Skip to main content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Journal of Abnormal Child Psychology 10/2020

14-07-2020

Subgroups of Childhood ADHD Based on Temperament Traits and Cognition: Concurrent and Predictive Validity

Auteurs: Patrick K. Goh, Christine A. Lee, Michelle M. Martel, Sarah L. Karalunas, Joel T. Nigg

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 10/2020

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

Efforts to parse ADHD’s heterogeneity in the DSM system has generally relied on subtypes, or presentations, based on different symptom combinations. Promising recent work has suggested that biologically-relevant and clinically predictive subgroups may be identified via an alternative feature set based on either a) temperament traits or b) executive function measures. Yet, the potential additive ability of these domains for specifying ADHD sub-phenotypes remains unknown. We thus sought to determine whether temperament traits and executive function, together, could facilitate a more nuanced and clinically meaningful subgrouping of children with ADHD. Participants included 828 children aged 7–11 years (62% with ADHD, 38% female). Latent profile and community detection analyses using both temperament and cognitive input features provided support for a primarily temperament-based three-subgroup solution (i.e., “Mild,” “Irritable,” and “Surgent”), although the distinction between Surgent and Mild subgroups may have been better explained as an ADHD symptom severity effect. There was also evidence of a five-subgroup solution, in which cognitive measures differentiated the Surgent subgroup into those with and without cognitive impairment. Cognitive measures also appeared to differentiate the Irritable subgroup based on severity, although differences in resulting subgroups appeared better explained via differences in negative affect and shyness. Subgroups within the five-subgroup solution meaningfully differed with respect to concurrent comorbidity. The utility of the five-subgroup solution for predicting comorbid diagnoses 2 years later was more limited. Additional work is needed to fully characterize the integration of cognitive and affective functioning in ADHD and their overlapping or additive value for clinical prediction.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Voetnoten
1
Group comparison analyses suggested those with ADHD were significantly older, had more ADHD symptoms, reported a significantly lower family income, and exhibited a lower FSIQ than those without (ps < .04; partial η2s ≥ .01). The ADHD group had a significantly higher proportion of males (p < .001; Odds Ratio = 1.05). Comparison of participants who provided data for prior work versus those who did not suggested no differences in gender, race, yearly family income, and FSIQ (ps > .05; partial η2s ≤ .01). Regardless of ADHD diagnosis, participants who had not previously provided data were significantly older than those who had (ps < .001; partial η2s ≥ .08). In participants without ADHD, those who provided data for prior work reported significantly fewer symptoms than those who had not (p = .001; partial η2 = .04). Detailed information is provided in the Online Resources.
 
2
We also conducted a supplemental LPA analysis removing TMCQ scales that were overlapping with both ADHD and ODD symptoms. These specific scales were inhibitory control, impulsivity, attention focusing, anger/frustration, and soothability. Results of these analyses are available in the Online Resources.
 
Literatuur
go back to reference American Psychiatric Association. (2013).  Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association. American Psychiatric Association. (2013).  Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.
go back to reference Banaschewski, T., Jennen-Steinmetz, C., Brandeis, D., Buitelaar, J. K., Kuntsi, J., Poustka, L., Sergeant, J. A., Sonuga-Barke, E. J., Frazier-Wood, A. C., Albrecht, B., Chen, W., Uebel, H., Schlotz, W., van der Meere, J. J., Gill, M., Manor, I., Miranda, A., Mulas, F., Oades, R. D., Roeyers, H., Rothenberger, A., Steinhausen, H. C., Faraone, S. V., & Asherson, P. (2012). Neuropsychological correlates of emotional lability in children with ADHD. Journal of Child Psychology and Psychiatry, 53, 1139–1148. https://​doi.​org/​10.​1111/​j.​1469-7610.​2012.​02596.​x. CrossRefPubMed Banaschewski, T., Jennen-Steinmetz, C., Brandeis, D., Buitelaar, J. K., Kuntsi, J., Poustka, L., Sergeant, J. A., Sonuga-Barke, E. J., Frazier-Wood, A. C., Albrecht, B., Chen, W., Uebel, H., Schlotz, W., van der Meere, J. J., Gill, M., Manor, I., Miranda, A., Mulas, F., Oades, R. D., Roeyers, H., Rothenberger, A., Steinhausen, H. C., Faraone, S. V., & Asherson, P. (2012). Neuropsychological correlates of emotional lability in children with ADHD. Journal of Child Psychology and Psychiatry, 53, 1139–1148. https://​doi.​org/​10.​1111/​j.​1469-7610.​2012.​02596.​x. CrossRefPubMed
go back to reference Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin Journal, 121, 65–94. CrossRef Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin Journal, 121, 65–94. CrossRef
go back to reference Biederman, J., Monuteaux, M. C., Doyle, A. E., Seidman, L. J., Wilens, T. E., Ferrero, F., Morgan, C. L., & Faraone, S. V. (2004). Impact of executive function deficits and attention-deficit/hyperactivity disorder (ADHD) on academic outcomes in children. Journal of Consulting and Clinical Psychology, 72, 757–766. CrossRef Biederman, J., Monuteaux, M. C., Doyle, A. E., Seidman, L. J., Wilens, T. E., Ferrero, F., Morgan, C. L., & Faraone, S. V. (2004). Impact of executive function deficits and attention-deficit/hyperactivity disorder (ADHD) on academic outcomes in children. Journal of Consulting and Clinical Psychology, 72, 757–766. CrossRef
go back to reference Chess, S., & Thomas, A. (1999). Goodness of fit: Clinical applications, from infancy through adult life. New York: Brunner/Mazel. Chess, S., & Thomas, A. (1999). Goodness of fit: Clinical applications, from infancy through adult life. New York: Brunner/Mazel.
go back to reference Curko Kera, E. A., Marks, D. J., Berwid, O. G., Santra, A., & Halperin, J. M. (2004). Self-report and objective measures of ADHD-related behaviors in parents of preschool children at risk for ADHD. CNS Spectrums, 9, 639–647. CrossRef Curko Kera, E. A., Marks, D. J., Berwid, O. G., Santra, A., & Halperin, J. M. (2004). Self-report and objective measures of ADHD-related behaviors in parents of preschool children at risk for ADHD. CNS Spectrums, 9, 639–647. CrossRef
go back to reference Delis, D. C., Kaplan, E., & Kramer, J. H. (2001). Delis-Kaplan executive function system (D-KEFS). San Antonio: Psychological Corporation. Delis, D. C., Kaplan, E., & Kramer, J. H. (2001). Delis-Kaplan executive function system (D-KEFS). San Antonio: Psychological Corporation.
go back to reference DuPaul, G. J., Power, T. J., Anastopoulos, A. D., & Reid, R. (1998). ADHD rating scale-IV: Checklists, norms, and clinical interpretation. New York: Guilford Press. DuPaul, G. J., Power, T. J., Anastopoulos, A. D., & Reid, R. (1998). ADHD rating scale-IV: Checklists, norms, and clinical interpretation. New York: Guilford Press.
go back to reference Everitt, B. S., Landau, S., Leese, M., & Stahl, D. (2011). Cluster analysis (5th ed.). West Sussex: John Wiley & Sons, Ltd.. CrossRef Everitt, B. S., Landau, S., Leese, M., & Stahl, D. (2011). Cluster analysis (5th ed.). West Sussex: John Wiley & Sons, Ltd.. CrossRef
go back to reference Faraone, S. V., Rostain, A. L., Blader, J., Busch, B., Childress, A. C., Connor, D. F., & Newcorn, J. H. (2018). Practitioner review: Emotional dysregulation in attention-deficit/hyperactivity disorder – Implications for clinical recognition and intervention. Journal of Child Psychology and Psychiatry, 60, 133–150. https://​doi.​org/​10.​1111/​jcpp.​12899. CrossRefPubMed Faraone, S. V., Rostain, A. L., Blader, J., Busch, B., Childress, A. C., Connor, D. F., & Newcorn, J. H. (2018). Practitioner review: Emotional dysregulation in attention-deficit/hyperactivity disorder – Implications for clinical recognition and intervention. Journal of Child Psychology and Psychiatry, 60, 133–150. https://​doi.​org/​10.​1111/​jcpp.​12899. CrossRefPubMed
go back to reference Forslund, T., Brocki, K. C., Bohlin, G., Granqvist, P., & Eninger, L. (2016). The heterogeneity of attention-deficit/hyperactivity disorder symptoms and conduct problems: Cognitive inhibition, emotion regulation, emotionality, and disorganized attachment. British Journal of Developmental Psychology, 34, 371–387. https://​doi.​org/​10.​1111/​bjdp.​12136. CrossRefPubMed Forslund, T., Brocki, K. C., Bohlin, G., Granqvist, P., & Eninger, L. (2016). The heterogeneity of attention-deficit/hyperactivity disorder symptoms and conduct problems: Cognitive inhibition, emotion regulation, emotionality, and disorganized attachment. British Journal of Developmental Psychology, 34, 371–387. https://​doi.​org/​10.​1111/​bjdp.​12136. CrossRefPubMed
go back to reference Griffith, S. F., Arnold, D. H., Rolon-Arroyo, B., & Harvey, E. A. (2019). Neuropsychological predictors of ODD symptom dimensions in young children. Journal of Clinical Child and Adolescent Psychology, 48, 80–92. CrossRef Griffith, S. F., Arnold, D. H., Rolon-Arroyo, B., & Harvey, E. A. (2019). Neuropsychological predictors of ODD symptom dimensions in young children. Journal of Clinical Child and Adolescent Psychology, 48, 80–92. CrossRef
go back to reference Kass, R. E., & Raftery, A. E. (1995). Bayes factors. Journal of the American Statistical Association, 90, 773–795. CrossRef Kass, R. E., & Raftery, A. E. (1995). Bayes factors. Journal of the American Statistical Association, 90, 773–795. CrossRef
go back to reference Lezak, M. D., Howieson, D. B., Bigler, E. D., & Tranel, D. (2012). Neuropsychological assessment (5th ed.). New York, NY: Oxford University Press. Lezak, M. D., Howieson, D. B., Bigler, E. D., & Tranel, D. (2012). Neuropsychological assessment (5th ed.). New York, NY: Oxford University Press.
go back to reference Muthén, L.K., & Muthén, B.O. (1998-2012). Mplus user’s guide (7th ed.). Los Angeles: Muthén & Muthén. Muthén, L.K., & Muthén, B.O. (1998-2012). Mplus user’s guide (7th ed.). Los Angeles: Muthén & Muthén.
go back to reference Puig-Antich, J., & Ryan, N. (1986). Kiddie schedule for affective disorders and schizophrenia. Pittsburgh: Western Psychiatric Institute. Puig-Antich, J., & Ryan, N. (1986). Kiddie schedule for affective disorders and schizophrenia. Pittsburgh: Western Psychiatric Institute.
go back to reference Rabinovitz, B. B., O'Neill, S., Rajendran, K., & Halperin, J. M. (2016). Temperament, executive control, and attention-deficit/hyperactivity disorder across early development. Journal of Abnormal Psychology, 125, 196-206. Rabinovitz, B. B., O'Neill, S., Rajendran, K., & Halperin, J. M. (2016). Temperament, executive control, and attention-deficit/hyperactivity disorder across early development. Journal of Abnormal Psychology, 125, 196-206.
go back to reference Rothbart, M. K. (2011). Becoming who we are: Temperament and personality in development. New York: Guilford Press. Rothbart, M. K. (2011). Becoming who we are: Temperament and personality in development. New York: Guilford Press.
go back to reference Rothbart, M. K., & Bates, J. E. (1998). Temperament. In W. Damon (Series Ed.) & N. Eisenberg (Vol. Ed.), Handbook of child psychology: Vol. 3. Social, emotional and personality development (5th ed., pp. 105–176). New York: Wiley. Rothbart, M. K., & Bates, J. E. (1998). Temperament. In W. Damon (Series Ed.) & N. Eisenberg (Vol. Ed.), Handbook of child psychology: Vol. 3. Social, emotional and personality development (5th ed., pp. 105–176). New York: Wiley.
go back to reference Rothbart, M. K., & Putnam, S. (2002). Temperament and socialization. In L. Pulkkinen, & A. Caspi (Eds.), Paths to successful development: Personality in the life course (pp. 19–45). Cambridge, NY: Cambridge University Press. Rothbart, M. K., & Putnam, S. (2002). Temperament and socialization. In L. Pulkkinen, & A. Caspi (Eds.), Paths to successful development: Personality in the life course (pp. 19–45). Cambridge, NY: Cambridge University Press.
go back to reference Sattler, J., & Dumont, R. (2004). Assessment of children: WISC-IV and WPPSI-III Suppl. San Diego: Jerome Sattler Publisher, Inc.. Sattler, J., & Dumont, R. (2004). Assessment of children: WISC-IV and WPPSI-III Suppl. San Diego: Jerome Sattler Publisher, Inc..
go back to reference Schachar, R., Tannock, R., Marriot, M., & Logan, G. (1995). Deficient inhibitory control in attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 23(4), 411–437. CrossRef Schachar, R., Tannock, R., Marriot, M., & Logan, G. (1995). Deficient inhibitory control in attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 23(4), 411–437. CrossRef
go back to reference Simonds, J., & Rothbart, M.K. (2004). The temperament in middle childhood questionnaire (TMCQ): A computerized self-report measure of temperament for ages 7–10. Poster session presented at the occasional temperament conference, October, Athens, GA. Simonds, J., & Rothbart, M.K. (2004). The temperament in middle childhood questionnaire (TMCQ): A computerized self-report measure of temperament for ages 7–10. Poster session presented at the occasional temperament conference, October, Athens, GA.
go back to reference Wechsler, D. (2003). Wechsler intelligence scale for children (WISC-IV) technical and interpretive manual (4th ed.). San Antonio: Harcourt Brace. Wechsler, D. (2003). Wechsler intelligence scale for children (WISC-IV) technical and interpretive manual (4th ed.). San Antonio: Harcourt Brace.
go back to reference Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the executive functioning theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological Psychiatry, 57, 1336–1346. CrossRef Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the executive functioning theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological Psychiatry, 57, 1336–1346. CrossRef
go back to reference Wing, A. M., & Kristofferson, A. B. (1973a). Response delays and the timing of discrete motor responses. Perception & Psychophysics, 14, 5–12. CrossRef Wing, A. M., & Kristofferson, A. B. (1973a). Response delays and the timing of discrete motor responses. Perception & Psychophysics, 14, 5–12. CrossRef
go back to reference Wing, A. M., & Kristofferson, A. B. (1973b). The timing of interresponse intervals. Perception & Psychophysics, 13, 455–460. CrossRef Wing, A. M., & Kristofferson, A. B. (1973b). The timing of interresponse intervals. Perception & Psychophysics, 13, 455–460. CrossRef
go back to reference Zelazo, P. D., & Cunningham, W. A. (2007). Executive function: Mechanisms underlying emotion regulation. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 135–158). New York: The Guilford Press. Zelazo, P. D., & Cunningham, W. A. (2007). Executive function: Mechanisms underlying emotion regulation. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 135–158). New York: The Guilford Press.
Metagegevens
Titel
Subgroups of Childhood ADHD Based on Temperament Traits and Cognition: Concurrent and Predictive Validity
Auteurs
Patrick K. Goh
Christine A. Lee
Michelle M. Martel
Sarah L. Karalunas
Joel T. Nigg
Publicatiedatum
14-07-2020
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 10/2020
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-020-00668-x

Andere artikelen Uitgave 10/2020

Journal of Abnormal Child Psychology 10/2020 Naar de uitgave