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ERIC Number: EJ1012759
Record Type: Journal
Publication Date: 2013-Apr
Pages: 12
Abstractor: As Provided
Reference Count: 60
ISSN: ISSN-1087-0547
Differentiating Co-Occurring Behavior Problems in Children with ADHD: Patterns of Emotional Reactivity and Executive Functioning
Graziano, Paulo A.; McNamara, Joseph P.; Geffken, Gary R.; Reid, Adam M.
Journal of Attention Disorders, v17 n3 p249-260 Apr 2013
Objective:This study examined whether "top-down" and "bottom-up" control processes can differentiate children with ADHD who exhibit co-occurring aggression and/or internalizing symptoms. Method: Participants included 74 children ("M" age = 10.7 years) with a "Diagnostic and Statistical Manual of Mental Disorders" (4th ed.; DSM-IV) diagnosis of ADHD. The authors' top-down measure was executive functioning (EF) indexed via two neuropsychological tasks whereas their bottom-up measure was emotional reactivity. Parents also reported on children's aggression and internalizing symptoms. Results: Emotional reactivity was associated with co-occurring aggressive symptoms, regardless of the presence of internalizing symptoms or ADHD symptom severity, whereas EF deficits were less likely to occur in children with ADHD and co-occurring internalizing symptoms. Conclusion: The authors' findings highlight the importance of integrating top-down and bottom-up regulatory measures when studying the multipathway conception of ADHD and its co-occurring problems. (Contains 5 tables.)
SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Assessments and Surveys: Behavior Assessment System for Children; Conners Rating Scales
IES Funded: Yes
Grant or Contract Numbers: R324B090010