Lundervold Astri J, Meza Jocelyn I, Hysing Mari, Hinshaw Stephen P
Department of Biological and Medical Psychology, University of BergenBergen, Norway.
K. G. Jebsen Center for Neuropsychiatric Disorders, University of BergenBergen, Norway.
Front Psychol. 2017 Aug 25;8:1436. doi: 10.3389/fpsyg.2017.01436. eCollection 2017.
To investigate parent reports of childhood symptoms of inattention as a predictor of adolescent academic achievement, taking into account the impact of the child's intellectual functioning, in two diagnostically and culturally diverse samples. Samples: (a) an all-female sample in the U.S. predominated by youth with ADHD (Berkeley Girls with ADHD Longitudinal Study [BGALS], = 202), and (b) a mixed-sex sample recruited from a Norwegian population-based sample (the Bergen Child Study [BCS], = 93). Inattention and intellectual function were assessed via the same measures in the two samples; academic achievement scores during and beyond high school and demographic covariates were country-specific. Childhood inattention predicted subsequent academic achievement in both samples, with a somewhat stronger effect in the BGALS sample, which included a large subgroup of children with ADHD. Intellectual function was another strong predictor, but the effect of early inattention remained statistically significant in both samples when intellectual function was covaried. The effect of early indicators of inattention on future academic success was robust across the two samples. These results support the use of remediation procedures broadly applied. Future longitudinal multicenter studies with pre-planned common inclusion criteria should be performed to increase our understanding of the importance of inattention in primary school children for concurrent and prospective functioning.
为了在两个诊断和文化背景各异的样本中,研究家长报告的儿童注意力不集中症状作为青少年学业成绩预测指标的情况,并考虑儿童智力功能的影响。样本:(a)美国一个以患有注意力缺陷多动障碍(ADHD)的青少年为主的全女性样本(伯克利患有ADHD的女孩纵向研究[BGALS],n = 202),以及(b)从挪威基于人群的样本中招募的混合性别样本(卑尔根儿童研究[BCS],n = 93)。在两个样本中通过相同的测量方法评估注意力不集中和智力功能;高中期间及之后的学业成绩得分和人口统计学协变量因国家而异。儿童期注意力不集中在两个样本中均能预测随后的学业成绩,在BGALS样本中的影响稍强,该样本包含大量患有ADHD的儿童亚组。智力功能是另一个强有力的预测指标,但在对智力功能进行协变量分析时,早期注意力不集中的影响在两个样本中仍具有统计学意义。注意力不集中的早期指标对未来学业成功的影响在两个样本中都很显著。这些结果支持广泛应用补救程序。应开展未来的纵向多中心研究,并制定预先计划好的共同纳入标准,以增进我们对小学儿童注意力不集中对当前和未来功能的重要性的理解。