21 results on '"CHRONIS-TUSCANO, ANDREA"'
Search Results
2. Variable Patterns of Remission From ADHD in the Multimodal Treatment Study of ADHD
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Sibley, Margaret H, Arnold, L Eugene, Swanson, James M, Hechtman, Lily T, Kennedy, Traci M, Owens, Elizabeth, Molina, Brooke SG, Jensen, Peter S, Hinshaw, Stephen P, Roy, Arunima, Chronis-Tuscano, Andrea, Newcorn, Jeffrey H, and Rohde, Luis A
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Mental Health ,Pediatric ,Attention Deficit Hyperactivity Disorder (ADHD) ,Clinical Research ,Pediatric Research Initiative ,Brain Disorders ,Mental health ,Good Health and Well Being ,Adult ,Child ,Humans ,Young Adult ,Attention Deficit Disorder with Hyperactivity ,Combined Modality Therapy ,Parents ,Substance-Related Disorders ,MTA Cooperative Group ,ADHD ,Neurodevelopmental Disorders ,Remission ,Symptoms ,Treatment ,Medical and Health Sciences ,Psychology and Cognitive Sciences ,Psychiatry - Abstract
ObjectiveIt is estimated that childhood attention deficit hyperactivity disorder (ADHD) remits by adulthood in approximately 50% of cases; however, this conclusion is typically based on single endpoints, failing to consider longitudinal patterns of ADHD expression. The authors investigated the extent to which children with ADHD experience recovery and variable patterns of remission by adulthood.MethodsChildren with ADHD (N=558) in the Multimodal Treatment Study of ADHD (MTA) underwent eight assessments over follow-ups ranging from 2 years (mean age, 10.44 years) to 16 years (mean age, 25.12 years) after baseline. The authors identified participants with fully remitted, partially remitted, and persistent ADHD at each time point on the basis of parent, teacher, and self-reports of ADHD symptoms and impairment, treatment utilization, and substance use and mental disorders. Longitudinal patterns of remission and persistence were identified that considered context and timing.ResultsApproximately 30% of children with ADHD experienced full remission at some point during the follow-up period; however, a majority of them (60%) experienced recurrence of ADHD after the initial period of remission. Only 9.1% of the sample demonstrated recovery (sustained remission) by study endpoint, and only 10.8% demonstrated stable ADHD persistence across study time points. Most participants with ADHD (63.8%) had fluctuating periods of remission and recurrence over time.ConclusionsThe MTA findings challenge the notion that approximately 50% of children with ADHD outgrow the disorder by adulthood. Most cases demonstrated fluctuating symptoms between childhood and young adulthood. Although intermittent periods of remission can be expected in most cases, 90% of children with ADHD in MTA continued to experience residual symptoms into young adulthood.
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- 2022
3. A Qualitative Analysis of Contextual Factors Relevant to Suspected Late-Onset ADHD
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Mitchell, John T, Sibley, Margaret H, Hinshaw, Stephen P, Kennedy, Traci M, Chronis-Tuscano, Andrea, Arnold, L Eugene, Swanson, James M, Hechtman, Lily T, Molina, Brooke SG, Caye, Arthur, Tamm, Leanne, Owens, Elizabeth B, Roy, Arunima, Weisner, Thomas S, Murray, Desiree W, and Jensen, Peter S
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Pediatric ,Brain Disorders ,Behavioral and Social Science ,Mental Health ,Attention Deficit Hyperactivity Disorder (ADHD) ,Clinical Research ,Attention Deficit Disorder with Hyperactivity ,Child ,Combined Modality Therapy ,Humans ,Young Adult ,ADHD ,late-onset ,qualitative ,Psychology ,Developmental & Child Psychology - Abstract
Objective: Recent studies suggest attention-deficit/hyperactivity disorder (ADHD) may emerge post-childhood. We integrate qualitative methods to systematically characterize contextual factors that may (a) delay identification of ADHD in childhood and (b) inform why ADHD symptoms emerge post-childhood. Method: Suspected late-onset ADHD cases from the local normative comparison group of the Multimodal Treatment Study of ADHD completed a qualitative interview (14 young adults and 7 caregivers). Interviews were qualitatively analyzed. Results: We identified five themes. Three themes may attenuate or delay identification of childhood ADHD: external factors (e.g., supportive adults), internal factors (e.g., strong intellectual functioning), and other factors (e.g., dismissive attitudes toward ADHD). Two themes may accompany an increase in ADHD symptoms post-childhood: external factors (e.g., increased external demands) and internal factors (e.g., perceived stress). Conclusion: Clinicians should probe these factors in suspected late-onset cases to address (a) whether, how, and to what extent ADHD was attenuated in childhood and (b) why symptoms emerge post-childhood.
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- 2021
4. Development of Neural Mechanisms Underlying Threat Processing: Associations With Childhood Social Reticence and Adolescent Anxiety
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Harrewijn, Anita, Ruiz, Sonia G., Abend, Rany, Haller, Simone P., Subar, Anni R., Swetlitz, Caroline, Valadez, Emilio A., Brotman, Melissa A., Chen, Gang, Chronis-Tuscano, Andrea, Leibenluft, Ellen, Bar-Haim, Yair, Fox, Nathan A., and Pine, Daniel S.
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- 2023
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5. Childhood ADHD and Involvement in Early Pregnancy: Mechanisms of Risk.
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Meinzer, Michael C, LeMoine, Kaitlyn A, Howard, Andrea L, Stehli, Annamarie, Arnold, L Eugene, Hechtman, Lily, Hinshaw, Stephen P, Molina, Brooke SG, Murray, Desiree W, Sibley, Margaret H, Swanson, James M, Tamm, Leanne, and Chronis-Tuscano, Andrea
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Humans ,Substance-Related Disorders ,Risk-Taking ,Sexual Behavior ,Attention Deficit Disorder with Hyperactivity ,Pregnancy ,Juvenile Delinquency ,Adolescent ,Child ,Female ,ADHD ,delinquency ,pregnancy ,substance use ,Pediatric Research Initiative ,Behavioral and Social Science ,Clinical Research ,Pediatric ,Prevention ,Attention Deficit Hyperactivity Disorder (ADHD) ,Mental Health ,Aetiology ,2.1 Biological and endogenous factors ,2.3 Psychological ,social and economic factors ,Good Health and Well Being ,Psychology ,Developmental & Child Psychology - Abstract
Objective: ADHD is associated with risky sexual behavior and early pregnancy, but few studies have examined mechanisms of risk linking childhood ADHD to early pregnancy. The present study utilized data from the Multimodal Treatment Study of ADHD to examine potential mechanisms that may account for the association between childhood ADHD and becoming pregnant or causing a pregnancy by age 18. Method: Participants were 579 children with ADHD and 289 comparison peers followed over 16 years. Results: Relative to the comparison group, those with childhood ADHD were at more than two times increased risk of early pregnancy. Univariately, persistence of ADHD symptoms, delinquency/substance use, and academic performance/achievement during adolescence each mediated the association between childhood ADHD and early pregnancy. When considered together, only delinquency/substance use remained a significant mediator of this relationship. Conclusion: Findings point toward specific targets of intervention for youth with ADHD to prevent early pregnancy.
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- 2020
6. A Neurobehavioral Mechanism Linking Behaviorally Inhibited Temperament and Later Adolescent Social Anxiety
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Buzzell, George A, Troller-Renfree, Sonya V, Barker, Tyson V, Bowman, Lindsay C, Chronis-Tuscano, Andrea, Henderson, Heather A, Kagan, Jerome, Pine, Daniel S, and Fox, Nathan A
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Social and Personality Psychology ,Psychology ,Behavioral and Social Science ,Brain Disorders ,Mental Health ,Prevention ,Pediatric ,Pediatric Research Initiative ,Anxiety Disorders ,Adolescent ,Adolescent Behavior ,Anxiety ,Child ,Child Behavior ,Electroencephalography ,Evoked Potentials ,Female ,Humans ,Inhibition ,Psychological ,Longitudinal Studies ,Male ,Prospective Studies ,Psychiatric Status Rating Scales ,Risk Factors ,Temperament ,social anxiety ,behavioral inhibition ,temperament ,error-related negativity ,post-error slowing ,Medical and Health Sciences ,Psychology and Cognitive Sciences ,Developmental & Child Psychology ,Clinical sciences ,Paediatrics ,Applied and developmental psychology - Abstract
ObjectiveBehavioral inhibition (BI) is a temperament identified in early childhood that is a risk factor for later social anxiety. However, mechanisms underlying the development of social anxiety remain unclear. To better understand the emergence of social anxiety, longitudinal studies investigating changes at behavioral neural levels are needed.MethodBI was assessed in the laboratory at 2 and 3 years of age (N = 268). Children returned at 12 years, and an electroencephalogram was recorded while children performed a flanker task under 2 conditions: once while believing they were being observed by peers and once while not being observed. This methodology isolated changes in error monitoring (error-related negativity) and behavior (post-error reaction time slowing) as a function of social context. At 12 years, current social anxiety symptoms and lifetime diagnoses of social anxiety were obtained.ResultsChildhood BI prospectively predicted social-specific error-related negativity increases and social anxiety symptoms in adolescence; these symptoms directly related to clinical diagnoses. Serial mediation analysis showed that social error-related negativity changes explained relations between BI and social anxiety symptoms (n = 107) and diagnosis (n = 92), but only insofar as social context also led to increased post-error reaction time slowing (a measure of error preoccupation); this model was not significantly related to generalized anxiety.ConclusionResults extend prior work on socially induced changes in error monitoring and error preoccupation. These measures could index a neurobehavioral mechanism linking BI to adolescent social anxiety symptoms and diagnosis. This mechanism could relate more strongly to social than to generalized anxiety in the peri-adolescent period.
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- 2017
7. Item Response Theory Analysis of ADHD Symptoms in Children With and Without ADHD
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Li, James J, Reise, Steven P, Chronis-Tuscano, Andrea, Mikami, Amori Yee, and Lee, Steve S
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Attention Deficit Hyperactivity Disorder (ADHD) ,Pediatric ,Mental Health ,Pediatric Research Initiative ,Clinical Research ,Attention Deficit Disorder with Hyperactivity ,Child ,Female ,Humans ,Male ,Models ,Psychological ,Parents ,Psychometrics ,School Teachers ,item response theory ,attention-deficit ,hyperactivity disorder ,psychometrics ,attention-deficit/hyperactivity disorder ,Psychology ,Clinical Psychology - Abstract
Item response theory (IRT) was separately applied to parent- and teacher-rated symptoms of attention-deficit/hyperactivity disorder (ADHD) from a pooled sample of 526 six- to twelve-year-old children with and without ADHD. The dimensional structure ADHD was first examined using confirmatory factor analyses, including the bifactor model. A general ADHD factor and two group factors, representing inattentive and hyperactive/impulsive dimensions, optimally fit the data. Using the graded response model, we estimated discrimination and location parameters and information functions for all 18 symptoms of ADHD. Parent- and teacher-rated symptoms demonstrated adequate discrimination and location values, although these estimates varied substantially. For parent ratings, the test information curve peaked between -2 and +2 SD, suggesting that ADHD symptoms exhibited excellent overall reliability at measuring children in the low to moderate range of the general ADHD factor, but not in the extreme ranges. Similar results emerged for teacher ratings, in which the peak range of measurement precision was from -1.40 to 1.90 SD Several symptoms were comparatively more informative than others; for example, is often easily distracted ("Distracted") was the most informative parent- and teacher-rated symptom across the latent trait continuum. Clinical implications for the assessment of ADHD as well as relevant considerations for future revisions to diagnostic criteria are discussed.
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- 2016
8. Genetic imaging of the association of oxytocin receptor gene (OXTR) polymorphisms with positive maternal parenting.
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Michalska, Kalina J, Decety, Jean, Liu, Chunyu, Chen, Qi, Martz, Meghan E, Jacob, Suma, Hipwell, Alison E, Lee, Steve S, Chronis-Tuscano, Andrea, Waldman, Irwin D, and Lahey, Benjamin B
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functional magnetic resonance imaging ,maternal parenting oxytocin receptor gene ,Neurosciences ,Psychology ,Cognitive Sciences - Abstract
BackgroundWell-validated models of maternal behavior in small-brain mammals posit a central role of oxytocin in parenting, by reducing stress and enhancing the reward value of social interactions with offspring. In contrast, human studies are only beginning to gain insights into how oxytocin modulates maternal behavior and affiliation.MethodsTo explore associations between oxytocin receptor genes and maternal parenting behavior in humans, we conducted a genetic imaging study of women selected to exhibit a wide range of observed parenting when their children were 4-6 years old.ResultsIn response to child stimuli during functional magnetic resonance imaging (fMRI), hemodynamic responses in brain regions that mediate affect, reward, and social behavior were significantly correlated with observed positive parenting. Furthermore, single nucleotide polymorphisms (SNPs) (rs53576 and rs1042778) in the gene encoding the oxytocin receptor were significantly associated with both positive parenting and hemodynamic responses to child stimuli in orbitofrontal cortex (OFC), anterior cingulate cortex (ACC), and hippocampus.ConclusionsThese findings contribute to the emerging literature on the role of oxytocin in human social behavior and support the feasibility of tracing biological pathways from genes to neural regions to positive maternal parenting behaviors in humans using genetic imaging methods.
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- 2014
9. Academic Accommodations and Functioning in College Students with Attention-Deficit/Hyperactivity Disorder: Limitations, Barriers, and Suggestions for Collaborators.
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Tufty, Logan Marie, Gallagher, Virginia T., Oddo, Lauren, Vasko, John, Chronis-Tuscano, Andrea, and Meinzer, Michael
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ACADEMIC accommodations ,COLLEGE students ,ATTENTION-deficit hyperactivity disorder ,INTERNALIZING behavior ,GRADE point average ,YOUTH with attention-deficit hyperactivity disorder - Abstract
One method for addressing barriers disabled college students face is by increasing access to academic accommodations. However, for college students with ADHD, little is known about the associations between receipt of accommodations and academic performance, behavioral functioning, and mood status. Considering college students with ADHD are at a higher risk of experiencing academic difficulties and internalizing symptoms compared to their peers without ADHD, further research into these relations is warranted. To address the existing knowledge gap, we compared academic, behavioral, and mood functioning among college student drinkers with ADHD who self-reported having been granted academic accommodations (n = 23) to those who denied ever receiving academic accommodations (n = 88). The present study also explored reasons college students with ADHD receiving academic accommodations may not utilize their provided accommodations consistently. Results indicated that self-reported use of accommodations was not associated with college grade point average (GPA), self-reported symptoms of ADHD, executive dysfunction, depression, emotion dysregulation, or overall functional impairment. Common reasons for not using academic accommodations (e.g., not feeling they were needed, being too difficult to obtain) highlight the salience of cognitive and systemic barriers to utilization. The results broadly imply that academic accommodations may be perceived as beneficial by college students with ADHD, but not sufficient to improve academic performance or indirectly impact mood- and behavior-related concerns. [ABSTRACT FROM AUTHOR]
- Published
- 2024
10. Preliminary perceived intervention changes and engagement in an evidence-based program targeted at behavioral inhibition during early childhood, delivered in-person and online
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Guedes, Maryse, primary, Maia, Rita, additional, Matos, Inês, additional, Antunes, Marta, additional, Rolão, Teresa, additional, Chronis-Tuscano, Andrea, additional, Rubin, Kenneth H., additional, Veríssimo, Manuela, additional, and Santos, António J., additional
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- 2023
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11. Social versus non-social behavioral inhibition: Differential prediction from early childhood of long-term psychosocial outcomes
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Tan, Enda, Tan, Enda, Zeytinoglu, Selin, Morales, Santiago, Buzzell, George A., Almas, Alisa N., Degnan, Kathryn A., Chronis-Tuscano, Andrea, Henderson, Heather, Pine, Daniel S., Fox, Nathan A., Tan, Enda, Tan, Enda, Zeytinoglu, Selin, Morales, Santiago, Buzzell, George A., Almas, Alisa N., Degnan, Kathryn A., Chronis-Tuscano, Andrea, Henderson, Heather, Pine, Daniel S., and Fox, Nathan A.
- Abstract
Behavioral inhibition (BI) is a temperamental style characterized by cautious and fearful behaviors in novel situations. The present multi-method, longitudinal study examined whether young children's observed and parent-reported BI in social versus non-social contexts predicts different long-term psychosocial outcomes. Participants (N = 279) were drawn from a longitudinal study of socioemotional development. BI in social contexts (“social BI”) was measured via children's observed wariness toward unfamiliar adults and peers at 24 and 36 months and parents’ reports of children's social fear/shyness at 24, 36, and 48 months. BI in non-social contexts (“non-social BI”) was measured via children's observed fearful responses to masks and novel toys, and parents’ reports of children's distress to non-social novelty at 9 months and non-social fear at 48 months. At 15 years, anxiety was assessed via adolescent- and parent-reports, and global internalizing and externalizing problems were assessed via parent-reports. Confirmatory factor analysis showed that a two-factor model fit the BI data significantly better than a single-factor model, providing evidence for the dissociation of BI in social versus non-social contexts. Social BI was uniquely associated with adolescent social anxiety, whereas non-social BI was specifically associated with adolescent separation anxiety. Neither social BI nor non-social BI predicted global internalizing and externalizing problems, providing evidence for the specific relations between BI and anxiety problems. Together, these results suggest that young children's inhibited responses in social versus non-social situations predict different subtypes of anxiety problems in adolescence, highlighting the multifaceted nature of BI and the divergent trajectories of different anxiety problems.
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- 2023
12. Comparison of behaviorally inhibited and typically developing children’s play behaviors in the preschool classroom.
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Druskin, Lindsay R., Novick, Danielle R., Smith, Kelly A., Chronis-Tuscano, Andrea, Wagner, Nicholas J., Pham, Stephanie, Fleece, Hailey M., Danko, Christina M., and Rubin, Kenneth H.
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PRESCHOOL children ,RESPONSE inhibition ,SOCIAL anxiety ,CHILD behavior ,SOCIAL interaction ,PRESCHOOLS ,SOLITUDE - Abstract
Introduction: Behavioral inhibition (BI) is a temperamental trait characterized by a bias to respond with patterns of fearful or anxious behavior when faced with unfamiliar situations, objects, or people. It has been suggested that children who are inhibited may experience early peer difficulties. However, researchers have yet to systematically compare BI versus typically developing children’s observed asocial and social behavior in familiar, naturalistic settings. Method: We compared the in-school behaviors of 130 (M=54 months, 52% female) highly inhibited preschoolers (identified using the parent-reported Behavioral Inhibition Questionnaire) to 145 (M= 53 months, 52% female) typically developing preschoolers. Both samples were observed on at least two different days for approximately 60 min. Observers used the Play Observation Scale to code children’s behavior in 10-s blocks during free play. Teachers completed two measures of children’s behavior in the classroom. Results: Regression models with robust standard errors controlling for child sex, age, and weekly hours in school revealed that preschoolers identified as BI engaged in significantly more observed reticent and solitary behavior, and less social play and teacher interaction than the typically developing sample. Children with BI also initiated social interaction with their peers and teachers less often than their counterparts who were not inhibited. Teachers reported that children identified as BI were more asocial and less prosocial than their non-BI counterparts. Discussion: Significantly, the findings indicated that inhibited children displayed more solitude in the context of familiar peers. Previous observational studies have indicated behavioral differences between BI and unfamiliar typical age-mates in novel laboratory settings. Children identified as BI did not receive fewer bids for social interaction than their typically developing peers, thereby suggesting that children who are inhibited have difficulty capitalizing on opportunities to engage in social interaction with familiar peers. These findings highlight the need for early intervention for children with BI to promote social engagement, given that the frequent expression of solitude in preschool has predicted such negative outcomes as peer rejection, negative self-regard, and anxiety during the elementary and middle school years. [ABSTRACT FROM AUTHOR]
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- 2023
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13. A Developmental Pathway From Early Behavioral Inhibition to Young Adults’ Anxiety During the COVID-19 Pandemic
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Zeytinoglu, Selin, primary, Morales, Santiago, additional, Lorenzo, Nicole E., additional, Chronis-Tuscano, Andrea, additional, Degnan, Kathryn A., additional, Almas, Alisa N., additional, Henderson, Heather, additional, Pine, Daniel S., additional, and Fox, Nathan A., additional
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- 2022
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14. Unique and Transdiagnostic Dimensions of Reward Functioning in Attention-Deficit/Hyperactivity Disorder and Alcohol Use Disorder Symptoms
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Oddo, Lauren E, primary, Acuff, Samuel F, additional, Arenson, Melanie B, additional, Oshri, Assaf, additional, Chronis-Tuscano, Andrea, additional, MacKillop, James, additional, and Murphy, James G, additional
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- 2021
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15. Behavioral inhibition and dual mechanisms of anxiety risk: Disentangling neural correlates of proactive and reactive control
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Valadez, Emilio A., primary, Troller‐Renfree, Sonya V., additional, Buzzell, George A., additional, Henderson, Heather A., additional, Chronis‐Tuscano, Andrea, additional, Pine, Daniel S., additional, and Fox, Nathan A., additional
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- 2021
- Full Text
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16. Protective Behavioral Strategies and Alcohol Problems in Heavy Drinking College Students: The Role of ADHD Symptoms and Sex Differences
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Steinberg, Amanda, Chronis-Tuscano, Andrea, Steinberg, Amanda, Steinberg, Amanda, Chronis-Tuscano, Andrea, and Steinberg, Amanda
- Abstract
College students with attention-deficit/hyperactivity disorder (ADHD) are at risk for alcohol-related negative consequences, but key correlates of risks for this population are unknown. The use of protective behavioral strategies (PBS) is designed to mitigate the negative consequences of drinking, but people with ADHD may be at-risk for underutilizing PBS. This study evaluated group differences in PBS use and alcohol variables by ADHD status and biological sex. Participants were full-time undergraduate students (49% female; ages 18-22) with (n=42) and without (n=37) ADHD. Students were screened for high-risk alcohol use and completed measures of alcohol use, alcohol-related negative consequences, and PBS. Despite no significant differences among drinking variables, students with ADHD reported more alcohol-related negative consequences compared to their similarly-drinking peers. Males reported more drinks per week but had comparable binge drinking and intoxication episodes to females, where surprisingly, females reported significantly more alcohol-related negative consequences than males. As predicted, students with ADHD and males reported using fewer total PBS than non- ADHD peers and females. Contrary to expectations, moderation analyses showed no significant moderation for ADHD status on sex differences and PBS use, nor did ADHD status significantly moderate the effect of PBS use in reducing alcohol-related negative consequences. Future research should examine possible mechanisms underlying the association between ADHD and PBS utilization (i.e., emotion dysregulation, impulsivity).
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- 2021
17. Unique and Transdiagnostic Dimensions of Reward Functioning in Attention-Deficit/Hyperactivity Disorder and Alcohol Use Disorder Symptoms.
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Oddo, Lauren E, Acuff, Samuel F, Arenson, Melanie B, Oshri, Assaf, Chronis-Tuscano, Andrea, MacKillop, James, and Murphy, James G
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STRUCTURAL equation modeling ,ALCOHOLISM ,ATTENTION-deficit hyperactivity disorder ,REINFORCEMENT (Psychology) ,PATHOLOGICAL psychology ,QUESTIONNAIRES ,FACTOR analysis ,DESCRIPTIVE statistics ,ETHNIC groups ,DATA analysis software ,SECONDARY analysis ,SYMPTOMS - Abstract
Aims Contemporary theories of attention-deficit/hyperactivity disorder (ADHD) and alcohol use disorder (AUD) emphasize core dysfunctions in reward-related processes and behaviors as pathognomonic characteristics. However, to date, it is unclear which domains of reward functioning are unique to ADHD versus AUD symptom dimensions, and which represent underlying shared correlates. Methods The current study employed secondary data analyses from a large community sample of emerging adults (N = 602; 57.3% female) and novel transdiagnostic modeling (i.e. bi-factor confirmatory factor analyses and structural equation modeling) of ADHD, AUD and shared symptom dimensions to identify unique and common reward-related dimensions: environmental suppressors, reward probability, hedonic capacity, proportionate substance-related reinforcement and delay discounting. Results The presence of environmental suppressors was the only reward-related construct that correlated with the underlying ADHD-AUD shared dimension. The AUD symptom dimension was uniquely associated with proportionate substance-related reinforcement, whereas the ADHD symptom dimension was uniquely associated with limited reward probability. No significant associations were found for delay discounting or hedonic capacity. Conclusions These novel findings highlight specific aspects of reward-related functioning in ADHD, AUD and shared symptom dimensions. In so doing, this work meaningfully advances theoretical conceptualizations of these two commonly co-occurring presentations and suggests future directions for research on transdiagnostic correlates. Future longitudinal studies should include clinical samples with diagnoses of AUD and ADHD to further identify underlying correlates over time. [ABSTRACT FROM AUTHOR]
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- 2022
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18. Perceções das famílias portuguesas acerca do impacto da participação no turtle program
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Guedes, Maryse, Matos, Inês, Almeida, Telma Sousa, Freitas, Miguel, Alves, Stephanie, Santos, António J., Verissimo, Manuela, Chronis-Tuscano, Andrea, and Rubin, Kenneth
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info:eu-repo/semantics/publishedVersion
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- 2020
19. Perceptions of Portuguese psychologists about the acceptability of a child intervention targeted at inhibited preschoolers
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Guedes, Maryse, Alves, Stephanie, Santos, António J., Veríssimo, Manuela, Chronis-Tuscano, Andrea, Danko, Christina, and Rubin, Kenneth H.
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Jogo supervisionado de promoção de competências sociais ,Behavioral inhibition ,Aceitabilidade da intervenção ,Inibição comportamental ,Preschool years ,Social skills facilitated play ,Idade pré-escolar ,Treatment acceptability - Abstract
High and stable behavioral inhibition (BI) during early childhood have been associated with an increased risk of later anxiety disorders and peer difficulties. Developing evidence-based early interventions to prevent these unhealthy developmental trajectories has become a major focus of interest. However, these interventions are not yet available in Europe. This study aimed to explore the perceptions of Portuguese psychologists about the acceptability of the child component of the Turtle Program, before its dissemination in Portugal. Eighteen psychologists were distributed into three focus groups. Each group was moderated by a trained psychologist, using a semi-structured interview guide. The thematic analysis revealed that Portuguese psychologists acknowledged that the intervention needs to go beyond social skills training and enhance children’s positive self-perceptions. Overall, psychologists perceived the structure, contents, activities, and materials of the intervention to be acceptable. However, participants recommended minor modifications to strengthen the connection with naturalistic contexts, broaden the focus on emotional expressiveness and social interaction, and introduce creative activities and materials. These findings are consistent with previous research with LatinX practitioners, who typically agree with the acceptability of evidence-based child intervention principles and only report the need to introduce minor changes related to the way how interventions are delivered to children. Níveis elevados e estáveis de inibição comportamental em idade pré-escolar associam-se a um risco acrescido de desenvolver perturbações de ansiedade e dificuldades com os pares. O desenvolvimento de intervenções baseadas na evidência para prevenir estas trajetórias inadaptativas têm merecido um interesse crescente. Todavia, estas intervenções ainda não se encontram disponíveis na Europa. Este estudo teve como objetivo explorar as perceções de aceitabilidade dos psicólogos portugueses acerca do componente para crianças do Turtle Program, antes da sua disseminação em Portugal. Dezoito psicólogos foram distribuídos em três grupos focais. Cada grupo foi moderado por um investigador treinado, com base num guião semiestruturado. A análise temática revelou que os psicólogos portugueses reconheceram a necessidade de ultrapassar o enfoque no treino de competências sociais e de promover auto-perceções positivas nas crianças. Globalmente, os psicólogos percecionaram a estrutura, os conteúdos, as atividades e os materiais de intervenção como aceitáveis. Todavia, os participantes recomendaram modificações menores ao nível da articulação com o contexto pré-escolar, do foco na expressão emocional e interação social, da introdução de atividades e materiais criativos. Estes resultados são consistentes com a investigação existente com profissionais oriundos de culturas latinas que apenas sugerem adaptações na forma como as intervenções são apresentadas às crianças.
- Published
- 2019
20. Attention Deficit-Hyperactivity Disorder in Adolescence Predicts Onset of Major Depressive Disorder through Early Adulthood
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Meinzer, Michael C., Lewinsohn, Peter M., Pettit, Jeremy W., Seeley, John R., Gau, Jeff M., Chronis-Tuscano, Andrea, and Waxmonsky, James G.
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Adult ,Male ,Risk ,Depressive Disorder, Major ,Adolescent ,Substance-Related Disorders ,Comorbidity ,Anxiety Disorders ,Article ,Oregon ,Young Adult ,Cross-Sectional Studies ,Sex Factors ,Attention Deficit Disorder with Hyperactivity ,Attention Deficit and Disruptive Behavior Disorders ,Predictive Value of Tests ,Adaptation, Psychological ,Humans ,Female ,Age of Onset - Abstract
The aim of this study was to examine the prospective relationship between a history of attention-deficit/hyperactivity disorder (ADHD) assessed in mid-adolescence and the onset of major depressive disorder (MDD) through early adulthood in a large school-based sample. A secondary aim was to examine whether this relationship was robust after accounting for comorbid psychopathology and psychosocial impairment.One thousand five hundred seven participants from the Oregon Adolescent Depression Project completed rating scales in adolescence and structured diagnostic interviews up to four times from adolescence to age 30.Adolescents with a lifetime history of ADHD were at significantly higher risk of MDD through early adulthood relative to those with no history of ADHD. ADHD remained a significant predictor of MDD after controlling for gender, lifetime history of other psychiatric disorders in adolescence, social and academic impairment in adolescence, stress and coping in adolescence, and new onset of other psychiatric disorders through early adulthood (hazard ratio, 1.81; 95% confidence interval, 1.04, 3.06). Additional significant, robust predictors of MDD included female gender, a lifetime history of an anxiety disorder, and poor coping skills in mid-adolescence, as well as the onset of anxiety, oppositional defiant disorder, and substance-use disorder after mid-adolescence.A history of ADHD in adolescence was associated with elevated risk of MDD through early adulthood and this relationship remained significant after controlling for psychosocial impairment in adolescence and co-occurring psychiatric disorders. Additional work is needed to identify the mechanisms of risk and to inform depression prevention programs for adolescents with ADHD.
- Published
- 2013
21. Does Situation Type Moderate the Relationship Between Maternal Attention-Deficit/Hyperactivity Disorder (ADHD) Symptoms and Observed Parenting?
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Santana, Erin Marie, O’Brien, Kelly, Chronis-Tuscano, Andrea, Santana, Erin Marie, Santana, Erin Marie, O’Brien, Kelly, Chronis-Tuscano, Andrea, and Santana, Erin Marie
- Abstract
Previous research has found associations between parental attention-deficit/hyperactivity disorder (ADHD) symptoms and maladaptive parenting. In contrast, some suggest a “similarity-fit hypothesis,” in which equal levels of ADHD symptoms between parents and children may be associated with a shared behavioral tempo, which may result in a better “fit.” However, this theory has only been tested in a free-play situation (Psychogiou et al., 2008a). This study tested the “similarity-fit hypothesis” using two samples of children with ADHD and their mothers across two tasks to examine the extent situational context is associated with ineffective parenting. Mother-child dyads were observed in an unstructured free-play task and a structured homework task in two studies of parent-child interactions consisting of a total of 175 elementary-aged children with DSM-IV ADHD. A significant main effect for situation type on positive parenting and ineffective commands was found in Study 2. Mothers displayed higher rates of positive parenting and ineffective commands in the homework task compared to the free-play task. A trend-level interaction (Situation Type x Maternal ADHD symptoms) was found in Study 1. Probing the interaction revealed that higher levels of maternal ADHD symptoms predicted higher levels of ineffective commands in the homework task, but not in the free-play task. Although, our results were both consistent and inconsistent with the literature examining families where ADHD is present in children and parents, our study’s findings may contribute to the limited literature using observational measures to examine associations between maternal ADHD symptoms and parenting. Our results suggest the challenging nature of the structured homework task may tax a mother’s core symptoms of ADHD, which contrasts with the “similarity-fit hypothesis.” Further research testing the “similarity-fit hypothesis” is needed to determine the extent situational context impacts the relationship b
- Published
- 2011
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