“…Larger scale studies including those that evaluate the possible confounding effects of innate cognitive abilities and IQ, those that investigate differences among the various subtypes of ADHD, and those that examine the response to different levels and types of distractions and dual tasks may also be informative. In addition, it would be interesting to see whether there is any connection between the not fully explained high injury rate in children with ADHD [30] and the observed reduced gait automaticity, a measure that has been related to fall risk in other populations. Be that is it may, the present findings demonstrate, for the first time, that ADHD may affect gait.…”
Section: Discussion J Key Findingsmentioning
confidence: 99%
“…While children with ADHD do not complain of falls, they are more prone to injury [30], perhaps as a result of subtle deficits in gait and/or the ability to focus on walking. Given the known deficits in attention in ADHD and the evidence suggesting that the regulation of stride time variability requires attention, we sought to investigate the gait of those with ADHD and to use this cohort to examine the role of attention in gait and the effects of pharmacology on that relationship.…”
The present findings demonstrate alterations in the gait of children with ADHD, support a cause and effect link between cognitive function and gait, and suggest that enhancement of attention abilities may, in certain populations, improve gait rhythmicity.
“…Larger scale studies including those that evaluate the possible confounding effects of innate cognitive abilities and IQ, those that investigate differences among the various subtypes of ADHD, and those that examine the response to different levels and types of distractions and dual tasks may also be informative. In addition, it would be interesting to see whether there is any connection between the not fully explained high injury rate in children with ADHD [30] and the observed reduced gait automaticity, a measure that has been related to fall risk in other populations. Be that is it may, the present findings demonstrate, for the first time, that ADHD may affect gait.…”
Section: Discussion J Key Findingsmentioning
confidence: 99%
“…While children with ADHD do not complain of falls, they are more prone to injury [30], perhaps as a result of subtle deficits in gait and/or the ability to focus on walking. Given the known deficits in attention in ADHD and the evidence suggesting that the regulation of stride time variability requires attention, we sought to investigate the gait of those with ADHD and to use this cohort to examine the role of attention in gait and the effects of pharmacology on that relationship.…”
The present findings demonstrate alterations in the gait of children with ADHD, support a cause and effect link between cognitive function and gait, and suggest that enhancement of attention abilities may, in certain populations, improve gait rhythmicity.
“…ADHD is a highly prevalent condition that can lead to poor health and social outcomes (4)(5)(6)(7)(8)(9). Despite 2007 and 2011 guidelines recommending behavior therapy as first-line treatment for children aged <6 years with ADHD, during 2008-2014 only about half of children aged 2-5 years with ADHD received psychological services.…”
“…There is some evidence that youth with ADHD are at increased risk of sustaining physical injuries and medical problems (e.g., Pastor and Reuben 2006), and although speculative, greater approach-motivation tendencies inherent in higher levels of PA may increase the likelihood of youth with ADHD engaging in impulsive or risk-taking behaviors (e.g., climbing trees, horsing around), which in turn could lead to greater physical problems and complaints (e.g., eye problems, dizziness). Notably, this effect was not found for youth with ADHD and internalizing disorders.…”
Although the adaptive role of positive affect (PA) in childhood internalizing disorders is well-established, less is known about PA in children with AttentionDeficit/Hyperactivity Disorder (ADHD). In this cross-sectional study, we examined associations between child-reported PA and parent-reported emotional and behavioral problems in youth with ADHD using multiple hierarchical regression analyses. Participants included 848 ethnically diverse youth (253 youth with ADHD, 595 with other or no diagnoses; age range 6.12-19.65) referred for mental health assessments. Study measures included the Child Behavior Checklist (CBCL) and the Positive and Negative Affect Scale for Children (PANAS-C). Results indicated that higher levels of child-reported PA were associated with greater parental reports of total and internalizing problems among youth with ADHD but not in other clinicreferred youth. Specifically, child self-reports of PA were positively associated with parental reports of anxious/depressed and somatic problems in youth with ADHD. In addition, associations between child-reported PA and parent-reported problems differed by type of ADHD comorbidity. Findings suggest that at higher levels, PA in youth with ADHD might exert a paradoxical effect and be a subtle risk factor for or an indicator of parent-reported internalizing problems among youth with ADHD only and youth with ADHD and a comorbid externalizing disorder but not for youth with ADHD and a comorbid internalizing disorder or youth without ADHD. Discrepancies between child-reported PA and parent-reported problems may influence treatment planning and treatment response. Further clinical and theoretical implications for child therapists and parents are discussed.
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