Longitudinal Evaluation of the Cognitive-Behavioral Model of ADHD in a Sample of College Students With ADHD. J Atten Disord 2018 Feb;22(4):323-333
Date
12/08/2015Pubmed ID
26637840DOI
10.1177/1087054715616184Scopus ID
2-s2.0-85040673241 (requires institutional sign-in at Scopus site) 15 CitationsAbstract
OBJECTIVE: The primary aim of this study was to evaluate longitudinal pathways to impairment as outlined in the cognitive-behavioral model of ADHD in a sample of 59 college students diagnosed with ADHD.
METHOD: Serial mediation models were used to test whether underachievement, defined as prior year GPA, would longitudinally predict self-reported impairment at the end of the next school year, through negative self-concept and associated changes in symptoms of anxiety and depression, while controlling for baseline impairment and changes in ADHD symptoms.
RESULTS: Findings supported the cognitive-behavioral model of ADHD. The association between prior year GPA and overall impairment at the end of the year was fully mediated through self-concept and symptoms of depression.
CONCLUSION: These results help explain why impairment often persists even when ADHD symptoms remit and suggests that internalizing symptoms may be an important target for intervention in college students with ADHD.
Author List
Eddy LD, Dvorsky MR, Molitor SJ, Bourchtein E, Smith Z, Oddo LE, Eadeh HM, Langberg JMAuthor
Stephen Molitor PhD Assistant Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Anxiety
Attention Deficit Disorder with Hyperactivity
Cognition
Depression
Female
Humans
Male
Models, Psychological
Psychiatric Status Rating Scales
Self Concept
Self Report
Students
Underachievement
Young Adult