Pediatric Depression Symptoms, Executive Functioning Weaknesses, and Associated Neuropsychological and Psychiatric Outcomes.

Despite numerous studies in adults, only a handful of studies have examined executive functioning (EF) in childhood depression. Our study examined the relationship between significant depressive symptoms and an EF weakness in a child inpatient psychiatric setting. A medical chart review was conducte...

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Publicado en:Journal of Child & Family Studies Vol. 27; no. 5; pp. 1661 - 1671
Autores principales: Weber, Elyssa B., Studeny, Jane, Kavanaugh, Brian C., Cook, Nathan E., Gaudet, Charles E., McCurdy, Kyle, Holler, Karen A.
Formato: Artículo
Publicado: Springer Nature May2018
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2018
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      pub: Springer Nature
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        10.1007/s10826-017-0999-7
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        atl: Pediatric Depression Symptoms, Executive Functioning Weaknesses, and Associated Neuropsychological and Psychiatric Outcomes.
      aug:
        au:
          Weber, Elyssa B.
          Studeny, Jane
          Kavanaugh, Brian C.
          Cook, Nathan E.
          Gaudet, Charles E.
          McCurdy, Kyle
          Holler, Karen A.
        affil:
          University of Massachusetts Boston, 100 Morrissey Blvd, 02125, Boston, MA, USA
          Antioch University New England, Keene, NH, USA
          E. P. Bradley Hospital/Alpert Medical School of Brown University, Riverside, RI, USA
          Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA
          University of Rhode Island, South Kingstown, RI, USA
          Salve Regina, Newport, RI, USA
      su:
        Executive function
        Treatment of depression in children
        Cognitive ability
        Inpatient care
        Length of stay in hospitals
        Psychiatric hospital care
        Symptoms
      sug:
        subj:
          Executive function
          Treatment of depression in children
          Cognitive ability
          Psychiatric and Substance Abuse Hospitals
          Residential Mental Health and Substance Abuse Facilities
          Inpatient care
          Length of stay in hospitals
          Psychiatric hospital care
          Symptoms
      keyword:
        Children, Depression
        Executive dysfunction
        Inpatient
        Length of stay
        Children, Depression
        Executive dysfunction
        Inpatient
        Length of stay
      ab: Despite numerous studies in adults, only a handful of studies have examined executive functioning (EF) in childhood depression. Our study examined the relationship between significant depressive symptoms and an EF weakness in a child inpatient psychiatric setting. A medical chart review was conducted for 98 ethnically diverse 6- to 12-year-old boys and girls, who received a neuropsychological evaluation during their psychiatric inpatient hospitalization. Children were classified as having depressive symptoms if they had a T-Score 1.5 SD above the mean on at least 1 subdomain of the Childhood Depression Inventory and classified as having an EF weakness if they had a T-score 1.5 SD below the mean on at least 1 test of executive functioning. Results indicated that compared to children with either depressive symptoms only or only an EF weakness, children with both depressive symptoms and an EF weakness had poorer cognitive test performance on a measure of immediate memory (<italic>F</italic>(2,72) = 4.07, <italic>p</italic> = .000; Cohen’s <italic>d </italic>= −.83 and −.90, respectively) and longer hospitalizations stay (<italic>F</italic>(2,93) = 4.04, <italic>p</italic> = .021; Cohen’s <italic>d</italic> = .54 and.62, respectively). Additionally, children with both depressive symptoms and an EF weakness had higher rates of ADHD than children with depressive symptoms only (OR = 2.11) and higher rates of EF weaknesses than children with only an EF weakness (t(60) = 2.54, <italic>p </italic>= .014; Cohen’s <italic>d </italic>= .68). Results suggest that not all children with depressive symptoms have an EF weakness; however, children who present with this comorbidity are at risk for more cognitive difficulties and significant psychiatric outcomes including prolonged hospitalizations.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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