Differentiating Anxiety and Depression in Relation to the Social Functioning of Young Adolescents With ADHD
Autor: | Steven W. Evans, Erin Girio-Herrera, Stephen P. Becker, Aaron J. Vaughn, Joshua M. Langberg |
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Rok vydání: | 2014 |
Předmět: |
Male
Parents medicine.medical_specialty Adolescent Comorbidity Anxiety behavioral disciplines and activities Article Young adolescents Social Skills Social skills Developmental and Educational Psychology medicine Humans Child Psychiatry Depression (differential diagnoses) Social functioning Psychiatric Status Rating Scales Depression Social anxiety Anhedonia Social acceptance Clinical Psychology Attention Deficit Disorder with Hyperactivity Attention Deficit and Disruptive Behavior Disorders Female Self Report medicine.symptom Psychology Social Adjustment Clinical psychology |
Zdroj: | Journal of Clinical Child & Adolescent Psychology. 44:1015-1029 |
ISSN: | 1537-4424 1537-4416 |
Popis: | The present study examined anxiety and depressive symptoms in relation to the social functioning of young adolescents with attention-deficit/hyperactivity disorder (ADHD) and builds upon prior work by incorporating youths' self-reports of internalizing symptoms and examining distinct anxiety and depression dimensions to increase specificity. Participants were 310 young adolescents (ages 10-14; 71% male, 78% Caucasian) diagnosed with ADHD. Youth provided ratings of anxiety/depression, and parents provided ratings of their own depression. Parents and youth both reported on youths' social skills and perceived social acceptance. Path analyses indicated that above and beyond child demographics, ADHD and oppositional defiant disorder symptom severity, and parents' own depression, self-reported social anxiety and anhedonia were both associated with lower youth-reported social skills and both parent- and youth-reported social acceptance. Negative self-evaluation was associated with poorer parent-reported social skills. Finally, harm avoidance was positively associated with both youth- and parent-reported social skills. A path analysis using comorbid diagnoses (rather than symptom dimensions) indicated that that having a comorbid disruptive behavior disorder or depression diagnosis (but not a comorbid anxiety diagnosis) was associated with poorer parent-reported social functioning. Results demonstrate that the relation between internalizing symptoms and social functioning among young adolescents with ADHD is nuanced, with social anxiety and anhedonia symptoms associated with lower social skills and social acceptance in contrast to harm avoidance being associated with higher ratings of social skills (and unrelated to social acceptance). In terms of comorbid diagnoses, depression is more clearly related than anxiety to poorer social functioning among young adolescents with ADHD. These results point to the importance of attending to specific facets of anxiety and depression in clinical care and future research. |
Databáze: | OpenAIRE |
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