ADHD and risk for subsequent adverse childhood experiences

Understanding the cycle of adversity

Datos Bibliográficos

ID21344481
AutoresClaudia Lugo‐Candelas (0000-0002-8388-9479, New York State Psychiatric Institute Columbia University Irving Medical Center New York NY USA, autor de correspondencia), Thomas Corbeil (0000-0003-1182-1368, New York State Psychiatric Institute Columbia University Irving Medical Center New York NY USA), Melanie Wall (0000-0002-1665-9403, New York State Psychiatric Institute Columbia University Irving Medical Center New York NY USA), Melanie M Wall (0000-0001-6673-3467, Columbia University Irving Medical Center), Jonathan Posner (0000-0002-2704-1094, New York State Psychiatric Institute Columbia University Irving Medical Center New York NY USA), Héctor Bird (0000-0002-7902-0850, New York State Psychiatric Institute Columbia University Irving Medical Center New York NY USA), Glorisa Canino (0000-0003-1775-4020, Behavioral Sciences Research Institute University of Puerto Rico San Juan PR USA), Prudence W Fisher (0000-0002-7425-5183, New York State Psychiatric Institute Columbia University Irving Medical Center New York NY USA), Shakira F Suglia (0000-0002-5634-9290, Department of Epidemiology Emory University Atlanta GA USA), Cristiane S Duarte (0000-0001-7214-4255, New York State Psychiatric Institute Columbia University Irving Medical Center New York NY USA)
Año2021
Volumen62
Número8
Páginas971-978
Fecha de publicación2021-08-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Child Psychology and Psychiatry (JOURNAL)
Identificadores de la revistaISSN: 0021-9630 • E-ISSN: 1469-7610
EditorialWiley (PUBLISHER • GB)
DOI10.1111/jcpp.13352
PMID33289088
OpenAlexW3109083401
IdiomaEN
Citas recibidas6
Referencias citadas37

BACKGROUND: Children with adverse childhood experiences (ACEs) are more likely to develop Attention-Deficit/Hyperactivity Disorder (ADHD). The reverse relationship - ADHD predicting subsequent ACEs - is vastly understudied, although it may be of great relevance to underserved populations highly exposed to ACEs. METHODS: Participants were 5- to 15-year-olds (48% females) with (9.9%) and without ADHD (DSM-IV criteria except age of onset) in a longitudinal population-based study of Puerto Rican youth. In each wave (3 yearly assessments, W1-3), ten ACEs (covering parental loss and maladjustment and child maltreatment) were examined, plus exposure to violence. Logistic regression models examined ADHD (including subtypes) and subsequent risk for ACEs. Also considered were interactions by age, sex, number of W1 ACEs, and recruitment site. RESULTS: Children with W1 ADHD were more likely to experience subsequent adversity (OR: 1.63; 95% CI: 1.12-2.37) accounting for child age, sex, public assistance, maternal education, site, disruptive behavior disorders, and W1 ACEs. Inattentive (OR: 2.00; 95% CI: 1.09-3.66), but not hyperactive/impulsive or combined ADHD, predicted future ACEs. CONCLUSIONS: ADHD predicts subsequent risk for ACEs, and the inattentive presentation may confer the most risk. Inattentive presentations could pose a bigger risk given differences in symptom persistence, latency to access to treatment, and treatment duration. The present study suggests a pathway for the perpetuation of adversity, where bidirectional relationships between ADHD and ACEs may ensnare children in developmental pathways predictive of poor outcomes. Understanding the mechanism underlying this association can help the development of interventions that interrupt the cycle of adversity exposure and improve the lives of children with ADHD

Developmental psychology · Injury prevention · Logistic regression · Poison control · Population · Psychiatry · Suicide prevention · Attention Deficit Hyperactivity Disorder · Child Abuse and Trauma · Clinical Psychology · Demography · Human Factors and Ergonomics · Medicine · Prenatal Substance Exposure Effects · Psychology