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Gepubliceerd in: Child Psychiatry & Human Development 4/2013

01-08-2013 | Original Article

Physical Aggression, Diagnostic Presentation, and Executive Functioning in Inpatient Adolescents Diagnosed with Mood Disorders

Auteurs: Karen Holler, Brian Kavanaugh

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2013

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Abstract

While a relationship has been identified between physical aggression and executive functioning within the adult population, this relationship has not yet been consistently examined in the adolescent population. This study examined the association between physical aggression towards others, self-reported depressive symptoms, and executive functioning within an adolescent inpatient sample diagnosed with a mood disorder. This study consisted of a retrospective chart review of 105 adolescent inpatients (ages 13–19) that received a diagnosis of a mood disorder (excluding Bipolar Disorder). Participants were grouped based on history of aggression towards others, resulting in a mood disorder with physically aggressive symptoms group (n = 49) and a mood disorder without physically aggressive symptoms group (n = 56). Ten scores on various measures of executive functioning were grouped into five executive functioning subdomains: Problem Solving/Planning, Cognitive Flexibility/Set Shifting, Response Inhibition/Interference Control, Fluency, and Working Memory/Simple Attention. Results from analyses of covariance indicated that there were no significant differences (p < .01) between aggression groups on any executive functioning subdomains. Correlation analyses (p < .01) indicated a negative correlation between disruptive behavior disorders and response inhibition/interference control, while anxiety disorders were negatively correlated with problem solving/planning. These findings provide important information regarding the presence of executive dysfunction in adolescent psychiatric conditions, and the specific executive subdomains that are implicated.
Literatuur
1.
go back to reference National Institute of Mental Health (2001) Mood disorders in children and adolescents: an NIMH perspective. Biol Psychiatry 49:962–969CrossRef National Institute of Mental Health (2001) Mood disorders in children and adolescents: an NIMH perspective. Biol Psychiatry 49:962–969CrossRef
2.
go back to reference 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 Adolesc Psychiatry Ment Health 5:1–9CrossRef 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 Adolesc Psychiatry Ment Health 5:1–9CrossRef
3.
go back to reference Sukhodolsky DG, Cardona L, Martin A (2005) Characterizing aggressive and noncompliant behaviors in a children’s psychiatric inpatient setting. Child Psychiatry Hum Dev 36:177–193PubMedCrossRef Sukhodolsky DG, Cardona L, Martin A (2005) Characterizing aggressive and noncompliant behaviors in a children’s psychiatric inpatient setting. Child Psychiatry Hum Dev 36:177–193PubMedCrossRef
4.
go back to reference Rice BJ, Woolston J, Stewart E, Kerker BD, Horwitz SM (2002) Differences in younger, middle, and older children admitted to child psychiatric inpatient services. Child Psychiatry Hum Dev 32:241–261PubMedCrossRef Rice BJ, Woolston J, Stewart E, Kerker BD, Horwitz SM (2002) Differences in younger, middle, and older children admitted to child psychiatric inpatient services. Child Psychiatry Hum Dev 32:241–261PubMedCrossRef
5.
go back to reference King S, Waschbusch DA (2010) Aggression in children with attention-deficit/hyperactivity disorder. Expert Rev Neurother 10:1581–1594PubMedCrossRef King S, Waschbusch DA (2010) Aggression in children with attention-deficit/hyperactivity disorder. Expert Rev Neurother 10:1581–1594PubMedCrossRef
6.
go back to reference Villemarette-Pittman NR, Stanford MS, Greve KW (2002) Language and executive function in self-reported impulsive aggression. Pers Individ Differ 34:1533–1544CrossRef Villemarette-Pittman NR, Stanford MS, Greve KW (2002) Language and executive function in self-reported impulsive aggression. Pers Individ Differ 34:1533–1544CrossRef
7.
go back to reference Stieben J, Lewis MD, Granic I, Zelazo PD, Segalowitz S, Pepler D (2007) Neurophysiological mechanisms of emotion regulation for subtypes of externalizing children. Dev Psychopathol 19:455–480PubMedCrossRef Stieben J, Lewis MD, Granic I, Zelazo PD, Segalowitz S, Pepler D (2007) Neurophysiological mechanisms of emotion regulation for subtypes of externalizing children. Dev Psychopathol 19:455–480PubMedCrossRef
8.
go back to reference Greene RW, Biderman J, Zerwas S, Monuteaux MC, Goring JC, Faraone SV (2002) Psychiatric comorbidity, family dysfunction, and social impairment in referred youth with oppositional defiant disorder. Am J Psychiatry 159:1214–1224PubMedCrossRef Greene RW, Biderman J, Zerwas S, Monuteaux MC, Goring JC, Faraone SV (2002) Psychiatric comorbidity, family dysfunction, and social impairment in referred youth with oppositional defiant disorder. Am J Psychiatry 159:1214–1224PubMedCrossRef
9.
go back to reference Jacobs RH, Becker-Weidman EG, Reinecke MA, Jordan N (2010) Treating depression and oppositional behavior in adolescents. J Clin Child Adolesc Psychol 39:559–567PubMedCrossRef Jacobs RH, Becker-Weidman EG, Reinecke MA, Jordan N (2010) Treating depression and oppositional behavior in adolescents. J Clin Child Adolesc Psychol 39:559–567PubMedCrossRef
10.
go back to reference Kessler RC, Avenevoli S, Merikangas KR (2001) Mood disorders in children and adolescents: an epidemiologic perspective. Biol Psychiatry 49:1002–1014PubMedCrossRef Kessler RC, Avenevoli S, Merikangas KR (2001) Mood disorders in children and adolescents: an epidemiologic perspective. Biol Psychiatry 49:1002–1014PubMedCrossRef
11.
go back to reference Ferguson CJ, Miguel CS, Hartley RD (2009) A multivariate analysis of youth violence and aggression: the influence of family, peers, depression, and media violence. J Pediatrics 155:904–908CrossRef Ferguson CJ, Miguel CS, Hartley RD (2009) A multivariate analysis of youth violence and aggression: the influence of family, peers, depression, and media violence. J Pediatrics 155:904–908CrossRef
12.
go back to reference Mahone EM, Slomine BS (2007) Managing dysexecutive disorders. In: Hunter SJ, Donders J (eds) Pediatric neuropsychological intervention. Cambridge University Press, New York Mahone EM, Slomine BS (2007) Managing dysexecutive disorders. In: Hunter SJ, Donders J (eds) Pediatric neuropsychological intervention. Cambridge University Press, New York
13.
go back to reference Anderson P (2002) Assessment and development of executive function (EF) during childhood. Child Neuropsychol 8:71–82PubMedCrossRef Anderson P (2002) Assessment and development of executive function (EF) during childhood. Child Neuropsychol 8:71–82PubMedCrossRef
14.
go back to reference Baron IS (2004) Neuropsychological evaluation of the child. New York, Oxford University Press Baron IS (2004) Neuropsychological evaluation of the child. New York, Oxford University Press
15.
go back to reference Henry LA, Bettenay C (2010) The assessment of executive functioning in children. Child Adolesc Ment Health 15:110–119CrossRef Henry LA, Bettenay C (2010) The assessment of executive functioning in children. Child Adolesc Ment Health 15:110–119CrossRef
16.
go back to reference Willcutt EG (2010) Attention-deficit/hyperactivity disorder. In: Yeates KO, Ris MD, Taylor HG, Pennington BF (eds) Pediatric neuropsychology: research, theory, and practice, 2nd edn. The Guilford Press, New York, pp 393–417 Willcutt EG (2010) Attention-deficit/hyperactivity disorder. In: Yeates KO, Ris MD, Taylor HG, Pennington BF (eds) Pediatric neuropsychology: research, theory, and practice, 2nd edn. The Guilford Press, New York, pp 393–417
17.
go back to reference Collette F, Van der Linden M, Laureys S, Delfiore G, Degueldre C, Luxen A, Salmon E (2005) Exploring the unity and diversity of the neural substrates of executive functioning. Hum Brain Mapp 25:409–423PubMedCrossRef Collette F, Van der Linden M, Laureys S, Delfiore G, Degueldre C, Luxen A, Salmon E (2005) Exploring the unity and diversity of the neural substrates of executive functioning. Hum Brain Mapp 25:409–423PubMedCrossRef
18.
go back to reference Koenigs M, Grafman J (2009) The functional neuroanatomy of depression: distinct roles for ventromedial and dorsolateral prefrontal cortex. Behav Brain Res 201:239–243PubMedCrossRef Koenigs M, Grafman J (2009) The functional neuroanatomy of depression: distinct roles for ventromedial and dorsolateral prefrontal cortex. Behav Brain Res 201:239–243PubMedCrossRef
19.
go back to reference Ottowitz WE, Dougherty DD, Savage CR (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. Harv Rev Psychiatry 10:86–99PubMedCrossRef Ottowitz WE, Dougherty DD, Savage CR (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. Harv Rev Psychiatry 10:86–99PubMedCrossRef
20.
go back to reference Miczek KA, de Almeida RM, Kravitz EA, Rissman EF, de Boer SF, Raine A (2007) Neurobiology of escalated aggression and violence. J Neurosci 27:11803–11806PubMedCrossRef Miczek KA, de Almeida RM, Kravitz EA, Rissman EF, de Boer SF, Raine A (2007) Neurobiology of escalated aggression and violence. J Neurosci 27:11803–11806PubMedCrossRef
21.
go back to reference Gansler DA, McLaughlin NC, Iguchi L, Jerram M, Moore DW, Bhadelia R, Fulwiler C (2009) A multivariate approach to aggression and the orbital frontal cortex in psychiatric patients. Psychiatry Res Neuroimag 171:145–154CrossRef Gansler DA, McLaughlin NC, Iguchi L, Jerram M, Moore DW, Bhadelia R, Fulwiler C (2009) A multivariate approach to aggression and the orbital frontal cortex in psychiatric patients. Psychiatry Res Neuroimag 171:145–154CrossRef
22.
go back to reference Giancola PR, Roth RM, Parrott DJ (2006) The mediating role of executive functioning in the relation between difficult temperament and physical aggression. J Psychopathol Behav Assess 28:211–221CrossRef Giancola PR, Roth RM, Parrott DJ (2006) The mediating role of executive functioning in the relation between difficult temperament and physical aggression. J Psychopathol Behav Assess 28:211–221CrossRef
23.
go back to reference Sprague J, Verona E, Kalkhoff W, Kilmer A (2011) Moderators and mediators of the stress-aggression relationship: executive function and state anger. Emotion 11:61–73PubMedCrossRef Sprague J, Verona E, Kalkhoff W, Kilmer A (2011) Moderators and mediators of the stress-aggression relationship: executive function and state anger. Emotion 11:61–73PubMedCrossRef
24.
go back to reference Hancock M, Tapscot JL, Hoaken P (2010) Role of executive dysfunction in predicting frequency and severity of violence. Aggress Behav 36:338–349PubMed Hancock M, Tapscot JL, Hoaken P (2010) Role of executive dysfunction in predicting frequency and severity of violence. Aggress Behav 36:338–349PubMed
25.
go back to reference Santor DA, Ingram A, Kusumakar V (2003) Influence of executive functioning difficulties on verbal aggression in adolescents: moderating effects of winning and losing and increasing and decreasing levels of provocation. Aggress Behav 29:475–488CrossRef Santor DA, Ingram A, Kusumakar V (2003) Influence of executive functioning difficulties on verbal aggression in adolescents: moderating effects of winning and losing and increasing and decreasing levels of provocation. Aggress Behav 29:475–488CrossRef
26.
go back to reference Serper M, Beech DR, Harvey PD, Dill C (2008) Neuropsychological and symptom predictors of aggression on the psychiatric inpatient service. J Clin Exp Neuropsychol 30:700–709PubMedCrossRef Serper M, Beech DR, Harvey PD, Dill C (2008) Neuropsychological and symptom predictors of aggression on the psychiatric inpatient service. J Clin Exp Neuropsychol 30:700–709PubMedCrossRef
27.
go back to reference Barker ED, Tremblay RE, van Lier P, Vitaro F, Nagin DS, Assaad J-M, Seguin JR (2011) The neurocognition of conduct disorder behaviors: specificity to physical aggression and theft after controlling for ADHD symptoms. Aggress Behav 37:63–72PubMedCrossRef Barker ED, Tremblay RE, van Lier P, Vitaro F, Nagin DS, Assaad J-M, Seguin JR (2011) The neurocognition of conduct disorder behaviors: specificity to physical aggression and theft after controlling for ADHD symptoms. Aggress Behav 37:63–72PubMedCrossRef
28.
go back to reference Barkataki I, Kumari V, Das M, Hill M, Morris R, O’Connell P, Taylor P, Sharma T (2005) A neuropsychological investigation into violence and mental illness. Schizophr Res 74:1–13PubMedCrossRef Barkataki I, Kumari V, Das M, Hill M, Morris R, O’Connell P, Taylor P, Sharma T (2005) A neuropsychological investigation into violence and mental illness. Schizophr Res 74:1–13PubMedCrossRef
29.
go back to reference Stanford MS, Greve KW, Gerstle JE (1997) Neuropsychological correlates of self-reported impulsive aggression in a college sample. Pers Individ Differ 23:961–965CrossRef Stanford MS, Greve KW, Gerstle JE (1997) Neuropsychological correlates of self-reported impulsive aggression in a college sample. Pers Individ Differ 23:961–965CrossRef
30.
go back to reference Golden CJ, Jackson ML, Peterson-Rohne A, Gontkovsky ST (1996) Neuropsychological correlates of violence and aggression: a review of the clinical literature. Aggress Violent Behav 1:3–25CrossRef Golden CJ, Jackson ML, Peterson-Rohne A, Gontkovsky ST (1996) Neuropsychological correlates of violence and aggression: a review of the clinical literature. Aggress Violent Behav 1:3–25CrossRef
31.
go back to reference Seguin JR, Pihl RO, Harden PW, Tremblay RE, Boulerice B (1995) Cognitive and neuropsychological characteristics of physically aggressive boys. J Abnorm Psychol 104:614–624PubMedCrossRef Seguin JR, Pihl RO, Harden PW, Tremblay RE, Boulerice B (1995) Cognitive and neuropsychological characteristics of physically aggressive boys. J Abnorm Psychol 104:614–624PubMedCrossRef
32.
go back to reference Seguin JR, Boulerice B, Harden PW, Tremblay RE, Pihl RO (1999) Executive functions and physical aggression after controlling for attention deficit hyperactivity disorder, general memory, and IQ. J Child Psychol Psychiatry 40:1197–1208PubMedCrossRef Seguin JR, Boulerice B, Harden PW, Tremblay RE, Pihl RO (1999) Executive functions and physical aggression after controlling for attention deficit hyperactivity disorder, general memory, and IQ. J Child Psychol Psychiatry 40:1197–1208PubMedCrossRef
33.
go back to reference Cauffman E, Steinberg L, Piquero AR (2005) Psychological, neuropsychological and physiological correlates of serious antisocial behavior in adolescence: the role of self-control. Criminology 43:133–175CrossRef Cauffman E, Steinberg L, Piquero AR (2005) Psychological, neuropsychological and physiological correlates of serious antisocial behavior in adolescence: the role of self-control. Criminology 43:133–175CrossRef
34.
go back to reference Dery M, Toupin J, Pauze R, Mercier H, Fortin L (1999) Neuropsychological characteristics of adolescents with conduct disorder: association with attention-deficit-hyperactivity and aggression. J Abnorm Child Psychol 27:225–236PubMedCrossRef Dery M, Toupin J, Pauze R, Mercier H, Fortin L (1999) Neuropsychological characteristics of adolescents with conduct disorder: association with attention-deficit-hyperactivity and aggression. J Abnorm Child Psychol 27:225–236PubMedCrossRef
35.
go back to reference Lamm C, Granic I, Zelazo PD, Lewis MD (2011) Magnitude and chronometry of neural mechanisms of emotion regulation in subtypes of aggressive children. Brain Cognit 77:159–169CrossRef Lamm C, Granic I, Zelazo PD, Lewis MD (2011) Magnitude and chronometry of neural mechanisms of emotion regulation in subtypes of aggressive children. Brain Cognit 77:159–169CrossRef
36.
go back to reference American Psychological Association (2002) Ethical principles of psychologists and code of conduct. Am Psychol 57:1060–1073CrossRef American Psychological Association (2002) Ethical principles of psychologists and code of conduct. Am Psychol 57:1060–1073CrossRef
37.
go back to reference American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn (Text Revision). Author, Washington, DC American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn (Text Revision). Author, Washington, DC
38.
go back to reference Kovacs M (1992) Children’s depression inventory (CDI) manual. Multi-Health Systems, New York, NY Kovacs M (1992) Children’s depression inventory (CDI) manual. Multi-Health Systems, New York, NY
39.
go back to reference Archer RP (1992) MMPI-A: assessing adolescent psychopathology. Lawrence Erlbaum Associates, Hillsdale, NJ Archer RP (1992) MMPI-A: assessing adolescent psychopathology. Lawrence Erlbaum Associates, Hillsdale, NJ
40.
go back to reference Strauss E, Sherman EM, Strauss O (2006) A compendium of neuropsychological tests: administration, norms and commentary, 3rd edn. Oxford University Press, New York Strauss E, Sherman EM, Strauss O (2006) A compendium of neuropsychological tests: administration, norms and commentary, 3rd edn. Oxford University Press, New York
41.
go back to reference Burton DB, Donders J, Mittenberg W (1996) A structural equation analysis of the wide range assessment of memory and learning in the standardization sample. Child Neuropsychol 2:39–47CrossRef Burton DB, Donders J, Mittenberg W (1996) A structural equation analysis of the wide range assessment of memory and learning in the standardization sample. Child Neuropsychol 2:39–47CrossRef
42.
go back to reference Sheslow D, Adams W (1990) WRAML: wide range assessment of memory and learning administration manual. Jastak Assessment Systems, Wilmington, DE Sheslow D, Adams W (1990) WRAML: wide range assessment of memory and learning administration manual. Jastak Assessment Systems, Wilmington, DE
43.
go back to reference Baune BT, McAfoose J, Leach G, Quirk F, Mitchell D (2009) Impact of psychiatric and medical comorbidity on cognitive function in depression. Psychiatry Clin Neurosci 63:392–400PubMedCrossRef Baune BT, McAfoose J, Leach G, Quirk F, Mitchell D (2009) Impact of psychiatric and medical comorbidity on cognitive function in depression. Psychiatry Clin Neurosci 63:392–400PubMedCrossRef
44.
go back to reference Beblo T, Sinnamon G, Baune BT (2011) Specifying the neuropsychology of affective disorders: clinical, demographic and neurobiological factors. Neuropsychol Rev 21:337–359PubMedCrossRef Beblo T, Sinnamon G, Baune BT (2011) Specifying the neuropsychology of affective disorders: clinical, demographic and neurobiological factors. Neuropsychol Rev 21:337–359PubMedCrossRef
Metagegevens
Titel
Physical Aggression, Diagnostic Presentation, and Executive Functioning in Inpatient Adolescents Diagnosed with Mood Disorders
Auteurs
Karen Holler
Brian Kavanaugh
Publicatiedatum
01-08-2013
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2013
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-012-0351-9

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