Executive functions and ADHD symptoms predict educational functioning in children with ADHD: A two-year longitudinal
Vegar Hattestad Jensen1, Stian Orm1,2, Merete Glenne Øie3,4
1Division Mental Health Care, Innlandet Hospital Trust, Norway.
Children with ADHD and executive function deficits at baseline showed poorer educational outcomes two years later. Early detection and intervention for ADHD and executive function issues are crucial for improving functioning.
Area of Science:
- Neuroscience
- Child Psychology
- Developmental Disorders
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder.
- Executive functions (EF) are crucial for daily functioning.
- Longitudinal studies are needed to understand the long-term impact of ADHD and EF deficits on functioning.
Purpose of the Study:
- To investigate if executive function deficits predict impaired everyday functioning in children and adolescents with ADHD over a two-year period.
- To examine the relationship between ADHD symptoms, EF, and various domains of functioning.
Main Methods:
- A two-year longitudinal study involving 135 participants with and without ADHD.
- Neuropsychological tests assessed executive functions (EF) at baseline and follow-up.
- Parent-reported everyday functioning was measured using the Child Behavior Checklist.
Main Results:
- ADHD symptoms and impaired EF at baseline predicted lower educational functioning at follow-up, even after controlling for IQ.
- Increased ADHD symptoms predicted difficulties in social and leisure activities.
- Higher IQ was associated with better functioning in leisure activities.
Conclusions:
- Early detection and treatment of ADHD symptoms are vital for preventing reduced functional outcomes.
- Executive function tests can help identify children needing educational interventions for EF deficits.
- Addressing both ADHD and EF deficits is important for improving overall functioning in children and adolescents.
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