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Interparental hostility and children's externalizing symptoms: Attention to anger as a mediator.

ABSTRACT: This study examined children's attention biases to negative emotional stimuli as mediators of associations between interparental hostility and children's externalizing symptoms. Participants included 243 children (Mage = 4.60 years) and their parents and teachers across three annual measurement occasions. Cross-lagged latent change analyses revealed that the association between interparental hostility and children's externalizing symptoms was mediated by children's attention to angry, but not sad or fearful, adult faces. Consistent with defensive exclusion models, the multimethod, multi-informant assessment of interparental hostility at Wave 1 specifically predicted decreases in children's attention to angry faces from Waves 1 to 2 in a visual search task. Declines in children's attention to anger, in turn, predicted increases in teacher reports of their externalizing problems across the three waves. Follow-up analyses further indicated that children's decreasing levels of emotional security in the interparental relationship were associated with the decreases in children's attention to angry stimuli. Results are discussed in relation to how they inform and advance information processing and social threat models in developmental psychopathology. (PsycINFO Database Record

SUBMITTER: Davies PT

PROVIDER: S-EPMC6019121 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Interparental hostility and children's externalizing symptoms: Attention to anger as a mediator.

Davies Patrick T PT Coe Jesse L JL Hentges Rochelle F RF Sturge-Apple Melissa L ML Ripple Michael T MT

Developmental psychology 20180416 7

This study examined children's attention biases to negative emotional stimuli as mediators of associations between interparental hostility and children's externalizing symptoms. Participants included 243 children (Mage = 4.60 years) and their parents and teachers across three annual measurement occasions. Cross-lagged latent change analyses revealed that the association between interparental hostility and children's externalizing symptoms was mediated by children's attention to angry, but not sa ...[more]

PMID: 29658741

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Project description:ImportanceChildhood suicidality (ie, suicidal ideation or attempts) rates are increasing, and attention-deficit/hyperactivity disorder (ADHD) and externalizing symptoms are common risk factors associated with suicidality. More data are needed to describe associations of ADHD pharmacotherapy with childhood suicidality.ObjectiveTo investigate the associations of ADHD pharmacotherapy with externalizing symptoms and childhood suicidality.Design, setting, and participantsIn this cohort study, cross-sectional and 1-year-longitudinal associations were examined using data (collected during 2016-2019) from the Adolescent Brain Cognitive Development (ABCD) Study, a large, diverse US sample of children aged 9 to 11 years. Data analysis was performed from November to December 2020.ExposuresMain and interaction associations of externalizing symptoms (hyperactivity ADHD symptoms, oppositional defiant, and conduct disorder symptoms) and ADHD medication treatment (methylphenidate and amphetamine derivatives, α-2-agonists, and atomoxetine) at baseline assessment.Main outcomes and measuresChild-reported suicidality (past and present at baseline; current at longitudinal assessment). Covariates were age, sex, race/ethnicity, parents' education, marital status, and concomitant child psychiatric pharmacotherapy (antidepressants and antipsychotics).ResultsAmong 11 878 children at baseline assessment (mean [SD] age, 9.9 [0.6] years; 6196 boys [52.2%]; 8805 White [74.1%]), 1006 (8.5%) were treated with ADHD medication and 1040 (8.8%) reported past or current suicidality. Externalizing symptoms (median [range], 1 [0-29] symptom count) were associated with suicidality (for a change of 1 SD in symptoms, odds ratio [OR], 1.34; 95% CI, 1.26-1.42; P < .001), as was ADHD medication treatment (OR, 1.32; 95% CI, 1.06-1.64; P = .01). ADHD medication use was associated with less suicidality in children with more externalizing symptoms (significant symptom-by-medication interaction, B = -0.250; SE = 0.086; P = .004), such that for children who were not receiving ADHD medications, there was an association between more externalizing symptoms and suicidality (for a change of 1 SD in symptoms, OR, 1.42; 95% CI, 1.33-1.52; P < .001); however, for children who were receiving ADHD medication, there was no such association (OR, 1.15; 95% CI, 0.97-1.35; P = .10). The association with medication remained even when covarying for multiple confounders, including risk and protective factors for suicidality in ABCD, and was replicated in 1-year longitudinal follow-up. Sensitivity analyses matching participants with high numbers of externalizing symptoms taking and not taking ADHD medication treatment confirmed its association with less suicidality.Conclusions and relevanceThese findings suggest that ADHD medication treatment is associated with less suicidality in children with substantial externalizing symptoms and may be used to inform childhood suicide prevention strategies.

Dataset Information

Interparental hostility and children's externalizing symptoms: Attention to anger as a mediator.

Publications

Interparental hostility and children's externalizing symptoms: Attention to anger as a mediator.

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