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Changes in parental attitudes toward attention-deficit/hyperactivity disorder impairment over time 父母对注意力缺陷/多动障碍损害的态度随时间的推移而变化
Pub Date : 2024-04-30 DOI: 10.1002/jcv2.12238
Miguel Garcia-Argibay, Ralf Kuja-Halkola, Sebastian Lundström, Paul Lichtenstein, Samuele Cortese, Henrik Larsson

Background

Over the last decades, the prevalence of Attention-deficit/hyperactivity disorder (ADHD) has increased. However, the underlying explanation for this increase remains unclear. We aimed to assess whether there has been a secular change in how parents perceive the impairment conferred by ADHD symptomatology.

Methods

Data for this study were obtained from the Child and Adolescent Twin Study in Sweden, involving 27,240 individuals whose parents answered a questionnaire when the children were 9 years old. We assessed the relationship between parentally perceived impairment caused by ADHD symptoms scores over time. The analysis was performed separately for five different birth cohorts, spanning three-year periods from 1995 to 2009 and for ADHD inattention and hyperactivity/impulsivity dimensions.

Results

We found a consistent upward trend of parents reporting impairment in relation to ADHD symptomatology across birth cohorts. Over a 12-year period, comparing those born 2007–2009 (assessed 2016–2018) with those born 1995–1997 (assessed 2004–2006), impairment scores increased by 27% at clinically relevant levels of ADHD symptomatology. Notably, when specifically evaluating the hyperactivity/impulsivity dimension, the disparity was even more striking, with an increase of up to 77%.

Conclusions

This study revealed a significant secular change in parental perception of impairment attributed to ADHD symptomatology over recent decades, providing new insights into the increased prevalence of ADHD. It underscores the need to better understand the factors that have contributed to the increased perception of impairment related to ADHD symptoms.

背景 过去几十年来,注意力缺陷/多动症(ADHD)的发病率不断上升。然而,这种增长的根本原因仍不清楚。我们的目的是评估父母对注意力缺陷多动障碍(ADHD)症状所造成的损害的看法是否发生了长期变化。 本研究的数据来自瑞典的儿童和青少年双胞胎研究(Child and Adolescent Twin Study),涉及 27,240 人,他们的父母在孩子 9 岁时回答了问卷。我们评估了父母对多动症症状造成的损害的感知得分随时间变化的关系。该分析针对 1995 年至 2009 年三年期间的五个不同出生队列以及注意力不集中多动症和多动/冲动多动症两个维度分别进行。 结果 我们发现,在不同的出生组群中,父母报告多动症症状受损的比例呈持续上升趋势。在 12 年的时间里,将 2007-2009 年出生的儿童(评估时间为 2016-2018 年)与 1995-1997 年出生的儿童(评估时间为 2004-2006 年)进行比较,发现在临床相关的多动症状水平上,损伤得分增加了 27%。值得注意的是,在具体评估多动/冲动维度时,差距更为显著,增幅高达 77%。 结论 本研究揭示了近几十年来家长对多动症症状损害的认知发生了重大的世俗变化,为了解多动症患病率的增加提供了新的视角。它强调有必要更好地了解导致与多动症症状相关的损伤感增加的因素。
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引用次数: 0
On the value of meta-research for early career researchers: A commentary 关于元研究对早期职业研究人员的价值:评论
Pub Date : 2024-04-24 DOI: 10.1002/jcv2.12235
Nicholas Fabiano, Arnav Gupta, Jess G. Fiedorowicz, Marco Solmi

Meta-research, also known as “research on research” is a field of study that investigates the methods, reporting, reproducibility, evaluation, and incentives along the research continuum. Meta-research literacy is imperative to ensure high quality, transparent and reproducible primary data or meta-research products. In this commentary, we propose that early career researchers should be trained in meta-research as a foundation to develop a deeper understanding of the research process and ability to appraise the research literature and design high-quality original studies, irrespective of their chosen field of study. We discuss the importance of meta-research and open science from the perspective of an early career trainee, highlighting essential areas for growth and obstacles one may encounter.

元研究,又称 "关于研究的研究",是一个研究方法、报告、可复制性、评估和激励机制的研究领域。元研究素养对于确保高质量、透明和可复制的原始数据或元研究产品至关重要。在这篇评论中,我们建议,无论选择哪个研究领域,早期职业研究人员都应接受元研究培训,以此为基础,加深对研究过程的理解,提高评估研究文献和设计高质量原创研究的能力。我们从职业生涯早期受训人员的角度讨论了元研究和开放科学的重要性,强调了成长的基本领域和可能遇到的障碍。
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引用次数: 0
How to optimize the systematic review process using AI tools 如何利用人工智能工具优化系统性审查流程
Pub Date : 2024-04-23 DOI: 10.1002/jcv2.12234
Nicholas Fabiano, Arnav Gupta, Nishaant Bhambra, Brandon Luu, Stanley Wong, Muhammad Maaz, Jess G. Fiedorowicz, Andrew L. Smith, Marco Solmi

Systematic reviews are a cornerstone for synthesizing the available evidence on a given topic. They simultaneously allow for gaps in the literature to be identified and provide direction for future research. However, due to the ever-increasing volume and complexity of the available literature, traditional methods for conducting systematic reviews are less efficient and more time-consuming. Numerous artificial intelligence (AI) tools are being released with the potential to optimize efficiency in academic writing and assist with various stages of the systematic review process including developing and refining search strategies, screening titles and abstracts for inclusion or exclusion criteria, extracting essential data from studies and summarizing findings. Therefore, in this article we provide an overview of the currently available tools and how they can be incorporated into the systematic review process to improve efficiency and quality of research synthesis. We emphasize that authors must report all AI tools that have been used at each stage to ensure replicability as part of reporting in methods.

系统综述是综合特定主题现有证据的基石。同时,系统综述还能发现文献中的不足,为未来研究提供方向。然而,由于现有文献的数量和复杂性不断增加,进行系统综述的传统方法效率较低且耗时较长。大量人工智能(AI)工具的发布有可能优化学术写作的效率,并在系统综述过程的各个阶段提供帮助,包括制定和完善检索策略、根据纳入或排除标准筛选标题和摘要、从研究中提取重要数据以及总结研究结果。因此,我们在本文中概述了当前可用的工具,以及如何将这些工具纳入系统综述流程,以提高研究综述的效率和质量。我们强调,作为方法报告的一部分,作者必须报告每个阶段使用的所有人工智能工具,以确保可复制性。
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引用次数: 0
Attentional development is altered in toddlers with congenital heart disease 患有先天性心脏病的幼儿的注意力发展会发生改变
Pub Date : 2024-04-21 DOI: 10.1002/jcv2.12232
Alexandra F. Bonthrone, Vanessa Kyriakopoulou, Luke Mason, Andrew Chew, Shona Falconer, Christopher J. Kelly, John Simpson, Kuberan Pushparajah, Mark H. Johnson, A. David Edwards, Chiara Nosarti, Emily J. H. Jones, Serena J. Counsell

Background

Congenital Heart Disease (CHD) is the most common congenital abnormality. Survival rates are over 90%, however infants with CHD remain at high risk of attention and executive function impairments. These abilities are difficult to assess in toddlers because clinical assessments rely on language abilities which are commonly delayed in CHD. Our aim was to characterise visual attention in toddlers with CHD compared to controls and identify associations with parent-rated effortful control.

Methods

Thirty toddlers with CHD (19 male, median (IQR) age at assessment 22.2 (22–23.1) months) and 66 controls from the developing human connectome project (36 male, age at assessment 22 (21.5–23.8) months) using eye-tracking tasks designed to assess multiple components of visual attention. Analyses of co-variance and regressions were used to identify differences between groups and relationships between gaze behaviours and parent-rated effortful control.

Results

Toddlers with CHD were less accurate when switching behaviours (set-shifting) [median (IQR) 79%, (28–100)] compared to controls [100% (86–100), pFDR = 0.032], with worse accuracy associated with lower parent-rated effortful control in CHD but not controls (interaction pFDR = 0.028). Reaction times were slower during selective [CHD 1243 ms (986–1786), controls 1065 ms (0851–1397), pFDR<0.001] and exogenous attention tasks [CHD 312 ms (279–358), control 289 (249–331), (pFDR = 0.032) and endogenous attention was less mature (prolonged looks at facial stimuli CHD 670 ms (518–885), control 500 ms (250–625), (pFDR = 0.006). These results were unrelated to differences in cognition or socioeconomic status. In contrast, the allocation of attentional resources was preserved in CHD.

Conclusions

We identified a profile of altered attention and early executive functioning development in CHD. Eye-tracking may provide clinically feasible, early objective measures of attention and executive function development in CHD.

先天性心脏病(CHD)是最常见的先天性畸形。存活率超过 90%,但患有先天性心脏病的婴儿仍然很有可能出现注意力和执行功能障碍。这些能力在幼儿期很难评估,因为临床评估依赖于语言能力,而CHD患者的语言能力通常会延迟。我们的目的是通过眼动跟踪任务评估患有先天性心脏病的30名幼儿(19名男性,评估时的年龄中位数(IQR)为22.2(22-23.1)个月)和66名对照组幼儿(36名男性,评估时的年龄为22(21.5-23.8)个月)的视觉注意力。与对照组相比[100% (86-100),pFDR = 0.032],患有CHD的幼儿在转换行为(集合转换)时的准确性较低[中位数(IQR)79%,(28-100)],准确性较低与家长对CHD幼儿的努力控制评分较低有关,但与对照组无关(交互作用pFDR = 0.028)。在选择性任务[CHD 1243 ms (986-1786),对照组 1065 ms (0851-1397),pFDR<0.001]和外源性注意任务[CHD 312 ms (279-358),对照组 289 (249-331),(pFDR = 0.032)]中,反应时间较慢,内源性注意不太成熟(长时间注视面部刺激,CHD 670 ms (518-885),对照组 500 ms (250-625),(pFDR = 0.006)。这些结果与认知或社会经济地位的差异无关。相比之下,注意力资源的分配在CHD患者中得到了保留。眼动追踪可提供临床上可行的早期客观测量方法,以了解CHD患者的注意力和执行功能发展情况。
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引用次数: 0
Language and reading in attention-deficit/hyperactivity disorder and comorbid attention-deficit/hyperactivity disorder + developmental language disorder 注意缺陷/多动障碍和合并注意缺陷/多动障碍+发育性语言障碍患者的语言和阅读问题
Pub Date : 2024-04-17 DOI: 10.1002/jcv2.12218
Kaitlyn M. A. Parks, Janis Oram Cardy, Marc F. Joanisse

Background

The current study sought to examine whether psycholinguistic assessments could discriminate children and adolescents with developmental language disorder (DLD) from those with attention-deficit/hyperactivity disorder (ADHD; combined or inattentive subtype) and comorbid DLD + ADHD.

Methods

The Clinical Evaluation of Language Fundamentals—Screening Test (CELFST; Wiig et al., 2013), the Comprehensive Test of Phonological Processing (nonword repetition subtest; Wagner et al., 2013), and the Test of Word Reading Efficiency (sight word and phonemic decoding subtests; Torgesen et al., 2012) were examined in 441 children and adolescents between 6 and 16 years of age.

Results

The presence of a language disorder (with or without ADHD) predicted poor performance across tasks. Children and adolescents with ADHD (combined vs. inattentive) only significantly differed in sight word reading, in favor of those with combined type. Measures of reading efficiency could distinguish between the two types of ADHD, but not between other groups. Interestingly, scores on the standard language screener were no worse for children with ADHD + DLD than children with DLD only.

Conclusions

The combination of comorbid ADHD + DLD did not appear to be associated with lower language abilities, sight word reading, or phonemic decoding relative to DLD alone. Reading efficiency was effective in discriminating between ADHD subtypes. These findings offer valuable insights into differential diagnosis and the identification of comorbidity.

本研究旨在探讨心理语言学评估能否将患有发育性语言障碍(DLD)的儿童和青少年与患有注意缺陷/多动障碍(ADHD;合并或注意力不集中亚型)和合并DLD + ADHD的儿童和青少年区分开来、临床语言基础评估筛查测试(CELFST;Wiig 等人,2013 年)、语音处理综合测试(非单词重复子测试;Wagner 等人,2013 年)和单词阅读效率测试(视词和音位解码子测试;Torgesen 等人,2012 年)对 441 名 6 至 16 岁的儿童和青少年进行了测试。患有多动症的儿童和青少年(合并型与注意力不集中型)仅在视词阅读方面存在显著差异,而合并型的儿童和青少年更胜一筹。阅读效率测量可以区分两种类型的多动症,但不能区分其他组别。有趣的是,ADHD + DLD 儿童在标准语言筛选器上的得分并不比仅患有 DLD 的儿童差。与单独患有 DLD 的儿童相比,合并患有 ADHD + DLD 的儿童似乎与较低的语言能力、视词阅读能力或音位解码能力无关。阅读效率能有效区分多动症亚型。这些发现为鉴别诊断和确定合并症提供了宝贵的见解。
{"title":"Language and reading in attention-deficit/hyperactivity disorder and comorbid attention-deficit/hyperactivity disorder + developmental language disorder","authors":"Kaitlyn M. A. Parks,&nbsp;Janis Oram Cardy,&nbsp;Marc F. Joanisse","doi":"10.1002/jcv2.12218","DOIUrl":"10.1002/jcv2.12218","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The current study sought to examine whether psycholinguistic assessments could discriminate children and adolescents with developmental language disorder (DLD) from those with attention-deficit/hyperactivity disorder (ADHD; combined or inattentive subtype) and comorbid DLD + ADHD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Clinical Evaluation of Language Fundamentals—Screening Test (CELFST; Wiig et al., 2013), the Comprehensive Test of Phonological Processing (<i>nonword repetition</i> subtest; Wagner et al., 2013), and the Test of Word Reading Efficiency (<i>sight word</i> and <i>phonemic decoding</i> subtests; Torgesen et al., 2012) were examined in 441 children and adolescents between 6 and 16 years of age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The presence of a language disorder (with or without ADHD) predicted poor performance across tasks. Children and adolescents with ADHD (combined vs. inattentive) only significantly differed in sight word reading, in favor of those with combined type. Measures of reading efficiency could distinguish between the two types of ADHD, but not between other groups. Interestingly, scores on the standard language screener were no worse for children with ADHD + DLD than children with DLD only.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The combination of comorbid ADHD + DLD did not appear to be associated with lower language abilities, sight word reading, or phonemic decoding relative to DLD alone. Reading efficiency was effective in discriminating between ADHD subtypes. These findings offer valuable insights into differential diagnosis and the identification of comorbidity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to “Interplay of early negative life events, development of orbitofrontal cortical thickness and depression in young adulthood” 对 "早期负面生活事件、眶额皮质厚度的发育与青年期抑郁症的相互作用 "的更正
Pub Date : 2024-04-15 DOI: 10.1002/jcv2.12237

Backhausen, L. L., Granzow, J., Fröhner, J. H., Artiges, E., Paillère-Martinot, M.-L., Lemaître, H., Sticca, F., Banaschewski, T., Desrivières, S., Grigis, A., Heinz, A., Brühl, R., Papadopoulos-Orfanos, D., Poustka, L., Hohmann, S., Robinson, L., Walter, H., Winterer, J., Schumann, G., Martinot, J.-L., Smolka, M. N., Vetter, N. C., the IMAGEN Consortium. (2024). Interplay of early negative life events, development of orbitofrontal cortical thickness and depression in young adulthood. JCPP Advances, 4(1), e12210. https://doi.org/10.1002/jcv2.12210.

The statement of equal contributions should have been: Lea L. Backhausen and Jonas Granzow (first authors) and Jean-Luc Martinot and Michael N. Smolka have contributed equally.

We apologize for the error.

Backhausen, L. L., Granzow, J., Fröhner, J. H., Artiges, E., Paillère-Martinot, M.-L., Lemaître, H., Sticca, F., Banaschewski, T., Desrivières, S., Grigis, A., Heinz, A., Brühl, R., D., Papadopoulos-Orfanos, D., Poustka, L., Hohmann, S., Robinson, L., Walter, H., Winterer, J., Schumann, G..、Papadopoulos-Orfanos, D., Poustka, L., Hohmann, S., Robinson, L., Walter, H., Winterer, J., Schumann, G., Martinot, J.-L., Smolka, M. N., Vetter, N. C., the IMAGEN Consortium.(2024).早期负面生活事件、眶额皮质厚度的发展和青年期抑郁症的相互作用。JCPP Advances, 4(1), e12210. https://doi.org/10.1002/jcv2.12210.The 同等贡献声明应为:Lea L. Backhausen和Jonas Granzow(第一作者)以及Jean-Luc Martinot和Michael N. Smolka做出了同等贡献。我们对这一错误表示歉意。
{"title":"Correction to “Interplay of early negative life events, development of orbitofrontal cortical thickness and depression in young adulthood”","authors":"","doi":"10.1002/jcv2.12237","DOIUrl":"10.1002/jcv2.12237","url":null,"abstract":"<p>Backhausen, L. L., Granzow, J., Fröhner, J. H., Artiges, E., Paillère-Martinot, M.-L., Lemaître, H., Sticca, F., Banaschewski, T., Desrivières, S., Grigis, A., Heinz, A., Brühl, R., Papadopoulos-Orfanos, D., Poustka, L., Hohmann, S., Robinson, L., Walter, H., Winterer, J., Schumann, G., Martinot, J.-L., Smolka, M. N., Vetter, N. C., the IMAGEN Consortium. (2024). Interplay of early negative life events, development of orbitofrontal cortical thickness and depression in young adulthood. JCPP Advances, 4(1), e12210. https://doi.org/10.1002/jcv2.12210.</p><p>The statement of equal contributions should have been: Lea L. Backhausen and Jonas Granzow (first authors) and Jean-Luc Martinot and Michael N. Smolka have contributed equally.</p><p>We apologize for the error.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12237","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140703059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validity of the multidimensional assessment profile of disruptive behavior in autistic toddlers 自闭症幼儿破坏行为多维评估概况的有效性
Pub Date : 2024-04-15 DOI: 10.1002/jcv2.12233
Hannah Fipp-Rosenfield, Jeffrey Grauzer, Megan Y. Roberts, Aaron J. Kaat

Objective

Early measurement of atypical disruptive behavior within autistic children is critical for later referrals to behavioral screenings, diagnoses, and services. Disruptive behavior in autistic toddlers is often measured using a categorical approach and identifies the presence or absence of behavior. In contrast, dimensional approaches evaluate behavior on a spectrum of typical to atypical by measuring the clinical salience of disruptive behavior. We sought to assess the validity of the Infant/Toddler version of the multidimensional assessment profile of disruptive behavior (MAP-DB-IT), a dimensional approach measurement tool, in a sample of autistic toddlers.

Methods

Autistic toddlers (n = 82, Mage = 33.2 months, SD = 6.28 months) and their mothers received 8 weeks of caregiver-mediated social communication intervention. Mothers completed the MAP-DB-IT and the Infant Toddler Social Emotional Assessment (ITSEA) across three timepoints: before intervention, immediately after intervention, and at 3 months post-intervention follow-up. The MAP-DB-IT provided scores for three subdomains: temper loss, noncompliance, and aggression (generically or specifically with siblings). Ratings on the MAP-DB-IT were compared to the ITSEA using several analytic strategies such as evaluating (a) the internal consistency of the MAP-DB-IT domain scores; (b) the convergent validity between the two measures; and (c) its convergent change due to intervention and if this varied by child characteristics.

Results

The MAP-DB-IT demonstrated excellent internal consistency across all four subdomains. We evaluated convergent validity and found positive correlations between the (a) ITSEA externalizing and MAP-DB-IT aggression domain, (b) ITSEA externalizing and MAP-DB-IT aggression with siblings domain, and (c) ITSEA dysregulation and MAP-DB-IT temper loss domain.

Conclusion

The MAP-DB-IT is a valid measurement tool for disruptive behavior in autistic toddlers. Clinicians should consider the use of the MAP-DB-IT for young autistic clients presenting with disruptive behavior to (a) discriminate between early developmentally appropriate tantrums from clinically salient dysregulation, and (b) refer to additional behavioral evaluations and services.

对自闭症儿童的非典型破坏行为进行早期测量,对于日后的行为筛查、诊断和服务转介至关重要。自闭症幼儿的破坏性行为通常采用分类方法进行测量,并确定行为的存在与否。与此相反,维度法通过测量破坏性行为的临床显著性来评估从典型到非典型的行为。我们试图在自闭症幼儿样本中评估破坏性行为多维评估档案(MAP-DB-IT)婴幼儿版的有效性。自闭症幼儿(n = 82,年龄 = 33.2 个月,SD = 6.28 个月)和他们的母亲接受了为期 8 周的以照顾者为媒介的社交沟通干预。母亲们在三个时间点完成了 MAP-DB-IT 和婴幼儿社交情感评估 (ITSEA):干预前、干预后和干预后 3 个月的随访。MAP-DB-IT 提供了三个子域的分数:发脾气、不服从和攻击(一般或专门针对兄弟姐妹)。我们采用多种分析策略将 MAP-DB-IT 的评分与 ITSEA 的评分进行比较,如评估(a)MAP-DB-IT 领域评分的内部一致性;(b)两种测量方法之间的收敛有效性;以及(c)因干预而产生的收敛性变化,以及这种变化是否因儿童特征而异。我们对收敛有效性进行了评估,发现(a)ITSEA 外化与 MAP-DB-IT 攻击行为领域之间存在正相关;(b)ITSEA 外化与 MAP-DB-IT 攻击兄弟姐妹领域之间存在正相关;以及(c)ITSEA 调节障碍与 MAP-DB-IT 发脾气领域之间存在正相关。临床医生应考虑对出现破坏性行为的自闭症幼儿使用 MAP-DB-IT,以(a)区分早期符合发育规律的发脾气和临床突出的行为失调,以及(b)转介到额外的行为评估和服务。
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引用次数: 0
Is waiting for rewards good for you? No association between impulsive choice, psychopathology, and functional outcomes in a large cohort sample 等待奖励对你有好处吗?在一个大型队列样本中,冲动选择、精神病理学和功能结果之间没有关联
Pub Date : 2024-04-15 DOI: 10.1002/jcv2.12231
Patricia P. Bado, Giovanni A. Salum, Luis A. Rohde, Ary Gadelha, Pedro M. Pan, Eurípedes C. Miguel, Gail Tripp, Emi Furukawa

Background

A stronger preference for immediate rewards has been reported in individuals with ADHD and other disorders. However, the consistency of the associations between this preference and psychiatric conditions as well as functional outcomes have been questioned. Research on its association with longitudinal outcomes is scarce.

Methods

The current study used data on a choice delay task (CDT) from a school-based cohort of Brazilian children with those at higher risk for psychiatric disorders over-sampled (n = 1917). The sample included typically developing children (n = 1379), those with ADHD (n = 213), and other disorders. The frequency of the trials where children chose a larger later reward versus a smaller sooner reward was compared for those with ADHD and typically developing children. Cross-sectionally and longitudinally, the study also evaluated whether children's preference for larger delayed rewards at baseline predicted the presence of psychiatric disorders and functional life outcomes (academic performance, alcohol use, early pregnancy, criminal conviction, BMI).

Results

Children with ADHD and their typically developing peers performed similarly on the CDT. Their baseline task performance was not related to psychiatric conditions or life outcomes.

Conclusions

The current results raise questions regarding the use of the CDT with diverse populations and whether a preference for larger delayed rewards is predictive of positive long-term outcomes as widely assumed.

据报道,多动症和其他疾病患者对即时奖励有更强烈的偏好。然而,这种偏好与精神状况和功能结果之间的关联的一致性一直受到质疑。本研究使用了巴西儿童校本队列中选择延迟任务(CDT)的数据,并对精神障碍高危儿童进行了过度抽样(n = 1917)。样本包括发育正常的儿童(n = 1379)、多动症儿童(n = 213)和其他疾病儿童。对患有多动症的儿童和发育正常的儿童在试验中选择较大的后期奖励和较小的前期奖励的频率进行了比较。该研究还横向和纵向评估了儿童在基线时对较大延迟奖励的偏好是否能预测是否存在精神障碍和生活功能性结果(学习成绩、酗酒、早孕、刑事定罪、体重指数)。目前的研究结果提出了一些问题,如 CDT 在不同人群中的应用,以及对较大延迟奖励的偏好是否如人们普遍认为的那样能预测积极的长期结果。
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引用次数: 0
Testing the modifiability of episodic future thinking and episodic memory among suicidal and nonsuicidal adolescents 测试有自杀倾向和无自杀倾向的青少年的偶发未来思维和偶发记忆的可修正性
Pub Date : 2024-04-08 DOI: 10.1002/jcv2.12236
Pauline Goger, Rachel J. Nam, Nathan Lowry, Kerri-Anne Bell, Neha Parvez, Olivia H. Pollak, Donald J. Robinaugh, Daniel L. Schacter, Christine B. Cha

Background

Despite increased attention on treatment and prevention for suicidal adolescents, we know little about potential intervention targets. Episodic future thinking—the ability to imagine detailed, personal, and future-oriented events—is a modifiable cognitive process that has been linked with suicidal ideation (SI) in adolescents. However, until now its modifiability has only been tested in adults.

Method

Adolescents (N = 176, ages 15–19; 71% SI) completed performance-based measures of episodic future thinking (i.e., Experimental Recombination Paradigm) and memory immediately before and after an Episodic Specificity Induction (ESI).

Results

Adolescents produced a greater number of future episodic details after (vs. before) the ESI but showed no change in non-episodic details (e.g., semantic information). Patterns of change in episodic future thinking were not moderated by SI history. Adolescents overall did not demonstrate change in past episodic detail counts after the ESI. However, there were select moderating effects of SI history on this effect.

Conclusion

Results show that episodic future thinking can change immediately following an episodic specificity induction among adolescents, regardless of whether they have previously experienced SI. This demonstration of within-person change constitutes a foundational first step in examining malleability of episodic future thinking in adolescents and offers preliminary evidence of a cognitive mechanism that may be leveraged in service of reducing adolescents' SI.

尽管人们越来越关注青少年自杀的治疗和预防,但我们对潜在的干预目标却知之甚少。情节性未来思维--想象详细的、个人的和面向未来的事件的能力--是一种可改变的认知过程,它与青少年的自杀意念(SI)有关。青少年(N = 176,15-19 岁;71% SI)在外显特异性诱导(ESI)前后完成了基于表现的外显未来思维(即实验重组范式)和记忆测量。外显未来思维的变化模式不受 SI 历史的影响。总体而言,青少年在接受 ESI 后,过去的情节细节计数没有发生变化。结果表明,无论青少年以前是否经历过外显性特异性诱导,外显性未来思维都会在诱导后立即发生变化。这种人内变化的证明为研究青少年外显未来思维的可塑性迈出了基础性的第一步,并提供了一种认知机制的初步证据,这种机制可能被用来减少青少年的外显性特异性。
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引用次数: 0
Exploring networks of complex developmental trauma symptomatology among children and adolescents involved in child welfare 探索涉及儿童福利的儿童和青少年的复杂发育创伤症状网络
Pub Date : 2024-03-12 DOI: 10.1002/jcv2.12224
Jackson A. Smith, Jasmine Zhang, Alexey Urusov, Laura Colucci, Imogen Sloss, Lillian Eckert, Mary Price-Cameron, Dillon T. Browne

Background

Clinical presentations of child and adolescent psychopathology can vary systematically for boys and girls. While network analysis is increasingly being applied to explore psychopathology in adults, there is a dearth of network studies considering differences in symptoms for boys and girls, particularly in developmental trauma-related symptomatology.

Methods

This study involves rural children (n = 375, 39.47% girls) and adolescents (n = 291, 51.20% girls) involved with child protection services in Ontario, Canada. Caregivers completed the Assessment Checklist for Children or Adolescents within the first 6 months of care. Psychometric network analyses were conducted using subscales for boys and girls. Differences were examined via network comparison permutation tests, moderated network models, and independent t-tests.

Results

Attachment-related interpersonal difficulties were the most central nodes in the child and adolescent networks for both boys and girls. Emotional dysregulation also had high strength centrality for adolescents. While network comparison tests found the overall network structures and global network strength to be invariant between boys and girls for children and adolescents, moderated network models and independent t-tests revealed several differences with regards to the expression of specific symptoms. Among children, girls exhibited more indiscriminate and pseudomature interpersonal behaviors, whereas boys expressed significantly more non-reciprocal interpersonal behaviors and self-injury. Adolescent girls exhibited more behavioral dysregulation and suicide discourse in the moderated network model; t-tests also indicated higher levels of emotional dysregulation, negative self-image, and other items considered clinically important complex trauma symptoms (e.g., distrust of adults, confused belonging).

Discussion

This study supports evidence of differences in the expression of complex trauma symptomatology for boys and girls. Additionally, girls exhibit more symptoms, in general. Consistent with the transdiagnostic conceptualization of the consequences of developmental trauma, findings demonstrate the primacy of attachment-specific difficulties and emotion dysregulation.

男孩和女孩在儿童和青少年心理病理学的临床表现上可能存在系统性差异。虽然网络分析越来越多地被应用于探讨成年人的精神病理学,但考虑男孩和女孩症状差异的网络研究却非常缺乏,尤其是在与发育创伤相关的症状方面。照护者在接受照护的前 6 个月内填写了儿童或青少年评估核对表。对男孩和女孩的分量表进行了心理计量网络分析。在男孩和女孩的儿童和青少年网络中,与情感相关的人际交往障碍是最核心的节点。在青少年中,情绪失调也具有较高的强度中心性。虽然网络比较测试发现,儿童和青少年的整体网络结构和整体网络强度在男孩和女孩之间是不变的,但调节网络模型和独立 t 检验显示了特定症状表现方面的一些差异。在儿童中,女孩表现出更多的滥交和假性人际交往行为,而男孩则表现出更多的非互惠人际交往行为和自伤行为。在缓和网络模型中,青春期女孩表现出更多的行为失调和自杀言论;t 检验还表明,女孩的情绪失调、消极自我形象以及其他被认为具有临床意义的复杂创伤症状(如不信任成人、归属感混乱)的水平更高。此外,女孩一般表现出更多的症状。与发育创伤后果的跨诊断概念相一致的是,研究结果表明,依恋障碍和情绪失调是主要问题。
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JCPP advances
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