Testing the Stability and Validity of an Executive Dysfunction Classification Using Task-Based Assessment in Children and Adolescents
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | MANFRO, Arthur Gus | |
dc.contributor.author | PINE, Daniel S. | |
dc.contributor.author | POLANCZYK, Guilherme Vanoni | |
dc.contributor.author | SANTORO, Marcos | |
dc.contributor.author | SMOLLER, Jordan Wassertheil | |
dc.contributor.author | KOENEN, Karestan | |
dc.contributor.author | MARI, Jair | |
dc.contributor.author | PAN, Pedro Mario | |
dc.contributor.author | ZUGMAN, Andre | |
dc.contributor.author | SCHAFER, Julia Luiza | |
dc.contributor.author | BELANGERO, Sintia | |
dc.contributor.author | GOSMANN, Natan Pereira | |
dc.contributor.author | SIMIONI, Andre Rafael | |
dc.contributor.author | HOEXTER, Marcelo Queiroz | |
dc.contributor.author | MIGUEL, Euripedes Constantino | |
dc.contributor.author | GADELHA, Ary | |
dc.contributor.author | ROHDE, Luis Augusto | |
dc.contributor.author | SALUM, Giovanni Abrahao | |
dc.date.accessioned | 2022-02-24T17:18:51Z | |
dc.date.available | 2022-02-24T17:18:51Z | |
dc.date.issued | 2021 | |
dc.description.abstract | Objective: 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.index | MEDLINE | eng |
dc.description.sponsorship | Conselho 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.sponsorship | Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior, Brazil (CAPES)Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) | |
dc.description.sponsorship | Fundacao 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.sponsorship | Fundacao 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.sponsorship | National 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.citation | JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, v.60, n.12, p.1501-1512, 2021 | |
dc.identifier.doi | 10.1016/j.jaac.2020.11.016 | |
dc.identifier.eissn | 1527-5418 | |
dc.identifier.issn | 0890-8567 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/44554 | |
dc.language.iso | eng | |
dc.publisher | ELSEVIER SCIENCE INC | eng |
dc.relation.ispartof | Journal of the American Academy of Child and Adolescent Psychiatry | |
dc.rights | restrictedAccess | eng |
dc.rights.holder | Copyright ELSEVIER SCIENCE INC | eng |
dc.subject | executive function | eng |
dc.subject | genetics | eng |
dc.subject | neuroimage | eng |
dc.subject | neuropsychology | eng |
dc.subject | research domain criteria | eng |
dc.subject.other | attention-deficit/hyperactivity disorder | eng |
dc.subject.other | psychiatric-disorders | eng |
dc.subject.other | working-memory | eng |
dc.subject.other | function deficits | eng |
dc.subject.other | identification | eng |
dc.subject.other | heterogeneity | eng |
dc.subject.other | neuropsychology | eng |
dc.subject.other | interventions | eng |
dc.subject.other | subtypes | eng |
dc.subject.other | impact | eng |
dc.subject.wos | Psychology, Developmental | eng |
dc.subject.wos | Pediatrics | eng |
dc.subject.wos | Psychiatry | eng |
dc.title | Testing the Stability and Validity of an Executive Dysfunction Classification Using Task-Based Assessment in Children and Adolescents | eng |
dc.type | article | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
dspace.entity.type | Publication | |
hcfmusp.affiliation.country | Estados Unidos | |
hcfmusp.affiliation.countryiso | us | |
hcfmusp.author.external | MANFRO, 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.external | PINE, Daniel S.:US Natl Inst Mental Hlth, Natl Inst Mental Hlth Intramural Res Program, Bethesda, MD USA | |
hcfmusp.author.external | SANTORO, Marcos:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Univ Fedorade Sao Pau, Sao Paulo, Brazil | |
hcfmusp.author.external | SMOLLER, Jordan Wassertheil:Massachusetts Gen Hosp, Boston, MA 02114 USA | |
hcfmusp.author.external | KOENEN, Karestan:Harvard TH Chan Sch Publ Hlth, Boston, MA USA | |
hcfmusp.author.external | MARI, Jair:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Univ Fedorade Sao Pau, Sao Paulo, Brazil | |
hcfmusp.author.external | PAN, Pedro Mario:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Univ Fedorade Sao Pau, Sao Paulo, Brazil | |
hcfmusp.author.external | SCHAFER, 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.external | BELANGERO, Sintia:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Univ Fedorade Sao Pau, Sao Paulo, Brazil | |
hcfmusp.author.external | GOSMANN, 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.external | SIMIONI, 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.external | GADELHA, Ary:Natl Inst Dev Psychiat INPD, CNPq, Porto Alegre, RS, Brazil; Univ Fedorade Sao Pau, Sao Paulo, Brazil | |
hcfmusp.author.external | ROHDE, 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.external | SALUM, 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.scopus | 3 | |
hcfmusp.contributor.author-fmusphc | GUILHERME VANONI POLANCZYK | |
hcfmusp.contributor.author-fmusphc | ANDRE ZUGMAN | |
hcfmusp.contributor.author-fmusphc | MARCELO QUEIROZ HOEXTER | |
hcfmusp.contributor.author-fmusphc | EURIPEDES CONSTANTINO MIGUEL FILHO | |
hcfmusp.description.beginpage | 1501 | |
hcfmusp.description.endpage | 1512 | |
hcfmusp.description.issue | 12 | |
hcfmusp.description.volume | 60 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 33346031 | |
hcfmusp.origem.scopus | 2-s2.0-85103405042 | |
hcfmusp.origem.wos | WOS:000720999300013 | |
hcfmusp.publisher.city | NEW YORK | eng |
hcfmusp.publisher.country | USA | eng |
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