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Bieleninik Ł, Gradys G, Dzhambov AM, Walczak-Kozłowska T, Lipowska K, Łada-Maśko A, Sitnik-Warchulska K, Anikiej-Wiczenbach P, Harciarek M, Lipowska M. Attention deficit in primary-school-age children with attention deficit hyperactivity disorder measured with the attention network test: a systematic review and meta-analysis. Front Neurosci 2023; 17:1246490. [PMID: 38146543 PMCID: PMC10749351 DOI: 10.3389/fnins.2023.1246490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Accepted: 10/30/2023] [Indexed: 12/27/2023] Open
Abstract
Objective To review and meta-analyze patterns of attention deficit in primary-school-age children with ADHD measured with the neuropsychological attention network test (ANT). Methods Six electronic databases were searched to 5.05.2022. Selection criteria included prospective cohort and intervention studies; ANT used; primary-school-age; diagnosis of ADHD/at high risk. Results Seven studies met inclusion criteria (N = 3,826). Compared with controls, children with ADHD had higher scores for Reaction Time (Hedges' g = 0.433; 95% CI: 0.135-0.731), Reaction Time Variability (Hedges' g = 0.334; 95% CI: 0.012-0.657), and Alerting Network (Hedges' g = 0.235; 95% CI: 0.021-0.449) while children at high risk had higher Alerting Network scores (Hedges' g = 0.176; 95% CI: 0.003-0.349) and Correctness scores (Hedges' g = 1.956; 95% CI: 0.020-3.892). Conclusions Children with ADHD and at risk of ADHD had different ANT results from children without ADHD only for the alerting network. There were no significant differences for executive and orienting outcomes. Children at risk of ADHD also made more errors (commission and omission) measured with the ANT compared with children without ADHD. Reaction time was longer and reaction time variability higher in children with ADHD than in children without ADHD, and in children at risk of ADHD compared with children without ADHD. Preregistration A protocol has been registered with the International Prospective Register of Systematic Reviews (PROSPERO) database (registration number: CRD42021249768).
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Affiliation(s)
- Łucja Bieleninik
- Institute of Psychology, Faculty of Social Sciences, University of Gdańsk, Gdańsk, Poland
- GAMUT-The Grieg Academy Music Therapy Research Centre, NORCE Norwegian Research Centre AS, Bergen, Norway
- Institute of Pedagogy and Languages, University of Applied Sciences in Elbla̧g, Elbla̧g, Poland
| | - Gabriela Gradys
- Institute of Psychology, Faculty of Social Sciences, University of Gdańsk, Gdańsk, Poland
- Institute of Applied Psychology, Faculty of Management and Social Communication, Jagiellonian University, Kraków, Poland
| | - Angel M. Dzhambov
- Environmental Health Division, Research Institute at Medical University of Plovdiv, Medical University of Plovdiv, Plovdiv, Bulgaria
- Research Group “Health and Quality of Life in a Green and Sustainable Environment,” Strategic Research and Innovation Program for the Development of MU–Plovdiv, Medical University of Plovdiv, Plovdiv, Bulgaria
- Department of Hygiene, Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria
- Institute of Highway Engineering and Transport Planning, Graz University of Technology, Graz, Austria
| | | | - Kornelia Lipowska
- Department of Psychology, Faculty of Social and Behavioural Sciences, University of Amsterdam, Amsterdam, Netherlands
| | - Ariadna Łada-Maśko
- Institute of Psychology, Faculty of Social Sciences, University of Gdańsk, Gdańsk, Poland
| | - Katarzyna Sitnik-Warchulska
- Institute of Applied Psychology, Faculty of Management and Social Communication, Jagiellonian University, Kraków, Poland
| | | | - Michał Harciarek
- Institute of Psychology, Faculty of Social Sciences, University of Gdańsk, Gdańsk, Poland
| | - Małgorzata Lipowska
- Institute of Psychology, Faculty of Social Sciences, University of Gdańsk, Gdańsk, Poland
- Institute of Applied Psychology, Faculty of Management and Social Communication, Jagiellonian University, Kraków, Poland
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Attention deficit in children with attention deficit hyperactivity disorder at primary school age measured with the attention network test (ANT): A protocol for a systematic review and meta-analysis. PLoS One 2022; 17:e0275599. [PMID: 36282809 PMCID: PMC9595530 DOI: 10.1371/journal.pone.0275599] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 09/20/2022] [Indexed: 11/06/2022] Open
Abstract
Background Attentional deficits are among the most bothersome symptoms of attention deficit hyperactivity disorder (ADHD). To date, the neurological basis of attentional deficits has not been fully described according to the diagnostic criteria. ADHD may result from deficits in various attributes of attention. There is no specialist neuropsychological diagnostic method that allows reliable distinction between primary attention disorders in the etiology of ADHD and secondary problems that may arise due to co-morbidities. This protocol aims to systematically review the literature to evaluate patterns of attention common to school-age children either diagnosed with ADHD or at high risk of ADHD, as measured by the neuropsychological attention network test (ANT). Methods Our search strategy will consist of electronic databases (PubMed, PsychInfo, Web of Science, EMBASE, and Cochrane Library) and hand searching. Both prospective cohort studies and prospective studies of intervention effects will be included, provided they used the ANT. The primary output variable will be attention deficits. Screening and eligibility will be done independently by two reviewers based on pre-specified eligibility criteria. Data extraction will be based on a pre-pilot data extraction form and conducted by two authors independently. The risk of bias will be assessed by two authors independently. The rating of the certainty of the entire body of evidence will be evaluated using the GRADE approach. Any discrepancies identified at any stage of the review will be resolved by discussion or/and consultation with another reviewer. We plan a narrative synthesis of findings and a quantitative meta-analysis if the data allow. Discussion The research will identify patterns of neuropsychological ANT results characteristic of both school-age children diagnosed with ADHD and those at high risk of having ADHD. Our results could be used to check whether the pattern of a child’s performance in the ANT corresponds to the characteristic pattern of the results of children with ADHD. At present, the ANT is used only in research; the results of this review will serve as a useful benchmark. Hopefully, in the future, it will be possible to use the ANT in the wider diagnosis of ADHD. Systematic review registration PROSPERO: CRD42021249768.
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Kuppens S, Moore SC, Gross V, Lowthian E, Siddaway AP. The Enduring Effects of Parental Alcohol, Tobacco, and Drug Use on Child Well-being: A Multilevel Meta-Analysis. Dev Psychopathol 2020; 32:765-778. [PMID: 31274064 PMCID: PMC7525110 DOI: 10.1017/s0954579419000749] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Revised: 02/04/2019] [Accepted: 03/21/2019] [Indexed: 11/07/2022]
Abstract
The effects of psychoactive substance abuse are not limited to the user, but extend to the entire family system, with children of substance abusers being particularly at risk. This meta-analysis attempted to quantify the longitudinal relationship between parental alcohol, tobacco, and drug use and child well-being, investigating variation across a range of substance and well-being indices and other potential moderators. We performed a literature search of peer-reviewed, English language, longitudinal observational studies that reported outcomes for children aged 0 to 18 years. In total, 56 studies, yielding 220 dependent effect sizes, met inclusion criteria. A multilevel random-effects model revealed a statistically significant, small detriment to child well-being for parental substance abuse over time (r = .15). Moderator analyses demonstrated that the effect was more pronounced for parental drug use (r = .25), compared with alcohol use (r = .13), tobacco use (r = .13), and alcohol use disorder (r = .14). Results highlight a need for future studies that better capture the effect of parental psychoactive substance abuse on the full breadth of childhood well-being outcomes and to integrate substance abuse into models that specify the precise conditions under which parental behavior determines child well-being.Registration: PROSPERO CRD42017076088.
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Affiliation(s)
- Sofie Kuppens
- Department of Public Health and Primary Care, KU Leuven, Centre for Environment and Health, Leuven, Belgium
- Karel de Grote University of Applied Sciences and Arts, Antwerp, Belgium
| | - Simon C. Moore
- School of Dentistry, Cardiff University, Cardiff, Wales, UK
- Crime and Security Research Institute Friary House, Cardiff, Wales, UK
| | - Vanessa Gross
- School of Dentistry, Cardiff University, Cardiff, Wales, UK
| | - Emily Lowthian
- DECIPHer, Cardiff School of Social Sciences, Cardiff University, Cardiff, Wales, UK
| | - Andy P. Siddaway
- Stirling Management School, University of Stirling, Stirling, Stirlingshire, Scotland, UK
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Abstract
Zusammenfassung. Eine Vielzahl psychischer Störungen im DSM-IV und ICD-10 beinhalten Symptome einer maladaptiven Emotionsregulation. Der folgende Beitrag beinhaltet einen Überblick zu Definition und Funktion von Emotionsregulation (ER). Danach werden neurowissenschaftliche Modellvorstellungen der ER und empirische Befunde zu neuronalen Korrelaten von ER-Prozessen vorgestellt. Anschließend dokumentiere ich überblicksartig Studienbefunde zur Bedeutung von ER-Prozessen für internalisierende und externalisierende Störungen. Der Beitrag schließt mit Anregungen bezüglich zukünftiger Forschungsansätze und Integration in die Psychotherapieforschung.
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Oberlin BG, Bristow RE, Heighton ME, Grahame NJ. Pharmacologic dissociation between impulsivity and alcohol drinking in high alcohol preferring mice. Alcohol Clin Exp Res 2010; 34:1363-75. [PMID: 20491739 PMCID: PMC3967789 DOI: 10.1111/j.1530-0277.2010.01220.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Impulsivity is genetically correlated with, and precedes, addictive behaviors and alcoholism. If impulsivity or attention is causally related to addiction, certain pharmacological manipulations of impulsivity and/or attention may affect alcohol drinking, and vice versa. The current studies were designed to explore the relationship among impulsivity, drinking, and vigilance in selectively bred High Alcohol Preferring (HAP) mice, a line that has previously demonstrated both high impulsivity and high alcohol consumption. Amphetamine, naltrexone, and memantine were tested in a delay discounting (DD) task for their effects on impulsivity and vigilance. The same drugs and doses were also assessed for effects on alcohol drinking in a 2-bottle choice test. METHODS HAP mice were subjected to a modified version of adjusting amount DD using 0.5-second and 10-second delays to detect decreases and increases, respectively, in impulsive responding. In 2 experiments, mice were given amphetamine (0.4, 0.8, or 1.2 mg/kg), naltrexone (3 and 10 mg/kg), and memantine (1 and 5 mg/kg) before DD testing. Another pair of studies used scheduled access, 2-bottle choice drinking to assess effects of amphetamine (0.4, 1.2, or 3.0 mg/kg), naltrexone (3 and 10 mg/kg), and memantine (1 and 5 mg/kg) on alcohol consumption. RESULTS Amphetamine dose-dependently reduced impulsivity and vigilance decrement in DD, but similar doses left alcohol drinking unaffected. Naltrexone and memantine decreased alcohol intake at doses that did not affect water drinking but had no effects on impulsivity or vigilance decrement in the DD task. CONCLUSIONS Contrary to our hypothesis, none of the drugs tested here, while effective on either alcohol drinking or impulsivity, decreased both behaviors. These findings suggest that the genetic association between drinking and impulsivity observed in this population is mediated by mechanisms other than those targeted by the drugs tested in these studies.
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Affiliation(s)
- Brandon G. Oberlin
- Stark Neuroscience Institute, Program in Medical Neuroscience, Indiana University School of Medicine, 402 N Blackford St., Indianapolis, IN 46202, USA, Voice: (317) 278-8456, FAX: (317) 274-6756
| | - R. Evan Bristow
- Dept. of Psychology, Miami University, 90 N. Patterson Avenue, Oxford, OH 45056, USA, Voice: (513) 529-2400, FAX: (513) 529-2420
| | - Meredith E. Heighton
- Dept. of Psychology, Indiana University Purdue University at Indianapolis (IUPUI), 402 N Blackford St., Indianapolis, IN 46202, USA, Voice: (317) 278-8456, FAX: (317) 274-6756
| | - Nicholas J. Grahame
- Associate Professor, Dept. Psychology, Indiana University Purdue University at Indianapolis (IUPUI), 402 N Blackford St., Indianapolis, IN 46202, USA, Voice: (317) 274-0194, FAX: (317) 274-6756
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The Substance Use Risk Profile Scale: a scale measuring traits linked to reinforcement-specific substance use profiles. Addict Behav 2009; 34:1042-55. [PMID: 19683400 DOI: 10.1016/j.addbeh.2009.07.001] [Citation(s) in RCA: 353] [Impact Index Per Article: 23.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2008] [Revised: 06/10/2009] [Accepted: 07/01/2009] [Indexed: 01/19/2023]
Abstract
The Substance Use Risk Profile Scale (SURPS) is based on a model of personality risk for substance abuse in which four personality dimensions (hopelessness, anxiety sensitivity, impulsivity, and sensation seeking) are hypothesized to differentially relate to specific patterns of substance use. The current series of studies is a preliminary exploration of the psychometric properties of the SURPS in two populations (undergraduate and high school students). In study 1, an analysis of the internal structure of two versions of the SURPS shows that the abbreviated version best reflects the 4-factor structure. Concurrent, discriminant, and incremental validity of the SURPS is supported by convergent/divergent relationships between the SURPS subscales and other theoretically relevant personality and drug use criterion measures. In Study 2, the factorial structure of the SURPS is confirmed and evidence is provided for its test-retest reliability and validity with respect to measuring personality vulnerability to reinforcement-specific substance use patterns. In Study 3, the SURPS was administered in a more youthful population to test its sensitivity in identifying younger problematic drinkers. The results from the current series of studies demonstrate support for the reliability and construct validity of the SURPS, and suggest that four personality dimensions may be linked to substance-related behavior through different reinforcement processes. This brief assessment tool may have important implications for clinicians and future research.
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Knopik VS, Jacob T, Haber JR, Swenson LP, Howell DN. Paternal alcoholism and offspring ADHD problems: a children of twins design. Twin Res Hum Genet 2009; 12:53-62. [PMID: 19210180 DOI: 10.1375/twin.12.1.53] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE A recent Children-of-Female-Twin design suggests that the association between maternal alcohol use disorder and offspring ADHD is due to a combination of genetic and environmental factors, such as prenatal nicotine exposure. We present here a complementary analysis using a Children-of-Male-Twin design examining the association between paternal alcoholism and offspring attention deficit hyperactivity problems (ADHP). METHODS Children-of-twins design: offspring were classified into 4 groups of varying genetic and environmental risk based on father and co-twin's alcohol dependence status. RESULTS Univariate results are suggestive of a genetic association between paternal alcohol dependence and broadly defined offspring ADHP. Specifically, offspring of male twins with a history of DSM-III-R alcohol dependence, as well as offspring of non-alcohol dependent monozygotic twins whose co-twin was alcohol dependent, were significantly more likely to exhibit ADHP than control offspring. However, multivariate models show maternal variables independently predicting increased risk for offspring ADHP and significantly decreased support for a genetic mechanism of parent-to-child transmission. CONCLUSIONS In support of earlier work, maternal variables (i.e., maternal ADHD and prenatal exposure) were strongly associated with child ADHP; however, the role of paternal alcohol dependence influences was not definitive. While genetic transmission may be important, the association between paternal alcohol dependence and child ADHP is more likely to be indirect and a result of several pathways.
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Affiliation(s)
- Valerie S Knopik
- Center for Alcohol and Addiction Studies, Department of Community Health, Warren Alpert Medical School of Brown University, Providence, RI 02912, United States of America.
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