Genetic Epidemiology, Translational Neurogenomics, Psychiatric Genetics and Statistical Genetics Laboratories investigate the pattern of disease in families, particularly identical and non-identical twins, to assess the relative importance of genes and environment in a variety of important health problems.
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PMID
24141099
TITLE
Variation in Latent Classes of Adult Attention-Deficit Hyperactivity Disorder by Sex and Environmental Adversity.
ABSTRACT
OBJECTIVE
The findings of genetic, imaging and neuropsychological studies of attention-deficit hyperactivity disorder (ADHD) are mixed. To understand why this might be the case we use both dimensional and categorical symptom measurement to provide alternate and detailed perspectives of symptom expression.
METHOD
The findings of genetic, imaging and neuropsychological studies of attention-deficit hyperactivity disorder (ADHD) are mixed. To understand why this might be the case we use both dimensional and categorical symptom measurement to provide alternate and detailed perspectives of symptom expression. Interviewers collected ADHD, conduct problems (CP) and sociodemographic data from 3793 twins and their siblings aged 22 to 49 (M = 32.6). We estimate linear weighting of symptoms across ADHD and CP items. Latent class analyses and regression describe associations between measured variables, environmental risk factors and subsequent disadvantage. Additionally, the clinical relevance of each class was estimated.
RESULTS
The findings of genetic, imaging and neuropsychological studies of attention-deficit hyperactivity disorder (ADHD) are mixed. To understand why this might be the case we use both dimensional and categorical symptom measurement to provide alternate and detailed perspectives of symptom expression. Interviewers collected ADHD, conduct problems (CP) and sociodemographic data from 3793 twins and their siblings aged 22 to 49 (M = 32.6). We estimate linear weighting of symptoms across ADHD and CP items. Latent class analyses and regression describe associations between measured variables, environmental risk factors and subsequent disadvantage. Additionally, the clinical relevance of each class was estimated. Five classes were found for women and men; few symptoms, hyperactive-impulsive, CP, inattentive, combined symptoms with CP. Women within the inattentive class reported more symptoms and reduced emotional health when compared to men and to women within other latent classes. Women and men with combined ADHD symptoms reported comorbid conduct problems but those with either inattention or hyperactivity-impulsivity only did not.
CONCLUSION
The findings of genetic, imaging and neuropsychological studies of attention-deficit hyperactivity disorder (ADHD) are mixed. To understand why this might be the case we use both dimensional and categorical symptom measurement to provide alternate and detailed perspectives of symptom expression. Interviewers collected ADHD, conduct problems (CP) and sociodemographic data from 3793 twins and their siblings aged 22 to 49 (M = 32.6). We estimate linear weighting of symptoms across ADHD and CP items. Latent class analyses and regression describe associations between measured variables, environmental risk factors and subsequent disadvantage. Additionally, the clinical relevance of each class was estimated. Five classes were found for women and men; few symptoms, hyperactive-impulsive, CP, inattentive, combined symptoms with CP. Women within the inattentive class reported more symptoms and reduced emotional health when compared to men and to women within other latent classes. Women and men with combined ADHD symptoms reported comorbid conduct problems but those with either inattention or hyperactivity-impulsivity only did not. The dual perspective of dimensional and categorical measurement of ADHD provides important detail about symptom variation across sex and with environmental covariates.
© The Author(s) 2013.
DATE PUBLISHED
2016 11
HISTORY
PUBSTATUS PUBSTATUSDATE
pubmed 2013/10/22 06:00
medline 2017/09/26 06:00
entrez 2013/10/22 06:00
AUTHORS
NAME COLLECTIVENAME LASTNAME FORENAME INITIALS AFFILIATION AFFILIATIONINFO
Ebejer JL Ebejer Jane L JL University of New England, Australia Queensland Institute of Medical Research, Australia Jane.Ebejer@qimr.edu.au.
Medland SE Medland Sarah E SE Queensland Institute of Medical Research, Australia.
van der Werf J van der Werf Julius J University of New England, Australia.
Lynskey M Lynskey Michael M Queensland Institute of Medical Research, Australia King's College London, UK.
Martin NG Martin Nicholas G NG Queensland Institute of Medical Research, Australia.
Duffy DL Duffy David L DL Queensland Institute of Medical Research, Australia.
INVESTIGATORS
JOURNAL
VOLUME: 20
ISSUE: 11
TITLE: Journal of attention disorders
ISOABBREVIATION: J Atten Disord
YEAR: 2016
MONTH: 11
DAY:
MEDLINEDATE:
SEASON:
CITEDMEDIUM: Internet
ISSN: 1557-1246
ISSNTYPE: Electronic
MEDLINE JOURNAL
MEDLINETA: J Atten Disord
COUNTRY: United States
ISSNLINKING: 1087-0547
NLMUNIQUEID: 9615686
PUBLICATION TYPE
PUBLICATIONTYPE TEXT
Journal Article
Twin Study
COMMENTS AND CORRECTIONS
GRANTS
GENERAL NOTE
KEYWORDS
KEYWORD
adult ADHD
conduct problems
impulsivity
inattention
MESH HEADINGS
DESCRIPTORNAME QUALIFIERNAME
Adolescent
Adult
Attention Deficit Disorder with Hyperactivity psychology
Australia epidemiology
Comorbidity epidemiology
Conduct Disorder epidemiology
Female epidemiology
Humans epidemiology
Hyperkinesis diagnostic imaging
Impulsive Behavior diagnostic imaging
Male diagnostic imaging
Mental Health diagnostic imaging
Middle Aged diagnostic imaging
Mood Disorders epidemiology
Risk Factors epidemiology
Siblings epidemiology
Twins epidemiology
Young Adult epidemiology
SUPPLEMENTARY MESH
GENE SYMBOLS
CHEMICALS
OTHER ID's