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Lifetime Victimization in Children and Adolescents With ADHD
Jorge Aguado-Gracia1, Pilar Mundo-Cid1, Fernando Lopez-Seco1,2
1Hospital Psiquiàtric Universitari Institut Pere Mata, Tarragona, Spain.
Journal of Interpersonal Violence
|April 24, 2018
Summary
Children with ADHD treated for child maltreatment experienced more severe hyperactivity and behavioral issues. Peer victimization in ADHD was linked to inattention and learning difficulties, highlighting the need to address these experiences in treatment.
Area of Science:
- Child and Adolescent Psychiatry
- Clinical Psychology
- Developmental Psychology
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder in children and adolescents.
- Victimization experiences, including child maltreatment and peer victimization, can significantly impact mental health and development.
- Understanding the specific associations between different types of victimization and ADHD symptomology is crucial for effective intervention.
Purpose of the Study:
- To determine the frequency and types of victimization in a Spanish clinical sample of children and adolescents diagnosed with ADHD.
- To investigate the relationship between distinct forms of victimization (child maltreatment, peer victimization) and the severity of ADHD symptoms.
- To explore the comorbidity patterns associated with different victimization experiences in this population.
Main Methods:
- A sample of 106 outpatients diagnosed with ADHD (DSM-IV criteria) was recruited.
- Symptom severity was assessed using the Conners-3 scales.
- ADHD and comorbid disorders were evaluated via the Mini-Kid interview, and victimization experiences were measured using the Juvenile Victimization Questionnaire (JVQ).
Main Results:
- Children with a history of child maltreatment exhibited increased hyperactivity/impulsivity, aggression, behavioral disorders, depression, and anxiety.
- Peer victimization correlated significantly with inattention, learning disorders, executive functioning deficits, and relationship problems.
- Child maltreatment was more strongly linked to hyperactivity-impulsivity, whereas peer victimization was associated with attentional symptoms.
Conclusions:
- Victimization experiences are common in clinical ADHD samples and are differentially associated with symptom profiles.
- Child maltreatment history in ADHD is particularly related to externalizing behaviors and impulsivity.
- Peer victimization in ADHD is associated with core attentional deficits and associated functional impairments, underscoring the importance of integrating victimization assessment and support into ADHD treatment plans.
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