We followed an ethnically and socioeconomically diverse sample of preadolescent girls with ADHD (n=140) and matched comparison girls (n=88) over a period of five years, from middle childhood through early/mid-adolescence, with the aim of determining whether childhood levels of executive function (EF) would predict adolescent multi-informant outcomes of social functioning and psychopathology, including comorbidity between externalizing and internalizing symptomatology. Predictors were well-established measures of planning, response inhibition, and working memory, along with a control measure of fine motor control. Independent of ADHD vs. comparison group status, (a) childhood planning and response inhibition predicted adolescent social functioning and (b) childhood planning predicted comorbid internalizing/externalizing disorders in adolescence. Subgroup status (ADHD-Combined, ADHD-Inattentive, and comparison) moderated the relationship between childhood planning and adolescent internalizing/ externalizing comorbidity, with the Combined type revealing particularly strong associations between baseline planning and adolescent comorbidity. Mediation analyses indicated that adolescent social functioning mediated the prediction from childhood EF to comorbidity at followup; in turn, in the girls with ADHD, adolescent comorbidity mediated the prediction from childhood EF to social functioning at follow-up. We conclude that childhood interventions should target EF impairments in addition to behavioral symptoms.Executive functions (EF) comprise a group of high-level cognitive processes essential for complex cognition, such as developing and undertaking goal-directed behaviors, sustaining attention and behavior, monitoring progress, and modifying behavior flexibly in response to changing demands (Carpenter, Just, & Reichle, 2000;Collette, Hogge, Salmon, & Van Der Linden, 2006). These activities are critical for assessing and responding to the kinds of problems that are naturally encountered in life and for making quick decisions and judgments in novel, fast-paced situations, such as social interactions. Executive dysfunction may manifest in everyday life as low impulse control, inability to plan and follow through with essential activities, and problems abiding by the rules of social interaction. Surprisingly little is known about the predictive linkages between EF and social, behavioral, and emotional outcomes, particularly in individuals who are at high risk for EF deficits, such as those with attention-deficit/hyperactivity disorder (ADHD). Girls with ADHD are of particular interest in this regard, given increased interest in their long-term outcomes (Biederman et al., 2010;Hinshaw, Owens, Sami, & Fargeon, 2006) and given evidence that the social problems of girls with ADHD are particularly salient (Hinshaw & Blachman, 2005).Address correspondence to Jenna R. Rinsky, Department of Psychology, 2205 Tolman Hall #1650, University of California, Berkeley, CA 94720-1650 (jenna_rinsky@berkeley.edu)..
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