Gian Marco Marzocchi

The use of the Strengths and Difficulties Questionnaire (SDQ) in Southern European countries.

Abstract.This paper reports a selection of completed or ongoing studies that have evaluated or applied the Strengths and Difficulties Questionnaire (SDQ) in five countries of Southern Europe: Italy, Spain, Portugal, Croatia, and France. In Italy, the SDQ has been used to study its concurrent validity with other norm-based instruments (Child Behavior Checklist—CBCL and Disruptive Behavior Disorder Rating Scale—DBDRS), to assess the efficacy of a behavioural school training, and as part of an epidemiological study. In Spain, the SDQ was used to analyse the association between respiratory and other behavioural problems. In Portugal and Croatia, psychometric properties of the three versions of the SDQ (parent, teacher, and self-reports) were investigated in samples of children ranging from 5 to 16 years. Past and ongoing studies in France have administered the SDQ to estimate inter-rater agreement between parents, teachers, and pupils, to carry out a largescale epidemiological study, and to evaluate the efficacy of a parent training programme.In a second section, scale means obtained with the teacher version of the SDQ in three community-based samples of 7–8 year-old children from Italy, Portugal, and Spain are compared. The results show that, according to their teachers’ ratings, Italian pupils showed less prosocial behaviour than their Spanish and Portuguese agemates, whereas the Portuguese children were rated as being more hyperactive and inattentive than comparable Italian and Spanish children. Possible causes underlying the observed differences between national SDQ means are discussed.

Contrasting deficits on executive functions between ADHD and Reading Disabled children

BACKGROUND The object of this study was to analyze the executive functioning of children with attention deficit hyperactivity disorder (ADHD) or reading disability (RD) independent of their non-executive deficits. METHODS Three carefully diagnosed groups of children, aged between 7 and 12 years (35 ADHD, 22 RD and 30 typically developing children), were tested on a wide range of tasks related to five major domains of executive functioning (EF): inhibition, visual working memory, planning, cognitive flexibility, and verbal fluency. Additional tasks were selected for each domain to control for non-executive processing. RESULTS ADHD children were impaired on interference control, but not on prepotent and ongoing response suppression. ADHD showed deficits on visual working memory, planning, cognitive flexibility and phonetic fluency. RD children were impaired on phonetic fluency. The only EF measure that differentiated ADHD from RD was planning. CONCLUSIONS The present sample of ADHD children showed several EF deficits, whereas RD children were almost spared executive dysfunction, but exhibited deficits in phonetic fluency.

Working Memory Interference Control Deficit in Children Referred by Teachers for ADHD Symptoms

It has been hypothesised that children with Attention Deficit/Hyperactivity Disorder (ADHD) present memory problems, including working memory deficits. This research is aimed at finding clearer evidence of a working memory deficit in these children. In the first study 22 children that had been referred by teachers as having ADHDsymptomswere compared with a control group. Their performance on a listening span test, drawn up by De Beni, Palladino, Pazzaglia, and Cornoldi (1998), was investigated. In this task the subjects were asked to select the names of animals in word strings and to remember the last word in each string. In a second study, 34 children with ADHD symptoms and 50 control children were presented with a visuospatial working memory task mirroring the verbal task used in Study 1. In both studies, the children with ADHD symptoms had difficulty in remembering the last item in the string and had a higher number of intrusions when memorising items that were not in the final position. The results were interpreted that children with ADHD symptoms have working memory problems because they are not capable of suppressing information that initially has to be processed, and subsequently excluded frommemory. This particular difficulty can be interpreted as an inhibitory processing deficit. The implications of the results in understanding learning difficulties in children with ADHD are discussed.

What are the Causes of the Attention Deficits Observed in Children with Dyslexia

Dyslexic children often show attention problems at school, but it is not clear the nature of their impairments. The aim of this study was to analyze whether verbal processing artefacts could mediate attention deficits. Forty-seven children (22 dyslexics and 25 controls), aged between 7 to 12, were assessed through an ADHD rating scale and a battery of tasks tapping different attentional processes (selective, sustained, executive, and orienting). Phonological measures were used as covariates. Children with dyslexia showed attentional impairments (using both rating scales and neuropsychological tasks); however their performance was significantly affected by phonological performance. In conclusion, dyslexics may be inattentive at school because they are slow processors, in particular when they are presented with verbal stimuli.

Predictors of reading fluency in Italian orthography: Evidence from a cross-sectional study of primary school students

This study investigates the role of linguistic and visuospatial attentional processes in predicting reading fluency in typical Italian readers attending primary school. Tasks were administered to 651 children with reading fluency z scores > −1.5 standard deviation to evaluate their phonological awareness, rapid automatized naming (RAN), verbal short-term memory, vocabulary, visual search skills, verbal-visual recall, and visual-spatial attention. Hybrid models combining confirmatory factor analysis and path analysis were used to evaluate the data obtained from younger (first and second grade) and older (third–fifth grade) children, respectively. The results showed that phonological awareness and RAN played a significant role among younger children, while also vocabulary, verbal short-term memory, and visuospatial attention were significant factors among older children.

An Integrated Model of Executive Functioning is Helpful for Understanding ADHD and Associated Disorders

Objective: The aim of this study is to test the discriminative capacity of executive function (EF) tasks to better define the cognitive functioning of children with ADHD and comorbidities. Method: One hundred four children were presented with a battery of new EF tasks and a rating scale filled out by parents. Results: Preliminary analysis of the neuropsychological tasks revealed the presence of five factors: Speed of Processing, Inhibition, Planning, Execution, and Retrospective Memory. All children with ADHD were impaired in Execution (a measure describing the capacity to achieve a goal). ADHD-only children were specifically impaired in Planning, while ADHD + reading disorder (RD) children were impaired in Speed of Processing and Retrospective Memory. Children with ADHD + oppositional defiant disorder (ODD) did not show impairment in any other EF domains. The five EF processes correlated with the EF Questionnaire. Conclusion: The present study describes different cognitive profiles in children with ADHD with or without comorbid disorders using neuropsychological EF measures.

The Italian version of the Strengths and Difficulties Questionnaire (SDQ) - Teacher: Psychometric properties

The Strengths and Difficulties Questionnaire (SDQ) is an instrument developed by Goodman for screening child and adolescent psychopathology. The aim of this study is to contribute to the analysis and validation of the internal structure of the Italian SDQ teacher version (SDQ-T). The SDQ-T was completed by 301 teachers, evaluating 3,302 children aged 3 to 15 years. Exploratory factor analysis (EFA) performed on a portion of the sample (n = 1,000) led to five interpretable factors, partially different from the original structure: Items 2 and 10 loaded on the Conduct Problems scale instead of that on the Hyperactivity/Inattention scale. Confirmatory factor analyses (CFAs) were performed to compare three different latent structures: the original five-factor structure; a second-order model recently proposed by Goodman, Lamping, and Ploubidis; and structure obtained with the EFA. The latter one showed the best fit. Significant differences by gender and school grade were found. The Italian SDQ-T’s internal structure differed in part from the original instrument; possible causes are discussed.

Emerging executive skills in very preterm children at 2 years corrected age: A composite assessment

Executive Function (EF) deficits have previously been identified in preterm children. However, only recently have emerging executive functions been studied in preschool children who were born preterm without major brain damage. Our study provides a broad assessment of EFs in 72 extremely preterm births (gestational age < 34 weeks and birth weight < 2500 g) and 73 full-term children, born between 2006 and 2008, at 24 months of corrected age. Three factors were extracted from the EF administered measures: working memory, cognitive flexibility, and impulsivity control. Only cognitive flexibility was found to discriminate preterm children from controls.

The Strengths and Difficulties Questionnaire-Parents for Italian School-Aged Children: Psychometric Properties and Norms

The Strengths and Difficulties Questionnaire [SDQ; (1)] is a multi-informant instrument for screening developmental psychopathology. This study contributes to the validation of the Italian SDQ-Parent version (SDQ-P), analyzing its factorial structure, providing norms and investigating cross-informant agreement (parents-teachers). The SDQ-P and the SDQ-Teacher version (SDQ-T) were completed for 1917 primary and middle school students. Confirmatory factor analyses were performed to compare two factorial structures: the original five-factor model and the structure obtained in a past Italian study (2). The original model showed the best fit. Significant differences by gender and school grade were found; norms were provided separately for males and females attending 1st–2nd, 3rd–5th and 6th–8th grades. Finally, the analysis of parent-teacher agreement showed correlations ranging from small (prosocial behavior) to large (hyperactivity-inattention). This study offers some reflections on the best way to use this instrument in a community sample.

Numerical Magnitude Representation in Children With Mathematical Difficulties With or Without Reading Difficulties

This study aimed to explore the spatial numerical association of response codes (SNARC), the flanker, and the numerical distance effects in children with mathematical difficulties. From a sample of 720 third, fourth, and fifth graders, 60 children were selected and divided into the following three groups: typically developing children (TD; n = 29), children with mathematical difficulties only (MD only; n = 21), and children with mathematical and reading difficulties (MD+RD; n = 10). Children were tested with a numerical Eriksen task that was built to assess SNARC, numerical distance, and flanker (first and second order congruency) effects. Children with MD only showed stronger SNARC and second order congruency effects than did TD children, whereas the numerical distance effects were similar across the three groups. Finally, the first order congruency effect was associated with reading difficulties. These results showed that children with mathematical difficulties with or without reading difficulties were globally more impaired when spatial incompatibilities were presented.