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Household Food Insecurity Is Associated with Symptoms of Emotional Dysregulation in Children with Attention Deficit
Irene E Hatsu1,2, Leanna Eiterman3, Madeline Stern3
1Department of Human Sciences, The Ohio State University, Columbus, OH 43210, USA.
Insights
Household food insecurity is linked to increased emotional symptoms and behavioral issues in children with ADHD. Addressing food insecurity may help manage symptoms in these youths.
Area of Science:
- Child Psychology
- Nutritional Psychiatry
- Behavioral Science
Background:
- Household food insecurity is a growing concern impacting child development.
- Attention Deficit Hyperactivity Disorder (ADHD) and emotional dysregulation are significant challenges in childhood.
- The interplay between food security and neurodevelopmental disorders requires further investigation.
Purpose of the Study:
- To examine the association between household food insecurity and ADHD symptoms.
- To investigate the link between food insecurity and emotional dysregulation in children.
- To determine if food insecurity is associated with oppositional defiant disorder (ODD) and disruptive mood dysregulation disorder (DMDD).
Main Methods:
- Utilized baseline data from 134 children aged 6-12 years in a clinical trial.
- Assessed household food security using the US Household Food Security Survey Module.
- Evaluated ADHD and emotional dysregulation symptoms using the Child and Adolescent Symptom Inventory-5 and Strengths and Difficulties Questionnaire (SDQ).
- Employed multiple linear regression to analyze associations, adjusting for covariates.
Main Results:
- Household food insecurity was significantly associated with more severe emotional symptoms (β = 2.30, p = 0.002) and conduct problems (β = 1.15, p = 0.049).
- A strong association was found between food insecurity and total difficulties scores (β = 4.59, p = 0.001).
- Unadjusted analyses showed links to ODD and DMDD, which became non-significant after covariate adjustment.
Conclusions:
- Household food insecurity is linked to heightened emotional dysregulation and behavioral issues in children.
- Addressing food insecurity may be a crucial initial step in managing ADHD and emotional dysregulation symptoms.
- This highlights the importance of socioeconomic factors in pediatric mental health.
Abstract:
The association of household food insecurity with symptoms of attention deficit hyperactivity disorder (ADHD) and emotional dysregulation in children was examined in this study. We utilized baseline data from 134 children aged 6-12 years who were enrolled in a clinical trial investigating multinutrient supplementation as a treatment for ADHD and emotional dysregulation. Household food security status was assessed using the 18-item US Household Food Security Survey Module. The symptoms of ADHD and emotional dysregulation disorders (oppositional defiant disorder (ODD) and disruptive mood dysregulation disorder (DMDD)) were assessed using the Child and Adolescent Symptom Inventory-5 and other comorbid emotional dysregulation symptoms were assessed using the Strengths and Difficulties Questionnaire (SDQ). Multiple linear regression determined associations between household food security status and symptoms of ADHD, ODD and DMDD, emotional symptoms and conduct problems. Household food insecurity was associated with more severe emotional symptoms (β = 2.30; 95% CI = 0.87-3.73; p = 0.002), conduct problems (β = 1.15; 95% CI = 0.01-2.30; p = 0.049) and total difficulties scores (β = 4.59; 95% CI = 1.82-7.37; p = 0.001) after adjusting for covariates (child's sex, parent marital status, household income, parental anxiety and other parental psychopathology). In unadjusted analyses, household food insecurity was also associated with increased ODD (β = 0.58; 95% CI = 0.21-0.95; p = 0.003) and DMDD symptoms (β = 0.69; 95% CI = 0.20-1.19; p = 0.006), but these associations attenuated to non-significance after adjusting for all covariates. Household food insecurity was associated with more severe emotional dysregulation symptoms. Discussing and addressing food insecurity may be appropriate initial steps for youths with ADHD and emotional dysregulation.
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