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Trajectories of Hyperactivity and Inattention Symptom Scores in Boys of Low Socioeconomic Status: An Assessment of Risk Factors and Cigarette Smoking Behaviors in Late Adolescence and Young Adulthood

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서명/저자사항Trajectories of Hyperactivity and Inattention Symptom Scores in Boys of Low Socioeconomic Status: An Assessment of Risk Factors and Cigarette Smoking Behaviors in Late Adolescence and Young Adulthood.
개인저자Cheng, Wendy Yin Kei.
단체저자명Columbia University. Epidemiology.
발행사항[S.l.]: Columbia University., 2019.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2019.
형태사항268 p.
기본자료 저록Dissertations Abstracts International 81-03B.
Dissertation Abstract International
ISBN9781085708623
학위논문주기Thesis (Ph.D.)--Columbia University, 2019.
일반주기 Source: Dissertations Abstracts International, Volume: 81-03, Section: B.
Advisor: Jacobson, Judith S.
이용제한사항This item must not be sold to any third party vendors.
요약Attention-deficit hyperactivity disorder (ADHD), once considered a childhood-limited neuropsychiatric condition, is now recognized as often persisting into adolescence and beyond. Recent studies of ADHD and its symptom domains--hyperactivity and inattention--indicate that symptoms can wax and wane over time and follow discrete trajectories characterized by different symptom levels and shapes. However, little is known about symptom trajectories in high-risk groups, such as boys from low socioeconomic backgrounds. Childhood ADHD is associated with cigarette smoking in adolescence, but whether the risk is specific to hyperactivity or inattention or their respective symptom trajectories is not clear. The aims of my dissertation research were to identify trajectories of hyperactivity and inattention symptom scores in a sample of boys from low socioeconomic backgrounds and to assess the associations of those trajectories with cigarette smoking outcomes in late adolescence and young adulthood.In pursuit of those aims, I first conducted a narrative literature review to assess current evidence regarding the persistence of childhood ADHD, hyperactivity and inattention into adolescence, and the associations of persistent ADHD and its symptom domains with the risks of cigarette smoking and nicotine abuse and dependence in adolescence and early adulthood. Data on boys of low socioeconomic status, where available, were summarized. Evidence suggests that nearly 50% of individuals with childhood ADHD or its symptom domains continue to have symptoms in adulthood. Hyperactivity symptom trajectories are likely to decline over time, whereas inattention symptom trajectories are more stable. The sparse literature on the association between ADHD, hyperactivity, and inattention symptom persistence and high symptom score trajectories and smoking outcomes suggests that high inattention symptom score trajectories are associated with earlier onset and higher risk of nicotine abuse or dependence in early adulthood than lower trajectories. Evidence on hyperactivity symptom score trajectories and similar smoking outcomes is inconclusive. Literature on symptom trajectories in low socioeconomic boys is sorely lacking
일반주제명Epidemiology.
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