ABSTRACT
Objective: To address the nature of associations between ADHD symptoms and posttraumatic stress disorder (PTSD) psychopathology in adult military veterans. Method: Ninety-five combat veterans, with PTSD (n = 63) and without PTSD (n = 32), were recruited for this study. PTSD was assessed with the Clinician-Administered PTSD Scale (CAPS) and ADHD was assessed with Connors' Adult ADHD Rating Scale-Self-Report: Short Version (CAARS-S:S). Results: PTSD participants endorsed greater hyperactivity or restlessness, inattention or memory problems, and impulsivity or emotional lability scores than participants without PTSD. Among PTSD participants, inattention or memory problems and impulsivity or emotional lability were significant predictors of total PTSD symptoms, but only inattention or memory problems significantly predicted PTSD symptoms when other ADHD symptom clusters were considered simultaneously. Conclusion: Our data suggest that inattention may serve as a risk factor for posttraumatic stress symptoms following combat exposure.
Subject(s)
Attention Deficit Disorder with Hyperactivity , Stress Disorders, Post-Traumatic , Veterans , Adult , Attention Deficit Disorder with Hyperactivity/diagnosis , Humans , Impulsive Behavior , Psychomotor Agitation , Stress Disorders, Post-Traumatic/diagnosisABSTRACT
OBJECTIVE: To assess the efficacy of Bounce Back Now (BBN), a modular, Web-based intervention for disaster-affected adolescents and their parents. METHOD: A population-based randomized controlled trial used address-based sampling to enroll 2,000 adolescents and parents from communities affected by tornadoes in Joplin, MO, and several areas in Alabama. Data collection via baseline and follow-up semi-structured telephone interviews was completed between September 2011 and August 2013. All families were invited to access the BBN study Web portal irrespective of mental health status at baseline. Families who accessed the Web portal were assigned randomly to 1 of 3 groups: BBN, which featured modules for adolescents and parents targeting adolescents' mental health symptoms; BBN plus additional modules targeting parents' mental health symptoms; or assessment only. The primary outcomes were adolescent symptoms of posttraumatic stress disorder (PTSD) and depression. RESULTS: Nearly 50% of families accessed the Web portal. Intent-to-treat analyses revealed time × condition interactions for PTSD symptoms (B = -0.24, SE = 0.08, p < .01) and depressive symptoms (B = -0.23, SE = 0.09, p < .01). Post hoc comparisons revealed fewer PTSD and depressive symptoms for adolescents in the experimental versus control conditions at 12-month follow-up (PTSD: B = -0.36, SE = 0.19, p = .06; depressive symptoms: B = -0.42, SE = 0.19, p = 0.03). A time × condition interaction also was found that favored the BBN versus BBN + parent self-help condition for PTSD symptoms (B = 0.30, SE = 0.12, p = .02) but not depressive symptoms (B = 0.12, SE = 0.12, p = .33). CONCLUSION: Results supported the feasibility and initial efficacy of BBN as a scalable disaster mental health intervention for adolescents. Technology-based solutions have tremendous potential value if found to reduce the mental health burden of disasters. CLINICAL TRIAL REGISTRATION INFORMATION: Web-based Intervention for Disaster-Affected Youth and Families; http://clinicaltrials.gov; NCT01606514.
Subject(s)
Alcoholism/therapy , Cognitive Behavioral Therapy , Depression/therapy , Disaster Victims/psychology , Internet/statistics & numerical data , Stress Disorders, Post-Traumatic/therapy , Adolescent , Alabama , Alcoholism/diagnosis , Depression/diagnosis , Disasters , Double-Blind Method , Female , Humans , Male , Mental Health , Missouri , Psychiatric Status Rating Scales , Socioeconomic Factors , Stress Disorders, Post-Traumatic/diagnosis , TornadoesABSTRACT
A short-term longitudinal study examined relational and physical aggression and deceptive behavior among 120 preschool-aged children (M = 44.36 months old, SD = 11.07). Multiple informants and methods (i.e., observational, teacher reports) were used. Evidence for discriminant validity of the observations of aggression subtypes was found. For example, observations of relational aggression were more highly associated with teacher reports of relational aggression than teacher reports of physical aggression. Observed relational aggression was significantly associated with concurrent and prospective increases in deceptive behavior, even after controlling for gender and observed physical aggression. In addition, observed relational aggression was a unique significant predictor of concurrent deception, above and beyond teacher reports of aggression subtypes, which provides important support for the utility of the observational methods.
