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1. Heterotypic and Homotypic Continuity: The Moderating Effects of Age and Gender (EJ811279)
Author(s):
Reinke, Wendy M.; Ostrander, Rick
Source:
Journal of Abnormal Child Psychology, v36 n7 p1109-1121 Oct 2008
Pub Date:
2008-10-00
Pub Type(s):
Journal Articles; Reports - Research
Peer-Reviewed:
Yes
Descriptors: Behavior Problems; Psychopathology; At Risk Persons; Young Children; Depression (Psychology); Correlation; Anxiety Disorders; Attention Deficit Disorders; Research Methodology; Symptoms (Individual Disorders); Gender Differences; Age Differences; Predictor Variables
Abstract: The longitudinal relationships between depression, anxiety, conduct problems, and inattention were investigated. The present study attempted to overcome the methodological limitations of prior research on childhood co-occurring syndromes by using continuous measures of constructs, controlling for multiple symptoms at baseline, and considering the role of age and gender. Using a community sample of 6-11 year-old children, we found evidence of homotypic and heterotypic continuity in baseline characteristics and their symptoms 5 years later. Notably, inattention and conduct problems were stable over time regardless of age or gender. Additionally, inattention predicted subsequent depression, a relationship unaffected by overlapping psychopathology. With attention problems considered, conduct problems did not predict future depression as others have predicted. Instead, depression in young children was a unique risk factor for subsequent conduct problems. Similarly, most other relationships were moderated by age or gender. The implications for understanding childhood psychopathology and for designing prevention and treatment programs are discussed. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
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2. Patterns of Psychopathology in Children with ADHD: A Latent Profile Analysis (EJ817374)
Ostrander, Rick; Herman, Keith; Sikorski, Jason; Mascendaro, Phil; Lambert, Sharon
Journal of Clinical Child and Adolescent Psychology, v37 n4 p833-847 Oct 2008
Descriptors: Attention Deficit Hyperactivity Disorder; Psychopathology; Profiles; Symptoms (Individual Disorders); Behavior Problems; Child Behavior; Elementary School Students
Abstract: This study used latent profile modeling (LPA) with a community sample that included an enriched sampling of children (aged 6-11) diagnosed with attention deficit/hyperactivity disorder (ADHD) (N = 271). Six classes of ADHD emerged from our LPA; only 17% of children fell into a class without significant co-occurring symptoms. In addition, nearly half of children were assigned to classes that could not be reliably distinguished using existing "DSM-IV" subtypes. For the most part, each of the classes was clearly differentiated from a sample of community controls and had clinical diagnoses and child self-reports that were consistent with expectations given by their latent profile of symptoms. Although each of the respective classes of ADHD had elevated levels of hyperactivity and/or attention problems, the current findings suggest that an exclusive reliance on these dimensions is a largely inadequate method of subtype classification. To the contrary, our findings suggest that ADHD subtypes can be more reliably partitioned based on the degree to which they display disruptive behavior, internalizing symptoms, or both. (Contains 1 table and 4 figures.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
3. The Effects of Attention Problems on Depression: Developmental, Academic, and Cognitive Pathways (EJ783245)
Herman, Keith C.; Ostrander, Rick
School Psychology Quarterly, v22 n4 p483-510 Dec 2007
2007-12-00
Descriptors: Prevention; Children; Adjustment (to Environment); Path Analysis; Depression (Psychology); Predictor Variables; Symptoms (Individual Disorders); Behavior Problems; Attention Deficit Disorders; Beliefs; Academic Achievement
Abstract: The present study investigated developmental pathways between inattention and depression, particularly the roles of school maladjustment and child cognitions. Additionally, a measure of conduct problems was included in all analyses to test competing theories about the emergence of depressive symptoms. Results supported the hypothesized path models from inattention to depression for younger and older children. Consistent with developmental theories, only an environmental variable, school maladjustment, was needed to explain the relationship between inattention and depression for the younger group (under 8 years old). For children in the middle group (8-9 years old), school maladjustment continued to uniquely account for part of the path to child depressive symptoms, but a cognitive variable, control-related beliefs, emerged as a significant mediator as well. For older children (10 years and older), control-related beliefs fully mediated the effects of school maladjustment on depressive symptoms. The hypothesized paths from conduct problems to depression, however, were not supported. Implications for designing interventions and prevention strategies for children with inattention and conduct problems are discussed. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
4. Empirically Derived Subtypes of Adolescent Depression: Latent Profile Analysis of Co-Occurring Symptoms in the Treatment for Adolescents with Depression Study (TADS) (EJ776899)
Herman, Keith C.; Ostrander, Rick; Walkup, John T.; Silva, Susan G.; March, John S.
Journal of Consulting and Clinical Psychology, v75 n5 p716-728 Oct 2007
2007-10-00
Descriptors: Adolescents; Depression (Psychology); Symptoms (Individual Disorders); Scores; Measures (Individuals); Rating Scales; Therapy; Prevention; Profiles; Clinical Diagnosis; Evaluation Criteria
Abstract: A latent profile analysis was conducted on the co-occurring symptoms of 423 adolescents diagnosed with major depressive disorder as part of the Treatment for Adolescents with Depression Study (TADS), a multisite, randomized treatment trial. The participants had a mean (SD) age of 14.6 (1.5) years; of the sample, 45.6% was male and 73.8% was white. Scores on the primary subscales of Conners' Parent Rating Scale-Revised were used as indicators in the analysis. Five classes of symptoms best described the clinical presentation of adolescents enrolled in the TADS. Of the adolescents in the sample, 80% were assigned to classes with clinically significant elevations on 1 or more subscales of the Children's Depression Rating Scale-Revised. The 5 classes met empirical criteria for distinctiveness and were validated against clinical diagnoses, child-rated symptoms, and clinician-rated functional impairment. The findings are consistent with prior studies that showed a high rate of co-occurring symptoms among depressed adolescents. The discussion focuses on understanding subtypes and comorbidity in adolescent depression as well as the implications for treatment and for prevention. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
5. Family Characteristics of Anxious ADHD Children: Preliminary Results (EJ804389)
Kepley, Hayden O.; Ostrander, Rick
Journal of Attention Disorders, v10 n3 p317-323 2007
2007-00-00
Descriptors: Incidence; Family Characteristics; Alcohol Abuse; Attention Deficit Disorders; Parents; Family Environment; Anxiety; Parent Child Relationship; Hyperactivity; Family Influence; Parent Attitudes; Conflict; Children; Mothers; Parent Influence; Interviews
Abstract: Objective: To investigate the family environments of children in a community sample with ADHD and co-occurring anxiety. Method: Family Environment Scale, Behavioral Assessment System for Children, and Structured Clinical Interview are administered to parents of children with ADHD with and without anxiety. Results: ADHD families are uniformly less cohesive and expressive and possess more conflict than families representing the community sample. In contrast to community or nonanxious ADHD families, anxious ADHD families do not encourage independence and tend to be distinctly less assertive, self-sufficient, and autonomous. Although anxious and nonanxious ADHD children tend to have a uniformly high incidence of maternal ADHD, mothers of anxious ADHD children tend to display a much higher incidence of substance/alcohol abuse than either nonanxious or community participants. Conclusion: Findings are consistent with the notion that an insular, dependent, and somewhat controlling family environment characterizes families of children with ADHD and comorbid childhood anxiety. (Contains 2 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
6. Academic Pathways between Attention Problems and Depressive Symptoms among Urban African American Children (EJ758149)
Herman, Keith C.; Lambert, Sharon F.; Ialongo, Nicholas S.; Ostrander, Rick
Journal of Abnormal Child Psychology, v35 n2 p265-274 Apr 2007
2007-04-00
Descriptors: Elementary School Students; Grade 1; Grade 3; Prevention; African American Children; School Readiness; Path Analysis; Depression (Psychology); Attention Deficit Disorders; Symptoms (Individual Disorders); Urban Areas; Correlation; Low Achievement; Academic Ability; Hypothesis Testing
Abstract: The present study investigated the pathways between attention problems and depressive symptoms, particularly the role of academic incompetence, among a community sample of urban African American children. Results supported the hypothesized path models from inattention to depressive symptoms for girls and boys. Academic performance in the spring of first grade mediated the relationship between inattention in fall of first grade and depressive symptoms in spring of 3rd grade. The effects held when controlling for conduct problems and academic competence in first grade suggesting the path was specific to attention problems rather than a more general externalizing or school readiness pathway. Implications for designing interventions and prevention strategies for children with attention problems and depressive symptoms are discussed. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
7. Attention Deficit-Hyperactivity Disorder, Depression, and Self-and Other-Assessments of Social Competence: A Developmental Study (EJ748598)
Ostrander, Rick; Crystal, David S.; August, Gerald
Journal of Abnormal Child Psychology, v34 n6 p772-786 Dec 2006
2006-12-00
Descriptors: Attention Deficit Disorders; Depression (Psychology); Interpersonal Competence; Self Evaluation (Individuals); Children; Hyperactivity; Age Differences; Correlation; Developmental Stages; Teacher Attitudes; Parent Attitudes
Abstract: This study examined whether others (i.e., teachers and parents) and self-appraisals of social competence mediated the relationship between Attention-Deficit/Hyperactivity Disorder (ADHD) and depression. To determine whether age moderated the effects of the mediation, the total sample was divided into younger (under 9) and older (at or above 9 years) age levels. The total sample (age range 6.6 to 11.7 years) was primarily male (194 boys and 52 females) and consisted of 148 children diagnosed with ADHD and 98 community controls. Three central findings were derived from this study. First, there was a strong relationship between ADHD (with and without comorbid ODD/CD) and depression in both younger and older aged children. Among younger children with ADHD, there was no differential influence on the level of depression depending on whether or not ADHD was comorbid with ODD/CD; in contrast, with older children, comorbid ODD/CD had higher levels of depression than was the case for children with ADHD that did not display such comorbidity. Second, with younger children approximately half of the relationship between ADHD (with and without comorbid ODD/CD) and depression was exclusively mediated by others appraisal of social competence. Third, a more complex relationship between ADHD and depression emerged during the later part of the childhood years. As such, the relationship between ADHD, others appraisals of social competence, and depression was further mediated by self-appraisals of social competence. Findings are discussed in terms of developmental theory and theoretical models of childhood depression. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
8. The Family Environment and Developmental Psychopathology: The Unique and Interactive Effects of Depression, Attention, and Conduct Problems (EJ746953)
George, Carrie; Herman, Keith C.; Ostrander, Rick
Child Psychiatry and Human Development, v37 n2 p163-177 Dec 2006
Journal Articles; Reports - Evaluative
Descriptors: Family Environment; Psychopathology; Depression (Psychology); Behavior Problems; Attention Deficit Disorders; Family Characteristics; Symptoms (Individual Disorders); Aggression; Children; Hyperactivity; Child Behavior; Family Influence
Abstract: Prior studies have found remarkable similarity in the family characteristics across a wide range of child psychopathologies. This study investigated the unique relationships between symptoms of depression, conduct problems/aggression, and inattention/hyperactivity and characteristics of the family environment. Parents and teachers completed multiple behavioral, emotional, and family measures to describe the characteristics of a community sample of 362 children. Results indicated that depression and conduct problems/aggression symptoms were uniquely associated with specific family environments. Both symptom clusters predicted family environments marked by less cohesiveness and intellectual/cultural pursuits and greater conflict. Depression alone was related to less expressiveness, independence, and activity, and to higher levels of control. Inattention/hyperactivity was not uniquely related to any aspect of family environment when controlling for depression and conduct/aggression problems, nor were combinations of symptoms. Findings are discussed with regard to implications for understanding clinical presentations, comorbidity, and treatment. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
9. Potential Cognitive, Parenting, and Developmental Mediators of the Relationship Between ADHD and Depression (EJ734198)
Ostrander, Rick; Herman, Keith, C.
Journal of Consulting and Clinical Psychology, v74 n1 p89-98 Feb 2006
2006-02-00
Journal Articles; Reports - Descriptive
Descriptors: Depression (Psychology); Attention Deficit Disorders; Child Rearing; Parent Child Relationship; Locus of Control; Hyperactivity; Children
Abstract: The authors investigated the role of parent behavior management and locus of control in mediating the relationships between ADHD (attention-deficit/hyperactivity disorder) and depression in a community sample of 232 children with ADHD and 130 community controls. Results supported the hypothesized path models to depression for older and younger subjects. For older subjects (10 years and older), a cognitive variable, locus of control, partially mediated the relationships between ADHD and parent management and depression. In addition, parent management partially mediated the relationships of ADHD with locus of control and depression. For the younger group (under 8 years old), however, locus of control did not mediate the effects of parent management and ADHD on depression. Consistent with developmental theories, only an environment variable, parent management, explained the relationship between ADHD and depression for this younger group. For children 8-9 years old, both locus of control and parent management partially mediated the ADHD-depression relationship; however, similar to the younger children, locus of control did not mediate the parent management-depression relationships. Implications for designing interventions and prevention strategies for children with ADHD are discussed. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
10. Children with ADHD and Depression: A Multisource, Multimethod Assessment of Clinical, Social, and Academic Functioning (EJ806954)
Blackman, Gabrielle L.; Ostrander, Rick; Herman, Keith C.
Journal of Attention Disorders, v8 n4 p195-207 2005
2005-00-00
Descriptors: Attention Deficit Disorders; Hyperactivity; Depression (Psychology); Academic Achievement; Interpersonal Competence; Aggression; Control Groups; Behavior Problems; Anxiety; Measures (Individuals); Evaluation Criteria; Factor Analysis; Regression (Statistics); Incidence; Research Methodology
Abstract: Although ADHD and depression are common comorbidities in youth, few studies have examined this particular clinical presentation. To address method bias limitations of previous research, this study uses multiple informants to compare the academic, social, and clinical functioning of children with ADHD, children with ADHD and depression, and children without ADHD, all derived from a large community sample. High levels of comorbid depression are found in children with ADHD. Children with ADHD and depression are more depressed and anxious than their non-depressed ADHD counterparts but do not have more extreme levels of ADHD or aggression. The association between depression and ADHD does not appear to be epiphenomenal, that is, related to a shared association with anxiety or externalizing symptoms. Finally, children with ADHD and depression display more impairment in social and academic functioning compared to controls. Although social impairment is greater in children with ADHD and depression than in children with only ADHD, conduct problems are not. (Contains 6 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract