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Reduced Working Memory Mediates the Link between Early Institutional Rearing and Symptoms of ADHD at 12 Years

Overview of attention for article published in Frontiers in Psychology, November 2016
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Title
Reduced Working Memory Mediates the Link between Early Institutional Rearing and Symptoms of ADHD at 12 Years
Published in
Frontiers in Psychology, November 2016
DOI 10.3389/fpsyg.2016.01850
Pubmed ID
Authors

Florin Tibu, Margaret A. Sheridan, Katie A. McLaughlin, Charles A. Nelson, Nathan A. Fox, Charles H. Zeanah

Abstract

Children who are raised in institutions show severe delays across multiple domains of development and high levels of psychopathology, including attention deficit/hyperactivity disorder (ADHD). Low performance in executive functions (EFs) are also common in institutionally reared children and often do not remediate following improvements in the caregiving environment. ADHD symptomatology also remains elevated even after children are removed from institutional care and placed in families. We investigate whether poor EF is a mechanism explaining elevated rates of ADHD in children reared in institutional settings in the Bucharest Early Intervention Project (BEIP). In the current study, we examine the potentially mediating role of poor EF in the association between institutionalization and symptoms of ADHD at age 12 years. A total of 107 children were assessed with the Cambridge Neuropsychological Test Automated Battery (CANTAB) on working memory, set-shifting and planning. We also obtained concurrent teacher reports on their levels of ADHD symptoms (inattention and impulsivity separately). Institutionalization strongly predicted elevations in symptoms of inattention and impulsivity at age 12 years (ps < 0.01). Indices of working memory and planning were also associated with ADHD after controlling for potential confounders (ps < 0.03). Mediation analyses revealed that poor working memory performance mediated the link between exposure to early institutionalization and higher scores of both inattention and impulsivity. These results replicate and extend the findings that we reported in the BEIP sample at age 8 years. Together, they suggest that compromised working memory is a key mechanism that continues to explain the strikingly high levels of ADHD in late childhood among children institutionalized in early life. Interventions targeting working memory may help to prevent ADHD among children exposed to institutional care.

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Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 80 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 18%
Researcher 12 15%
Student > Doctoral Student 11 14%
Student > Ph. D. Student 8 10%
Unspecified 3 4%
Other 8 10%
Unknown 24 30%
Readers by discipline Count As %
Psychology 33 41%
Social Sciences 6 8%
Medicine and Dentistry 5 6%
Neuroscience 3 4%
Unspecified 3 4%
Other 3 4%
Unknown 27 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 November 2016.
All research outputs
#17,119,626
of 25,151,710 outputs
Outputs from Frontiers in Psychology
#20,949
of 33,965 outputs
Outputs of similar age
#263,429
of 427,163 outputs
Outputs of similar age from Frontiers in Psychology
#291
of 416 outputs
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