Associations between executive functioning, challenging behavior, and quality of life in children and adolescents with and without neurodevelopmental conditions
The present study sought to clarify the impact of executive and social functioning on challenging behavior and the downstream influence of challenging behavior on quality of life and functioning in a large transdiagnostic sample. Understanding these relationships is crucial for developing and design...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1022700/full |
| _version_ | 1811337218804940800 |
|---|---|
| author | Thomas W. Frazier Ethan Crowley Andy Shih Vijay Vasudevan Arun Karpur Mirko Uljarevic Ru Ying Cai |
| author_facet | Thomas W. Frazier Ethan Crowley Andy Shih Vijay Vasudevan Arun Karpur Mirko Uljarevic Ru Ying Cai |
| author_sort | Thomas W. Frazier |
| collection | DOAJ |
| description | The present study sought to clarify the impact of executive and social functioning on challenging behavior and the downstream influence of challenging behavior on quality of life and functioning in a large transdiagnostic sample. Understanding these relationships is crucial for developing and designing tailored intervention strategies. In a cross-sectional study, parent informants of 2,004 children completed measures of executive and social functioning, challenging behavior, child and family quality of life, and reported on functional impacts of challenging behavior. Using structural (path) modeling, analyses evaluated the associations between executive and social functioning, including emotion regulation and risk avoidance, with overall and specific types of challenging behavior. Structural models also examined the influence of challenging behavior on child and family quality of life, including measures of the immediate and extended environment, and functional impacts on the parent/child as well as interactions with the medical/legal systems. Finally, mediational models explored the direct and indirect effects of executive and social functioning on quality of life and impact measures via challenging behavior. Results indicated that executive functioning accounts for substantial variance (R2 = 0.47) in challenging behavior. In turn, challenging behavior accounts for substantial variance in child and family quality of life (R2 = 0.36) and parent/child impacts (R2 = 0.31). Exploratory mediational models identified direct effects from executive and social functioning measures on quality of life and functional impacts and indirect effects for executive functioning via challenging behavior. These findings support the development of new intervention strategies and suggest the need to measure executive functioning when assessing and tailoring the treatment of challenging behavior in clinical practice. |
| first_indexed | 2024-04-13T17:51:49Z |
| format | Article |
| id | doaj.art-c6fade5b673640a599ef5d3c510c5678 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-13T17:51:49Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-c6fade5b673640a599ef5d3c510c56782022-12-22T02:36:40ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-10-011310.3389/fpsyg.2022.10227001022700Associations between executive functioning, challenging behavior, and quality of life in children and adolescents with and without neurodevelopmental conditionsThomas W. Frazier0Ethan Crowley1Andy Shih2Vijay Vasudevan3Arun Karpur4Mirko Uljarevic5Ru Ying Cai6Department of Psychology, John Carroll University, University Heights, OH, United StatesDepartment of Psychology, John Carroll University, University Heights, OH, United StatesScience and Public Health Department, Autism Speaks, New York, NY, United StatesScience and Public Health Department, Autism Speaks, New York, NY, United StatesScience and Public Health Department, Autism Speaks, New York, NY, United StatesThe School of Psychological Sciences, University of Melbourne, Melbourne, VIC, AustraliaAspect Research Centre for Autism Practice, French’s Forest, NSW, AustraliaThe present study sought to clarify the impact of executive and social functioning on challenging behavior and the downstream influence of challenging behavior on quality of life and functioning in a large transdiagnostic sample. Understanding these relationships is crucial for developing and designing tailored intervention strategies. In a cross-sectional study, parent informants of 2,004 children completed measures of executive and social functioning, challenging behavior, child and family quality of life, and reported on functional impacts of challenging behavior. Using structural (path) modeling, analyses evaluated the associations between executive and social functioning, including emotion regulation and risk avoidance, with overall and specific types of challenging behavior. Structural models also examined the influence of challenging behavior on child and family quality of life, including measures of the immediate and extended environment, and functional impacts on the parent/child as well as interactions with the medical/legal systems. Finally, mediational models explored the direct and indirect effects of executive and social functioning on quality of life and impact measures via challenging behavior. Results indicated that executive functioning accounts for substantial variance (R2 = 0.47) in challenging behavior. In turn, challenging behavior accounts for substantial variance in child and family quality of life (R2 = 0.36) and parent/child impacts (R2 = 0.31). Exploratory mediational models identified direct effects from executive and social functioning measures on quality of life and functional impacts and indirect effects for executive functioning via challenging behavior. These findings support the development of new intervention strategies and suggest the need to measure executive functioning when assessing and tailoring the treatment of challenging behavior in clinical practice.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1022700/fullchallenging behaviordevelopmental disabilityexecutive functionsocial skillsquality of lifefunctional impact |
| spellingShingle | Thomas W. Frazier Ethan Crowley Andy Shih Vijay Vasudevan Arun Karpur Mirko Uljarevic Ru Ying Cai Associations between executive functioning, challenging behavior, and quality of life in children and adolescents with and without neurodevelopmental conditions Frontiers in Psychology challenging behavior developmental disability executive function social skills quality of life functional impact |
| title | Associations between executive functioning, challenging behavior, and quality of life in children and adolescents with and without neurodevelopmental conditions |
| title_full | Associations between executive functioning, challenging behavior, and quality of life in children and adolescents with and without neurodevelopmental conditions |
| title_fullStr | Associations between executive functioning, challenging behavior, and quality of life in children and adolescents with and without neurodevelopmental conditions |
| title_full_unstemmed | Associations between executive functioning, challenging behavior, and quality of life in children and adolescents with and without neurodevelopmental conditions |
| title_short | Associations between executive functioning, challenging behavior, and quality of life in children and adolescents with and without neurodevelopmental conditions |
| title_sort | associations between executive functioning challenging behavior and quality of life in children and adolescents with and without neurodevelopmental conditions |
| topic | challenging behavior developmental disability executive function social skills quality of life functional impact |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1022700/full |
| work_keys_str_mv | AT thomaswfrazier associationsbetweenexecutivefunctioningchallengingbehaviorandqualityoflifeinchildrenandadolescentswithandwithoutneurodevelopmentalconditions AT ethancrowley associationsbetweenexecutivefunctioningchallengingbehaviorandqualityoflifeinchildrenandadolescentswithandwithoutneurodevelopmentalconditions AT andyshih associationsbetweenexecutivefunctioningchallengingbehaviorandqualityoflifeinchildrenandadolescentswithandwithoutneurodevelopmentalconditions AT vijayvasudevan associationsbetweenexecutivefunctioningchallengingbehaviorandqualityoflifeinchildrenandadolescentswithandwithoutneurodevelopmentalconditions AT arunkarpur associationsbetweenexecutivefunctioningchallengingbehaviorandqualityoflifeinchildrenandadolescentswithandwithoutneurodevelopmentalconditions AT mirkouljarevic associationsbetweenexecutivefunctioningchallengingbehaviorandqualityoflifeinchildrenandadolescentswithandwithoutneurodevelopmentalconditions AT ruyingcai associationsbetweenexecutivefunctioningchallengingbehaviorandqualityoflifeinchildrenandadolescentswithandwithoutneurodevelopmentalconditions |