Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: prospective controlled study

Joseph Biederman,1,2 Thomas J Spencer,1,2 Carter Petty,1 Laran L Hyder,1 Katherine B O&rsquo;Connor,1 Craig BH Surman,1,2 Stephen V Faraone31Clinical and Research Program in Pediatric Psychopharmacology and Adult ADHD, Massachusetts General Hospital, Pediatric Psychopharmacology Unit, Yawkey...

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Autores principales:	Biederman J, Spencer TJ, Petty C, Hyder LL, O&#39;Connor KB, Surman CBH, Faraone SV
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/b99a355fa61d4782b7062592ade186be
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spelling	oai:doaj.org-article:b99a355fa61d4782b7062592ade186be2021-12-02T01:37:45ZLongitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: prospective controlled study1176-63281178-2021https://doaj.org/article/b99a355fa61d4782b7062592ade186be2012-06-01T00:00:00Zhttp://www.dovepress.com/longitudinal-course-of-deficient-emotional-self-regulation-cbcl-profil-a10219https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Joseph Biederman,1,2 Thomas J Spencer,1,2 Carter Petty,1 Laran L Hyder,1 Katherine B O&rsquo;Connor,1 Craig BH Surman,1,2 Stephen V Faraone31Clinical and Research Program in Pediatric Psychopharmacology and Adult ADHD, Massachusetts General Hospital, Pediatric Psychopharmacology Unit, Yawkey Center for Outpatient Care, Boston, MA, 2Department of Psychiatry, Harvard Medical School, Cambridge, MA, 3Departments of Psychiatry and of Neuroscience and Physiology, SUNY Upstate Medical University, Syracuse, NYBackground: While symptoms of deficient emotional self-regulation (DESR) have been long associated with attention-deficit/hyperactivity disorder (ADHD), there has been limited investigation of this aspect of the clinical picture of the disorder. The main aim of this study was to examine the predictive utility of DESR in moderating the course of ADHD children into adolescence.Methods: Subjects comprised 177 children with and 204 children without ADHD followed for an average of 4 years (aged 6&ndash;18 years at baseline, 54% male). Subjects were assessed with structured diagnostic interviews and measures of psychosocial functioning. DESR was defined by the presence (n = 79) or absence (n = 98) of Child Behavior Checklist (CBCL)-DESR profile (score &ge; 180 &lt; 210 total of Attention, Aggression, and Anxious/Depressed subscales) at the baseline assessment.Results: Of subjects with DESR at baseline, 57% had DESR at follow-up. Persistent ADHD was significantly associated with DESR at follow-up (&chi;2(1) = 15.37, P &lt; 0.001). At follow-up, ADHD + DESR subjects had significantly more comorbidities (z = 2.55, P = 0.01), a higher prevalence of oppositional defiant disorder (z = 3.01, P = 0.003), and more impaired CBCL social problems t-score (t(227) = 2.41, P = 0.02) versus ADHD subjects.Conclusion: This work suggests that a positive CBCL-DESR profile predicts subsequent psychopathology and functional impairments in children with ADHD suggesting that it has the potential to help identify children with ADHD at high risk for compromised outcomes.Keywords: attention-deficit/hyperactivity disorder, emotion, regulation, longitudinal, youth&nbsp;Biederman JSpencer TJPetty CHyder LLO&#39;Connor KBSurman CBHFaraone SVDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2012, Iss default, Pp 267-276 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Biederman J Spencer TJ Petty C Hyder LL O&#39;Connor KB Surman CBH Faraone SV Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: prospective controlled study
description	Joseph Biederman,1,2 Thomas J Spencer,1,2 Carter Petty,1 Laran L Hyder,1 Katherine B O&rsquo;Connor,1 Craig BH Surman,1,2 Stephen V Faraone31Clinical and Research Program in Pediatric Psychopharmacology and Adult ADHD, Massachusetts General Hospital, Pediatric Psychopharmacology Unit, Yawkey Center for Outpatient Care, Boston, MA, 2Department of Psychiatry, Harvard Medical School, Cambridge, MA, 3Departments of Psychiatry and of Neuroscience and Physiology, SUNY Upstate Medical University, Syracuse, NYBackground: While symptoms of deficient emotional self-regulation (DESR) have been long associated with attention-deficit/hyperactivity disorder (ADHD), there has been limited investigation of this aspect of the clinical picture of the disorder. The main aim of this study was to examine the predictive utility of DESR in moderating the course of ADHD children into adolescence.Methods: Subjects comprised 177 children with and 204 children without ADHD followed for an average of 4 years (aged 6&ndash;18 years at baseline, 54% male). Subjects were assessed with structured diagnostic interviews and measures of psychosocial functioning. DESR was defined by the presence (n = 79) or absence (n = 98) of Child Behavior Checklist (CBCL)-DESR profile (score &ge; 180 &lt; 210 total of Attention, Aggression, and Anxious/Depressed subscales) at the baseline assessment.Results: Of subjects with DESR at baseline, 57% had DESR at follow-up. Persistent ADHD was significantly associated with DESR at follow-up (&chi;2(1) = 15.37, P &lt; 0.001). At follow-up, ADHD + DESR subjects had significantly more comorbidities (z = 2.55, P = 0.01), a higher prevalence of oppositional defiant disorder (z = 3.01, P = 0.003), and more impaired CBCL social problems t-score (t(227) = 2.41, P = 0.02) versus ADHD subjects.Conclusion: This work suggests that a positive CBCL-DESR profile predicts subsequent psychopathology and functional impairments in children with ADHD suggesting that it has the potential to help identify children with ADHD at high risk for compromised outcomes.Keywords: attention-deficit/hyperactivity disorder, emotion, regulation, longitudinal, youth&nbsp;
format	article
author	Biederman J Spencer TJ Petty C Hyder LL O&#39;Connor KB Surman CBH Faraone SV
author_facet	Biederman J Spencer TJ Petty C Hyder LL O&#39;Connor KB Surman CBH Faraone SV
author_sort	Biederman J
title	Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: prospective controlled study
title_short	Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: prospective controlled study
title_full	Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: prospective controlled study
title_fullStr	Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: prospective controlled study
title_full_unstemmed	Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: prospective controlled study
title_sort	longitudinal course of deficient emotional self-regulation cbcl profile in youth with adhd: prospective controlled study
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/b99a355fa61d4782b7062592ade186be
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Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: prospective controlled study

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