Testing the Stability and Validity of an Executive Dysfunction Classification Using Task-Based Assessment in Children and Adolescents

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMANFRO, Arthur Gus
dc.contributor.authorPINE, Daniel S.
dc.contributor.authorPOLANCZYK, Guilherme Vanoni
dc.contributor.authorSANTORO, Marcos
dc.contributor.authorSMOLLER, Jordan Wassertheil
dc.contributor.authorKOENEN, Karestan
dc.contributor.authorMARI, Jair
dc.contributor.authorPAN, Pedro Mario
dc.contributor.authorZUGMAN, Andre
dc.contributor.authorSCHAFER, Julia Luiza
dc.contributor.authorBELANGERO, Sintia
dc.contributor.authorGOSMANN, Natan Pereira
dc.contributor.authorSIMIONI, Andre Rafael
dc.contributor.authorHOEXTER, Marcelo Queiroz
dc.contributor.authorMIGUEL, Euripedes Constantino
dc.contributor.authorGADELHA, Ary
dc.contributor.authorROHDE, Luis Augusto
dc.contributor.authorSALUM, Giovanni Abrahao
dc.date.accessioned2022-02-24T17:18:51Z
dc.date.available2022-02-24T17:18:51Z
dc.date.issued2021
dc.description.abstractObjective: It is unclear if pediatric executive dysfunction assessed only with cognitive tasks predicts clinically relevant outcomes independently of psychiatric diagnoses. This study tested the stability and validity of a task-based classification of executive function. Method: A total of 2,207 individuals (6-17 years old) from the Brazilian High-Risk Cohort Study participated in this study (1,930 at baseline, 1,532 at follow-up). Executive function was measured using tests of working memory and inhibitory control. Dichotomized age-and sex-standardized performances were used as input in latent class analysis and receiver operating curves to create an executive dysfunction classification (EDC). The study tested EDC's stability over time, association with symptoms, functional impairment, a polymorphism in the CADM2 gene, polygenic risk scores (PRS), and brain structure. Analyses covaried for age, sex, social class, IQ, and psychiatric diagnoses. Results: EDC at baseline predicted itself at follow-up (odds ratio [OR] = 5.11; 95% CI 3.41-7.64). Participants in the EDC reported symptoms spanning several domains of psychopathology and exhibited impairment in multiple settings, including more adverse school events (OR = 2.530; 95% CI 1.838-3.483). Children in the EDC presented higher attention-deficit/hyperactivity disorder and lower educational attainment PRS at baseline; higher schizophrenia PRS at follow-up; and lower chances of presenting a polymorphism in a gene previously linked to high performance in executive function (CADM2 gene). They also exhibited smaller intracranial volumes and smaller bilateral cortical surface areas in several brain regions. Conclusion: Task-based executive dysfunction is associated with several validators, independently of psychiatric diagnoses and intelligence. Further refinement of task-based assessments might generate clinically useful tools.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico, Brazil (CNPq, Brazil)Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPQ)Fundacao de Apoio a Pesquisa do Distrito Federal (FAPDF) [573974/2008-0]
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior, Brazil (CAPES)Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo, Brazil (FAPESP, Brazil)Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2008/57896-8]
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado do Rio Grande do Sul, BrazilFundacao de Amparo a Ciencia e Tecnologia do Estado do Rio Grande do Sul (FAPERGS)
dc.description.sponsorshipNational Institute of Mental Health Intramural Research ProgramUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Mental Health (NIMH) [MH-002781]
dc.identifier.citationJOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, v.60, n.12, p.1501-1512, 2021
dc.identifier.doi10.1016/j.jaac.2020.11.016
dc.identifier.eissn1527-5418
dc.identifier.issn0890-8567
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/44554
dc.language.isoeng
dc.publisherELSEVIER SCIENCE INCeng
dc.relation.ispartofJournal of the American Academy of Child and Adolescent Psychiatry
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright ELSEVIER SCIENCE INCeng
dc.subjectexecutive functioneng
dc.subjectgeneticseng
dc.subjectneuroimageeng
dc.subjectneuropsychologyeng
dc.subjectresearch domain criteriaeng
dc.subject.otherattention-deficit/hyperactivity disordereng
dc.subject.otherpsychiatric-disorderseng
dc.subject.otherworking-memoryeng
dc.subject.otherfunction deficitseng
dc.subject.otheridentificationeng
dc.subject.otherheterogeneityeng
dc.subject.otherneuropsychologyeng
dc.subject.otherinterventionseng
dc.subject.othersubtypeseng
dc.subject.otherimpacteng
dc.subject.wosPsychology, Developmentaleng
dc.subject.wosPediatricseng
dc.subject.wosPsychiatryeng
dc.titleTesting the Stability and Validity of an Executive Dysfunction Classification Using Task-Based Assessment in Children and Adolescentseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalMANFRO, Arthur Gus:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Hosp Clin Porto Alegre, Sect Negat Affects & Social Proc, Porto Alegre, RS, Brazil
hcfmusp.author.externalPINE, Daniel S.:US Natl Inst Mental Hlth, Natl Inst Mental Hlth Intramural Res Program, Bethesda, MD USA
hcfmusp.author.externalSANTORO, Marcos:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Univ Fedorade Sao Pau, Sao Paulo, Brazil
hcfmusp.author.externalSMOLLER, Jordan Wassertheil:Massachusetts Gen Hosp, Boston, MA 02114 USA
hcfmusp.author.externalKOENEN, Karestan:Harvard TH Chan Sch Publ Hlth, Boston, MA USA
hcfmusp.author.externalMARI, Jair:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Univ Fedorade Sao Pau, Sao Paulo, Brazil
hcfmusp.author.externalPAN, Pedro Mario:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Univ Fedorade Sao Pau, Sao Paulo, Brazil
hcfmusp.author.externalSCHAFER, Julia Luiza:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Hosp Clin Porto Alegre, Sect Negat Affects & Social Proc, Porto Alegre, RS, Brazil
hcfmusp.author.externalBELANGERO, Sintia:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Univ Fedorade Sao Pau, Sao Paulo, Brazil
hcfmusp.author.externalGOSMANN, Natan Pereira:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Hosp Clin Porto Alegre, Sect Negat Affects & Social Proc, Porto Alegre, RS, Brazil
hcfmusp.author.externalSIMIONI, Andre Rafael:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Hosp Clin Porto Alegre, Sect Negat Affects & Social Proc, Porto Alegre, RS, Brazil
hcfmusp.author.externalGADELHA, Ary:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Univ Fedorade Sao Pau, Sao Paulo, Brazil
hcfmusp.author.externalROHDE, Luis Augusto:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Hosp Clin Porto Alegre, Sect Negat Affects & Social Proc, Porto Alegre, RS, Brazil
hcfmusp.author.externalSALUM, Giovanni Abrahao:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Hosp Clin Porto Alegre, Sect Negat Affects & Social Proc, Porto Alegre, RS, Brazil
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcGUILHERME VANONI POLANCZYK
hcfmusp.contributor.author-fmusphcANDRE ZUGMAN
hcfmusp.contributor.author-fmusphcMARCELO QUEIROZ HOEXTER
hcfmusp.contributor.author-fmusphcEURIPEDES CONSTANTINO MIGUEL FILHO
hcfmusp.description.beginpage1501
hcfmusp.description.endpage1512
hcfmusp.description.issue12
hcfmusp.description.volume60
hcfmusp.origemWOS
hcfmusp.origem.pubmed33346031
hcfmusp.origem.scopus2-s2.0-85103405042
hcfmusp.origem.wosWOS:000720999300013
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUSAeng
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