Evidence map›Paper›PMID 36599815›Full record

SynthesisJournal of child psychology and psychiatry, and allied disciplines2023

Research Review: A systematic review and meta-analysis of infant and toddler temperament as predictors of childhood attention-deficit/hyperactivity disorder.

Heather M Joseph, Nicole E Lorenzo, Nadiyah Fisher, Danielle R Novick, Cassandra Gibson, Scott D Rothenberger, Jill E Foust, Andrea Chronis-Tuscano

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of child psychology and psychiatry, and allied disciplines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  6. Neural correlates of child temperament: The role of brain network connectivity in psychopathology risk.Journal of child psychology and psychiatry, and allied disciplines · 2026
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  7. Early-childhood temperament deviations mark psychiatric risk into early adulthood.medRxiv : the preprint server for health sciences · 2026
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  12. Temperament and executive functioning correlates of ADHD symptom severity during early versus middle childhood.Journal of child psychology and psychiatry, and allied disciplines · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Heather M JosephDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-3352-8835
Nicole E LorenzoDepartment of Psychology, University of Maryland, College Park, MD, USA.ORCID 0000-0002-0799-3119
Nadiyah FisherDepartment of Neuroscience, University of Pittsburgh, Pittsburgh, PA, USA.
Danielle R NovickDepartment of Psychology, University of Maryland, College Park, MD, USA.
Cassandra GibsonDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Scott D RothenbergerDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Jill E FoustHealth Sciences Library System, University of Pittsburgh, Pittsburgh, PA, USA.
Andrea Chronis-TuscanoDepartment of Psychology, University of Maryland, College Park, MD, USA.
University of Pittsburgh · USUniversity of Maryland, College Park · USAmerican University · US

Funding

Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
2/2 Treating Mothers with ADHD and their Young Children Via Telehealth: A Hybrid Type I Effectiveness-Implementation TrialR01MH118320 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI CHRONIS-TUSCANO, ANDREA · 2019 to 2023
$4.1M
Early Signals of Inattention in Neonates and Infants at Familial Risk for ADHDK23MH121585 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOSEPH, HEATHER MARIE · 2020 to 2024
$1.0M
NCATS NIH HHS KL2 TR001856NIMH NIH HHS K23 MH121585NIMH NIH HHS R01 MH118320
6 · The paper itself

Abstract

backgroundAttention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder with onset as early as preschool and impairment across the lifespan. Temperament factors, specifically those that theoretically map onto ADHD symptoms, may be early markers of risk for developing later childhood ADHD that could be identifiable in infancy or toddlerhood. This meta-analysis examined the associations between these early temperamental factors and later symptoms and diagnosis of ADHD and mapped early temperament constructs onto the three ADHD symptom dimensions.

methodsA systemic review of the literature was conducted to identify prospective longitudinal studies that included theoretically relevant temperament constructs (sustained attention, activity level, inhibition, and negative emotionality) examined from birth to 36 months old and ADHD (symptoms or diagnosis) in preschool or childhood. The association between each temperament construct and ADHD outcomes was examined using pooled standardized estimates in meta-analyses.

resultsForty-eight articles (n = 112,716 infants/toddlers) prospectively examined temperament and the relation to childhood ADHD symptoms or diagnosis. Activity level (k = 18) in infancy and toddlerhood was moderately associated with childhood ADHD (r = .39, CI = 0.27, 0.51, p < .001). Moderate effect sizes were also observed for sustained attention (k = 9; r = -.28, CI = -0.42, -0.12, p < .001) and negative emotionality (k = 33; r = .25, CI = 0.16, 0.34, p < .001) with ADHD. The specificity of each temperament construct for later ADHD symptom dimensions was such that activity level and negative emotionality were predictive of all three symptom dimensions (i.e., inattention, hyperactivity/impulsivity, and combined), whereas sustained attention was only associated with combined symptoms.

conclusionsInfant and toddler temperament is an early risk factor for the development of childhood ADHD that could be utilized for early intervention identification. Yet, this systematic review found that relatively few prospective longitudinal studies have examined sustained attention (k = 9) and inhibition (k = 15) in infancy and toddlerhood in relation to later ADHD highlighting the need for further research.

Indexed as

Attention Deficit Disorder with HyperactivityChild, PreschoolHumansInfantProspective StudiesRisk FactorsTemperamentactivity levelADHDattentionimpulsivityinfantnegative emotionalitytemperament

Identifiers

PMID36599815
PMCPMC10404471
OpenAlexW4313545229

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.