Deficient Emotional Self-Regulation and Adult Attention Deficit Hyperactivity Disorder: A Family Risk Analysis

Surman, Craig; Biederman, Joseph; Spencer, Thomas; Yorks, Dayna; Miller, Colin; Petty, Carter R.; Faraone, Stephen V.

doi:10.1176/appi.ajp.2010.10081172

Cited by 110 publications

(104 citation statements)

References 15 publications

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“…In support, one group found that the siblings of probands with both ADHD and emotion dysregulation also had significantly elevated rates of this combination, although this has not been replicated (52,110,111). The Child Behavior Checklist defined dysregulation profile is highly heritable (67%) (112) and studies have suggested candidate genes (113).…”

Section: Section 2: Pathophysiologymentioning

confidence: 99%

Emotion Dysregulation in Attention Deficit Hyperactivity Disorder

Shaw

Stringaris

Nigg

et al. 2016

FOC

119

172

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It has long been recognized that many individuals with ADHD also have difficulties with emotion regulation but lack of consensus on how to conceptualize this clinically challenging domain renders a review timely. The authors examine the current literature using both quantitative and qualitative methods. Three key findings emerge. First, emotion dysregulation is prevalent in ADHD throughout the lifespan and is a major contributor to impairment. Second, emotion dysregulation in ADHD may arise from deficits in orienting towards, recognizing and/or allocating attention to emotional stimuli; these deficits that implicate dysfunction within a striatoamygdalo-medial prefrontal cortical network. Third, while current treatments for ADHD often also ameliorate emotion dysregulation, a focus on this combination of symptoms reframes clinical questions and could stimulate novel therapeutic approaches. Three models to explain the overlap between emotion dysregulation and ADHD are considered: emotion dysregulation and ADHD are correlated but distinct dimensions; emotion dysregulation is a core, diagnostic feature of ADHD; and the combination constitutes a nosological entity, distinct from both ADHD and emotion dysreguation alone. The differing predictions from each model can guide future research into this much-neglected population.

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Section: Section 2: Pathophysiologymentioning

confidence: 99%

Emotion Dysregulation in Attention Deficit Hyperactivity Disorder

Shaw

Stringaris

Nigg

et al. 2016

FOC

119

172

View full text Add to dashboard Cite

show abstract

“…The findings of family studies indicate that familial factors may account for the covariation of ADHD and ED (e.g., Biederman et al 2012;Surman et al 2011). Specifically, some research indicates that ED is heritable and co-segregates in families of youth with ADHD.…”

Section: Etiology Genetic Effects On the Development Of Edmentioning

confidence: 99%

“…Specifically, some research indicates that ED is heritable and co-segregates in families of youth with ADHD. For example, Surman et al (2011), who adopted a definition of ED similar to ours, aimed to clarify the co-occurrence of ADHD and ED in a family study. For all participants, the presence of DSM-IV disorders was evaluated and ED was measured via the self-report Current Behavior Scale.…”

Section: Etiology Genetic Effects On the Development Of Edmentioning

confidence: 99%

ADHD and Emotion Dysregulation Among Children and Adolescents

Bunford

Evans

Wymbs

2015

Clin Child Fam Psychol Rev

185

154

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Individuals with attention-deficit/hyperactivity disorder (ADHD) experience impairments in a number of functional domains. Although current evidence-based treatments for ADHD reduce symptoms and improve academic and behavioral functioning, they have minimal impact on social functioning or on risky behaviors (see Evans et al. in J Clin Child Adolesc Psychol, 43:527-551, 2014 for review). Preliminary evidence indicates that emotion dysregulation (ED) is associated with impairments across the developmental spectrum, such as social impairment and risky behaviors, and that its relative absence/presence is differentially associated with treatment response. It thus stands to reason that by incorporating a focus on ED in interventions targeting social impairment and risky behaviors, we may be able to increase the number of youth who respond to such interventions and decrease the prevalence or degree of these impairments and behaviors among youth and adults with ADHD. However, a number of questions remain unaddressed about the association between ADHD and ED, such as the portion of individuals with ADHD who experience ED, the extent to which ED is associated with the above impairments and behaviors, and whether or not ED is malleable. To begin addressing these questions, we summarize and critically evaluate the literature on the association between ADHD and ED and make recommendations for future basic, translational, and treatment outcome research.

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“…We conducted multiple group CFAs for gender invariance in novel factorial structures. All data analyses were conducted using the SPSS (Version17.0; SPSS Inc., Chicago, IL, USA) and Mplus (Muthén & Muthén, 1988-2011 statistical packages. If not, how is EL distinct from other groupings of ODD items?…”

Section: -Level Measure Of El Items and 2-level Measure Of Odd Items)mentioning

confidence: 99%