Attention deficit disorder (ADD) remains one of the major clinical and public health problems in the U.S. in terms of morbidity and disability of children, adolescents and adults. Its impact on society is enormous in terms of financial cost, the stress to families, the impact on schools, the potentially damaging effects on self-esteem, and its potential for development of criminality and substance abuse. This proposal is aimed at evaluating familial and psychosocial risk factors of Attention Deficit Disorder (ADD). This application consists of two phases: 1. a """"""""blind"""""""" initial assessment (case- control family study) and 2. a prospective longitudinal follow up study of these children and their siblings by subsequent annual follow-up evaluations of all children concentrating on psychopathology and psychosocial functioning. All probands and their first-degree relatives will be studied with an extensive battery of structured clinical interviews. All subjects will receive criterion-based lifetime and current diagnosis and will be assessed in multiple domains of functioning. We chose a family study approach as the main thrust of our research effort because of the highly developed sophistication of this methodology. It is expected that research data based on family studies can provide important information regarding the psychobiology of ADD. The sample for the proposed research includes a range of combinations of families. A total of 360 children and their families, chosen equally from a psychiatric (MGH) and non- psychiatric (HMO) settings, and within each setting, 60 each of ADD diagnosed children, 60 non-ADD children with some other psychiatric diagnosis, and 60 children with no-psychiatric diagnosis. The 180 children in the three HMO samples will be used to replicate results from the three MGH samples. The pilot studies have been completed and the data have been analyzed. The preliminary studies and significance sections describe the results in detail and explain how they support the proposed application.
The aims of this proposal are to: 1. study the familial and psychosocial risk factors of ADD; 2. identify and test the validity of subgroups of ADD children based on the presence or absence of co-morbidity (i.e. conduct disorder, oppositional disorder, major affective disorder, anxiety disorder); 3. identify the clinical and familial predictors of course and outcome of these subgroups with co-morbidity; 4. evaluate the stability of the child's and parent's report of psychopathology after two years.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH041314-03
Application #
3379909
Study Section
Special Emphasis Panel (SRCM (09))
Project Start
1988-04-01
Project End
1991-03-31
Budget Start
1990-04-01
Budget End
1991-03-31
Support Year
3
Fiscal Year
1990
Total Cost
Indirect Cost
Name
Massachusetts General Hospital
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02199
Biederman, Joseph; Petty, Carter R; Hammerness, Paul et al. (2012) Cigarette smoking as a risk factor for other substance misuse: 10-year study of individuals with and without attention-deficit hyperactivity disorder. Br J Psychiatry 201:207-14
Antshel, Kevin M; Faraone, Stephen V; Maglione, Katharine et al. (2008) Temporal stability of ADHD in the high-IQ population: results from the MGH Longitudinal Family Studies of ADHD. J Am Acad Child Adolesc Psychiatry 47:817-25
Biederman, J; Petty, C R; Dolan, C et al. (2008) The long-term longitudinal course of oppositional defiant disorder and conduct disorder in ADHD boys: findings from a controlled 10-year prospective longitudinal follow-up study. Psychol Med 38:1027-36
Biederman, Joseph; Monuteaux, Michael C; Mick, Eric et al. (2006) Is cigarette smoking a gateway to alcohol and illicit drug use disorders? A study of youths with and without attention deficit hyperactivity disorder. Biol Psychiatry 59:258-64
Seidman, Larry J (2006) Neuropsychological functioning in people with ADHD across the lifespan. Clin Psychol Rev 26:466-85
Seidman, Larry J; Biederman, Joseph; Valera, Eve M et al. (2006) Neuropsychological functioning in girls with attention-deficit/hyperactivity disorder with and without learning disabilities. Neuropsychology 20:166-77
Doyle, Alysa E; Biederman, Joseph; Seidman, Larry J et al. (2005) Neuropsychological functioning in relatives of girls with and without ADHD. Psychol Med 35:1121-32
Biederman, J; Monuteaux, M C; Kendrick, E et al. (2005) The CBCL as a screen for psychiatric comorbidity in paediatric patients with ADHD. Arch Dis Child 90:1010-5
Monuteaux, Michael C; Faraone, Stephen V; Herzig, Kathleen et al. (2005) ADHD and dyscalculia: Evidence for independent familial transmission. J Learn Disabil 38:86-93
Seidman, Larry J; Biederman, Joseph; Monuteaux, Michael C et al. (2005) Impact of gender and age on executive functioning: do girls and boys with and without attention deficit hyperactivity disorder differ neuropsychologically in preteen and teenage years? Dev Neuropsychol 27:79-105

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