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Published in: Social Psychiatry and Psychiatric Epidemiology 6/2019

Open Access 01-06-2019 | Disturbance of the Social Behaviour | Original Paper

Evidence of concurrent and prospective associations between early maltreatment and ADHD through childhood and adolescence

Authors: Rafael A. González, María C. Vélez-Pastrana, Eamon McCrory, Constantinos Kallis, Jivelisse Aguila, Glorisa Canino, Hector Bird

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 6/2019

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Abstract

Purpose

An emerging body of work suggests a link between childhood maltreatment and attention-deficit hyperactivity disorder (ADHD). However, research examining the role of maltreatment in the early course of the disorder lacks robust evidence from longitudinal studies. Our aim was to examine concurrent and prospective associations between maltreatment experiences and ADHD diagnosis and sex differences, and to estimate the association between repetitive maltreatment exposure and ADHD through childhood and adolescence.

Methods

Data were obtained from the Boricua Youth Study, a longitudinal study of 2480 children and adolescents of Puerto Rican background. Neglect, physical, emotional and sexual abuse, and foster placement were regressed on ADHD diagnosis measured at each of three waves using the Diagnostic Interview Schedule for Children-IV. Multilevel regressions estimated the effects of exposure on ADHD, adjusted by age, sex, income, household education, parental psychopathology, comorbidity and ADHD medication status.

Results

Emotional abuse and foster placement had robust associations with ADHD diagnosis. For girls, physical abuse had a threefold increase in the odds of having ADHD diagnosis; for boys, associations were observed only for emotional abuse. Prospective models examining the risk of ADHD following maltreatment provided initial evidence for the effects of physical abuse on ADHD, and a linear trend for repetitive exposure suggested increased probability for disorder persistence.

Conclusions

Associations between early maltreatment and ADHD were robust. Different categories of maltreatment increase the likelihood of ADHD for girls and boys. Increased exposure to maltreatment may predict symptom persistence. Interventions addressing ADHD must consider the effects of both sex and family environment.
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Literature
2.
go back to reference Branje SJT, van Doorn MD, van der Valk IE, Meeus WHJ (2009) Parent–adolescent conflict, conflict resolution, and adolescent adjustment. J Appl Dev Psychol 30:195–204CrossRef Branje SJT, van Doorn MD, van der Valk IE, Meeus WHJ (2009) Parent–adolescent conflict, conflict resolution, and adolescent adjustment. J Appl Dev Psychol 30:195–204CrossRef
3.
go back to reference Johnson JG, Cohen P, Brown J, Smailes EM, Bernstein DP (1999) Childhood maltreatment increases risk for personality disorders during early adulthood. Arch Gen Psychiatry 56(7):600–606CrossRef Johnson JG, Cohen P, Brown J, Smailes EM, Bernstein DP (1999) Childhood maltreatment increases risk for personality disorders during early adulthood. Arch Gen Psychiatry 56(7):600–606CrossRef
6.
go back to reference Cohen AJ, Adler N, Kaplan SJ, Pelcovitz D, Mandel FS (2002) Interactional effects of marital status and physical abuse on adolescent psychopathology. Child Abuse Neglect 26(3):277–288CrossRef Cohen AJ, Adler N, Kaplan SJ, Pelcovitz D, Mandel FS (2002) Interactional effects of marital status and physical abuse on adolescent psychopathology. Child Abuse Neglect 26(3):277–288CrossRef
8.
go back to reference Guendelman MD, Owens EB, Galan C, Gard A, Hinshaw SP (2015) Early-adult correlates of maltreatment in girls with attention-deficit/hyperactivity disorder: increased risk for internalizing symptoms and suicidality. Dev Psychopathol 28:1–14CrossRef Guendelman MD, Owens EB, Galan C, Gard A, Hinshaw SP (2015) Early-adult correlates of maltreatment in girls with attention-deficit/hyperactivity disorder: increased risk for internalizing symptoms and suicidality. Dev Psychopathol 28:1–14CrossRef
14.
go back to reference Perales J, Olaya B, Fernandez A, Alonso J, Vilagut G, Forero CG, San L, Alda JA, Haro JM (2013) Association of childhood adversities with the first onset of mental disorders in Spain: results from the ESEMeD project. Soc Psychiatry Psychiatr Epidemiol 48(3):371–384CrossRef Perales J, Olaya B, Fernandez A, Alonso J, Vilagut G, Forero CG, San L, Alda JA, Haro JM (2013) Association of childhood adversities with the first onset of mental disorders in Spain: results from the ESEMeD project. Soc Psychiatry Psychiatr Epidemiol 48(3):371–384CrossRef
15.
go back to reference Ouyang L, Fang X, Mercy J, Perou R, Grosse SD (2008) Attention-deficit/hyperactivity disorder symptoms and child maltreatment: a population-based study. J Pediatr 153(6):851–856CrossRef Ouyang L, Fang X, Mercy J, Perou R, Grosse SD (2008) Attention-deficit/hyperactivity disorder symptoms and child maltreatment: a population-based study. J Pediatr 153(6):851–856CrossRef
17.
go back to reference Rucklidge JJ, Brown DL, Crawford S, Kaplan BJ (2006) Retrospective reports of childhood trauma in adults with ADHD. J Atten Disord 9(4):631–641CrossRef Rucklidge JJ, Brown DL, Crawford S, Kaplan BJ (2006) Retrospective reports of childhood trauma in adults with ADHD. J Atten Disord 9(4):631–641CrossRef
18.
go back to reference Ford JD, Racusin R, Ellis CG, Daviss WB et al (2000) Child maltreatment, other trauma exposure, and posttraumatic symptomatology among children with oppositional defiant and attention deficit hyperactivity disorders. Child Maltreat 5(3):205–217CrossRef Ford JD, Racusin R, Ellis CG, Daviss WB et al (2000) Child maltreatment, other trauma exposure, and posttraumatic symptomatology among children with oppositional defiant and attention deficit hyperactivity disorders. Child Maltreat 5(3):205–217CrossRef
20.
go back to reference Ford JD, Racusin R, Daviss WB, Ellis CG et al (1999) Trauma exposure among children with oppositional defiant disorder and attention deficit-hyperactivity disorder. J Consult Clin Psychol 67(5):776–789CrossRef Ford JD, Racusin R, Daviss WB, Ellis CG et al (1999) Trauma exposure among children with oppositional defiant disorder and attention deficit-hyperactivity disorder. J Consult Clin Psychol 67(5):776–789CrossRef
25.
go back to reference Becker KB, McCloskey LA (2002) Attention and conduct problems in children exposed to family violence. Am J Orthopsychiatry 72(1):83–91CrossRef Becker KB, McCloskey LA (2002) Attention and conduct problems in children exposed to family violence. Am J Orthopsychiatry 72(1):83–91CrossRef
26.
go back to reference Kelly PA, Viding E, Puetz VB, Palmer AL, Mechelli A, Pingault JB, Samuel S, McCrory EJ (2015) Sex differences in socioemotional functioning, attentional bias, and gray matter volume in maltreated children: a multilevel investigation. Dev Psychopathol 27(4 Pt 2):1591–1609CrossRef Kelly PA, Viding E, Puetz VB, Palmer AL, Mechelli A, Pingault JB, Samuel S, McCrory EJ (2015) Sex differences in socioemotional functioning, attentional bias, and gray matter volume in maltreated children: a multilevel investigation. Dev Psychopathol 27(4 Pt 2):1591–1609CrossRef
27.
go back to reference Cicchetti D, Cowell RA, Rogosch FA, Toth SL (2015) Childhood maltreatment and its effect on neurocognitive functioning: timing and chronicity matter. Dev Psychopathol 27(2):521–533CrossRef Cicchetti D, Cowell RA, Rogosch FA, Toth SL (2015) Childhood maltreatment and its effect on neurocognitive functioning: timing and chronicity matter. Dev Psychopathol 27(2):521–533CrossRef
31.
go back to reference Spencer AE, Faraone SV, Bogucki OE, Pope AL, Uchida M, Milad MR, Spencer TJ, Woodworth KY, Biederman J (2016) Examining the association between posttraumatic stress disorder and attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. J Clin Psychiatry 77(1):72–83. https://doi.org/10.4088/JCP.14r09479 CrossRefPubMed Spencer AE, Faraone SV, Bogucki OE, Pope AL, Uchida M, Milad MR, Spencer TJ, Woodworth KY, Biederman J (2016) Examining the association between posttraumatic stress disorder and attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. J Clin Psychiatry 77(1):72–83. https://​doi.​org/​10.​4088/​JCP.​14r09479 CrossRefPubMed
34.
go back to reference Finkelhor D, Ormrod R, Turner H, Hamby SL (2005) The victimization of children and youth: a comprehensive, national survey. Child Maltreat 10(1):5–25CrossRef Finkelhor D, Ormrod R, Turner H, Hamby SL (2005) The victimization of children and youth: a comprehensive, national survey. Child Maltreat 10(1):5–25CrossRef
35.
36.
go back to reference Jackson LJ, O’Brien K, Pecora PJ (2011) Posttraumatic stress disorder among foster care alumni: the role of race, gender, and foster care context. Child Welf 90(5):71–93 Jackson LJ, O’Brien K, Pecora PJ (2011) Posttraumatic stress disorder among foster care alumni: the role of race, gender, and foster care context. Child Welf 90(5):71–93
37.
go back to reference Elton A, Tripathi SP, Mletzko T, Young J, Cisler JM, James GA, Kilts CD (2014) Childhood maltreatment is associated with a sex-dependent functional reorganization of a brain inhibitory control network. Hum Brain Mapp 35(4):1654–1667CrossRef Elton A, Tripathi SP, Mletzko T, Young J, Cisler JM, James GA, Kilts CD (2014) Childhood maltreatment is associated with a sex-dependent functional reorganization of a brain inhibitory control network. Hum Brain Mapp 35(4):1654–1667CrossRef
38.
go back to reference Bird HR, Davies M, Duarte CS, Shen S, Loeber R, Canino GJ (2006) A study of disruptive behavior disorders in Puerto Rican youth: II. Baseline prevalence, comorbidity, and correlates in two sites. J Am Acad Child Adolesc Psychiatry 45(9):1042–1053CrossRef Bird HR, Davies M, Duarte CS, Shen S, Loeber R, Canino GJ (2006) A study of disruptive behavior disorders in Puerto Rican youth: II. Baseline prevalence, comorbidity, and correlates in two sites. J Am Acad Child Adolesc Psychiatry 45(9):1042–1053CrossRef
39.
go back to reference Bravo M, Woodbury-Farina M, Canino GJ, Rubio-Stipec M (1993) The Spanish translation and cultural adaptation of the Diagnostic Interview Schedule for Children (DISC) in Puerto Rico. Cult Med Psychiatry 17(3):329–344CrossRef Bravo M, Woodbury-Farina M, Canino GJ, Rubio-Stipec M (1993) The Spanish translation and cultural adaptation of the Diagnostic Interview Schedule for Children (DISC) in Puerto Rico. Cult Med Psychiatry 17(3):329–344CrossRef
40.
go back to reference Goodman SH, Hoven CW, Narrow WE, Cohen P, Fielding B, Alegria M, Leaf PJ, Kandel D, Horwitz SM, Bravo M, Moore R, Dulcan MK (1998) Measurement of risk for mental disorders and competence in a psychiatric epidemiologic community survey: the National Institute of Mental Health Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Soc Psychiatry Psychiatr Epidemiol 33(4):162–173CrossRef Goodman SH, Hoven CW, Narrow WE, Cohen P, Fielding B, Alegria M, Leaf PJ, Kandel D, Horwitz SM, Bravo M, Moore R, Dulcan MK (1998) Measurement of risk for mental disorders and competence in a psychiatric epidemiologic community survey: the National Institute of Mental Health Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Soc Psychiatry Psychiatr Epidemiol 33(4):162–173CrossRef
41.
go back to reference Finkelhor D, Dziuba-Leatherman J (1994) Children as victims of violence: a national survey. Pediatrics 94(4 Pt 1):413–420PubMed Finkelhor D, Dziuba-Leatherman J (1994) Children as victims of violence: a national survey. Pediatrics 94(4 Pt 1):413–420PubMed
43.
go back to reference Lish JD, Weissman MM, Adams PB, Hoven CW, Bird H (1995) Family psychiatric screening instruments for epidemiologic studies: pilot testing and validation. Psychiatry Res 57(2):169–180CrossRef Lish JD, Weissman MM, Adams PB, Hoven CW, Bird H (1995) Family psychiatric screening instruments for epidemiologic studies: pilot testing and validation. Psychiatry Res 57(2):169–180CrossRef
45.
go back to reference Richards JS, Vasquez AA, Rommelse NN, Oosterlaan J, Hoekstra PJ, Franke B, Hartman CA, Buitelaar JK (2014) A follow-up study of maternal expressed emotion toward children with attention-deficit/hyperactivity disorder (ADHD): relation with severity and persistence of ADHD and comorbidity. J Am Acad Child Adolesc Psychiatry 53(3):311–319 e311. https://doi.org/10.1016/j.jaac.2013.11.011 CrossRefPubMed Richards JS, Vasquez AA, Rommelse NN, Oosterlaan J, Hoekstra PJ, Franke B, Hartman CA, Buitelaar JK (2014) A follow-up study of maternal expressed emotion toward children with attention-deficit/hyperactivity disorder (ADHD): relation with severity and persistence of ADHD and comorbidity. J Am Acad Child Adolesc Psychiatry 53(3):311–319 e311. https://​doi.​org/​10.​1016/​j.​jaac.​2013.​11.​011 CrossRefPubMed
48.
go back to reference Hadianfard H (2014) Child abuse in a group of children with ADHD in comparison with normal children. Int J Commun Based Nurs Midwifery IJCBNM 2(2):77–84 Hadianfard H (2014) Child abuse in a group of children with ADHD in comparison with normal children. Int J Commun Based Nurs Midwifery IJCBNM 2(2):77–84
49.
go back to reference Barkley RA (2001) The executive functions and self-regulation: an evolutionary neuropsychological perspective. Neuropsychol Rev 11(1):1–29CrossRef Barkley RA (2001) The executive functions and self-regulation: an evolutionary neuropsychological perspective. Neuropsychol Rev 11(1):1–29CrossRef
52.
go back to reference Sonuga-Barke EJ, Oades RD, Psychogiou L, Chen W, Franke B, Buitelaar J, Banaschewski T, Ebstein RP, Gil M, Anney R, Miranda A, Roeyers H, Rothenberger A, Sergeant J, Steinhausen HC, Thompson M, Asherson P, Faraone SV (2009) Dopamine and serotonin transporter genotypes moderate sensitivity to maternal expressed emotion: the case of conduct and emotional problems in attention deficit/hyperactivity disorder. J Child Psychol Psychiatry 50(9):1052–1063. https://doi.org/10.1111/j.1469-7610.2009.02095.x CrossRefPubMed Sonuga-Barke EJ, Oades RD, Psychogiou L, Chen W, Franke B, Buitelaar J, Banaschewski T, Ebstein RP, Gil M, Anney R, Miranda A, Roeyers H, Rothenberger A, Sergeant J, Steinhausen HC, Thompson M, Asherson P, Faraone SV (2009) Dopamine and serotonin transporter genotypes moderate sensitivity to maternal expressed emotion: the case of conduct and emotional problems in attention deficit/hyperactivity disorder. J Child Psychol Psychiatry 50(9):1052–1063. https://​doi.​org/​10.​1111/​j.​1469-7610.​2009.​02095.​x CrossRefPubMed
62.
go back to reference Mandel DR, Lehman DR, Yuille JC (1995) Reasoning about the removal of a child from home: a comparison of police officers and social workers. J Appl Soc Psychol 25(10):906–921CrossRef Mandel DR, Lehman DR, Yuille JC (1995) Reasoning about the removal of a child from home: a comparison of police officers and social workers. J Appl Soc Psychol 25(10):906–921CrossRef
63.
go back to reference Jones LP (2015) Was taking me out of the home necessary?’ Perspectives of foster youth on the necessity for removal. Fam Soc 96(2):108–115CrossRef Jones LP (2015) Was taking me out of the home necessary?’ Perspectives of foster youth on the necessity for removal. Fam Soc 96(2):108–115CrossRef
64.
go back to reference Bowlby J (1969) Attachment and loss: volume 1: attachment. The International Psycho-Analytical Library, and The Hogarth Press, London Bowlby J (1969) Attachment and loss: volume 1: attachment. The International Psycho-Analytical Library, and The Hogarth Press, London
67.
go back to reference Rutter M (1998) Developmental catch-up, and deficit, following adoption after severe global early privation. English and Romanian Adoptees (ERA) Study Team. J Child Psychol Psychiatry 39(4):465–476CrossRef Rutter M (1998) Developmental catch-up, and deficit, following adoption after severe global early privation. English and Romanian Adoptees (ERA) Study Team. J Child Psychol Psychiatry 39(4):465–476CrossRef
68.
go back to reference Kennedy M, Kreppner J, Knights N, Kumsta R, Maughan B, Golm D, Rutter M, Schlotz W, Sonuga-Barke EJ (2016) Early severe institutional deprivation is associated with a persistent variant of adult attention-deficit/hyperactivity disorder: clinical presentation, developmental continuities and life circumstances in the English and Romanian Adoptees study. J Child Psychol Psychiatry 57(10):1113–1125. https://doi.org/10.1111/jcpp.12576 CrossRefPubMedPubMedCentral Kennedy M, Kreppner J, Knights N, Kumsta R, Maughan B, Golm D, Rutter M, Schlotz W, Sonuga-Barke EJ (2016) Early severe institutional deprivation is associated with a persistent variant of adult attention-deficit/hyperactivity disorder: clinical presentation, developmental continuities and life circumstances in the English and Romanian Adoptees study. J Child Psychol Psychiatry 57(10):1113–1125. https://​doi.​org/​10.​1111/​jcpp.​12576 CrossRefPubMedPubMedCentral
Metadata
Title
Evidence of concurrent and prospective associations between early maltreatment and ADHD through childhood and adolescence
Authors
Rafael A. González
María C. Vélez-Pastrana
Eamon McCrory
Constantinos Kallis
Jivelisse Aguila
Glorisa Canino
Hector Bird
Publication date
01-06-2019
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 6/2019
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-019-01659-0

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