TY - JOUR
T1 - Functional somatic symptoms in preschool attention-deficit/hyperactivity disorder
T2 - a secondary analysis of data from a randomized controlled trial of parent training
AU - Larsen, Liva Bundgaard
AU - Daley, David
AU - Lange, Anne Mette
AU - Sonuga-Barke, Edmund
AU - Thomsen, Per Hove
AU - Jensen, Jens Søndergaard
AU - Rask, Charlotte Ulrikka
N1 - Funding Information:
Liva Bundgaard Larsen reports no financial interests or potential conflicts of interest. Anne-Mette Lange has in the last 5 years provided educational talks for Medice. She receives teaching fees from the Central Danish Health Region from a New Forest Parent Training Course for professionals. Professor Sonuga-Barke has received speaker fees and conference support from Shire Pharma and consultancy from Neurotech solutions, Copenhagen University, and Behandlings Skolerne, KU Leuven. He receives book royalties from OUP and Jessica Kingsley. Financial support is received from Aarhus University and Ghent University for a visiting Professorship. He is Editor-in-Chief of the Journal of Child Psychology and Psychiatry for which he receives an honorarium, and his university receives financial compensation. Professor Daley has in the last 5 years provided educational talks for Eli Lilly, Medice, and Shire/Takeda. Attended advisory boards for Eli Lilly and Shire/Takeda. Received support for educational travel from Eli Lilly, Shire/Takeda, and Medice. He has also received royalties from the sale of a self-help version of the New Forest Parenting Programme and research funding from NIHR, ESRC, and Shire/Takeda. Professor Per Hove Thomsen has received speaker's fee from Medice and Shire. Professor Charlotte Ulrikka Rask is member of the advisory research committee for TrygFonden for which she receives an honorarium. She receives books royalties from the Danish publisher FADL.
Funding Information:
The Lundbeck foundation funded salary and conference expenses for the first author in relation to her performance of the study, but had no further involvement in the process of writing the article. The original study, the D’SNAPP study, was supported by research grants from Tryg Fonden and Helse-fonden, Denmark, and was supported by the Central and Capital Regions of Denmark.
Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
PY - 2022
Y1 - 2022
N2 - Children with attention-deficit/hyperactivity disorder (ADHD) can be more stress-vulnerable, and thereby, it has been suggested, prone to develop functional somatic symptoms (FSS) compared to their peers. In this paper, using data from 160 children aged 3–7 years with ADHD from the D’SNAPP study, a randomized controlled trial testing a parent training intervention, we addressed a number of questions about the role of FSS in ADHD. First, are FSS levels higher in an ADHD sample than in the children of the general population. Second, do FSS levels predict psychopathology and health-related quality of life (HRQoL) in ADHD samples. Third, does FSS levels moderate the effect of parent training on ADHD symptoms. We found that preschoolers with ADHD experienced more severe FSS than a general population-based sample (18.80% vs. 2.11%). Severe FSS were associated with increased psychopathology and impaired daily function and lower HRQoL. Level of baseline FSS did not moderate the effect of parent training on ADHD. FSS in preschool children with ADHD is associated with impaired daily functioning, but further research is warranted to determine the clinical impact of FSS in children with ADHD.
AB - Children with attention-deficit/hyperactivity disorder (ADHD) can be more stress-vulnerable, and thereby, it has been suggested, prone to develop functional somatic symptoms (FSS) compared to their peers. In this paper, using data from 160 children aged 3–7 years with ADHD from the D’SNAPP study, a randomized controlled trial testing a parent training intervention, we addressed a number of questions about the role of FSS in ADHD. First, are FSS levels higher in an ADHD sample than in the children of the general population. Second, do FSS levels predict psychopathology and health-related quality of life (HRQoL) in ADHD samples. Third, does FSS levels moderate the effect of parent training on ADHD symptoms. We found that preschoolers with ADHD experienced more severe FSS than a general population-based sample (18.80% vs. 2.11%). Severe FSS were associated with increased psychopathology and impaired daily function and lower HRQoL. Level of baseline FSS did not moderate the effect of parent training on ADHD. FSS in preschool children with ADHD is associated with impaired daily functioning, but further research is warranted to determine the clinical impact of FSS in children with ADHD.
KW - ADHD
KW - Functional somatic symptoms
KW - Health-related quality of life
KW - Parent training
KW - Preschool
UR - http://www.scopus.com/inward/record.url?scp=85132734485&partnerID=8YFLogxK
U2 - 10.1007/s00787-022-02025-3
DO - 10.1007/s00787-022-02025-3
M3 - Article
AN - SCOPUS:85132734485
SN - 1018-8827
JO - European child & adolescent psychiatry
JF - European child & adolescent psychiatry
ER -