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ADHD Symptomatology, Executive Function and Cognitive Performance Differences between Family Foster Care and Control Group in ADHD-Diagnosed Children

Authors

PEÑARRUBIA SÁNCHEZ, MARÍA GRACIA, Navarro-Soria, Ignasi , Palacios, Jesus , FENOLLAR CORTÉS, JAVIER

External publication

No

Means

Children-Basel

Scope

Article

Nature

Científica

JCR Quartile

SJR Quartile

JCR Impact

2.835

SJR Impact

0.645

Publication date

01/05/2021

ISI

000653614500001

Scopus Id

2-s2.0-85112679484

Abstract

Children in foster care have a high prevalence of attention deficit and hyperactivity disorder (ADHD) diagnosis, together with other difficulties in inattentive/hyperactive behaviors, executive and cognitive processes. Early exposure to adversity is a risk factor for developing ADHD via neurodevelopmental pathways. The goal of this research is (a) to study the cognitive and executive performance and inattentive/hyperactive behavior of ADHD-diagnosed children living in foster families in Spain, and (b) to analyze the role of placement variables in their performance. The sample was composed of 102 ADHD-diagnosed children aged 6- to 12-years-old, divided into two groups: 59 children living with non-relative foster families and 43 children not involved with protection services. Children's executive function-inhibition, working memory, flexibility, attention, intellectual capacity, verbal comprehension, perceptive reasoning, working memory and processing speed were assessed using objective testing measures. At the same time, parents and teachers reported on children's inattentive, hyperactive and impulsive behaviors. Children in foster care obtained lower scores in the general ability index than the control group after controlling the age at assessment. However, no differences were found in executive processes. Regarding placement factors, children with shorter exposure to adversities in their birth families and more time in foster care showed better executive performance. Professionals should consider the placement history of children in foster care and its influence on their symptomatology and cognitive capacities.

Keywords

attention deficit and hyperactivity disorder (ADHD); executive function; intellectual capacity; foster care; placement variables