Infant Attentional behaviors Are Associated With ADHD Symptomatology and Executive Function in Early Childhood
Rebecca L Stephens1, Heba E Elsayed1,2, J Steven Reznick1
1University of North Carolina at Chapel Hill, USA.
Insights
Infant attentional behaviors measured by the First Year Inventory (FYIv2.0) predict later attention-deficit/hyperactivity disorder (ADHD) symptoms and executive function (EF) challenges in early childhood. These findings highlight early attention as a potential marker for later neurodevelopmental outcomes.
Area of Science:
- Developmental Psychology
- Neurodevelopmental Disorders
- Child Psychiatry
Background:
- Early identification of risk factors for attention-deficit/hyperactivity disorder (ADHD) and executive function (EF) challenges is crucial for timely intervention.
- Infant attentional behaviors represent a potential early indicator of later neurodevelopmental trajectories.
- The First Year Inventory (FYIv2.0) provides a parent-report measure of infant behaviors, including attention.
Purpose of the Study:
- To investigate the longitudinal associations between infant attentional behaviors (at 12 months) and ADHD symptomatology and executive function (EF) in early childhood (at 54 months).
- To examine the predictive relationship between specific infant attention dimensions and later ADHD and EF outcomes.
- To explore potential gender differences in these developmental pathways.
Main Methods:
- Longitudinal study design involving 229 parent-child dyads.
- Parental completion of the First Year Inventory (FYIv2.0) at infant age 12 months.
- Parental reports of child ADHD symptomatology and EF abilities at approximately 54 months of age.
- Statistical analyses including correlation and regression to assess relationships between variables.
Main Results:
- Significant cross-sectional and longitudinal associations were found between infant attentional behaviors and later ADHD symptoms and EF.
- Non-social sensory attention (NSA) in infancy was significantly associated with ADHD symptom severity at 54 months.
- All measured infant attention variables at 12 months were significantly related to executive function (EF) at 54 months.
- Gender differences were observed in the studied associations.
Conclusions:
- Infant attentional behaviors, particularly non-social sensory attention, are significant predictors of later ADHD-related behaviors and executive function deficits in early childhood.
- These findings underscore the importance of assessing infant attention for identifying children at risk for developmental challenges.
- Future research utilizing laboratory-based measures and exploring early intervention strategies based on these early attention markers is warranted.
Abstract:
Objective: We explored associations between infant attentional behaviors as measured by the First Year Inventory (FYIv2.0) and dimensional ratings of ADHD symptomatology and executive function (EF) in early childhood. Methods: This study included parents (N = 229) who filled out the FYIv2.0 when their children were 12 months of age. When children were approximately 54 months (4.5 years) of age, parents completed reports of children's ADHD symptomatology and EF abilities. Correlation and regression analyses were conducted among measures. Results: We found significant associations among the variables of interest, both cross-sectionally and longitudinally, as well as gender differences. Notably, non-social sensory attention (NSA) was significantly related to 54-month ADHD symptom severity. All three 12-month attention variables were significantly related to 54-month EF. Conclusion: Results suggest that infant attentional behaviors predict later ADHD-related behaviors in early childhood. Future research should explore associations using laboratory-based measures and could inform early intervention efforts.
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