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ADHD and depressive symptoms in adolescents: the role of community violence exposure
Södertörn University, School of Social Sciences, SCOHOST (Stockholm Centre for Health and Social Change). National Center of Neurology and Psychiatry, KodairaJapan.ORCID iD: 0000-0002-1260-2223
UiT The Arctic University of Norway, Tromsö, Norway.
Universitat de Barcelona, Barcelona, Spain / Instituto de Salud Carlos III, Madrid, Spain.
University of North Carolina at Chapel Hill, Chapel Hill, USA.
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2019 (English)In: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 54, no 6, p. 683-691Article in journal (Refereed) Published
Abstract [en]

PURPOSE: Comorbid depression is common in adolescents with attention-deficit/hyperactivity disorder (ADHD). As yet, however, little is known about the factors associated with co-occurring depression in this population. To address this research gap, the current study examined the role of community violence exposure in the association between ADHD symptoms and depression.

METHODS: Data came from 505 Russian adolescents [mean age 14.37 (SD = 0.96)] who had teacher-reported information on ADHD symptoms that was collected in conjunction with the Social and Health Assessment (SAHA). Adolescent self-reports of witnessing and being a victim of community violence were also obtained while depressive symptoms were self-assessed with an adapted version of the Center for Epidemiologic Studies-Depression Scale (CES-D). Logistic regression analyses were performed to examine associations.

RESULTS: In univariable analyses, both witnessing and being a victim of violence were associated with significantly increased odds for depressive symptoms in adolescents with ADHD symptoms compared to non-ADHD adolescents who had not experienced community violence. However, in the multivariable analysis only being a victim of violence continued to be associated with significantly increased odds for depression [odds ratio (OR) 4.67, 95% confidence interval (CI) 1.33-16.35].

CONCLUSION: Exposure to community violence may be associated with depression in adolescents with ADHD symptoms. Clinicians should enquire about exposure to community violence in adolescents with ADHD/ADHD symptoms. Early therapeutic interventions to address the effects of violence exposure in adolescents with ADHD may be beneficial for preventing depression in this group.

Place, publisher, year, edition, pages
Springer, 2019. Vol. 54, no 6, p. 683-691
Keywords [en]
Adolescent, Attention-deficit/hyperactivity disorder, Depressive symptoms, Violent victimization, Witness violence
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:sh:diva-37622DOI: 10.1007/s00127-019-01662-5ISI: 000469248100004PubMedID: 30706080Scopus ID: 2-s2.0-85060842347OAI: oai:DiVA.org:sh-37622DiVA, id: diva2:1287105
Available from: 2019-02-08 Created: 2019-02-08 Last updated: 2019-11-06Bibliographically approved

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