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Developmental Relations Between Internalising Problems and ADHD in Childhood: a Symptom Level Perspective.

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Summary

Attention-Deficit/Hyperactivity Disorder (ADHD) and internalizing problems like anxiety and depression often co-occur in children. This study identified key "bridge" symptoms, like hyperactivity and worry, that link these conditions over time.

Keywords:
ADHDInternalising problemsLongitudinal network modellingZ-proso

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Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Behavioral Neuroscience

Background:

  • Attention-Deficit/Hyperactivity Disorder (ADHD) and internalizing problems (anxiety, depression) frequently co-occur in children, affecting up to 50% of those with ADHD.
  • The developmental relationship between ADHD and internalizing symptoms remains incompletely understood, necessitating longitudinal investigations.

Purpose of the Study:

  • To investigate the cross-sectional and longitudinal relationships between ADHD and internalizing symptoms in children.
  • To identify potential "bridge" symptoms that mediate the developmental pathways between ADHD and internalizing problems.

Main Methods:

  • Longitudinal analysis of symptom-level data from 1387 children aged 7, 9, and 11.
  • Utilized Gaussian Graphical Models and Graphical Vector Autoregression Models.
  • Employed parent- and teacher-reported Social Behaviour Questionnaires (SBQ) for symptom assessment.

Main Results:

  • Both cross-sectional and longitudinal networks revealed reciprocal relationships between ADHD and internalizing symptoms.
  • Specific "bridge" symptoms, particularly those related to anxiety, were identified as key links.
  • Child hyperactivity (inability to sit still, restlessness) was a strong antecedent to internalizing symptoms, while child worry predicted ADHD symptoms.

Conclusions:

  • The findings underscore the interconnectedness of ADHD and internalizing problems throughout development.
  • Identifying bridge symptoms offers potential targets for early intervention to mitigate the impact of both ADHD and internalizing disorders.
  • Clinical assessment should routinely consider the presence of internalizing problems in children with ADHD, and vice versa.