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Reproductive Steroids And Adhd Symptoms Across The Menstrual Cycle, Bethan A. Roberts, Tory Eisenlohr-Moul, Michelle M. Martel
Reproductive Steroids And Adhd Symptoms Across The Menstrual Cycle, Bethan A. Roberts, Tory Eisenlohr-Moul, Michelle M. Martel
Psychology Faculty Publications
Although Attention-Deficit/Hyperactivity Disorder shows (ADHD) male predominance, females are significantly impaired and exhibit additional comorbid disorders during adolescence. However, no empirical work has examined the influence of cyclical fluctuating steroids on ADHD symptoms in women. The present study examined estradiol (E2), progesterone (P4), and testosterone (T) associations with ADHD symptoms across the menstrual cycle in regularly-cycling young women (N=32), examining trait impulsivity as a moderator. Women completed a baseline measure of trait impulsivity, provided saliva samples each morning, and completed an ADHD symptom checklist every evening for 35 days. Results indicated decreased levels of E2 in the context of increased …
Cognitive-Behavioral Therapy For Adhd In College: Recommendations “Hot Off The Press”, Laura E. Knouse
Cognitive-Behavioral Therapy For Adhd In College: Recommendations “Hot Off The Press”, Laura E. Knouse
Psychology Faculty Publications
ADHD leads to impairment across the lifespan including during the college years. An increasing number of studies document the academic, social, and psychological impairments associated with the disorder in college (DuPaul, Weyandt, O’Dell, & Varejao, 2009). Yet, until very recently, there were no published studies on cognitive-behavioral treatment approaches specifically tailored to college students with ADHD. Over the past year, however, four research groups have published work on skills-based cognitive-behavioral treatments for this population. My goal in this article is to briefly summarize these findings and to identify key recommendations for clinicians working with college students with the disorder that …
Characteristics Of Executive Functioning In A Small Sample Of Children With Tourette Syndrome, Dina M. Schwam, Tricia Z. King, Daphne Greenberg
Characteristics Of Executive Functioning In A Small Sample Of Children With Tourette Syndrome, Dina M. Schwam, Tricia Z. King, Daphne Greenberg
Psychology Faculty Publications
Tourette Syndrome (TS) is a disorder that involves at least one vocal tic and two or more motor tics, however associated symptoms of Obsessive Compulsive Disorder (OCD) and Attention Deficit Disorder with or without hyperactivity (ADHD) are common. Many children with TS exhibit educational difficulties and one possible explanation may be deficits in executive functioning. The focus of this study was to look at the severity of symptoms often associated with TS (tics, OCS, and ADHD symptoms) and its potential relationship with the Behavior Rating Inventory of Executive Function (BRIEF) parent form in eleven children diagnosed with Tourette syndrome, ages …
Psychosocial Treatment For Adult Adhd, Laura E. Knouse, Steven A. Safren
Psychosocial Treatment For Adult Adhd, Laura E. Knouse, Steven A. Safren
Psychology Faculty Publications
Many adults with ADHD are likely to benefit from psychosocial interventions that teach compensatory skills to manage symptoms and address functional impairment. Based on the research literature and the authors’ experience developing and implementing interventions, this chapter provides a practice-friendly overview of skills-based treatment selection and implementation, emphasizing cognitive-behavioral techniques. Principles are illustrated using case examples and adjunctive treatment options are discussed.
Drinking To Distraction: Does Alcohol Increase Attentional Bias In Adults With Adhd?, Walter Roberts, Mark T. Fillmore, Richard Milich
Drinking To Distraction: Does Alcohol Increase Attentional Bias In Adults With Adhd?, Walter Roberts, Mark T. Fillmore, Richard Milich
Psychology Faculty Publications
Previous research has shown that social drinkers continue to show attentional bias toward alcohol-related stimuli even after consuming a moderate dose of alcohol. In contrast, little is known about how alcohol acutely affects attentional bias in groups at risk to develop alcohol-related problems, such as adults with attentiondeficit/ hyperactivity disorder (ADHD). Such individuals may show increased attentional bias following alcohol relative to nonclinical controls. The present study tested this hypothesis by examining acute alcohol effects on attentional bias in 20 social drinkers with ADHD and 20 social drinkers with no history of ADHD. Participants performed a visual-probe task after receiving …
Special Support For University Students With Adhd And Ld In The United States, Laura E. Knouse, J Kanazawa
Special Support For University Students With Adhd And Ld In The United States, Laura E. Knouse, J Kanazawa
Psychology Faculty Publications
No abstract provided.
Linking Impulsivity And Inhibitory Control Using Manual And Oculomotor Response Inhibition Tasks, Walter Roberts, Mark T. Fillmore, Richard Milich
Linking Impulsivity And Inhibitory Control Using Manual And Oculomotor Response Inhibition Tasks, Walter Roberts, Mark T. Fillmore, Richard Milich
Psychology Faculty Publications
Separate cognitive processes govern the inhibitory control of manual and oculomotor movements. Despite this fundamental distinction, little is known about how these inhibitory control processes relate to more complex domains of behavioral functioning. This study sought to determine how these inhibitory control mechanisms relate to broadly defined domains of impulsive behavior. Thirty adults with attention-deficit/ hyperactivity disorder (ADHD) and 28 comparison adults performed behavioral measures of inhibitory control and completed impulsivity inventories. Results suggest that oculomotor inhibitory control, but not manual inhibitory control, is related to specific domains of self-reported impulsivity. This finding was limited to the ADHD group; no …
The Effects Of Stimulant Medication On Free Recall Of Story Events Among Children With Adhd, Ursula L. Bailey, Karen J. Derefinko, Richard Milich, Elizabeth P. Lorch, Amanda Metze
The Effects Of Stimulant Medication On Free Recall Of Story Events Among Children With Adhd, Ursula L. Bailey, Karen J. Derefinko, Richard Milich, Elizabeth P. Lorch, Amanda Metze
Psychology Faculty Publications
This study investigated group differences in the recalls of stories by children with attention-deficit/hyperactivity disorder (ADHD) and comparison peers. Further, the study examined whether stimulant medication improved the story recall of children with ADHD relative to a placebo condition. Children were asked to recall both televised and audio taped stories. Free recall protocols were assessed for what information was recalled as a function of story structure features (i.e. status on or off the causal chain and event importance) and were rated for overall coherence. Relative to comparison peers, children with ADHD showed less influence of story structure features on recall, …
Psychosocial Treatment Of Adults With Attention Deficit Hyperactivity Disorder, Laura E. Knouse, Steven A. Safren
Psychosocial Treatment Of Adults With Attention Deficit Hyperactivity Disorder, Laura E. Knouse, Steven A. Safren
Psychology Faculty Publications
In this chapter, we first review the rationale for psychosocial treatment of adults with ADHD. We then focus on treatment programs that have received support in the research literature, highlighting the role of comprehensive assessment. Drawing upon existing interventions, as well as clinical guidelines and our clinical experiences in the Cognitive-Behavioral Therapy Program for Adult ADHD at Massachusetts General Hospital, we present recommendations for psychosocial treatment planning with this population. We conclude with a brief discussion of psychosocial management of comorbid disorders.
Examining Manual And Visual Response Inhibition Among Adhd Subtypes, Zachary W. Adams, Richard Milich, Mark T. Fillmore
Examining Manual And Visual Response Inhibition Among Adhd Subtypes, Zachary W. Adams, Richard Milich, Mark T. Fillmore
Psychology Faculty Publications
This study compared inhibitory functioning among ADHD subtype groups on manual and visual versions of the stop task. Seventy-six children, identified as ADHD/I (n = 16), ADHD/C (n =42), and comparison (n = 18) completed both tasks. Results indicated that both ADHD groups were slower to inhibit responses than the comparison group on both tasks. Comparison children were faster to inhibit than activate responses on both versions of the task. Children in the ADHD groups also demonstrated this robust pattern on the manual task. However, on the visual task, children in the ADHD groups evidenced slowed inhibition …
Adult Attention-Deficit Hyperactivity Disorder, Laura E. Knouse, Steven A. Safren
Adult Attention-Deficit Hyperactivity Disorder, Laura E. Knouse, Steven A. Safren
Psychology Faculty Publications
Attention-Deficit Hyperactivity Disorder (ADHD) in adults is a valid and impairing disorder for which psychopharmacological and psychosocial treatments are recommended. Self-report ratings scales for adult ADHD can serve several functions in clinical work with this population including screening, providing information, in a comprehensive assessment, and tracking treatment-related change. The use of two symptom-based ratings scales for screening and tracking treatment progress- the Current Symptoms Scale (CSS) [5] and the Adult ADHD Self-Report Scale (ASRS) [6] - is outlined for the practicing clinician. Key issues in the assessment of adult ADHD are briefly discussed, highlighting the role of rating scales within …
The Effects Of Stimulant Medication On The Online Story Narrations Of Children With Adhd, Karen J. Derefinko, Ursula L. Bailey, Richard Milich, Elizabeth P. Lorch, Elizabeth Riley
The Effects Of Stimulant Medication On The Online Story Narrations Of Children With Adhd, Karen J. Derefinko, Ursula L. Bailey, Richard Milich, Elizabeth P. Lorch, Elizabeth Riley
Psychology Faculty Publications
The current study investigated the inclusion of goal-based story events in the online story narrations of children with ADHD, as compared with their peers, and explored the effect of stimulant medication on the narrations in children with ADHD. Children completed a narration task on two separate occasions. Children with ADHD (n = 17) completed one narration on medication and the other one on placebo. Results indicated that narrations of comparison children (n= 25) were significantly more likely than narrations of children with ADHD to include the story’s positive outcome, completion of the story’s overall goal, and specific …
Inhibitory Deficits In Children With Attention-Deficit/Hyperactivity Disorder: Intentional Versus Automatic Mechanisms Of Attention, Mark T. Fillmore, Richard Milich, Elizabeth P. Lorch
Inhibitory Deficits In Children With Attention-Deficit/Hyperactivity Disorder: Intentional Versus Automatic Mechanisms Of Attention, Mark T. Fillmore, Richard Milich, Elizabeth P. Lorch
Psychology Faculty Publications
Application of theoretically based tasks to the study of the development of selective attention has led to intriguing new findings concerning the role of inhibitory mechanisms. This study examined inhibitory mechanisms using a countermanding task and an inhibition of return task to compare deficits in intentionally, versus reflexively, controlled inhibition of attention in children with attention deficit hyperactivity disorder. Fifty children with attention-deficit/hyperactivity disorder (ADHD) were classified into one of three subtypes: predominantly inattentive (ADHD/PI), combined (ADHD/C), and those children with ADHD/C who also met criteria for comorbid oppositional defiant disorder (ADHD/C + ODD). The groups were compared to a …
Response Style Differences In The Inattentive And Combined Subtypes Of Attention-Deficit/Hyperactivity Disorder, Karen J. Derefinko, Zachary W. Adams, Richard Milich, Mark T. Fillmore, Elizabeth P. Lorch, Donald R. Lynam
Response Style Differences In The Inattentive And Combined Subtypes Of Attention-Deficit/Hyperactivity Disorder, Karen J. Derefinko, Zachary W. Adams, Richard Milich, Mark T. Fillmore, Elizabeth P. Lorch, Donald R. Lynam
Psychology Faculty Publications
This study examined potential differences between the inattentive and combined ADHD subtypes using laboratory tasks assessing behavioral inhibitory processes. Seventy-five children completed two tasks of behavioral inhibition believed to isolate different processes: the cued reaction time task (CRT), a basic inhibition task, and the go/no-go task (GNG), a complex inhibition task that incorporates motivational contingencies. Three groups of participants were identified, including ADHD/Inattentive (n = 17), ADHD/Combined (n = 37), and comparison (n = 21). Results indicated that rather than showing behavioral inhibition deficits, the ADHD/I children appeared overly inhibited, as evidenced by slower reaction times across …
The Effects Of Thematic Importance On Story Recall Among Children With Attention Deficit Hyperactivity Disorder And Comparison Children, Rebecca A. Flake, Elizabeth P. Lorch, Richard Milich
The Effects Of Thematic Importance On Story Recall Among Children With Attention Deficit Hyperactivity Disorder And Comparison Children, Rebecca A. Flake, Elizabeth P. Lorch, Richard Milich
Psychology Faculty Publications
This study examined the recall of televised stories for younger (4-6 years) and older (7-9 years) children with and without attention deficit hyperactivity disorder (ADHD) under two different viewing conditions (toys present/toys absent). Each child watched two Rugrats television programs, once with toys present and once with toys absent. Immediately after viewing a program, the child completed a free recall of the observed story. Comparison children’s recall increased more than ADHD children’s as importance level increased, and comparison children recalled more information overall than children with ADHD. When toys were present, children with ADHD retold less coherent stories than comparison …
Online Story Comprehension Among Children With Adhd: Which Core Deficits Are Involved?, Kate Flory, Richard Milich, Elizabeth P. Lorch, Angela N. Hayden, Chandra Strange, Richard Welsh
Online Story Comprehension Among Children With Adhd: Which Core Deficits Are Involved?, Kate Flory, Richard Milich, Elizabeth P. Lorch, Angela N. Hayden, Chandra Strange, Richard Welsh
Psychology Faculty Publications
Children with ADHD have difficulty understanding causal connections and goal plans within stories. This study examined mediators of group differences in story narrations between children ages 7-9 with and without ADHD, including as potential mediators both the core deficits of ADHD (i.e., inattention, disinhibition, planning/working memory) as well measures of phonological processing and verbal skills. Forty-nine children with ADHD and 67 non-referred children narrated a wordless book and completed tasks assessing the core deficits of ADHD, phonological processing, and verbal skills. Results revealed that, although no shorter than those of non-referred children, the narratives of children with ADHD contained fewer …