Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2016-0018
Trends in Psychiatry and Psychotherapy
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Phonemic verbal fluency and severity of anxiety disorders in young children

Fluência verbal fonêmica e gravidade dos transtornos de ansiedade em crianças pequenas

Rudineia Toazza; Giovanni Abrahão Salum; Rafaela Behs Jarros; Diogo DeSousa; Jerusa Fumagalli de Salles; Gisele Gus Manfro

http://dx.doi.org/10.1590/2237-6089-2016-0018 Trends Psychiatry Psychother, vol.38, n2, p.100-104, 2016
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Abstract

Abstract Introduction: Previous studies have implicated impaired verbal fluency as being associated with anxiety disorders in adolescents. Objectives: To replicate and extend previously reported evidence by investigating whether performance in phonemic verbal fluency tasks is related to severity of anxiety symptoms in young children with anxiety disorders. We also aim to investigate whether putative associations are independent from co-occurring attention deficit hyperactivity disorder (ADHD) symptoms. Methods: Sixty children (6-12 years old) with primary diagnoses of anxiety disorders participated in this study. Severity of symptoms was measured using clinician-based, parent-rated and self-rated validated scales. Verbal fluency was assessed using a simple task that measures the number of words evoked in 1-minute with the letter F, from which we quantified the number of isolated words, number of clusters (groups of similar words) and number of switches (transitions between clusters and/or between isolated words). Results: There was a significant association between the number of clusters and anxiety scores. Further analysis revealed associations were independent from co-occurring ADHD symptoms. Conclusion: We replicate and extend previous findings showing that verbal fluency is consistently associated with severity in anxiety disorders in children. Further studies should explore the potential effect of cognitive training on symptoms of anxiety disorders.

Keywords

Anxiety disorders, executive function, verbal fluency, language

Resumo

Resumo Introdução: Estudos prévios sugerem que déficits na fluência verbal estariam associados a transtornos de ansiedade em adolescentes. Objetivo: Replicar e estender os resultados prévios investigando se o desempenho em uma tarefa de fluência verbal fonêmica está relacionado com a gravidade dos sintomas de ansiedade em crianças com transtorno de ansiedade. Pretendemos, também, investigar se essa associação é independente da coocorrência de sintomas de déficit de atenção e hiperatividade (TDAH). Métodos: Participaram desse estudo 60 crianças (6-12 anos) com diagnóstico primário de transtorno de ansiedade. A gravidade dos sintomas foi medida utilizando escalas validadas baseadas para avaliação clínica, resposta dos pais ou responsáveis e resposta da criança. A fluência verbal foi avaliada utilizando uma tarefa simples que mede o número de palavras evocadas em 1 minuto com a letra F, a partir da qual foram quantificados o número de palavras isoladas, o número de clusters (agrupamentos de palavras semelhantes) e o número de switches (transições entre os agrupamentos e/ou entre palavras isoladas). Resultados: Encontramos uma associação significativa entre o número de clusters e os escores de ansiedade. Uma análise posterior revelou que essas associações foram independentes dos sintomas coocorrentes de TDAH. Conclusões: Replicamos e estendemos os resultados anteriores mostrando que a fluência verbal está consistentemente associada com a gravidade dos transtornos de ansiedade em crianças. Novos estudos são incentivados com o objetivo de investigar potenciais efeitos de treinamentos cognitivos sobre os sintomas ansiosos em indivíduos com transtornos de ansiedade.

Palavras-chave

Transtornos de ansiedade, funções executivas, fluência verbal, linguagem

References

Salum GA, DeSousa DA, Bosa VL, Schuch I, Goldani M, Isolan LR. Internalizing disorders and quality of life in adolescence: evidence for independent associations. Rev Bras Psiquiatr. 2014;36:305-12.

Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49:980-9.

Pine DS. Research review: a neuroscience framework for pediatric anxiety disorders. J Child Psychol Psychiatry. 2007;48:631-48.

Mogg K, Salum GA, Bradley BP, Gadelha A, Pan P, Alvarenga P. Attention network functioning in children with anxiety disorders, attention-deficit/hyperactivity disorder and non-clinical anxiety. Psychol Med. 2015;45:2633-46.

Toazza R, Salum GA, Flores SM, Jarros RB, Pine DS, de Salles JF. Phonemic verbal fluency is associated with pediatric anxiety disorders: evidence from a community study. J Child Adolesc Psychopharmacol. 2014;24:149-57.

Takács Á, Kóbor A, Tárnok Z, Csépe V. Verbal fluency in children with ADHD: strategy using and temporal properties. Child Neuropsychol. 2014;20:415-29.

Tucha O, Mecklinger L, Laufkötter R, Kaunzinger I, Paul GM, Klein HE. Clustering and switching on verbal and figural fluency functions in adults with attention deficit hyperactivity disorder. Cogn Neuropsychiatry. 2005;10:231-48.

Raven JC, Raven J, Court JH. Matrizes progressivas coloridas de Raven. Manual. 1988.

Angelini AL, Alves IC, Custódio EM, Duarte WF, Duarte JL. Matrizes progressivas coloridas de Raven: escala especial. 1999.

Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry. 1997;36:980-8.

Diagnostic and Statistical Manual of Mental Disorders. 1980.

Brasil HHA. Development of the Brazilian version of K-SADS-PL (Schedule for Affective Disorders and Schizophrenia for School Aged Children Present and Lifetime Version) and study of psychometric properties. 2003.

The Pediatric Anxiety Rating Scale (PARS): development and psychometric properties. J Am Acad Child Adolesc Psychiatry. 2002;41:1061-9.

Birmaher B, Khetarpal S, Brent D, Cully M, Balach L, Kaufman J. The Screen for Child Anxiety Related Emotional Disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry. 1997;36:545-53.

Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baugher M. Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatry. 1999;38:1230-6.

Desousa DA, Salum GA, Isolan LR, Manfro GG. Sensitivity and specificity of the Screen for Child Anxiety Related Emotional Disorders (SCARED): a community-based study. Child Psychiatry Hum Dev. 2013;44:391-9.

Isolan L, Salum GA, Osowski AT, Amaro E, Manfro GG. Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED) in Brazilian children and adolescents. J Anxiety Disord. 2011;25:741-8..

DeSousa DA, Zibetti MR, Trentini CM, Koller SH, Manfro GG, Salum GA. Screen for child anxiety related emotional disorders: are subscale scores reliable? A bifactor model analysis. J Anxiety Disord. 2014;28:966-70.

Mattos P, Serra-Pinheiro MA, Rohde LA, Pinto D. Apresentação de uma versão em português para uso no Brasil do instrumento MTA-SNAP-IV de avaliação de sintomas de transtorno do déficit de atenção/hiperatividade e sintomas de transtorno desafiador e de oposição. Rev Psiquiatr Rio Gd Sul. 2006;28:290-7.

Salles JF de, Fonseca RP, Cruz-Rodrigues C, Mello CB, Barbosa T, Miranda MC. Desenvolvimento do Instrumento de Avaliação Neuropsicológica Breve Infantil NEUPSILIN-INF. Psico-USF. 2011;16:297-305.

Becker N, Salles JF. Methodological criteria for scoring clustering and switching in verbal fluency tasks. Psico-USF. 2016.

Troyer AK, Moscovitch M, Winocur G. Clustering and switching as two components of verbal fluency: evidence from younger and older healthy adults. Neuropsychology. 1997;11:138-46.

Nishimura Y, Tanii H, Hara N, Inoue K, Kaiya H, Nishida A. Relationship between the prefrontal function during a cognitive task and the severity of the symptoms in patients with panic disorder: a multi-channel NIRS study. Psychiatry Res. 2009;172:168-72.

Nelson BD, Sarapas C, Robison-Andrew EJ, Altman SE, Campbell ML, Shankman SA. Frontal brain asymmetry in depression with comorbid anxiety: a neuropsychological investigation. J Abnorm Psychol. 2012;121:579-91.

Resch C, Martens R, Hurks P. Analysis of young children's abilities to cluster and switch during a verbal fluency task. Clin Neuropsychol. 2014;28:1295-310.

Lanting S, Haugrud N, Crossley M. The effect of age and sex on clustering and switching during speeded verbal fluency tasks. J Int Neuropsychol Soc. 2009;15:196-204.

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