Abstract
Despite a growing understanding that early adversity in childhood broadly affects risk for psychopathology, the contribution of stressful life events to the development of symptoms of attention-deficit/hyperactivity disorder (ADHD) is not clear. In the present study, we examined the association between number of stressful life events experienced and ADHD symptoms, assessed using the Attention Problems subscale of the Child Behavior Checklist, in a sample of 214 children (43% male) ages 9.11–13.98 years (M = 11.38, SD = 1.05). In addition, we examined whether the timing of the events (i.e., onset through age 5 years or after age 6 years) was associated with ADHD symptoms. Finally, we examined variation in brain structure to determine whether stressful life events were associated with volume in brain regions that were found to vary as a function of symptoms of ADHD. We found a small to moderate association between number of stressful life events and ADHD symptoms. Although the strength of the associations between number of events and ADHD symptoms did not differ as a function of the age of occurrence of stressful experiences, different brain regions were implicated in the association between stressors and ADHD symptoms in the two age periods during which stressful life events occurred. These findings support the hypothesis that early adversity is associated with ADHD symptoms, and provide insight into possible brain-based mediators of this association.
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Acknowledgments
Funding for this study was provided by the National Institutes of Health (U54 EB020403, R01 AG040060, and R01 NS080655 (PMT); R37 MH101495 (IHG); K99 NS096116 (ELD); and F32 MH107129 (KLH)); the Brain and Behavior Research Foundation (Young Investigator Award 23819; KLH); the National Science Foundation (LSK); the Klingenstein Third Generation Foundation (KLH), and the Jacobs Foundation Early Career Research Fellowship (KLH). The authors thank Lucinda Sisk and Anna Cichocki for their assistance in data collection and processing.
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Humphreys, K.L., Watts, E.L., Dennis, E.L. et al. Stressful Life Events, ADHD Symptoms, and Brain Structure in Early Adolescence. J Abnorm Child Psychol 47, 421–432 (2019). https://doi.org/10.1007/s10802-018-0443-5
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DOI: https://doi.org/10.1007/s10802-018-0443-5