Keeping Emotions in Mind: The Influence of Working Memory Capacity on Parent-Reported Symptoms of Emotional Lability in a Sample of Children With and Without ADHD

Jensen, Daniel A.; Høvik, Marie F.; Monsen, Nadja Josefine Nyhammer; Eggen, Thale Hegdahl; Eichele, Heike; Adólfsdóttir, Steinunn; Plessen, Kerstin Jessica; Sørensen, Lin

doi:10.3389/fpsyg.2018.01846

Cited by 6 publications

(3 citation statements)

References 61 publications

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“…It has been reported that patients with greater carotid artery intima-media thickness had worse TMT performance [29], which is consistent with our findings. Digit Span is a measure of working memory and is not associated with emotional lability [30]. The worse results of TMT and Digit Span in patients with ICA stenosis indicated impaired executive function and working memory included in frontal lobe cognitive function, and the type of collaterals had no significant impact on these subfunctions.…”

Section: Discussionmentioning

confidence: 99%

Influence of collateral circulation on cerebral blood flow and frontal lobe cognitive function in patients with severe internal carotid artery stenosis

Wei

Ruan

et al. 2019

BMC Neurol

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Background: This study aimed to investigate the cerebral blood flow (CBF) and frontal lobe cognitive function in severe internal carotid artery (ICA) stenosis patients with different types of collateral circulation. Methods: One hundred twenty-six patients with severe unilateral ICA stenosis were enrolled. Digital subtraction angiography (DSA) was performed to recruit patients with one of three common types of collateral circulation: anterior communicating artery (AcoA), posterior communicating artery (PcoA) and ophthalmic artery (OA). The hemodynamic parameters of the middle cerebral artery (MCA) were measured using transcranial Doppler (TCD), and the individual frontal lobe cognitive attention functions were evaluated using Word Fluency Test, Trail-Making Test (TMT), Digit Span, and Stroop Color Word Test (SCWT). The correlation between hemodynamic changes and the scores of all tasks was analyzed. Results: On the side of arterial stenosis, the CBF velocities were highest in AcoA group and lowest in the OA group. All patients performed worse in TMT and Digit Span than the matched normal controls. The AcoA group exhibited a lower pulsatility index (PI) and a longer response time in the Stroop task, but had a higher accuracy rate in the Stroop task and higher scores in Word Fluency Test than the PcoA and OA groups. In all the three groups, PI was positively correlated with the accuracy rate for Stroop interference effects. Conclusions: Our findings suggested that the frontal lobe cognitive function of patients with ICA was impaired, and AcoA collaterals may be beneficial for selective attention functions, whereas OA collaterals may be associated with impairment of selective attention functions. Additionally, a high PI may be an indicator for identifying impaired selective attention in patients with severe ICA stenosis.

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Section: Discussionmentioning

confidence: 99%

Influence of collateral circulation on cerebral blood flow and frontal lobe cognitive function in patients with severe internal carotid artery stenosis

Wei

Ruan

et al. 2019

BMC Neurol

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“…Psychometric testing for executive functioning is frequently used in the neuropsychiatric assessment of ADHD, and one core executive function is verbal working memory, which involves the mental retention of auditory information that enables future action (Diamond, 2013). In several studies, a close relationship was found between emotional regulation and the level of working memory (Barkley, 1997;Jasielska et al, 2015;Jensen et al, 2018;Lima, Peckham, & Johnson, 2018;Rutherford, Booth, Crowley, & Mayes, 2016). Emotional dysregulation has not yet been conclusively defined, and there are several ways to measure, interpret, and categorize emotional dysregulation.…”

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confidence: 99%

Verbal working memory and processing speed: Correlations with the severity of attention deficit and emotional dysregulation in adult ADHD

Anker¹,

Øgrim

Heir

2021

Journal of Neuropsychology

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Objectives. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), emphasizes symptoms severity with regard to the diagnosis of attention deficit hyperactivity disorder (ADHD). Many clinicians use neuropsychological test results as objective measures of cognitive functions as part of the diagnostic work-up. The aim of this study was to investigate whether the psychometric test results regarding verbal working memory and processing speed are useful as indicators of the severity of attention deficits and emotional dysregulation in adults with ADHD.Methods. This observational cross-sectional clinical study included 418 adults diagnosed with ADHD according to the DSM-5. Attention deficit severity was defined based on the inattentive subscale of the Adult ADHD Self-Report Scale. Emotional dysregulation was assessed with the Deficient Emotional Self-Regulation scale. Verbal working memory was measured with the Working Memory Index (WMI), and processing speed was measured with the Processing Speed Index (PSI) from the Wechsler Adult Intelligence Scale, third edition.Results. The full-scale intelligence quotients of the participants were in the normal range, with expected reductions in verbal working memory and processing speed. Only processing speed was associated with attention deficits (b = À.056, p = .003). The association between the psychometric test result for verbal working memory and processing speed and that between the severity of attention deficits and emotional dysregulation were weak (R 2 < .1) and mostly non-significant. Conclusion.The psychometric index scores for verbal working memory (WMI) and processing speed (PSI) seem to have limited utility as indicators of the severity of attention deficits and emotional dysregulation in adult ADHD patients.When assessing attention deficit hyperactivity disorder (ADHD), clinicians often use results from neuropsychological tests to obtain objective measures of the patient's cognitive function to supplement clinical assessments that are based on subjective self-This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…The association between ER and ADHD has been studied extensively (e.g. Christiansen, Hirsch, Albrecht, & Chavanon, 2019; Jensen et al, 2018; Nigg et al, 2020) and generally indicates that ED is part of the ADHD presentation. Interestingly, in a study of ER with a different lab‐based measure, but with the same groups of children as in the present study, we instructed children in the specific ER strategy of cognitive reappraisal (Hagstrøm et al, 2020) and did not see any differences between groups.…”

Section: Discussionmentioning

confidence: 99%

An observational study of emotion regulation in children with Tourette syndrome

Hagstrøm

Spang

Vangkilde

et al. 2020

Child Psychology Psychiatry

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Background: Explosive outbursts occur in 25%-70% of children with Tourette syndrome (TS) and may cause more distress than the tics themselves. Previous studies have indicated that a comorbid diagnosis of attention-deficit/ hyperactivity disorder (ADHD) is associated with emotional dysregulation in TS; however, this relationship has almost exclusively been studied using parent-reported questionnaires. Methods: We examined emotion regulation (ER) with an observational measure in 150 medication-na€ ıve children aged 7-12 allocated to four groups: Forty-nine children with TS, 23 children with ADHD, 16 children with TS + ADHD, and 62 typically developing controls. We assessed participants' ER ability, as well as parent-child interactions in the context of a complex puzzle task, and coded the observed behavior with the Tangram Emotion Coding Manual (TEC-M). We examined group differences in ER, as well as associations between ER and severity of symptoms pertaining to TS and ADHD. Results: Children with TS did not differ from controls in their ER ability. However, children with ADHD and TS + ADHD had more problems with ER than those with TS only and controls. Finally, parents of children with ADHD displayed more tension during the experimental task. ER ability was not associated with tic severity nor premonitory urges; however, better ER ability was associated with less severe symptoms of ADHD. Conclusions: This study is the first to evaluate ER with an observational, clinician-rated measure in a controlled social setting in children with TS. Our findings support earlier questionnaire-based studies by showing impaired ER in children with TS + ADHD, but not in children with TS without comorbidity. These findings inform our understanding of the phenomenology of emotional dysregulation in TS and the role of comorbid disorders.

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Keeping Emotions in Mind: The Influence of Working Memory Capacity on Parent-Reported Symptoms of Emotional Lability in a Sample of Children With and Without ADHD

Cited by 6 publications

References 61 publications

Influence of collateral circulation on cerebral blood flow and frontal lobe cognitive function in patients with severe internal carotid artery stenosis

Influence of collateral circulation on cerebral blood flow and frontal lobe cognitive function in patients with severe internal carotid artery stenosis

Verbal working memory and processing speed: Correlations with the severity of attention deficit and emotional dysregulation in adult ADHD

An observational study of emotion regulation in children with Tourette syndrome

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