PubMedCrossRef

Karustis, J. L., Power, T. J., Rescorla, L. A., Eiraldi, R. B., & Gallagher, P. R. (2000). Anxiety and depression in children with ADHD: unique associations with academic and social functioning. Journal of Attention Disorders, 4, 133–149. doi:10.1177/108705470000400301.CrossRef

KewalRamani, A., Gilbertson, L., Fox, M. A., & Provasnik, S. (2007). Status and trends in the education of racial and ethnic minorities. Washington, DC: National Center for Education Statistics, Institute of Education Sciences, U.S. Department of Education.

Kline, R. B. (2005). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford.

Krain, A. L., Kendall, P. C., & Power, T. J. (2005). The role of treatment acceptability in the initiation of treatment for ADHD. Journal of Attention Disorders, 9, 425–434. doi:10.1177/1087054705279996.PubMedCrossRef

Langberg, J. M., & Becker, S. P. (2012). Does long-term medication use improve the academic outcomes of youth with attention-deficit/hyperactivity disorder? Clinical Child and Family Psychology Review, 15, 215–233. doi:10.1007/s10567-012-0117-8.PubMedCrossRef

Larson, K., Russ, S. A., Kahn, R. S., & Halfon, N. (2011). Patterns of comorbidity, functioning, and service use for US children with ADHD, 2007. Pediatrics, 127, 462–470. doi:10.1542/peds.2010-0165.PubMedCentralPubMedCrossRef

LaVeist, T. A. (2005). Disentangling race and socioeconomic status: a key to understanding health inequalities. Journal of Urban Health, 82, iii26–iii34. doi:10.1093/jurban/jti061.PubMedCentralPubMedCrossRef

Loe, I. M., & Feldman, H. M. (2007). Academic and educational outcomes of children with ADHD. Journal of Pediatric Psychology, 32, 643–654. doi:10.1093/jpepsy/jsl054.PubMedCrossRef

Lopez, M. H. (2009). Latinos and education: Explaining the attainment gap. Washington, D.C.: Pew Hispanic Center.

Massetti, G. M., Lahey, B. B., Pelham, W. E., Loney, J., Ehrhardt, A., & Kipp, H. (2008). Academic achievement over 8 years among children who met modified criteria for attention-deficit/hyperactivity disorder at 4–6 years of age. Journal of Abnormal Child Psychology, 36, 399–410. doi:10.1007/s10802-007-9186-4.PubMedCentralPubMedCrossRef

McQuade, J. D., & Hoza, B. (2008). Peer problems in attention deficit hyperactivity disorder: current status and future directions. Developmental Disabilities Research Reviews, 14, 320–324. doi:10.1002/ddrr.35.PubMedCrossRef

Melnyk, B. M., Jacobson, D., Kelly, S., O’Haver, J., Small, L., & Mays, M. Z. (2009). Improving the mental health, healthy lifestyle choices, and physical health of Hispanic adolescents: a randomized controlled pilot study. Journal of School Health, 79, 575–584. doi:10.1111/j.1746-1561.2009.00451.x.PubMedCrossRef

Merikangas, K. R., He, J.-P., Brody, D., Fisher, P. W., Bourdon, K., & Koretz, D. S. (2010). Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics, 125, 75–81. doi:10.1542/peds.2008-2598.PubMedCentralPubMedCrossRef

Milich, R., Hartung, C. M., Martin, C., & Haigler, E. D. (1993). Behavioral disinhibition and underlying processes in adolescents with disruptive behavior disorders. In D. Routh (Ed.), Disruptive behavior disorders in childhood (pp. 109–138). New York: Plenum.

Muthén, L. K., & Muthén, B. O. (1998–2010). Mplus user’s guide, 6th ed. Los Angeles: Muthén & Muthén.

Myers, K., Stoep, A. V., Thompson, K., Zhou, C., & Unützer, J. (2010). Collaborative care for the treatment of Hispanic children diagnosed with attention-deficit hyperactivity disorder. General Hospital Psychiatry, 32, 612–614. doi:10.1016/j.genhosppsych.2010.08.004.PubMedCrossRef

Nagayama Hall, G. C., & Maramba, G. G. (2001). In search of cultural diversity: recent literature in cross-cultural and ethnic minority psychology. Cultural Diversity and Ethnic Minority Psychology, 7, 12–26. doi:10.1037/1099-9809.7.1.12.CrossRef

Pantin, H., Prado, G., Lopez, B., Huang, S., Tapia, M. I., & Branchini, J. (2009). A randomized controlled trial of Familias Unidas for Hispanic adolescents. Psychosomatic Medicine, 71, 987–995. doi:10.1097/PSY.0b013e3181bb2913.PubMedCentralPubMedCrossRef

Pardini, D. A., & Fite, P. J. (2010). Symptoms of conduct disorder, oppositional defiant disorder, attention-deficit/hyperactivity disorder, and callous-unemotional traits as unique predictors of psychosocial maladjustment in boys: advancing an evidence base for DSM-V. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 1134–1144. doi:10.1016/j.jaac.2010.07.010.PubMedCentralPubMed

Passel, J., & Cohen, D. (2008). U.S. population projections: 2005–2050. Washington, D.C.: Pew Research Center.

Pelham, W. E., Jr., Gnagy, E. M., Greenslade, K. E., & Milich, R. (1992). Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 31, 210–218.CrossRef

Potochnick, S. R., & Perreira, K. M. (2010). Depression and anxiety among first-generation immigrant Latino youth: key correlates and implications for future research. Journal of Nervous and Mental Disease, 198, 470–477. doi:10.1097/NMD.0b013e3181e4ce24.PubMedCentralPubMedCrossRef

Rao, U., Ryan, N. D., Birmaher, B., Dahl, R. E., Williamson, D. E., & Nelson, B. (1995). Unipolar depression in adolescents: clinical outcome in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 566–578. doi:10.1097/00004583-199505000-00009.PubMedCrossRef

Reynolds, C. R., & Richmond, B. O. (2008). The revised children’s manifest anxiety scale, second edition (RCMAS-2). Los Angeles: Western Psychological Services.

Rielly, N. E., Craig, W. M., & Parker, K. C. H. (2006). Peer and parenting characteristics of boys and girls with subclinical attention problems. Journal of Attention Disorders, 9, 598–606. doi:10.1177/1087054705284245.PubMedCrossRef

Rose, A. J., Carlson, W., Luebbe, A. M., Schwartz-Mette, R. A., Smith, R. R., & Swenson, L. P. (2011). Predicting difficulties in youth’s friendships: are anxiety symptoms as damaging as depressive symptoms? Merrill-Palmer Quarterly, 57, 244–262. doi:10.1353/mpq.2011.0013.CrossRef

Safren, S. A., Gonzalez, R. E., Horner, K. J., Leung, A. W., Heimberg, R. G., & Juster, H. R. (2000). Anxiety in ethnic minority youth: methodological and conceptual issues and review of the literature. Behavior Modification, 24, 147–183. doi:10.1177/0145445500242001.PubMedCrossRef

Schmitz, M. F., & Velez, M. (2003). Latino cultural differences in maternal assessments of attention deficit/hyperactivity symptoms in children. Hispanic Journal of Behavioral Sciences, 25, 110–122. doi:10.1177/0739986303251700.CrossRef

Steinberg, L., Blinde, P. L., & Chan, K. S. (1984). Dropping out among language minority youth. Review of Educational Research, 54, 113–132. doi:10.3102/00346543054001113.CrossRef

Stevens, J., Harman, J. S., & Kelleher, K. J. (2004). Ethnic and regional differences in primary care visits for attention-deficit hyperactivity disorder. Journal of Developmental and Behavioral Pediatrics, 25, 318–325. doi:10.1097/00004703-200410000-00003.PubMedCrossRef

U. S. Census Bureau. (2010). State and county quickfacts. Retrieved from http://quickfacts.census.gov.

Van Ameringen, M., Mancini, C., & Farvolden, P. (2003). The impact of anxiety disorders on educational achievement. Anxiety Disorders, 17, 561–571. doi:10.1016/S0887-6185(02)00228-1.CrossRef

Varela, R. E., & Hensley-Maloney, L. (2009). The Influence of culture on anxiety in Latino youth: a review. Clinical Child and Family Psychology Review, 12, 217–233. doi:10.1007/s10567-009-0044-5.PubMedCrossRef

Williams, D. R. (1999). Race, socioeconomic status, and health: the added effects of racism and discrimination. Annals of the New York Academy of Sciences, 896, 173–188. doi:10.1111/j.1749-6632.1999.tb08114.x.PubMedCrossRef

Woodward, L. J., & Fergusson, D. M. (2001). Life course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1086–1093. doi:10.1097/00004583-200109000-00018.PubMedCrossRef

Titel: Examining Anxiety and Depression as Moderators of the Associations Between ADHD Symptoms and Academic and Social Problems in Hispanic Adolescents
Auteurs: Stephen P. Becker
Paula J. Fite
Michael L. Vitulano
Sonia L. Rubens
Spencer C. Evans
John L. Cooley
Publicatiedatum: 01-06-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2014
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-013-9394-x

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