A novel framework to predict ADHD symptoms using irritability in adolescents and young adults with and without ADHD

BackgroundAttention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder in children and adolescents characterized by persistent patterns of hyperactivity, impulsivity, and inattentiveness. ADHD persists for many into adulthood. While irritability is not a diagnostic symptom...

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Main Authors: Saeedeh Komijani, Dipak Ghosal, Manpreet K. Singh, Julie B. Schweitzer, Prerona Mukherjee
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1467486/full
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author Saeedeh Komijani
Dipak Ghosal
Manpreet K. Singh
Julie B. Schweitzer
Julie B. Schweitzer
Prerona Mukherjee
Prerona Mukherjee
author_facet Saeedeh Komijani
Dipak Ghosal
Manpreet K. Singh
Julie B. Schweitzer
Julie B. Schweitzer
Prerona Mukherjee
Prerona Mukherjee
author_sort Saeedeh Komijani
collection DOAJ
description BackgroundAttention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder in children and adolescents characterized by persistent patterns of hyperactivity, impulsivity, and inattentiveness. ADHD persists for many into adulthood. While irritability is not a diagnostic symptom of ADHD, temper outbursts and irritable moods are common in individuals with ADHD. However, research on the association between irritability and ADHD symptoms in adolescents and young adults remains limited.MethodPrior research has used linear regression models to examine longitudinal relations between ADHD and irritability symptoms. This method may be impacted by the potential presence of highly colinear variables. We utilized a hierarchical clustering technique to mitigate these collinearity issues and implemented a non-parametric machine learning (ML) model to predict the significance of symptom relations over time. Our data included adolescents (N=148, 54% ADHD) and young adults (N=124, 42% ADHD) diagnosed with ADHD and neurotypical (NT) individuals, evaluated in a longitudinal study.ResultsResults from the linear regression analysis indicate a significant association between irritability at time-point 1 (T1) and hyperactive-impulsive symptoms at time-point 2 (T2) in adolescent females (β=0.26, p-value < 0.001), and inattentiveness at T1 with irritability at T2 in young adult females (β=0.49, p-value < 0.05). Using a non-parametric-based approach, employing the Random Forest (RF) method, we found that among both adolescents and young adults, irritability in adolescent females significantly contributes to predicting impulsive symptoms in subsequent years, achieving a performance rate of 86%.ConclusionOur results corroborate and extend prior findings, allowing for an in-depth examination of longitudinal relations between irritability and ADHD symptoms, namely hyperactivity, impulsivity, and inattentiveness, and the unique association between irritability and ADHD symptoms in females.
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spelling doaj-art-d8e5d1fba68f442b9ff8ca45434db2082025-02-12T07:26:28ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011510.3389/fpsyt.2024.14674861467486A novel framework to predict ADHD symptoms using irritability in adolescents and young adults with and without ADHDSaeedeh Komijani0Dipak Ghosal1Manpreet K. Singh2Julie B. Schweitzer3Julie B. Schweitzer4Prerona Mukherjee5Prerona Mukherjee6Department of Computer Science, University of California, Davis, Davis, CA, United StatesDepartment of Computer Science, University of California, Davis, Davis, CA, United StatesDepartment of Psychiatry and Behavioral Sciences, University of California, Davis, Davis, CA, United StatesDepartment of Psychiatry and Behavioral Sciences, University of California, Davis, Davis, CA, United StatesMIND Institute, University of California, Davis, Davis, CA, United StatesDepartment of Psychiatry and Behavioral Sciences, University of California, Davis, Davis, CA, United StatesMIND Institute, University of California, Davis, Davis, CA, United StatesBackgroundAttention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder in children and adolescents characterized by persistent patterns of hyperactivity, impulsivity, and inattentiveness. ADHD persists for many into adulthood. While irritability is not a diagnostic symptom of ADHD, temper outbursts and irritable moods are common in individuals with ADHD. However, research on the association between irritability and ADHD symptoms in adolescents and young adults remains limited.MethodPrior research has used linear regression models to examine longitudinal relations between ADHD and irritability symptoms. This method may be impacted by the potential presence of highly colinear variables. We utilized a hierarchical clustering technique to mitigate these collinearity issues and implemented a non-parametric machine learning (ML) model to predict the significance of symptom relations over time. Our data included adolescents (N=148, 54% ADHD) and young adults (N=124, 42% ADHD) diagnosed with ADHD and neurotypical (NT) individuals, evaluated in a longitudinal study.ResultsResults from the linear regression analysis indicate a significant association between irritability at time-point 1 (T1) and hyperactive-impulsive symptoms at time-point 2 (T2) in adolescent females (β=0.26, p-value < 0.001), and inattentiveness at T1 with irritability at T2 in young adult females (β=0.49, p-value < 0.05). Using a non-parametric-based approach, employing the Random Forest (RF) method, we found that among both adolescents and young adults, irritability in adolescent females significantly contributes to predicting impulsive symptoms in subsequent years, achieving a performance rate of 86%.ConclusionOur results corroborate and extend prior findings, allowing for an in-depth examination of longitudinal relations between irritability and ADHD symptoms, namely hyperactivity, impulsivity, and inattentiveness, and the unique association between irritability and ADHD symptoms in females.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1467486/fullADHDirritabilityadolescentsyoung adultssymptom predictionhierarchical clustering
spellingShingle Saeedeh Komijani
Dipak Ghosal
Manpreet K. Singh
Julie B. Schweitzer
Julie B. Schweitzer
Prerona Mukherjee
Prerona Mukherjee
A novel framework to predict ADHD symptoms using irritability in adolescents and young adults with and without ADHD
Frontiers in Psychiatry
ADHD
irritability
adolescents
young adults
symptom prediction
hierarchical clustering
title A novel framework to predict ADHD symptoms using irritability in adolescents and young adults with and without ADHD
title_full A novel framework to predict ADHD symptoms using irritability in adolescents and young adults with and without ADHD
title_fullStr A novel framework to predict ADHD symptoms using irritability in adolescents and young adults with and without ADHD
title_full_unstemmed A novel framework to predict ADHD symptoms using irritability in adolescents and young adults with and without ADHD
title_short A novel framework to predict ADHD symptoms using irritability in adolescents and young adults with and without ADHD
title_sort novel framework to predict adhd symptoms using irritability in adolescents and young adults with and without adhd
topic ADHD
irritability
adolescents
young adults
symptom prediction
hierarchical clustering
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1467486/full
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