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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

19-02-2022

The Impact of Irritability and Callous Unemotional Traits on Reward Positivity in Youth with ADHD and Conduct Problems

Auteurs: James Waxmonsky, Whitney Fosco, Daniel Waschbusch, Dara Babinski, Raman Baweja, Samantha Pegg, Vanessa Cao, Delshad Shroff, Autumn Kujawa

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 8/2022

Abstract

Children with attention-deficit/hyperactivity disorder (ADHD) and conduct problems exhibit significant variability in functioning and treatment response that cannot be fully accounted for by differences in symptom severity. Reward responsivity (RR) is a potential transdiagnostic means to account for this variability. Irritability and callous-unemotional (CU) traits moderate associations between both ADHD and conduct problems with multiple realms of functioning. Both are theorized to be associated with RR, but associations in clinical samples are unknown. In 48 youth ages 5–12 with ADHD referred for treatment of conduct problems, we examined RR using a guessing task where participants select a door icon to win and lose money. Analyses focused on the reward positivity (RewP) event-related potential in response to gain and loss feedback, which reliably peaks approximately 300 ms after feedback. Frequentist and Bayesian approaches assessed main effects of ADHD, Conduct Disorder (CD) and non-irritable Oppositional Defiant Disorder (ODD) symptoms with RR, plus interactions between symptoms and affective dimensions (irritability, CU). CD and ODD were hypothesized to be associated with altered RR, with irritability and CU moderating these associations. Across models, a reliable CD x irritability interaction emerged, indicating enhanced RewP when irritability was elevated and CD symptoms were low. CU did not moderate any associations with RR, and little support was found for associations between RR and other symptom domains. As neural response to reward varied with levels of irritability and CD symptoms, RR may hold potential as a clinically-relevant biomarker in youth with ADHD and conduct problems.

vorige artikel Mediating Factors in Within-Person Developmental Cascades of Externalising, Internalising and ADHD Symptoms in Childhood

volgende artikel Is feeling bad good enough? Ethical guilt and callous-unemotional traits in childhood

Although the model including ADHD had the highest BF₁₀ value, the model including CD, irritability, and CD x irritability without ADHD was nearly equally as likely (BF₁₀ = 6.65 for the model including ADHD and BF₁₀ = 6.36 for the model excluding it).

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Titel: The Impact of Irritability and Callous Unemotional Traits on Reward Positivity in Youth with ADHD and Conduct Problems
Auteurs: James Waxmonsky
Whitney Fosco
Daniel Waschbusch
Dara Babinski
Raman Baweja
Samantha Pegg
Vanessa Cao
Delshad Shroff
Autumn Kujawa
Publicatiedatum: 19-02-2022
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 8/2022
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-022-00901-9

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