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ADHD subtype-specific cognitive correlates and association with self-esteem: a quantitative difference
Cognitive correlates and self-esteem in ADHD subtypes
December 9, 2024
author
Molavi P, Nadermohammadi M, Salvat Ghojehbeiglou H, Vicario CM, Nitsche MA, Salehinejad MA
journal
BMC Psychiatry
Date Published
2020 Oct 12
chart icon Visual
Original
Study Summary
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What They Studied
The study examined cognitive correlates and self-esteem differences among ADHD subtypes.
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What They Found
The study found that cognitive abilities vary among ADHD subtypes, with working memory as the most affected area; also, self-esteem differs depending on subtype.
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What This Means
The findings suggest that understanding cognitive and self-esteem differences in ADHD subtypes can aid in creating targeted and effective treatments. This expands on previous summaries by providing subtype-specific insights, unlike general overviews.
Study Overview
Background & Objectives
Attention-Deficit/Hyperactivity Disorder (ADHD) can manifest predominantly as inattentive (ADHD-I), hyperactive (ADHD-H), or combined (ADHD-C) subtypes. Understanding these subtypes' unique cognitive profiles could guide more effective treatments.

The study aims to delve into how the WISC-IV intelligence test scores differ across these subtypes, also examining their self-esteem. Insights could inform subtype-specific interventions.
Abstract: background
We explored cognitive correlates of ADHD subtypes based on the Wechsler Intelligence Scale for Children (WISC-IV) scores. We also asses...more
Study Summary
Methods
The study involved 139 children with ADHD, mostly boys, who were categorized into three subtypes: hyperactive, inattentive, and combined, based on symptom ratings. They were evaluated using specific diagnostic tools to ensure accurate grouping.

Each child completed the WISC-IV to assess cognitive profiles and a separate inventory to measure self-esteem. Statistical analyses were conducted to investigate how the cognitive scores and self-esteem differed across the groups.
Abstract: methods
One hundred thirty-nine children with ADHD (80.6% boy, 19.4% girl) were categorized into the predominantly 'hyperactive (ADHD-H)', 'ina...more
Study Results
Results
Children with different types of ADHD showed varied thinking abilities. In particular, the 'working memory' aspect, crucial for processing information, was most affected. Those identified with inattentive ADHD had the weakest cognitive abilities, while hyperactive ones showed the strongest.

An interesting find was the link between thinking skills and behavior: better cognitive abilities were associated with fewer attention issues and more hyperactive behavior. Self-esteem also followed these patterns, with those having strong cognitive skills reporting higher self-esteem.
Abstract: results
We found a quantitative differentiation of cognitive abilities among ADHD subtypes with 'working memory' as the most compromised cognit...more
Study Summary
Conclusions
Understanding these subtype-specific symptoms can help in crafting precise diagnoses and more personalized treatment plans for ADHD. Focusing on improving cognitive function, like working memory, might help all subtypes but especially those with inattentive and combined ADHD.

In schools, supportive educational methods paired with additional interventions can enhance outcomes. This approach encourages considering individual cognitive and self-esteem challenges for effective ADHD management.
Abstract: conclusions
ADHD subtype-specific symptoms, cognitive deficits, and self-esteem problems should be considered for precise diagnosis and effective and personalized treatment in ADHD in light of further supporting evidence and assessments. Cognitive interventions ...more
Visual Summary for ADHD subtype-specific cognitive correlates and association with self-esteem: a quantitative difference
Clinical Guidelines
Guidelines suggest that clinicians should use rating scales and interviews for ADHD diagnosis in preschoolers.

Behavioral interventions are the recommended first treatment approach for this age group, followed by methylphenidate if medication is needed.

Stimulant medications require careful monitoring for heart rate and blood pressure variations.
Literature Review
Klassen, Fine
Core Insight:While the main paper focuses on cognitive deficits and self-esteem among ADHD subtypes, the comparison paper emphasizes the broader health-related quality of life issues these children face, including psychosocial aspects and the role of comorbid conditions.
What It Adds:
Broader Health Emphasis: The comparison paper adds insights into psychosocial health impacted by ADHD.
HRQL and Comorbidity: Highlights the effects of comorbid disorders on health-related quality of life.
Literature Review
Wilson, 2024
Core Insight:Both papers explore cognitive profiles associated with ADHD using Wechsler tests, but the main paper delves into subtype differences, while the comparison paper focuses on broader ADHD characteristics in both children and adults.
What It Adds:
Subtype-Specific Findings: The main paper provides insight into ADHD subtypes, highlighting cognitive and self-esteem differences.
Broader Profile Analysis: This paper suggests ADHD lacks a distinctive profile, differing from autism’s spiky profile.
Key Differences:The main paper investigates ADHD subtypes in children, while this paper covers comprehensive cognitive analysis across both ADHD and autism in larger age range.
Literature Review
SeppΓ€, 2023
Core Insight:The comparison paper explores the impact of ADHD and Oppositional Defiant Disorder symptoms on long-term academic outcomes, highlighting how ADHD symptoms alone or combined with ODD can affect educational attainment.
What It Adds:
Longitudinal Impact: Shows long-term effects of ADHD and ODD symptoms on education.
Educational Deficits: Highlights hindrance in education due to combined ADHD and ODD symptoms.
Shared Themes:Both papers indicate the long-term impact of ADHD on various life aspects, particularly academic and cognitive areas.