Influence of Anxiety on the Social Functioning of Children With and Without ADHD

Mikami, Amori Yee; Ransone, Megan L.; Calhoun, Casey D.

doi:10.1177/1087054710369066

Cited by 51 publications

(41 citation statements)

References 40 publications

(41 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous research examining the association between anxiety and function in children with ADHD has used either a dimensional 10 or a categorical approach 14 in which children with ADHD and $1 anxiety disorders are compared with children with ADHD and no anxiety. Our study examined how screening positive for multiple anxiety disorders influences functioning.…”

Section: Discussionmentioning

confidence: 99%

“…Although our findings are consistent with multiple studies, 13,14,36 they are also in contrast to others. 6,9,10 It is possible that our brief measure may not have been sensitive in detecting more subtle associations between social functioning and anxiety and that the use of observational methods or peer reports may have yielded different findings. Alternatively, our finding could be due to adjustment for externalizing, mood, and ASD comorbidities.…”

Section: Discussionmentioning

confidence: 99%

“…Research examining the impact of anxiety in ADHD has largely focused on social function. Although anxiety has been shown to exacerbate social problems for children with ADHD, 6,[8][9][10][11] these findings are not always supported. [12][13][14] Mixed findings may be due to methodologic limitations, including single clinical samples, 8 broad participant age range, 6,12 and small samples.…”

mentioning

confidence: 97%

“…[12][13][14] Mixed findings may be due to methodologic limitations, including single clinical samples, 8 broad participant age range, 6,12 and small samples. 6,10 Although it is suspected that anxiety in children with ADHD would be associated with poorer quality of life (QoL) and daily functioning, research has yet to examine this. Furthermore, despite children with ADHD-Combined (ADHD-C) and ADHD-Inattentive (ADHD-I) presentation having similar levels of anxiety, 15 it is unknown whether the association between anxiety and function is similar for ADHD-C versus ADHD-I.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Anxiety in Children With Attention-Deficit/Hyperactivity Disorder

et al. 2014

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Up to 50% of children with attention-deficit/hyperactivity disorder (ADHD) meet criteria for a comorbid anxiety disorder. Despite the high prevalence of anxiety in these children, the impact of anxiety on the lives of children with ADHD has been largely overlooked.WHAT THIS STUDY ADDS: Presence of $2 anxiety comorbidities in children with ADHD was associated with poorer child quality of life, daily functioning, and behavior. Multiple anxiety comorbidities were associated with poorer functioning for children with both ADHD-Inattentive and ADHD-Combined presentation. abstract OBJECTIVES: Although anxiety is common in children with attentiondeficit/hyperactivity disorder (ADHD), it is unclear how anxiety influences the lives of these children. This study examined the association between anxiety comorbidities and functioning by comparing children with ADHD and no, 1, or $2 anxiety comorbidities. Differential associations were examined by current ADHD presentation (subtype). METHODS:Children with diagnostically confirmed ADHD (N = 392; 5-13 years) were recruited via 21 pediatrician practices across Victoria, Australia. Anxiety was assessed by using the Anxiety Disorders Interview Schedule for Children-IV. Functional measures included parentreported: quality of life (QoL; Pediatric Quality of Life Inventory 4.0), behavior and peer problems (Strengths and Difficulties Questionnaire), daily functioning (Daily Parent Rating of Evening and Morning Behavior), and school attendance. Teacher-reported behavior and peer problems (Strengths and Difficulties Questionnaire) were also examined. Linear and logistic regression controlled for ADHD severity, medication use, comorbidities, and demographic factors. RESULTS:Children with $2 anxiety comorbidities (n = 143; 39%) had poorer QoL (effect size: -0.8) and more difficulties with behavior (effect size: 0.4) and daily functioning (effect size: 0.3) than children without anxiety (n = 132; 36%). Poorer functioning was not observed for children with 1 anxiety comorbidity (n = 95; 26%). Two or more anxiety comorbidities were associated with poorer functioning for children with both ADHD-Inattentive and ADHD-Combined presentation. CONCLUSIONS:Children with ADHD demonstrate poorer QoL, daily functioning and behavior when $2 anxiety comorbidities are present. Future research should examine whether treating anxiety in children with ADHD improves functional outcomes. Pediatrics 2014;133:801-808

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 97%

mentioning

confidence: 99%

See 2 more Smart Citations

Anxiety in Children With Attention-Deficit/Hyperactivity Disorder

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Internalizing comorbidities also affect children with ADHD, but at lower rates, and are less consistently connected to peer rejection (Mikami et al 2011). Little is known about how parents respond to children's aggressive behaviors and what effect this has on peer status.…”

Section: Parental Feedback and Children's Peer Status Among Youth Witmentioning

confidence: 99%

The Moderating Role of Verbal Aggression on the Relationship Between Parental Feedback and Peer Status Among Children with ADHD

Jack

Mikami

Calhoun

2011

J Abnorm Child Psychol

Self Cite

View full text Add to dashboard Cite

We examined associations between children's sociometric status and (a) observed parental feedback as well as (b) child aggression. Participants were 94 children ages 6-10 (64 male; 44 with ADHD) and their parents. Children's peer status, parental feedback to their children, and child aggression were all assessed during lab-based playgroups of four children and their parents. Parent criticism in front of the child's peers was associated with the child receiving more negative ("disliked") and fewer positive ("liked") nominations, but only for children who displayed aggression; this interaction applied almost exclusively to children with ADHD. Parent praise in front of peers was associated with fewer negative nominations when children displayed low levels of aggression, but more at higher levels. Additional analyses revealed that relationships did not exist in the full sample between privately-given parental feedback and children's peer status. Processes by which peers use overheard adult feedback to inform their assessments of children are discussed.

show abstract

Amygdala subnuclei volumes and anxiety behaviors in children and adolescents with autism spectrum disorder, attention deficit hyperactivity disorder, and obsessive–compulsive disorder

Séguin

Pac

Wang

et al. 2022

Human Brain Mapping

View full text Add to dashboard Cite

Alterations in the structural maturation of the amygdala subnuclei volumes are associated with anxiety behaviors in adults and children with neurodevelopmental and associated disorders. This study investigated the relationship between amygdala subnuclei volumes and anxiety in 233 children and adolescents (mean age = 11.02 years; standard deviation = 3.17) with autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and children with obsessive compulsive disorder (OCD), as well as typically developing (TD) children. Parents completed the Child Behavior Checklist (CBCL), and the children underwent structural MRI at 3 T. FreeSurfer software was used to automatically segment the amygdala subnuclei. A general linear model revealed that children and adolescents with ASD, ADHD, and OCD had higher anxiety scores compared to TD children (p < .001). A subsequent interaction analysis revealed that children with ASD (B = 0.09, p < .0001) and children with OCD (B = 0.1, p < .0001) who had high anxiety had larger right central nuclei volumes compared with TD children. Similar results were obtained for the right anterior amygdaloid area. Amygdala subnuclei volumes may be key to identifying children with neurodevelopmental disorders or those with OCD who are at high risk for anxiety. Findings may inform the development of targeted behavioral interventions to address anxiety behaviors and to assess the downstream effects of such interventions.

show abstract

Influence of Anxiety on the Social Functioning of Children With and Without ADHD

Abstract: Anxiety may contribute to the peer problems of children both with and without ADHD.

Cited by 51 publications

References 40 publications

Anxiety in Children With Attention-Deficit/Hyperactivity Disorder

Anxiety in Children With Attention-Deficit/Hyperactivity Disorder

The Moderating Role of Verbal Aggression on the Relationship Between Parental Feedback and Peer Status Among Children with ADHD

Amygdala subnuclei volumes and anxiety behaviors in children and adolescents with autism spectrum disorder, attention deficit hyperactivity disorder, and obsessive–compulsive disorder

Contact Info

Product

Resources

About