Emotion Dysregulation and Emotional Impulsivity among Adults with Attention-Deficit/Hyperactivity Disorder: Results of a Preliminary Study

Mitchell, John T.; Robertson, Christopher; Anastopolous, Arthur D.; Nelson‐Gray, Rosemery O.; Kollins, Scott H.

doi:10.1007/s10862-012-9297-2

Cited by 44 publications

(43 citation statements)

References 53 publications

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“…In addition, core symptoms showed correlations with emotional symptoms which were comparable in scale with correlations among themselves. However, correlations were lower than expected compared to previous findings in adults with Emotional symptoms and their contribution to functional impairment in adults with… ADHD (e.g., Barkley and Murphy 2010;Mitchell et al 2012). Barkley and Fischer (2010) found values similar to ours in children with ADHD.…”

Section: Discussioncontrasting

confidence: 85%

“…Anastopoulos et al (2011) found evidence of a mediation of the relation between ADHD status and functional impairment in children with ADHD. Likewise, Mitchell et al (2012) found a mediation between the totality of ADHD symptoms and emotional impulsivity behavior by means of emotional symptoms in adults. In these studies, merely a total ADHD score or general impact of emotional symptoms on daily functioning was tested (Barkley and Fischer 2010;Barkley and Murphy 2010;Mitchell et al 2012).…”

Section: Introductionmentioning

confidence: 86%

“…Emotional symptoms include inappropriate emotional outbursts/emotional overreactions, lability of emotions, stress intolerance, and a reduction in the ability to modify an emotional state to promote goal-oriented behavior (e.g., Mitchell et al 2012;Shaw et al 2014). In ADHD, these symptoms have a significant impact on various domains of functional impairment in daily life (Anastopoulos et al 2011;Barkley and Murphy 2010).…”

Section: Introductionmentioning

confidence: 99%

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Emotional symptoms and their contribution to functional impairment in adults with attention-deficit/hyperactivity disorder

Mörstedt

Corbisiero

Bitto

et al. 2015

ADHD Atten Def Hyp Disord

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Attention-deficit/hyperactivity disorder (ADHD) is a severe neurodevelopmental disorder beginning in childhood and consisting of the core symptoms of inattention, hyperactivity, and impulsivity. The disorder is often accompanied by functional impairment in daily life. Research showed that severe impairment cannot be fully explained by the core symptoms of ADHD. Accordingly, emotional symptoms in ADHD and their influence on functional impairment have increasingly become the focus of research in recent years. The aim of the current study was to investigate the relationship between ADHD core symptoms, emotional symptoms, and functional impairment. We assumed that emotional symptoms might form part of adult ADHD and that the connection between ADHD core symptoms and functional impairment may be partly mediated by emotional symptoms. Data of 176 participants from an ADHD Special Consultations Unit were included. Of these participants, 146 were diagnosed with ADHD, while 30 received no such diagnosis. We developed a structural equation model which included core symptoms, emotional symptoms, and four domains of daily impairment (family life, social life, work, and organization). As predicted, results indicate that emotional symptoms are directly linked to adult ADHD and bear a strong negative influence on different domains of daily life. The results of different analyses showed a mediation of the relationship between ADHD core symptoms and impairment through emotional symptoms: While the connection between inattention and work and organization was partly mediated, the connections between impulsivity and family life and between inattention and social life were shown to be fully mediated through emotional symptoms.

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Section: Discussioncontrasting

confidence: 85%

Section: Introductionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

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Emotional symptoms and their contribution to functional impairment in adults with attention-deficit/hyperactivity disorder

Mörstedt

Corbisiero

Bitto

et al. 2015

ADHD Atten Def Hyp Disord

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“…There were three studies which sampled people with ADHD and used four different measures, dysregulation which we did include (Mitchell et al, 2012). There is likely to be a bias in the scientific literature on AI based on diagnosis.…”

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confidence: 99%

How is affective instability defined and measured? A systematic review

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“…This subscale assesses temper, irritability, stress intolerance, and labile mood. Internal consistency for this scale is very good ( α = .94 ; Mitchell et al, 2011 ).…”

Section: Smoking-related Affective Functioningmentioning

confidence: 96%

Assessing the Role of Attention-Deficit/Hyperactivity Disorder Symptoms in Smokers With and Without Posttraumatic Stress Disorder

Mitchell

Voorhees

Dennis

et al. 2011

Nicotine & Tobacco Research

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which may, in turn, confer increased risk for smoking relapse in those with higher levels of symptomatology of both disorders. IntroductionCigarette smoking co-occurs with a broad range psychiatric disorders ( Lasser et al., 2000 ). Individuals with posttraumatic stress disorder (PTSD) or attention-defi cit hyperactivity disorder (ADHD) endorse rates of smoking two to three times higher ( Beckham et al., 1995 ; Breslau, Davis, & Schultz, 2003 ;Lambert & Hartsough, 1998 ;Lasser et al., 2000 ;Milberger, Biederman, Faraone, Chen, & Jones, 1997 ;Molina & Pelham, 2003 ;Pomerleau, Downey, Stelson, & Pomerleau, 1995 ) and have more diffi cultly quitting than nondiagnosed samples ( Covey, Manubay, Jiang, Nortick, & Palumbo, 2008 ;Humfl eet et al., 2005 ;Lasser et al., 2000 ). Further more , subclinical ADHD symptoms are associated with increased risk for smoking ( Kollins, McClernon, & Fuemmeler, 2005 ).Dysregulated affective functioning has been proposed as a potential mechanism underlying the risk for smoking in both PTSD and ADHD, which are frequently comorbid themselves ( Adler, Kunz, Chua, Rotrosen, & Resnick, 2004 ; Cook, McFall, Calhoun, & Beckham, 2007 ;Gehricke et al., 2007 ;Hurtig et al., 2007 ;Kessler et al., 2006 ;McClernon & Kollins, 2008 ;Park et al., 2011 ;Smalley et al., 2007 ). However, no studies have assessed the association of ADHD symptoms with smoking that also consider PTSD symptoms or includes individuals with PTSD. It is possible that PTSD and ADHD are associated with nicotine dependence via shared affective mechanisms and that the risk for smoking to regulate affect is associated with higher levels of PTSD and ADHD symptoms. The overall aim of this Abstract Introduction: Smoking prevalence among individuals with posttraumatic stress disorder (PTSD) is elevated relative to non -PTSD smokers, and there is evidence to suggest that affect regulation may be a motivation for smoking among those with this disorder. Previous studies have also indicated that (a) PTSD is frequently comorbid with attention-defi cit/hyperactivity disorder (ADHD), (b) individuals with ADHD smoke at significantly higher rates than the general population, (c) subclinical ADHD symptoms are a risk factor for smoking, and (d) affect regulation is a motivation for smoking in ADHD. The goal of this study was to assess the degree to which ADHD symptoms were uniquely associated with smoking-related affective functioning (SRAF) variables above and beyond the variance already explained by PTSD symptoms. Methods:Smokers with ( n = 55) and without PTSD ( n = 68) completed measures assessing PTSD symptoms, ADHD symptoms, and SRAF. Results:The PTSD group endorsed signifi cantly more severe levels of DSM-IV inattentive and hyperactive -impulsive ADHD symptoms. A series of hierarchical regressions among the entire sample indicated that, after accounting for PTSD symptoms, ADHD symptoms were associated with lower positive affect, higher negative affect, higher emotion dysregulation, higher anxiety sensitivity, and higher urges to smoke to i...

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Emotion Dysregulation and Emotional Impulsivity among Adults with Attention-Deficit/Hyperactivity Disorder: Results of a Preliminary Study

Cited by 44 publications

References 53 publications

Emotional symptoms and their contribution to functional impairment in adults with attention-deficit/hyperactivity disorder

Emotional symptoms and their contribution to functional impairment in adults with attention-deficit/hyperactivity disorder

How is affective instability defined and measured? A systematic review

Assessing the Role of Attention-Deficit/Hyperactivity Disorder Symptoms in Smokers With and Without Posttraumatic Stress Disorder

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