Emotional dysregulation is a primary symptom in adult Attention-Deficit/Hyperactivity Disorder (ADHD)

Hirsch, Oliver; Chavanon, Mira‐Lynn; Riechmann, Elke; Christiansen, Hanna

doi:10.1016/j.jad.2018.02.007

Cited by 114 publications

(98 citation statements)

References 48 publications

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“…Undoubtedly, the differences in the comparisons of the three groups, ADHD-P, ADHD-R, and N-ADHD, are fairly evident in different functional impairments [19][20][21][22][23]. In all the domains evaluated, that is, family, school, life skills, social activities, and risky activities, ADHD-P individuals experience significantly more impairment than the N-ADHD group.…”

Section: Discussionmentioning

confidence: 96%

“…On the other hand, without a doubt, adults with ADHD commonly have additional problems, such as feelings of restlessness, unfocused mental activity and memory problems, emotional dysregulation, or low selfesteem [19][20][21][22]. These problems could be linked to the persistence of the disorder, adversities in everyday functioning [23,24], and poor quality of life [25].…”

Section: (Continued From Previous Page)mentioning

confidence: 99%

“…In summary, in the past decade, evidence has been accumulated about the differences between adults with a childhood ADHD diagnosis and N-ADHD in EF [3,7] and problems related to inattention and restlessness, self-concept, and impulsivity/ emotional lability [20][21][22][23]. However, less is known about the magnitude and nature of the functional impairments of ADHD-P and ADHD-R groups or the role played by the EF and other behaviors linked to the disorder.…”

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confidence: 99%

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Empirical examination of executive functioning, ADHD associated behaviors, and functional impairments in adults with persistent ADHD, remittent ADHD, and without ADHD

et al. 2020

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Background: Previous studies suggest that childhood attention deficit hyperactivity disorder (ADHD) may continue in adulthood, producing adverse effects. Therefore, identifying factors that help to differentiate characteristics of ADHD persistence and remission has practical implications for evaluation and treatment. The first aim of this study was to analyze differences in executive functions (shift, working memory, inhibition, and plan/organize), symptoms associated with ADHD (inattention, hyperactivity, emotional lability, and self-concept), and functional impairments in adults with persistent ADHD (ADHD-P), with remittent ADHD (ADHD-R), and without ADHD (N-ADHD). The second aim was to study the contribution of functional impairments in these three groups based on executive functions and associated ADHD behaviors. Methods: Participants were 115 adults, 61 with a childhood ADHD diagnosis (40 persisters and 21 remitters) and 54 individuals with typical development. Self-reports were collected on executive functions, symptoms associated with ADHD, and functional impairments. Multivariate Analyses of Variance were conducted to test differences between the ADHD-P, ADHD-R, and N-ADHD groups on the evaluated variables. In addition, analyses were performed using two structural equation models with observed variables (path analyses). Results: The results indicated that significant executive and behavioral impairments and adverse functional outcomes in different life domains are related to the diagnostic persistence of ADHD. Recovery from the disorder is associated with better results, although hyperactivity/restlessness behaviors and plan/organize deficits continue to be present in remitter individuals.

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Section: Discussionmentioning

confidence: 96%

Section: (Continued From Previous Page)mentioning

confidence: 99%

Section: (Continued From Previous Page)mentioning

confidence: 99%

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Empirical examination of executive functioning, ADHD associated behaviors, and functional impairments in adults with persistent ADHD, remittent ADHD, and without ADHD

et al. 2020

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“…There is increasing evidence of a close link between emotional symptoms and attention deficit hyperactivity disorder (ADHD) [1][2][3]. Several studies suggest that besides attentional and hyperactive-impulsive symptoms, emotional dysregulation (ED) is a core symptom of ADHD, both in childhood and adulthood [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Emotion dysregulation in adults suffering from attention deficit hyperactivity disorder (ADHD), a comparison with borderline personality disorder (BPD)

Rüfenacht¹,

Euler

Prada³

et al. 2019

bord personal disord emot dysregul

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Background: Emotional dysregulation (ED) is now considered as an important symptom of attention deficit hyperactivity disorder (ADHD). It is believed to have a considerable impact on the severity of the disorder, one's global functioning, and the prognosis. Our research aimed to evaluate and compare ED and cognitive emotional regulation strategies between ADHD and borderline personality disorder (BPD) patients. Methods: Four hundred six French-speaking outpatients (N = 279 ADHD, N = 70 BPD, N = 60 BPD + ADHD) were assessed with the Emotion Reactivity Scale (ERS), the Cognitive Emotional Regulation Questionnaire (CERQ), The Basic Empathy Scale (BES-A), the Adult ADHD Self-Report Scale (ARSV-v1.1) and the Beck Depression Inventory II (BDI-II). ADHD, BPD and comorbid patients were compared with each other and with samples of controls extracted from already published data. Results: ADHD patients, although having higher ED than samples derived from the general population, had less ED, better control over their emotions with higher use of adaptive cognitive strategies and lesser use of non-adaptive strategies than BPD patients. However, ADHD subjects had similar scores as BPD subjects when looking at difficulties in perceiving self and others. ED generated considerable distress in all groups and was also positively associated with ADHD symptomatology. ADHD patients with comorbid BPD had the highest scores of ED. Conclusions: Our results suggest that there may be similarly inefficient cognitive emotional regulation skills leading to ED in both disorders (ADHD and BPD). However, ADHD patients showed a higher use of adaptive cognitive emotional strategies and a lower level of ED than BPD patients.

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“…There is currently a discussion about whether this psychopathological characteristic should be part of the clinical description of ADHD (Retz, Stieglitz, Corbisiero, Retz-Junginger, & Rosler, 2012) in children and adolescents as well as adults. Several empirical studies have confirmed a high prevalence of emotional dysregulation in adults, coupled with a reported frequency of central symptoms of inattention, hyperactivity, and impulsivity (Hirsch, Chavanon, Riechmann, & Christiansen, 2018).…”

Section: Discussionmentioning

confidence: 96%

Comparison of clinical and cognitive characteristics of a Mexican adult clinical population with and without ADHD

Palacios‐Cruz

Galicia

Arias-Caballero

et al. 2018

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Introduction. Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder affecting approximately 5% of the world population, with symptoms that may persist into adulthood. Despite the findings on the clinical course of this disorder, information regarding comorbidity patterns, psychosocial and executive functioning in adult life in those with and without ADHD in Latin American samples is scarce. Objective. The aim of this study is to compare the comorbidity pattern, psychosocial, and executive functioning of adults with and without ADHD from a clinical sample. Method. One hundred and fifty-one patients between 20 and 45 years, with screened positively on ASRS-V1.1, were invited to continue an evaluation process as part of clinical research program (PROMETEO): 1) K-SADS-PL Mx interview, 2) MINI-Plus interview, ASRS-V1-1 18 item version, BRIEF self-reported questionnaire, SCQA-ADHD, and 3) Individual case review by clinical expert in ADHD. Results. Individuals in the ADHD group had a higher average of comorbid disorders (2.5 SD 1.1 vs. 1.3 SD 1.0 respectively, F = .439; t = -6.621; df = 149; p < .001), more likelihood of procrastinating (OR = 6.5; 95% CI[2.6, 16.2]; z = 4.0) and were more likely to present difficulties in both the behavior regulation index (OR = 104.9; 95% CI[31.8, 345.7]; z = 7.65) and the metacognitive index (OR = 94.79; 95% CI[29.10, 308.76]; z = 7.56) compared to the non-ADHD group, regardless of gender. Discussion and conclusions. Our results indicate that the ADHD adult group presented with more comorbidity, and worse psychosocial and executive functioning than non-ADHD adults.

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Emotional dysregulation is a primary symptom in adult Attention-Deficit/Hyperactivity Disorder (ADHD)

Cited by 114 publications

References 48 publications

Empirical examination of executive functioning, ADHD associated behaviors, and functional impairments in adults with persistent ADHD, remittent ADHD, and without ADHD

Empirical examination of executive functioning, ADHD associated behaviors, and functional impairments in adults with persistent ADHD, remittent ADHD, and without ADHD

Emotion dysregulation in adults suffering from attention deficit hyperactivity disorder (ADHD), a comparison with borderline personality disorder (BPD)

Comparison of clinical and cognitive characteristics of a Mexican adult clinical population with and without ADHD

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