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Executive functioning in offspring at risk for depression and anxiety
Jamie A Micco1, Aude Henin, Joseph Biederman
1Clinical and Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, 85 Alewife Brook Parkway, Suite 2000, Cambridge, MA 02138, USA. jmicco@partners.org
Executive functioning deficits (EFDs) in children are not reliable predictors of future depression or anxiety. These deficits appear to be symptoms of existing mental health conditions, not early warning signs.
Area of Science:
- Neuroscience
- Child Psychology
- Psychiatry
Background:
- Executive functioning deficits (EFDs) are observed in adults with major depression and anxiety disorders.
- It remains unclear if EFDs precede disorder onset or are acute symptoms.
Purpose of the Study:
- To investigate whether EFDs characterize children at high risk for depression and anxiety who are not yet symptomatic.
- To determine if EFDs are trait markers or symptomatic of current disorders in at-risk youth.
Main Methods:
- Neuropsychological functioning was assessed in 147 children (ages 6-17).
- Participants included children of parents with major depressive disorder (MDD) and/or panic disorder (PD), and controls.
- Children underwent structured diagnostic interviews and neuropsychological assessments.
Main Results:
- Parental MDD and PD were not linked to neuropsychological impairments in offspring.
- Current MDD in offspring correlated with poorer executive functioning and processing speed.
- Generalized anxiety was associated with poorer verbal memory; social phobia with increased omissions on a continuous performance task.
Conclusions:
- EFDs do not appear to be trait markers for the development of anxiety or depression.
- EFDs seem to be symptomatic of current mental health disorders in children.
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