Skip to main content
Top
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 2/2020

31-01-2020

Loneliness Accounts for the Association Between Diagnosed Attention Deficit-Hyperactivity Disorder and Symptoms of Depression Among Adolescents

Auteurs: Stephen Houghton, David Lawrence, Simon C. Hunter, Corinne Zadow, Michael Kyron, Roger Paterson, Annemaree Carroll, Richard Christie, Mark Brandtman

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

The heightened levels of peer relationship difficulties associated with Attention Deficit/Hyperactivity Disorder (ADHD) potentially predispose adolescents to feelings of loneliness and depressive symptoms. The current study explores whether feelings of loneliness mediate the effects of ADHD on depressive symptoms. Eighty-four adolescents (Mage = 13.01 years, 75% Male) in Western Australian schools completed mental health and wellbeing surveys. Multivariate analysis of variance assessed whether adolescents with ADHD had greater loneliness and depressive symptoms, and mediation analysis explored whether loneliness mediated the relationship between ADHD and depressive symptoms. Adolescents with ADHD reported significantly greater depressive symptomatology and feelings of isolation and lower quality of friendships. Together, friendship and isolation related loneliness fully mediated the relationship between ADHD and depressive symptoms. Loneliness is associated with depression in adolescents with ADHD and may be an important consideration when addressing symptoms of depression among young people diagnosed with ADHD.
Literatuur
go back to reference American Academy of Pediatrics. (2011). ADHD: Clinical practice guidelines for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 128(5), 1007–1022. American Academy of Pediatrics. (2011). ADHD: Clinical practice guidelines for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 128(5), 1007–1022.
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, D.C: Author. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, D.C: Author.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
go back to reference Antshel, K., Macias, M., & Barkley, R. A. (2009). The child with attention deficit hyperactivity disorder. Child Pediatric Neurology, 525–540. Antshel, K., Macias, M., & Barkley, R. A. (2009). The child with attention deficit hyperactivity disorder. Child Pediatric Neurology, 525–540.
go back to reference Bacchini, D., Affuso, G., & Trotta, T. (2008). Temperament, ADHD and peer relations among schoolchildren: the mediating role of school bullying. Aggressive Behavior: Official Journal of the International Society for Research on Aggression, 34(5), 447–459. https://doi.org/10.1207/s15374424jccp3401_5. Bacchini, D., Affuso, G., & Trotta, T. (2008). Temperament, ADHD and peer relations among schoolchildren: the mediating role of school bullying. Aggressive Behavior: Official Journal of the International Society for Research on Aggression, 34(5), 447–459. https://​doi.​org/​10.​1207/​s15374424jccp340​1_​5.
go back to reference Becker, S. P., Luebbe, A. M., & Langberg, J. M. (2012). 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(4), 279–302. https://doi.org/10.1007/s10567-012-0122-y.PubMed Becker, S. P., Luebbe, A. M., & Langberg, J. M. (2012). 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(4), 279–302. https://​doi.​org/​10.​1007/​s10567-012-0122-y.PubMed
go back to reference Biederman, J., Ball, S. W., Monuteaux, M. C., Mick, E., Spencer, T. J., McCreary, M., & 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 & Adolescent Psychiatry, 47(4), 426–434. https://doi.org/10.1097/CHI.0b013e31816429d3. Biederman, J., Ball, S. W., Monuteaux, M. C., Mick, E., Spencer, T. J., McCreary, M., & 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 & Adolescent Psychiatry, 47(4), 426–434. https://​doi.​org/​10.​1097/​CHI.​0b013e31816429d3​.
go back to reference Cacioppo, J. T. & Patrick, W. (2008). Loneliness: Human nature and the need for social connection. WW Norton & Company. Cacioppo, J. T. & Patrick, W. (2008). Loneliness: Human nature and the need for social connection. WW Norton & Company.
go back to reference Cacioppo, J. T., Hawkley, L. C., Crawford, L. E., Ernst, J. M., Burleson, M. H., Kowalewski, R. B., Malarkey, W. B., van Cauter, E., & Berntson, G. G. (2002). Loneliness and health: potential mechanisms. Psychosomatic Medicine, 64(3), 407–417.PubMed Cacioppo, J. T., Hawkley, L. C., Crawford, L. E., Ernst, J. M., Burleson, M. H., Kowalewski, R. B., Malarkey, W. B., van Cauter, E., & Berntson, G. G. (2002). Loneliness and health: potential mechanisms. Psychosomatic Medicine, 64(3), 407–417.PubMed
go back to reference Cacioppo, J. T., Hawkley, L. C., & Berntson, G. G. (2003). The anatomy of loneliness. Current Directions in Psychological Science, 12(3), 71–74. Cacioppo, J. T., Hawkley, L. C., & Berntson, G. G. (2003). The anatomy of loneliness. Current Directions in Psychological Science, 12(3), 71–74.
go back to reference Dahlberg, K. (2007). The enigmatic phenomenon of loneliness. International Journal of Qualitative Studies on Health and Well-Being, 2(4), 195–207. Dahlberg, K. (2007). The enigmatic phenomenon of loneliness. International Journal of Qualitative Studies on Health and Well-Being, 2(4), 195–207.
go back to reference Fischer, C. S., & Phillips, S. L. (1979). Who is alone? Social characteristics of people with small networks. Berkeley: Institute of Urban and Regional Development, University of California. Fischer, C. S., & Phillips, S. L. (1979). Who is alone? Social characteristics of people with small networks. Berkeley: Institute of Urban and Regional Development, University of California.
go back to reference Fridh, M., Köhler, M., Modén, B., Lindström, M., & Rosvall, M. (2018). Subjective health complaints and exposure to peer victimization among disabled and non-disabled adolescents: a population-based study in Sweden. Scandinavian Journal of Public Health, 46(2), 262–271. https://doi.org/10.1177/1403494817705558.PubMed Fridh, M., Köhler, M., Modén, B., Lindström, M., & Rosvall, M. (2018). Subjective health complaints and exposure to peer victimization among disabled and non-disabled adolescents: a population-based study in Sweden. Scandinavian Journal of Public Health, 46(2), 262–271. https://​doi.​org/​10.​1177/​1403494817705558​.PubMed
go back to reference Goossens, L., Lasgaard, M., Luyckx, K., Vanhalst, J., Mathias, S., & Masy, E. (2009). Loneliness and solitude in adolescence: a confirmatory factor analysis of alternative models. Personality and Individual Differences, 47(8), 890–894. Goossens, L., Lasgaard, M., Luyckx, K., Vanhalst, J., Mathias, S., & Masy, E. (2009). Loneliness and solitude in adolescence: a confirmatory factor analysis of alternative models. Personality and Individual Differences, 47(8), 890–894.
go back to reference Grills, A. E., & Ollendick, T. H. (2002). Peer victimization, global self-worth, and anxiety in middle school children. Journal of Clinical Child and Adolescent Psychology, 31(1), 59–68.PubMed Grills, A. E., & Ollendick, T. H. (2002). Peer victimization, global self-worth, and anxiety in middle school children. Journal of Clinical Child and Adolescent Psychology, 31(1), 59–68.PubMed
go back to reference Houghton, S., Hattie, J., Carroll, A., Wood, L., & Baffour, B. (2016). It hurts to be lonely! Loneliness and positive mental wellbeing in Australian rural and urban adolescents. Journal of Psychologists and Counsellors in Schools, 26(1), 52–67. Houghton, S., Hattie, J., Carroll, A., Wood, L., & Baffour, B. (2016). It hurts to be lonely! Loneliness and positive mental wellbeing in Australian rural and urban adolescents. Journal of Psychologists and Counsellors in Schools, 26(1), 52–67.
go back to reference Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.
go back to reference Jensen, P. S. (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56(12), 1073–1086. Jensen, P. S. (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56(12), 1073–1086.
go back to reference Jerrell, J. M., McIntyre, R. S., & Park, Y. M. M. (2015). Risk factors for incident major depressive disorder in children and adolescents with attention-deficit/hyperactivity disorder. European Child & Adolescent Psychiatry, 24(1), 65–73. https://doi.org/10.1007/s00787-014-0541-z. Jerrell, J. M., McIntyre, R. S., & Park, Y. M. M. (2015). Risk factors for incident major depressive disorder in children and adolescents with attention-deficit/hyperactivity disorder. European Child & Adolescent Psychiatry, 24(1), 65–73. https://​doi.​org/​10.​1007/​s00787-014-0541-z.
go back to reference Kamphaus, R. W., & Frick, P. J. (2005). Clinical assessment of child and adolescent personality and behavior. Springer Science & Business Media. Kamphaus, R. W., & Frick, P. J. (2005). Clinical assessment of child and adolescent personality and behavior. Springer Science & Business Media.
go back to reference Kovacs, M. (2004). Children’s depression inventory (CDI). Toronto: Multi-Health Systems Inc.. Kovacs, M. (2004). Children’s depression inventory (CDI). Toronto: Multi-Health Systems Inc..
go back to reference La Greca, A. M., & Harrison, H. M. (2005). Adolescent peer relations, friendships, and romantic relationships: do they predict social anxiety and depression? Journal of Clinical Child and Adolescent Psychology, 34(1), 49–61.PubMed La Greca, A. M., & Harrison, H. M. (2005). Adolescent peer relations, friendships, and romantic relationships: do they predict social anxiety and depression? Journal of Clinical Child and Adolescent Psychology, 34(1), 49–61.PubMed
go back to reference Langher, V., Ricci, M. E., Reversi, S., & Krstikj, N. (2009). Adhd and loneliness social dissatisfaction in inclusive school from an individual-context paradigm. Journal of Special Education and Rehabilitation, 10(3–4), 67–88 http://jser.fzf.ukim.edu.mk. Langher, V., Ricci, M. E., Reversi, S., & Krstikj, N. (2009). Adhd and loneliness social dissatisfaction in inclusive school from an individual-context paradigm. Journal of Special Education and Rehabilitation, 10(3–4), 67–88 http://​jser.​fzf.​ukim.​edu.​mk.
go back to reference Lawrence, D., Hafekost, J., Johnson, S. E., Saw, S., Buckingham, W. J., Sawyer, M. G., & Zubrick, S. R. (2016). Key findings from the second Australian child and adolescent survey of mental health and wellbeing. Australian & New Zealand Journal of Psychiatry, 50(9), 876–886. https://doi.org/10.1177/0004867415617836. Lawrence, D., Hafekost, J., Johnson, S. E., Saw, S., Buckingham, W. J., Sawyer, M. G., & Zubrick, S. R. (2016). Key findings from the second Australian child and adolescent survey of mental health and wellbeing. Australian & New Zealand Journal of Psychiatry, 50(9), 876–886. https://​doi.​org/​10.​1177/​0004867415617836​.
go back to reference Lee, S. S., Humphreys, K. L., Flory, K., Liu, R., & Glass, K. (2011). Prospective association of childhood attention-deficit/hyperactivity disorder (ADHD) and substance use and abuse/dependence: a meta-analytic review. Clinical Psychology Review, 31(3), 328–341.PubMedPubMedCentral Lee, S. S., Humphreys, K. L., Flory, K., Liu, R., & Glass, K. (2011). Prospective association of childhood attention-deficit/hyperactivity disorder (ADHD) and substance use and abuse/dependence: a meta-analytic review. Clinical Psychology Review, 31(3), 328–341.PubMedPubMedCentral
go back to reference Margalit, M., & Al-Yagon, M. (2002). The loneliness experience of children with learning disabilities. The Social Dimensions of Learning Disabilities, 53–75. Margalit, M., & Al-Yagon, M. (2002). The loneliness experience of children with learning disabilities. The Social Dimensions of Learning Disabilities, 53–75.
go back to reference Matthews, T., Danese, A., Wertz, J., Ambler, A., Kelly, M., Diver, A., Caspi, A., Moffitt, T. E., & Arseneault, L. (2015). Social isolation and mental health at primary and secondary school entry: a longitudinal cohort study. Journal of the American Academy of Child & Adolescent Psychiatry, 54(3), 225–232. https://doi.org/10.1016/j.jaac.2014.12.008. Matthews, T., Danese, A., Wertz, J., Ambler, A., Kelly, M., Diver, A., Caspi, A., Moffitt, T. E., & Arseneault, L. (2015). Social isolation and mental health at primary and secondary school entry: a longitudinal cohort study. Journal of the American Academy of Child & Adolescent Psychiatry, 54(3), 225–232. https://​doi.​org/​10.​1016/​j.​jaac.​2014.​12.​008.
go back to reference Merikangas, K. R., Nakamura, E. F., & Kessler, R. C. (2009). Epidemiology of mental disorders in children and adolescents. Dialogues in Clinical Neuroscience, 11(1), 7–20.PubMedPubMedCentral Merikangas, K. R., Nakamura, E. F., & Kessler, R. C. (2009). Epidemiology of mental disorders in children and adolescents. Dialogues in Clinical Neuroscience, 11(1), 7–20.PubMedPubMedCentral
go back to reference Muthén, L. K., & Muthén, B. (2019). Mplus. The comprehensive modelling program for applied researchers: user’s guide, 5. Muthén, L. K., & Muthén, B. (2019). Mplus. The comprehensive modelling program for applied researchers: user’s guide, 5.
go back to reference Newland, L. A., Giger, J. T., Lawler, M. J., Roh, S., Brockevelt, B. L., & Schweinle, A. (2019). Multilevel analysis of child and adolescent subjective well-being across 14 countries: child-and country-level predictors. Child Development, 90(2), 395–413. https://doi.org/10.1111/cdev.13134.PubMed Newland, L. A., Giger, J. T., Lawler, M. J., Roh, S., Brockevelt, B. L., & Schweinle, A. (2019). Multilevel analysis of child and adolescent subjective well-being across 14 countries: child-and country-level predictors. Child Development, 90(2), 395–413. https://​doi.​org/​10.​1111/​cdev.​13134.PubMed
go back to reference Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: a global public-health challenge. The Lancet, 369(9569), 1302–1313. Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: a global public-health challenge. The Lancet, 369(9569), 1302–1313.
go back to reference Prinstein, M. J., Rancourt, D., Guerry, J. D., & Browne, C. B. (2009). Peer reputations and psychological adjustment. In K. H. Rubin, M. Bukowski, & B. Laursen (Eds.), Handbook of peer interactions, relationships, and groups (pp. 548–567). New York: Guilford. Prinstein, M. J., Rancourt, D., Guerry, J. D., & Browne, C. B. (2009). Peer reputations and psychological adjustment. In K. H. Rubin, M. Bukowski, & B. Laursen (Eds.), Handbook of peer interactions, relationships, and groups (pp. 548–567). New York: Guilford.
go back to reference Qualter, P., & Munn, P. (2002). The separateness of social and emotional loneliness in childhood. Journal of Child Psychology and Psychiatry, 43(2), 233–244.PubMed Qualter, P., & Munn, P. (2002). The separateness of social and emotional loneliness in childhood. Journal of Child Psychology and Psychiatry, 43(2), 233–244.PubMed
go back to reference Riva, P., Wesselmann, E. D., Wirth, J., Carter-Sowell, A., & Williams, K. (2014). When pain does not heal. The common antecedents and consequences of chronic social and physical pain. Basic and Applied Social Psychology, 36(4), 329–346. Riva, P., Wesselmann, E. D., Wirth, J., Carter-Sowell, A., & Williams, K. (2014). When pain does not heal. The common antecedents and consequences of chronic social and physical pain. Basic and Applied Social Psychology, 36(4), 329–346.
go back to reference Stickley, A., Koposov, R., Koyanagi, A., Inoue, Y., & Ruchkin, V. (2019). ADHD and depressive symptoms in adolescents: the role of community violence exposure. Social Psychiatry and Psychiatric Epidemiology, 54(6), 683–691.PubMed Stickley, A., Koposov, R., Koyanagi, A., Inoue, Y., & Ruchkin, V. (2019). ADHD and depressive symptoms in adolescents: the role of community violence exposure. Social Psychiatry and Psychiatric Epidemiology, 54(6), 683–691.PubMed
go back to reference van Roekel, E., Verhagen, M., Engels, R. C., Scholte, R. H., Cacioppo, S., & Cacioppo, J. T. (2018). Trait and state levels of loneliness in early and late adolescents: examining the differential reactivity hypothesis. Journal of Clinical Child & Adolescent Psychology, 47(6), 888–899. https://doi.org/10.1080/15374416.2016.1146993. van Roekel, E., Verhagen, M., Engels, R. C., Scholte, R. H., Cacioppo, S., & Cacioppo, J. T. (2018). Trait and state levels of loneliness in early and late adolescents: examining the differential reactivity hypothesis. Journal of Clinical Child & Adolescent Psychology, 47(6), 888–899. https://​doi.​org/​10.​1080/​15374416.​2016.​1146993.
go back to reference van Rooij, D., Hoekstra, P. J., Mennes, M., von Rhein, D., Thissen, A. J., Heslenfeld, D., et al. (2015). Distinguishing adolescents with ADHD from their unaffected siblings and healthy comparison subjects by neural activation patterns during response inhibition. American Journal of Psychiatry, 172(7), 674–683. https://doi.org/10.1176/appi.ajp.2014.13121635. van Rooij, D., Hoekstra, P. J., Mennes, M., von Rhein, D., Thissen, A. J., Heslenfeld, D., et al. (2015). Distinguishing adolescents with ADHD from their unaffected siblings and healthy comparison subjects by neural activation patterns during response inhibition. American Journal of Psychiatry, 172(7), 674–683. https://​doi.​org/​10.​1176/​appi.​ajp.​2014.​13121635.
go back to reference Walker, J. S., Coleman, D., Lee, J., Squire, P. N., & Friesen, B. J. (2008). Children's stigmatization of childhood depression and ADHD: magnitude and demographic variation in a national sample. Journal of the American Academy of Child & Adolescent Psychiatry, 47(8), 912–920. https://doi.org/10.1097/CHI.0b013e318179961a. Walker, J. S., Coleman, D., Lee, J., Squire, P. N., & Friesen, B. J. (2008). Children's stigmatization of childhood depression and ADHD: magnitude and demographic variation in a national sample. Journal of the American Academy of Child & Adolescent Psychiatry, 47(8), 912–920. https://​doi.​org/​10.​1097/​CHI.​0b013e318179961a​.
Metagegevens
Titel
Loneliness Accounts for the Association Between Diagnosed Attention Deficit-Hyperactivity Disorder and Symptoms of Depression Among Adolescents
Auteurs
Stephen Houghton
David Lawrence
Simon C. Hunter
Corinne Zadow
Michael Kyron
Roger Paterson
Annemaree Carroll
Richard Christie
Mark Brandtman
Publicatiedatum
31-01-2020
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2020
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-020-09791-x

Andere artikelen Uitgave 2/2020

Journal of Psychopathology and Behavioral Assessment 2/2020 Naar de uitgave