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Previous research on executive functioning within adolescent depression has provided somewhat inconsistent results, although the majority of research has identified at least partial evidence of executive functioning deficits in adolescent depression. The present study attempted to explore adolescent depression, specifically depressive disorder diagnoses and self-reported depressive/anxious symptoms, as well as executive functioning through the retrospective chart review of an inpatient/outpatient adolescent sample. The total sample (N = 155) was divided into four groups. The psychiatric inpatient sample was subdivided into a Major Depression Group (n = 22), Minor Depression Group (n = 28), Inpatient Control Group (n = 73) based on the discharge diagnoses. The Outpatient Control Group (n = 33) consisted of a group of adolescents who received evaluations at a neuropsychological evaluation clinic. Analyses of variance between the four clinical groups and follow-up pairwise comparisons revealed lowered executive functioning performance in major and minor depression groups compared to the outpatient control. Lowered working memory/simple attention was identified in minor and major depression, while lowered cognitive flexibility/set shifting was only identified in major depression, suggesting a continuum of executive dysfunction and depression severity. More generally, the inpatient groups displayed lower executive functioning than the outpatient control, with no identified executive functioning differences between inpatient groups. Additionally, no negative correlations were observed between self-reported depressive/anxious symptoms and executive functioning. These results are consistent with the majority of related research, and highlight the importance of executive functions in adolescent depression, and more broadly in adolescent psychopathology.
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American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.-Text Revision). Washington, DC: Author.
Barkley, R. A. (2012). Executive functions: What they are, how they work, and why they evolved. New York: The Guilford Press.
Baron, I. S. (2004). Neuropsychological evaluation of the child. New York: Oxford University Press.
Burton, D. B., Donders, J., & Mittenberg, W. (1996). A structural equation analysis of the wide range assessment of memory and learning in the standardization sample. Child Neuropsychology, 2, 39–47. CrossRef
Grilo, C. M., Sanislow, C., Fehon, D. C., Martino, S., & McGlashan, T. H. (1999). Psychological and behavioral functioning in adolescent psychiatric inpatients who report histories of childhood abuse. The American Journal of Psychiatry, 156, 538–543. PubMed
Halari, R., Simic, M., Pariante, C. M., Papadopoulos, A., Cleare, A., Brammer, M., et al. (2009). Reduced activation in lateral prefrontal cortex and anterior cingulate during attention and cognitive control functions in medication-naïve adolescents with depression compared to controls. Journal of Child Psychology and Psychiatry, 50, 307–316. PubMedCrossRef
Henry, L. A., & Bettenay, C. (2010). The assessment of executive functioning in children. Child and Adolescent Mental Health, 15, 110–119. CrossRef
Kavanaugh, B., & Holler, K. (2012). Executive functioning and self-reported depressive symptoms within an adolescent inpatient population. Applied Neuropsychology: Child. doi: 10.1080/21622965.2012.731662.
Kovacs, M. (1992). Children’s depression inventory (CDI) manual. New York, NY: Multi-Health Systems.
Lasky, T., Krieger, A., Elixhauser, A., & Vitiello, B. (2011). Children’s hospitalizations with a mood disorder diagnosis in general hospitals in the united states 2000–2006. Child and Adolescent Psychiatry and Mental Health, 5, 1–9. CrossRef
Mahone, E. M., & Slomine, B. S. (2007). Managing dysexecutive disorders. In S. J. Hunter & J. Donders (Eds.), Pediatric neuropsychological intervention. New York: Cambridge University Press.
Mash, E. J., & Barkley, R. A. (Eds.). (2007). Assessment of childhood disorders (4th ed.). New York: Guilford Press.
National Institute of Mental Health. (2001). Mood disorders in children and adolescents: An NIMH perspective. Biological Psychiatry, 49, 962–969. CrossRef
Ottowitz, W. E., Dougherty, D. D., & Savage, C. R. (2002). The neural network basis for abnormalities of attention and executive function in major depressive disorder: Implications for application of the medical disease model to psychiatric disorders. Harvard Review of Psychiatry, 10(2), 86–99. PubMedCrossRef
Pennington, B. F. (2002). The development of psychopathology: Nature and nurture. New York: The Guilford Press.
Reynolds, C. R., & Richmond, B. O. (2008). Revised children’s manifest anxiety scale, second edition (RCMAS-2): Manual. Los Angeles, CA: Western Psychological Services.
Shaffer, D. R., & Kipp, K. (2007). Developmental psychology: Childhood and adolescence (7th ed.). California: Thompson & Wadsworth.
Sheslow, D., & Adams, W. (1990). WRAML: Wide range assessment of memory and learning administration manual. Wilmington, DE: Jastak Assessment Systems.
Strauss, E., Sherman, E. M., & Strauss, O. (2006). A compendium of neuropsychological tests: Administration, norms and commentary (3rd ed.). New York: Oxford University Press.
Wilkinson, P. O., & Goodyer, I. M. (2006). Attention difficulties and mood-related ruminative response style in adolescents with unipolar depression. Journal of Child Psychology and Psychiatry, 47, 1284–1291. PubMed
Willcutt, E. G. (2010). Attention-deficit/hyperactivity disorder. In K. O. Yeates, M. D. Ris, H. G. Taylor, & B. F. Pennington (Eds.), Pediatric neuropsychology: Research, theory, and practice (2nd ed., pp. 393–417). New York: The Guilford Press.
- Executive Functioning in Adolescent Depressive Disorders
Nathan E. Cook
- Springer US