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Reciprocal Developmental Relations Between ADHD and Anxiety in Adolescence: A Within-Person Longitudinal Analysis of Commonly Co-Occurring Symptoms.

Accepted version
Peer-reviewed

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Type

Article

Change log

Authors

Caye, Arthur 
McKenzie, Karen 
Auyeung, Bonnie 
Murray, George 

Abstract

UNLABELLED: Objective: Significant anxiety often occurs in the presence of ADHD symptoms; however, the reasons are not well understood. We aimed to establish whether the relations between ADHD symptons and anxiety are bidirectional or unidirectional. METHOD: Weexamined the developmental relations between ADHD and anxiety symptoms across adolescence (ages 13, 15, and 17) in a community-ascertained, normative longitudinal sample of 1,483 youth (52% male). We used an autoregressive latent trajectory model with structured residuals (ALT-SR) to examine within-person developmental relations between ADHD and anxiety symptoms to determine whether it is ADHD symptoms that lead to anxiety symptoms and/or the reverse. RESULTS: Results suggested that there are reciprocal within-person developmental relations between ADHD and anxiety symptoms. CONCLUSIONS: Our findings support the recommendation that targeting ADHD symptoms can be fruitful for addressing anxiety symptoms; however, they suggest that targeting anxiety symptoms may also benefit ADHD symptoms. Results also underline the importance of careful assessment for underlying ADHD symptoms among adolescents presenting with anxiety.

Description

Keywords

ADHD, comorbid anxiety, longitudinal study, Adolescent, Anxiety, Anxiety Disorders, Attention Deficit Disorder with Hyperactivity, Female, Humans, Longitudinal Studies, Male

Journal Title

J Atten Disord

Conference Name

Journal ISSN

1087-0547
1557-1246

Volume Title

Publisher

SAGE Publications
Sponsorship
Jacobs Foundation (2010-888-1)
Jacobs Foundation (unknown)
Swiss National Science Foundation (116829)
Funding from the Jacobs Foundation (Grant 2010-888) and the Swiss National Science Foundation (Grants 100013_116829 & 100014_132124) is gratefully acknowledged.