Analysis of Personal and Family Factors in the Persistence of Attention Deficit Hyperactivity Disorder: Results of a Prospective Follow-Up Study in Childhood

Objectives

To study the course of ADHD during childhood and analyze possible personal and family predictor variables of the results.

Method

Sixty-one children with ADHD who were between 6 and 12 years old at the baseline assessment were evaluated 30 months later (mean age at baseline: 8.70 ± 1.97; mean age at follow-up: 10.98 ± 2.19). Status of ADHD in follow-up was identified as persistent (met DSM-IV-TR criteria according to parents’ and teachers’ ratings), contextually persistent (met ADHD criteria according to one informant, and there was functional impairment) and remitted ADHD (with subthreshold clinical symptomatology). Associated psychological disorders of the three groups were analyzed in the follow-up with the Conners'' Rating Scales. The groups were compared on ADHD characteristics (symptoms of ADHD and impairment), child psychopathology, executive functioning (EF; inhibition, working memory) and parenting characteristics (parental stress and discipline styles) at baseline.

Results

At the follow-up, 55.7% of the children continued to meet the DSM-IV-TR criteria for ADHD, 29.5% showed contextual persistence, and 14.8% presented remission of the disorder. The persistent and contextually persistent ADHD groups showed more associated psychological disorders. Inattention, oppositional problems, cognitive problems and impairment at baseline distinguished the remitted ADHD children from the persistent and contextually persistent ADHD children. Moreover, the persistent groups had significantly more emotional liability and higher parental stress than the group in remission, while no differences in EF where found among the groups.

Conclusions

ADHD children continue to present symptoms, as well as comorbid psychological problems, during adolescence and early adulthood. These findings confirm that persistence of ADHD is associated with child psychopathology, parental stress and impairment in childhood.     

Effects of ultraviolet radiation and nutrients on the structure-function of phytoplankton in a high mountain lake

The combined effect of high solar ultraviolet radiation (UVR) and nutrient supply in a phytoplankton community of a high mountain lake is analyzed in a in situ experiment for 6 days with 2 × 2 factorial design. Interactive UVR × nutrient effects on structural and functional variables (algal biomass, chlorophyll a (chl a), primary production (PP), maximal electron transport rate (ETR(max)), and alkaline phosphatase activity (APA)), as well as stoichiometric ones (sestonic N per cell and N:P ratio) were found. Under non-nutrient enriched conditions, no deleterious effects of UVR on structural variables, PP, photosynthetic efficiency and ETR(max) were observed, whereas only particulate and total APA were affected by UVR. However, percentage excreted organic carbon (%EOC), dissolved APA and sestonic C and P per cell increased under UVR, leading to a decrease in algal C:P and N:P ratios. After nutrient enrichment, chl a, total algal biomass and PP were negatively affected by UVR whereas %EOC, ETR(max) and internal C, P and N content increased. We suggest that the mechanism of algal acclimation to UVR in this high UVR flux ecosystem seems to be related to the increase of internal algal P-content mediated by physiological mechanisms to save P and by a stimulatory UVR effect on dissolved extracellular APA. The mechanism involved in the unmasking effect of UVR after nutrient-enrichment may be the result of a greater sensitivity to UVR-induced cell damage, making the negative UVR effects more evident.     

Nucleic Acid Content in Crustacean Zooplankton: Bridging Metabolic and Stoichiometric Predictions

Metabolic and stoichiometric theories of ecology have provided broad complementary principles to understand ecosystem processes across different levels of biological organization. We tested several of their cornerstone hypotheses by measuring the nucleic acid (NA) and phosphorus (P) content of crustacean zooplankton species in 22 high mountain lakes (Sierra Nevada and the Pyrenees mountains, Spain). The P-allocation hypothesis (PAH) proposes that the genome size is smaller in cladocerans than in copepods as a result of selection for fast growth towards P-allocation from DNA to RNA under P limitation. Consistent with the PAH, the RNA:DNA ratio was >8-fold higher in cladocerans than in copepods, although ‘fast-growth’ cladocerans did not always exhibit higher RNA and lower DNA contents in comparison to ‘slow-growth’ copepods. We also showed strong associations among growth rate, RNA, and total P content supporting the growth rate hypothesis, which predicts that fast-growing organisms have high P content because of the preferential allocation to P-rich ribosomal RNA. In addition, we found that ontogenetic variability in NA content of the copepod Mixodiaptomus laciniatus (intra- and interstage variability) was comparable to the interspecific variability across other zooplankton species. Further, according to the metabolic theory of ecology, temperature should enhance growth rate and hence RNA demands. RNA content in zooplankton was correlated with temperature, but the relationships were nutrient-dependent, with a positive correlation in nutrient-rich ecosystems and a negative one in those with scarce nutrients. Overall our results illustrate the mechanistic connections among organismal NA content, growth rate, nutrients and temperature, contributing to the conceptual unification of metabolic and stoichiometric theories.     

Does Microorganism Stoichiometry Predict Microbial Food Web Interactions After a Phosphorus Pulse?

Knowledge of variations in microbial food web interactions resulting from atmospheric nutrient loads is crucial to improve our understanding of aquatic food web structure in pristine ecosystems. Three experiments mimicking atmospheric inputs at different nitrogen/phosphorus (N/P) ratios were performed in situ covering the seasonal biological succession of the pelagic zone in a high-mountain Spanish lake. In all experiments, abundance, biomass, algal cell biovolume, P-incorporation rates, P-cell quota, and N/P ratio of algae strongly responded to P-enrichment, whereas heterotrophic bacteria remained relatively unchanged. Ciliates were severely restricted when a strong algal exploitation of the available P (bloom growth or storage strategies) led to transient (mid-ice-free experiment) or chronic (late ice-free experiment) P-deficiencies in bacteria. In contrast, maximum development of ciliates was reached when bacteria remained P-rich (N/P < 20) and algae approached Redfield proportions (N/P approximately 16). Evidence of a higher P-incorporation rate supports the proposition that algae and bacteria shifted from a mainly commensalistic-mutualistic to a competitive relationship for the available P when bacterial P-deficiency increased, as reflected by their unbalanced N/P ratio (N/P > 20-24). Hence, the bacterial N/P ratio proved be a key factor to understand the algae-bacteria relationship and microbial food web development. This study not only demonstrates the interdependence of life history strategies, stoichiometric nutrient content, and growth but also supports the use of bacterial N/P thresholds for diagnosing ciliate development, a little-studied aspect worthy of further attention.     

Patterns of resource limitation of bacteria along a trophic gradient in Mediterranean inland waters

The nature of the resource that limits heterotrophic bacteria, i.e. mineral nutrients or carbon (C), has consequences for biogeochemical cycles in aquatic ecosystems. Our aim was to identify the resource [C or phosphorus (P)] that mainly limits bacteria in a set of 31 Mediterranean inland water ecosystems spanning a wide trophic range. We followed an intersystem observational approach with three complementary perspectives, comparing the bacterial demand with the resource supply in terms of both the quantity (demand : supply ratio for C and P) and quality (C : P ratio of demand and supply), and assessing the relative strength of each resource in controlling bacterial production. The trophic gradient revealed a shift in the main limiting resource for bacteria, from C at the oligotrophic end (typically high-mountain, low-productivity lakes) to mainly P at the eutrophic end (typically nonmountain, high-productivity lakes). The patterns of resource limitation of bacteria found here may be related to the autotrophic nature of most of the studied ecosystems linked to a Mediterranean climate regime as representative of lakes with low inputs of allocthonous C. These patterns are consistent with the theoretical approaches and may potentially shape the contribution of this type of ecosystems to biogeochemical cycles.     

Maximum in the Middle: Nonlinear Response of Microbial Plankton to Ultraviolet Radiation and Phosphorus

The responses of heterotrophic microbial food webs (HMFW) to the joint action of abiotic stressors related to global change have been studied in an oligotrophic high-mountain lake. A 2×5 factorial design field experiment performed with large mesocosms for >2 months was used to quantify the dynamics of the entire HMFW (bacteria, heterotrophic nanoflagellates, ciliates, and viruses) after an experimental P-enrichment gradient which approximated or surpassed current atmospheric P pulses in the presence vs. absence of ultraviolet radiation. HMFW underwent a mid-term (<20 days) acute development following a noticeable unimodal response to P enrichment, which peaked at intermediate P-enrichment levels and, unexpectedly, was more accentuated under ultraviolet radiation. However, after depletion of dissolved inorganic P, the HMFW collapsed and was outcompeted by a low-diversity autotrophic compartment, which constrained the development of HMFW and caused a significant loss of functional biodiversity. The dynamics and relationships among variables, and the response patterns found, suggest the importance of biotic interactions (predation/parasitism and competition) in restricting HMFW development, in contrast to the role of abiotic factors as main drivers of autotrophic compartment. The response of HMFW may contribute to ecosystem resilience by favoring the maintenance of the peculiar paths of energy and nutrient-mobilization in these pristine ecosystems, which are vulnerable to threats by the joint action of abiotic stressors related to global change.     

Mixotrophic phytoplankton is enhanced by UV radiation in a low altitude, P-limited Mediterranean lake

UV radiation promotes harmful effects on phytoplankton populations, but it is influenced by the degree of sensitivity of different populations to the ultraviolet:photosynthetically active radiation ratio (UVR:PAR), part of which is P-dependent. Given the expected increase of UV radiation along with global change, one may ask if phytoplankton populations are able to adapt to the expectedly higher UVR:PAR ratio. If so, how would phytoplankton communities be affected? The main goal of this study is to answer these questions. Field and laboratory experiments were carried out with phytoplankton populations of an oligotrophic, low altitude lake in Central Spain. No changes were observed in abundance of phytoplankton fractions after UVR removal in the lake. However, autotrophic picoplankton underwent lower growth and contribution to total phytoplankton biomass when UVR increased. Phytoplankton biomass under enhanced UVR was one-third lower than the biomass reached under only PAR. UV-related growth changes were species-specific and linked to cell size and metabolism. An UVR increase would then promote phytoplankton assemblages who resulted from a trade-off between competitive advantages of picoplankton in a P-limited system and selected larger algae. Under these circumstances, the mixotrophic character of these larger species happened to be an evolutionary advantage.     

Ecoenzyme activity ratios reveal interactive effects of nutrient inputs and UVR in a Mediterranean high-mountain lake

To understand how atmospheric dust deposition and ultraviolet radiation (UVR) can affect remote, freshwater ecosystems through changes in their microbial metabolism, it is important to have tools that allow us detecting alterations and anticipating potential shifts in the functioning of microbial communities. Ecoenzyme activities (EA) are easy to measure and their ratios can be used to assess system microbial metabolism of freshwater bodies, thus evaluating the effects of global change stressors. We carried out an in situ full factorial experiment to determine how the interaction between the addition of C and P, and UVR affect the microbial metabolism of a Mediterranean high-mountain lake. Overall, activities of five ecoenzymes involved in the degradation of C-compounds and in the acquisition of N and P revealed that, under natural conditions, the growth of heterotrophic prokaryotes was dependent on organic compounds released by algae, which is consistent with a higher constraint of bacterial carbon production by C than by P or N, as suggested by EA ratios. Accordingly, the addition of a labile C source did not lead to any significant response of microbial communities, but the addition of P provoked a clear change in the microbial metabolism of the lake, promoting the growth of phytoplankton and leading heterotrophic prokaryotes to be more constrained by P, and to a lesser extent by N, in relation to C. UVR played a secondary role, probably because microbial communities inhabiting high-mountain lakes possess several evolutionary adaptations to high UVR levels. Changes in the microbial metabolism of our model lake under different scenarios of nutrient inputs and UVR can therefore be evaluated by EA ratios.