Important Mechanisms in the Development of Anxiety in Children with ADHD: The Role of Associated Features of ADHD and Interpersonal Functioning.

Autor: Alacha HF; Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY, 40292, USA. halacha@pennstatehealth.psu.edu.; Department of Psychiatry and Behavioral Health, Penn State College of Medicine, Hershey, PA, 17033, USA. halacha@pennstatehealth.psu.edu., Lefler EK; Department of Psychology, University of Northern Iowa, Cedar Falls, IA, 50614, USA.; Department of Child Behavioral Health, The Ballmer Institute, University of Oregon, Portland, OR, 97403, USA., Bufferd SJ; Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY, 40292, USA.
Jazyk: angličtina
Zdroj: Child psychiatry and human development [Child Psychiatry Hum Dev] 2024 Dec 14. Date of Electronic Publication: 2024 Dec 14.
DOI: 10.1007/s10578-024-01796-x
Abstrakt: Over a quarter of children with Attention-deficit/hyperactivity disorder (ADHD) meet diagnostic criteria for an anxiety disorder as well. The goals of this paper are (a) to examine what is currently known about co-occurring ADHD and anxiety in children, (b) propose and outline underlying factors relevant to the development of anxiety in children with ADHD, and (c) discuss future directions and clinical implications for the prevention and identification of anxiety development in children with ADHD. It is proposed that certain associated features of ADHD (i.e., low effortful control and emotion dysregulation) as well as various interpersonal factors related to ADHD (i.e., poor parent, teacher, and peer relationships) form a negative feedback loop that increases susceptibility to anxiety in a subset of children with ADHD. The literature supports interrelations between and across the associated features and interpersonal factors. Additional research is needed to test the validity of the proposed process. Obtaining further insight into the interplay between these different factors can help identify a subset of children with ADHD who are at risk for developing anxiety, which can enhance the precision of prevention, assessment, and treatment efforts for these children.
Competing Interests: Declarations. Conflict of interest: The authors declare no competing interests. Ethical approval: This declaration is not applicable.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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