Risk-Taking Behaviors in Children with ADHD Compared to Children with Primary Headaches

Abstract

The study examined the engagement in risk-taking behaviors and their onset in children with attention-deficit/hyperactivity disorder (ADHD) compared with children with primary headaches. Whether ADHD is associated with higher engagement in risk-taking behavior compared with other neurodevelopmental disorders (and not only typical development) has yet to be demonstrated. A sample of 189 children, 10 to 18 years old, undergoing neurological surveillance for ADHD (N = 144) or primary headaches (N = 45) participated in the study. The children and their parents reported the children's engagement in various risk-taking behaviors. The ADHD group reported a higher level of general risk-taking behavior relative to the headache group. The differences remained significant even after controlling for demographic and clinical variables. No differences in the age of onset of risk-taking behaviors were found. It is concluded that risk-taking behavior is more common in children with ADHD under active neurological surveillance than in children followed for primary headaches.

Keywords

ADHD - primary headaches - risk-taking behavior

• References

• 1 American Psychiatric Association. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 2013 . Arlington, VA
• 2 Polanczyk GV, Willcutt EG, Salum GA, Kieling C, Rohde LA. ADHD prevalence estimates across three decades: an updated systematic review and meta-regression analysis. Int J Epidemiol 2014; 43 (02) 434-442
• 3 Thomas R, Sanders S, Doust J, Beller E, Glasziou P. Prevalence of attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Pediatrics 2015; 135 (04) e994-e1001
• 4 Nigg JT. Attention-deficit/hyperactivity disorder and adverse health outcomes. Clin Psychol Rev 2013; 33 (02) 215-228
• 5 Spencer TJ, Faraone SV, Tarko L, McDermott K, Biederman J. Attention-deficit/hyperactivity disorder and adverse health outcomes in adults. J Nerv Ment Dis 2014; 202 (10) 725-731
• 6 Boyer TW. The development of risk-taking: a multi-perspective review. Dev Rev 2006; 26 (03) 291-345
• 7 Sun S, Kuja-Halkola R, Faraone SV. et al. Association of psychiatric comorbidity with the risk of premature death among children and adults with attention-deficit/hyperactivity disorder. JAMA Psychiatry 2019; 76 (11) 1141-1149
• 8 Dalsgaard S, Østergaard SD, Leckman JF, Mortensen PB, Pedersen MG. Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: a nationwide cohort study. Lancet 2015; 385 (9983): 2190-2196
• 9 Faraone SV. Attention deficit hyperactivity disorder and premature death. Lancet 2015; 385 (9983): 2132-2133
• 10 Pollak Y, Dekkers TJ, Shoham R, Huizenga HM. Risk-taking behavior in attention deficit/hyperactivity disorder (ADHD): a review of potential underlying mechanisms and of interventions. Curr Psychiatry Rep 2019; 21 (05) 33
• 11 Shoham R, Sonuga-Barke E, Yaniv I, Pollak Y. ADHD is associated with a widespread pattern of risky behavior across activity domains. J Atten Disord 2021; 25 (07) 989-1000
• 12 Lee SS, Humphreys KL, Flory K, Liu R, Glass K. Prospective association of childhood attention-deficit/hyperactivity disorder (ADHD) and substance use and abuse/dependence: a meta-analytic review. Clin Psychol Rev 2011; 31 (03) 328-341
• 13 Dekkers TJ, Agelink van Rentergem JA, Huizenga HM. et al. Decision-making deficits in ADHD are not related to risk seeking but to suboptimal decision-making: meta-analytical and novel experimental evidence. J Atten Disord 2021; 25 (04) 486-501
• 14 Sonuga-Barke EJ, Cortese S, Fairchild G, Stringaris A. Annual Research Review: Transdiagnostic neuroscience of child and adolescent mental disorders–differentiating decision making in attention-deficit/hyperactivity disorder, conduct disorder, depression, and anxiety. J Child Psychol Psychiatry 2016; 57 (03) 321-349
• 15 Kelly M, Strelzik J, Langdon R, DiSabella M. Pediatric headache: overview. Curr Opin Pediatr 2018; 30 (06) 748-754
• 16 Anttila V, Bulik-Sullivan B, Finucane HK. et al; Brainstorm Consortium. Analysis of shared heritability in common disorders of the brain. Science 2018; 360 (6395): eaap8757
• 17 Bruijn J, Locher H, Passchier J, Dijkstra N, Arts WF. Psychopathology in children and adolescents with migraine in clinical studies: a systematic review. Pediatrics 2010; 126 (02) 323-332
• 18 Salem H, Vivas D, Cao F, Kazimi IF, Teixeira AL, Zeni CP. ADHD is associated with migraine: a systematic review and meta-analysis. Eur Child Adolesc Psychiatry 2018; 27 (03) 267-277
• 19 Murray AL, Hafetz Mirman J, Carter L, Eisner M. Individual and developmental differences in delinquency: can they be explained by adolescent risk-taking models?. Dev Rev 2021; 62: 100985
• 20 Olesen J. The international classification of headache disorders, 2nd edn (ICDH-II). J Neurol Neurosurg Psychiat 2004; 75 (06) 808-811
• 21 Pelham Jr WE, Gnagy EM, Greenslade KE, Milich R. Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. J Am Acad Child Adolesc Psychiatry 1992; 31 (02) 210-218
• 22 Kroyzer N, Gross-Tsur V, Pollak Y. Risk taking in adolescents with attention deficit hyperactivity disorder on a probabilistic choice task. J Nerv Ment Dis 2014; 202 (03) 247-252
• 23 Linder N, Kroyzer N, Maeir A, Wertman-Elad R, Pollak Y. Do ADHD and executive dysfunctions, measured by the Hebrew version of Behavioral Rating Inventory of Executive Functions (BRIEF), completely overlap?. Child Neuropsychol 2010; 16 (05) 494-502
• 24 Pollak Y, Oz A, Neventsal O, Rabi O, Kitrossky L, Maeir A. Do adolescents with attention-deficit/hyperactivity disorder show risk seeking? Disentangling probabilistic decision making by equalizing the favorability of alternatives. J Abnorm Psychol 2016; 125 (03) 387-398
• 25 Levy-Zaks A, Pollak Y, Ben-Pazi H. Cerebral palsy risk factors and their impact on psychopathology. Neurol Res 2014; 36 (01) 92-94
• 26 Pat-Horenczyk R, Peled O, Miron T, Brom D, Villa Y, Chemtob CM. Risk-taking behaviors among Israeli adolescents exposed to recurrent terrorism: provoking danger under continuous threat?. Am J Psychiatry 2007; 164 (01) 66-72
• 27 Goueta N, Gershy N, van Hoorn J, Pollak Y. The relations between parental knowledge, ADHD symptoms and risky adolescent behavior at two time points. Israel J Psychiatr 2021; 58 (02) 62-70
• 28 Coghill D, Sonuga-Barke EJ. Annual research review: categories versus dimensions in the classification and conceptualisation of child and adolescent mental disorders—implications of recent empirical study. J Child Psychol Psychiatry 2012; 53 (05) 469-489
• 29 Dunne EM, Hearn LE, Rose JJ, Latimer WW. ADHD as a risk factor for early onset and heightened adult problem severity of illicit substance use: an accelerated gateway model. Addict Behav 2014; 39 (12) 1755-1758
• 30 Isaksson J, Stickley A, Koposov R, Ruchkin V. The danger of being inattentive - ADHD symptoms and risky sexual behaviour in Russian adolescents. Eur Psychiatry 2018; 47: 42-48
• 31 Chorniy A, Kitashima L. Sex, drugs, and ADHD: the effects of ADHD pharmacological treatment on teens' risky behaviors. Labour Econ 2016; 2016 (43) 87-105
• 32 Scholten H, Scheres A, de Water E, Graf U, Granic I, Luijten M. Behavioral trainings and manipulations to reduce delay discounting: a systematic review. Psychon Bull Rev 2019; 26 (06) 1803-1849
• 33 Dekkers TJ, de Water E, Scheres A. Impulsive and risky decision-making in adolescents with attention-deficit/hyperactivity disorder (ADHD): the need for a developmental perspective. Curr Opin Psychol 2022; 44: 330-336
• 34 Hoorn J, Water E, Dekkers TJ. et al. Peer feedback decreases impulsive choice in adolescents with and without attention-deficit/hyperactivity disorder. JCPP Adv 2022;
• 35 Dekkers TJ, Popma A, Sonuga-Barke EJS. et al. Risk taking by adolescents with attention-deficit/hyperactivity disorder (ADHD): a behavioral and psychophysiological investigation of peer influence. J Abnorm Child Psychol 2020; 48 (09) 1129-1141