Burden and Growth during COVID-19: Comparing Parents of Children with and without Disabilities

Journal of Child and Family Studies - The COVID-19 pandemic and the measures taken to contain it have had a disproportionate impact on families with young children, especially with disabilities....     

Neuropsychological and adaptive functioning in younger versus older children shunted for early hydrocephalus

Previous research on children with hydrocephalus has not carefully examined age-related changes in neuropsychological and behavioral status. We present data on 28 children with early hydrocephalus and spina bifida who were studied in two age groups: 5 - 7.5 and 9 - 12.5 years. Age-related differences in language, memory, visuomotor skills, and adaptive behaviors were examined. Consistent with other studies, the total sample showed impaired motor, performance, verbal, communication, and learning skills. Comparisons between older and younger children showed: (1) except for memory, neuropsychological patterns of functioning were generally comparable across the age groups, and (2) older children demonstrated more difficulty on specific adaptive functions (socialization, learning, conduct). Shunted hydrocephalic children may be conceptualized as exhibiting the syndrome of nonverbal learning disabilities. Clinical implications are discussed.     

Self-Reported Depressive Symptoms Have Minimal Effect on Executive Functioning Performance in Children and Adolescents

The relation between mood and executive functioning in children and adolescents has not been previously reported. This study examined the association between self-reported depressive symptoms in both clinical outpatient and psychiatric inpatient samples to the following measures of executive functioning: the Controlled Oral Word Association Test, Animal Naming, Trail Making Test, and Wisconsin Card Sorting Test. Records from children and adolescents aged 7–17 years old with an IQ > 70 were examined. Data were gathered at either an outpatient neuropsychology clinic (n = 89) or an inpatient psychiatric hospital setting (n = 81). Mood was measured with the Children’s Depression Inventory. Generally, statistical associations between self-reported depressive symptoms and executive functioning were small and non-significant. The variance predicted by mood on measures of executive functioning was minimal (generally less than 2 %) for the total sample, the outpatient group, inpatient group, and a subgroup who endorsed elevated mood symptoms. These results suggest that impaired performance on measures of executive functioning in children and adolescents is minimally related to self-reported depressive symptoms.     

Executive Functioning in Adolescent Depressive Disorders

Previous research on executive functioning within adolescent depression has provided somewhat inconsistent results, although the majority of research has identified at least partial evidence of executive functioning deficits in adolescent depression. The present study attempted to explore adolescent depression, specifically depressive disorder diagnoses and self-reported depressive/anxious symptoms, as well as executive functioning through the retrospective chart review of an inpatient/outpatient adolescent sample. The total sample (N = 155) was divided into four groups. The psychiatric inpatient sample was subdivided into a Major Depression Group (n = 22), Minor Depression Group (n = 28), Inpatient Control Group (n = 73) based on the discharge diagnoses. The Outpatient Control Group (n = 33) consisted of a group of adolescents who received evaluations at a neuropsychological evaluation clinic. Analyses of variance between the four clinical groups and follow-up pairwise comparisons revealed lowered executive functioning performance in major and minor depression groups compared to the outpatient control. Lowered working memory/simple attention was identified in minor and major depression, while lowered cognitive flexibility/set shifting was only identified in major depression, suggesting a continuum of executive dysfunction and depression severity. More generally, the inpatient groups displayed lower executive functioning than the outpatient control, with no identified executive functioning differences between inpatient groups. Additionally, no negative correlations were observed between self-reported depressive/anxious symptoms and executive functioning. These results are consistent with the majority of related research, and highlight the importance of executive functions in adolescent depression, and more broadly in adolescent psychopathology.