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Comorbid Adhd And Pediatric Sickle Cell Disease: Prevalence And Risk Factors, Sarah Bills Jul 2023

Comorbid Adhd And Pediatric Sickle Cell Disease: Prevalence And Risk Factors, Sarah Bills

Theses and Dissertations

Objective: Sickle cell disease (SCD) is a genetic blood condition that places youth at increased risk for deficits in attention and executive functioning suggestive of increased rates of Attention Deficit/Hyperactivity Disorder (ADHD). There is pronounced inconsistency in reported prevalence rates for attention deficits and ADHD diagnoses among youth with SCD, which is due in part to variability in methodology of previous studies. The primary aim of the present study is to use systematic screening to identify the prevalence of inattentive ADHD symptoms and ADHD diagnoses in a pediatric SCD population seen at a large hematology clinic. A secondary aim is …


The Relation Between Adhd Symptoms And Life Satisfaction/Self-Esteem Among Youth: Family Structure And Parenting Practices As Moderators, Yvette Rother Apr 2023

The Relation Between Adhd Symptoms And Life Satisfaction/Self-Esteem Among Youth: Family Structure And Parenting Practices As Moderators, Yvette Rother

Theses and Dissertations

Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) may be particularly vulnerable to lower life satisfaction and self-esteem, given negative perceptions about their abilities and self, as well as related impairments in academic, social, and interpersonal functioning. Family factors, such as family structure and parenting behaviors, can impact youth development and behaviors. However, it is unclear what role family factors play in the relation between ADHD symptoms and life satisfaction and self-esteem among youth. This study therefore examined whether ADHD symptoms have an impact on the life satisfaction and self-esteem of children and adolescents in grades 4-12. Moreover, it explored whether …


The Relation Between Adhd Symptoms And Alcohol And Marijuana Use Outcomes Among College Students: The Mediating Role Of Experiential Avoidance, William Joshua Bradley Apr 2022

The Relation Between Adhd Symptoms And Alcohol And Marijuana Use Outcomes Among College Students: The Mediating Role Of Experiential Avoidance, William Joshua Bradley

Theses and Dissertations

Individuals with attention-deficit/hyperactivity disorder (ADHD) are at significantly greater risk for alcohol and marijuana misuse and abuse compared to their peers. College students with ADHD may be particularly vulnerable to problematic alcohol and marijuana use, given the widespread use and abuse of these substances by college students generally and liability associated with ADHD specifically. Experiential avoidance, or avoidance of unwanted thoughts, feelings, and other internal experiences, is positively associated with ADHD symptoms and substance use problems. However, it is unclear what role experiential avoidance plays in the relation between ADHD and alcohol and marijuana use. This study examined whether experiential …


The Development And Validation Of An Automated Screener Of Attention, Rachel Bridges Jul 2021

The Development And Validation Of An Automated Screener Of Attention, Rachel Bridges

Theses and Dissertations

Previous research has demonstrated a strong relationship between symptoms of ADHD and academic underachievement. Interventions specific to academic deficits in children with ADHD are available, which are most effective if implemented before secondary concerns arise. Performance based screening is one method for determining the need for early intervention, yet extant measures of attention have limitations for the purposes of large-scale screening. The current study evaluated the psychometric properties and guiding conceptual model of a novel instrument of executive functioning—the GNG Screen— which measures response inhibition via a go/no-go paradigm. Results from Rasch modeling and exploratory factor analysis provide preliminary psychometric …


Adhd Symptoms And Alcohol Expectancies: The Moderating Roles Of Parenting And School Climate, Melanie Morse Jul 2020

Adhd Symptoms And Alcohol Expectancies: The Moderating Roles Of Parenting And School Climate, Melanie Morse

Theses and Dissertations

Attention-deficit/hyperactivity disorder (ADHD) is a common childhood behavioral disorder that often extends into adulthood and is associated with negative health outcomes, including alcohol use. Alcohol expectancies are a widely studied predictor of alcohol use, and have been shown to predict alcohol use among individuals with ADHD. Positive alcohol expectancies appear to be particularly related to alcohol use as well as ADHD. However, a number of broad social factors including parent, peer, and school/environmental influence likely impact the relation between ADHD and alcohol expectancies. The current study examined positive parenting, parental monitoring, parental involvement, and school climate as moderators of the …


Caffeine Use And Associations With Sleep In Adolescents With And Without Attention-Deficit/Hyperactivity Disorder (Adhd), Caroline N. Cusick Jan 2020

Caffeine Use And Associations With Sleep In Adolescents With And Without Attention-Deficit/Hyperactivity Disorder (Adhd), Caroline N. Cusick

Theses and Dissertations

The objective of this study was to compare caffeine consumption in the morning, afternoon, and evening in adolescents with and without Attention Deficit/Hyperactivity Disorder (ADHD) and examine associations with sleep functioning. Participants were 302 adolescents (ages 12-14) with (n=140) and without (n=162) ADHD. Adolescents wore actigraph watches to assess total sleep time and wake after sleep onset and reported on their sleep-wake problems and the number of caffeinated beverages consumed per day in the morning, afternoon, and evening. Parents reported on adolescents’ difficulties initiating and maintaining sleep. Chi-square analyses, odds ratios, and path analyses were conducted. Analyses controlled for sex, …


Motivation Is Deficient In The Spontaneously Hypertensive Rat (Shr), A Rodent Model Of Adhd: Evidence From An Operant Breakpoint Paradigm, Amanda S. Nazario Dec 2019

Motivation Is Deficient In The Spontaneously Hypertensive Rat (Shr), A Rodent Model Of Adhd: Evidence From An Operant Breakpoint Paradigm, Amanda S. Nazario

Theses and Dissertations

Attention Deficit Hyperactivity Disorder (ADHD) is one of the most commonly diagnosed childhood neurobehavioral disorders. ADHD is characterized by three core behavioral deficits (hyperactivity, inattention, and impulsivity) that significantly hinder the daily functioning of those diagnosed. Furthermore, children with ADHD have problems with motivation and often require larger, more frequent rewards in order to complete a task. In this study, we used the Spontaneously Hypertensive Rat (SHR), a rodent model of ADHD that exhibits all the core deficits of the disorder. The goal of the current study was to further validate the SHR as a model of ADHD by training …


The Influence Of Adhd Symptoms And Social Functioning On Anxiety And Depression Symptoms In College Students, Danielle Willis Jul 2019

The Influence Of Adhd Symptoms And Social Functioning On Anxiety And Depression Symptoms In College Students, Danielle Willis

Theses and Dissertations

Previous research has shown that Attention-Deficit/Hyperactivity Disorder (ADHD) is associated with impaired social functioning in children and adolescents. ADHD and poor social functioning have been shown to be separately associated with increased anxiety and depression symptoms as well. However, little research has examined these associations among college students. College is a transitional period of increased stress and exposure to new social situations for all students, but may be even more challenging for those with ADHD, who are already at risk for increased internalizing problems and impairment in social functioning. The current study aimed to examine the influence of ADHD symptoms …


The Impact Of Social Determinants Of Health On The Efficacy Of School-Based Interventions For Adolescents With Adhd, Cathrin D. Green Jan 2019

The Impact Of Social Determinants Of Health On The Efficacy Of School-Based Interventions For Adolescents With Adhd, Cathrin D. Green

Theses and Dissertations

Adolescents with Attention-deficit/hyperactivity disorder (ADHD) often experience impairment in academic functioning in the school and home environment. Because of this, many school- and clinic-based interventions have been developed to target these problems. Initially, clinic-based interventions were mainly used; however, these interventions were associated with many barriers to care, such as lack of transportation, financial resources, and time. Therefore, school-based interventions were developed to address these barriers. However, there has been minimal research evaluating the role of social determinants of health on the efficacy of school-based interventions. In a sample of 222 adolescents with ADHD randomly assigned to receive either a …


Executive Functions As Moderators Of Response To Behavioral Interventions For Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor Jan 2019

Executive Functions As Moderators Of Response To Behavioral Interventions For Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor

Theses and Dissertations

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) experience significant academic impairment and multiple interventions have been developed to address common academic problems, such as difficulties with homework, organization, and planning skills. Given cost and resource constraints, research is needed on factors that mental health providers can use to select the most appropriate interventions. To date, there has been minimal research evaluating moderators of response to ADHD interventions. Further, many of the variables that have been studied do not have strong theoretical ties to the mechanisms of change invoked by the interventions. This study examined potential moderators of treatment response to two academic …


Does A Positive Illusory Bias Mediate The Moderating Effect Of Achievement Orientation On Response To Exclusion In Boys With Adhd?, Alexandria G. Fladhammer Sep 2018

Does A Positive Illusory Bias Mediate The Moderating Effect Of Achievement Orientation On Response To Exclusion In Boys With Adhd?, Alexandria G. Fladhammer

Theses and Dissertations

Disturbed peer relationships have commonly been found to have long-lasting adverse impacts on children, including school dropout, substance abuse, criminal offenses, psychological maladjustment, and academic problems (Mrug et al., 2012). One subgroup of children well-known to struggle with their peer relationships are children with Attention-deficit/Hyperactivity Disorder (Hoza, 2007). These children often engage in high rate, intrusive behaviors and are excluded from peer interactions (Hoza et al., 2005). The frequent rejection that these children endure highlights the need for research focused on ostracism, the exclusion or ignoring of others by individuals or groups (Williams, 2007). Thus, the purpose of the current …


Parent Reported Executive Functioning Does Not Predict Memory Dysfunction In Pediatric Epilepsy And Attention-Deficit/Hyperactivity Disorder, Nicole J. Norheim Aug 2018

Parent Reported Executive Functioning Does Not Predict Memory Dysfunction In Pediatric Epilepsy And Attention-Deficit/Hyperactivity Disorder, Nicole J. Norheim

Theses and Dissertations

Objective: Epilepsy and Attention-Deficit/Hyperactivity Disorder (ADHD) children are vulnerable to executive functioning and memory difficulties. The interaction between EF and memory is important to consider as EF impairments may put children at risk for experiencing memory difficulties which can impact their academic performance and quality of life. However, the evidence for the impact of EF on memory is very limited with only two studies to date focusing on this association (Rzezak et al., 2012; Sepeta et al., 2017). This was the first study to research the impact of executive dysfunction on memory in the pediatric epilepsy and ADHD population. Method: …


Longitudinal Relations Between Adhd Symptoms And Substance Use Across The Transition To College And Evaluation Of Promotive And Protective Factors, Melissa R. Dvorsky Jan 2018

Longitudinal Relations Between Adhd Symptoms And Substance Use Across The Transition To College And Evaluation Of Promotive And Protective Factors, Melissa R. Dvorsky

Theses and Dissertations

The prevalence of substance use and related problems increases during adolescence and peaks in young adulthood with substantial increases during the transition from high school to college (Johnston et al., 2018). However, these increases are not universal for all students (White et al., 2006), and there is substantial variation in rates of substance use during the first year of college (Borasri et al., 2007; Frisher et al., 2007). It is important to identify the individual and environmental factors that serve as risk factors for substance use as well as factors that may promote or protect against use during the high …


Relationships Among Parenting Stress, Parenting Practices, And Conduct Problems In African American Mothers Of Children With And Without Adhd, Amanda Parks Jan 2018

Relationships Among Parenting Stress, Parenting Practices, And Conduct Problems In African American Mothers Of Children With And Without Adhd, Amanda Parks

Theses and Dissertations

Parents of children with attention-deficit/hyperactivity disorder (ADHD) endorse increased levels of parenting stress and subsequently employ ineffective parenting practices. For children with comorbid conduct problems, mothers report more parenting stress than mothers of children with ADHD alone. I investigated the relationships among child ADHD diagnostic status, parenting stress, parenting behaviors (i.e., involvement and positive parenting) and child conduct problems in 78 African American mothers of children with and without ADHD. Mothers completed a demographic questionnaire, a semi-structured clinical interview, the ADHD Rating scale (also completed by teachers), the Impairment Rating Scale, the Parenting Stress Index – Short Form, and the …


Does Emotion Regulation Moderate The Association Between Impairment And Depression In Adolescents With Adhd?, Laura D. Eddy Jan 2018

Does Emotion Regulation Moderate The Association Between Impairment And Depression In Adolescents With Adhd?, Laura D. Eddy

Theses and Dissertations

In comparison with their peers, adolescents with ADHD are at increased risk for developing depression, with prevalence estimates for comorbid depression ranging from 14% to 20%. Youth with comorbid ADHD and depression are at greater risk for multiple negative outcomes compared to youth with ADHD alone, including suspension from school, failing a grade, or difficulties in peer relationships. Identifying risk factors for depression among adolescents with ADHD is important for facilitating early identification and treatment efforts. Research completed to date indicates that interpersonal impairment and emotion regulation may mediate the relationship between ADHD and depression. However, a comprehensive longitudinal model …


Adhd Symptoms And Adult Romantic Relationships: The Role Of Partner Attachment Style, Emotion Recognition, And Personality, Katherine Knies Jan 2018

Adhd Symptoms And Adult Romantic Relationships: The Role Of Partner Attachment Style, Emotion Recognition, And Personality, Katherine Knies

Theses and Dissertations

The purpose of this project was to examine the impact of ADHD within the context of adult romantic relationships more thoroughly than has previously been examined. Whereas symptoms of ADHD do seem to contribute to the quality of a relationship (Canu, 2014; Orlov, 2010; Pera, 2008), no prior research has examined the interaction between individual characteristics and partner ADHD symptoms in predicting relationship quality. The present study addressed this gap in the literature by examining the characteristics of both partners, specifically, how certain characteristics of one partner interact with the other partner’s ADHD symptoms in predicting relationship quality. Participants were …


The Relation Between Quantitative Eeg Coherence And Self-Report Adhd Behavior Scale Responses, Tayllor Vetter Jan 2017

The Relation Between Quantitative Eeg Coherence And Self-Report Adhd Behavior Scale Responses, Tayllor Vetter

Theses and Dissertations

Differences in brain wave activity during resting states between adults with and without Attention-Deficit/Hyperactivity Disorder (ADHD) have been detected with electroencephalography (EEG). However, the relation between these patterns of brain wave activity and a dimensional, self-report measure of ADHD symptoms in male and female college students has never been investigated. The present study aimed to determine whether coherence, a measure of brain wave activity, can predict self-report symptoms of inattentiveness and hyperactivity in male and female college students. The analyses consisted of 14 male and 28 female adults between 18 and 27 years of age. Regression analyses were utilized to …


Attention Deficits And Perception Of Emotion In Groups, Agnes Renee Strojewska Jun 2016

Attention Deficits And Perception Of Emotion In Groups, Agnes Renee Strojewska

Theses and Dissertations

The present study investigated the relationship between attention deficits and the recognition of emotions of either individuals or groups (ensembles). Previous research has suggested that individuals with ADHD may have deficits in social cognition, specifically in recognizing the internal (emotional) states of others, though it remains unclear whether these deficits are a discrete component of ADHD or merely the byproduct of the inattention characteristic of the disorder. Perception of ensemble characteristics, or ensemble coding, has recently been the target of increased interest in perception research, and appears to represent a powerful mechanism for processing sensory information, particularly in situations when …


Science, Symptoms, And Support Groups:Adhd In The American Cultural Context, Kealy D. Fallon May 2016

Science, Symptoms, And Support Groups:Adhd In The American Cultural Context, Kealy D. Fallon

Theses and Dissertations

This thesis is a cultural analysis of the behaviorally- and psychiatrically-defined disorder ADHD, socio-historically contextualizing it in the United States and exploring ethnographically how people affected by it talk about and organize their experience of its symptoms.


Gender Differences In Adhd Diagnosis, Anthony Rizzo May 2016

Gender Differences In Adhd Diagnosis, Anthony Rizzo

Theses and Dissertations

There is a great disparity in the amount of males diagnosed with ADHD compared to females. This paper reviews a large collection of literature ranging from the history of the disorder, neurological studies, potential genetic differences between genders, as well as potential gender biases. These topics are all examined with the purpose of trying to determine which effect, if any, they may have had in creating the criteria necessary for a diagnosis and how that relates to each gender. The study examined each individual symptom necessary for an ADHD diagnosis and asked teachers to complete a survey designed to attempt …


Internal And External Validity Of Sluggish Cognitive Tempo In Young Adolescents With Adhd, Zoe Smith Jan 2016

Internal And External Validity Of Sluggish Cognitive Tempo In Young Adolescents With Adhd, Zoe Smith

Theses and Dissertations

Adolescents with Sluggish Cognitive Tempo (SCT) show symptoms of slowness, mental confusion, excessive daydreaming, low motivation, and drowsiness/sleepiness. Although many symptoms of SCT reflect internalizing states, no study has evaluated the utility of self-report of SCT in an ADHD sample. Further, it remains unclear whether SCT is best conceptualized as a unidimensional or multidimensional construct. In a sample of 262 adolescents comprehensively diagnosed with ADHD, the present study evaluated the dimensionality of a SCT scale and compared CFA and bifactor model fits for parent- and self-report versions. Analyses revealed the three-factor bifactor model to be the best fitting model. In …


Positive Illusory Bias In Adolescents With Adhd: Prevalence, Stability, And Accuracy Of Reporters, Elizaveta Bourchtein Jan 2016

Positive Illusory Bias In Adolescents With Adhd: Prevalence, Stability, And Accuracy Of Reporters, Elizaveta Bourchtein

Theses and Dissertations

The positive illusory bias (PIB) – over-reporting levels of self-competence compared to other raters – has been demonstrated in youth with attention-deficit/hyperactivity disorder (ADHD), despite increased impairment rates. However, due to inconsistent definitions of the PIB, conflicting findings have emerged regarding prevalence of the PIB in youth with ADHD and whether parent or child report is actually “biased” and driving the PIB. Additionally, stability of the PIB across time is unknown. The present study used person-centered methodology cross-sectionally and longitudinally to evaluate the prevalence of the PIB in adolescents with ADHD. Results revealed a cross-domain global PIB group at baseline …


Randomized Control Study Of Neurofeedback With College Students With Adhd, Alycia M. Roberts Jan 2015

Randomized Control Study Of Neurofeedback With College Students With Adhd, Alycia M. Roberts

Theses and Dissertations

Neurodevelopmental disorders such as ADHD represent a major national problem. There are increasing numbers of students in schools requiring special education services as a result of ADHD, and each of these students costs the U.S. education system approximately $5,000 per year (Robb et al., 2011). There are additional societal costs associated with the disorder, and ADHD can be debilitating for individuals with the disorder and their families (i.e., Barkley & Murphy, 2010; Ginsberg, et al., 2013). The most common treatments are stimulant medication and behavioral training (i.e., Pelham & Fabiano, 2008), but recently neurofeedback (EEG biofeedback) has been receiving a …


The Written Expression Abilities Of Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor Jan 2015

The Written Expression Abilities Of Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor

Theses and Dissertations

Students with Attention-Deficit/Hyperactivity Disorder (ADHD) often experience significant academic underachievement. Written expression abilities in this population have not been extensively studied but existing prevalence estimates suggest that rates of comorbid writing underachievement may be substantially higher than comorbid reading and mathematics underachievement. The current study examined written expression abilities in a school-based sample of 326 adolescents with ADHD. The prevalence of written expression impairment, the associations between written expression and academic outcomes, and specific patterns of written expression were investigated. Results indicate that students with ADHD experience written expression impairment at a similar rate to reading and mathematics disabilities. Students’ …


The Role Of Effortful Control And Cortisol In The Emergence Of Adhd, Asd, And Anxiety In Boys With Fxs, Marissa L. Robinson Jan 2015

The Role Of Effortful Control And Cortisol In The Emergence Of Adhd, Asd, And Anxiety In Boys With Fxs, Marissa L. Robinson

Theses and Dissertations

ADHD, ASD, and anxiety are three of the most common co-occurring disorders in children with FXS leading to increased social, academic, and behavioral difficulties (Bailey, Raspa, Olmsted, & Holiday, 2008). Early identification and treatment of these co-occurring mental health disorders is essential to promote optimal outcomes; therefore, the study of early precursors and underlying mechanisms of these disorders within a developmental framework is warranted. The current dissertation includes two sequential and related studies investigating impaired effortful control as a precursor and HPA axis dysfunction (measured through salivary cortisol) as an underlying mechanism to the emergence of ADHD, ASD, and anxiety …


Attention-Deficit/Hyperactivity Disorder And Academic Performance: Student Engagement In The Classroom, Emily B. Mancil Dec 2014

Attention-Deficit/Hyperactivity Disorder And Academic Performance: Student Engagement In The Classroom, Emily B. Mancil

Theses and Dissertations

Youth with Attention/Deficit-Hyperactivity Disorder (ADHD) have many obstacles to positive development (including difficulties in school settings) and are in need of support. However, few studies have focused on the ways in which positive factors, such as student engagement (SE), may be beneficial for this population to identify strategies for supporting their strengths. Although many studies have examined academic and behavioral aspects of SE, few studies have examined the psychological (i.e., teacher-student relationships, peer support for learning, family support for learning) and cognitive (i.e., control and relevance of school work, future aspirations and goals, extrinsic motivation) sub-components of engagement. The current …


Do Parent And Teacher Ratings Of Behavior Measure What They Are Intended To Measure?, Phillip Martin Jan 2014

Do Parent And Teacher Ratings Of Behavior Measure What They Are Intended To Measure?, Phillip Martin

Theses and Dissertations

This study involves an examination of the neurocognitive correlates of subscales of the Conners' Rating Scale - Revised (CRS-R), an ADHD behavioral rating form, in both a child (n=72) and an adolescent (n=49) sample. While both behavioral rating forms and neuropsychological measures are commonly employed in pediatric clinical evaluations, these two forms of assessment do not generally converge as expected. The purpose of the current research was to examine and compare the abilities of intellectual, academic, attentional, and executive skills to account for variance in parent and teacher ratings of behavior across two pediatric age groups in a clinical setting. …


Parenting Practices And Parenting Stress In African American Families Of Children With And Without Adhd, Annie Rabinovitch Jan 2014

Parenting Practices And Parenting Stress In African American Families Of Children With And Without Adhd, Annie Rabinovitch

Theses and Dissertations

This study examined differences in parenting practices and parenting stress between 44 African American maternal caregivers of children ages 6-10 with Attention-Deficit/Hyperactivity Disorder (ADHD) and 25 caregivers of children without ADHD. Results indicated significant group differences on inconsistent discipline, as child ADHD significantly predicted this parenting construct. There were no mean group differences in positive parenting. Parenting stress was related to parenting practices for the caregivers of children without ADHD, but was unrelated to parenting practices among control caregivers. Child ADHD predicted several subscales of the Parenting Stress Index. However, child ADHD failed to be a significant predictor when a …


Predicting The Academic Functioning Of College Students With Attention-Deficit/Hyperactivity Disorder: The Importance Of Executive Functions And Parent Report, Melissa Dvorsky Jan 2014

Predicting The Academic Functioning Of College Students With Attention-Deficit/Hyperactivity Disorder: The Importance Of Executive Functions And Parent Report, Melissa Dvorsky

Theses and Dissertations

This study examined the impact of several dimensions of executive functioning (EF), as well as Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms, in relation to college students’ academic and overall functional impairment. Participants were 62 college students comprehensively diagnosed with ADHD and their parents/guardians who completed measures of symptoms of ADHD, EF, school maladjustment and functional impairment. The primary goal of the study was to evaluate whether parent- and self-ratings of EFs completed at the beginning of the school year longitudinally predict end of the school year academic and overall functioning above and beyond symptoms of ADHD. Mediation analyses controlling for covariates, including …


Does Growth In Childhood Adhd And Depression Symptoms Predict Binge-Eating During Adolescence, Kathryn Van Eck Jan 2014

Does Growth In Childhood Adhd And Depression Symptoms Predict Binge-Eating During Adolescence, Kathryn Van Eck

Theses and Dissertations

Binge-eating disorder (BED) refers to experiencing a loss of control while eating high quantities of food in a short period of time. A serious public health concern, BED is highly comorbid with other psychological disorders and increases risk for obesity and other health concerns, such as metabolic disorder and diabetes. Little is known about what mental health symptoms contribute to the development of BED for children and adolescents. Research with adults indicates that two strong predictors of binge-eating behavior include impulsivity and depression, and these symptom areas may contribute to BED for youth, as well. In the current study, I …