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An Evaluation of Behavioral Approach in Adults with ADHD

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Abstract

Motivational models emphasizing altered reinforcement sensitivity have been increasingly implicated in etiological accounts of attention-deficit/hyperactivity disorder (ADHD). Overactive behavioral approach tendencies are identified among these motivational models and are addressed within reinforcement sensitivity theory (RST). RST proposes that overactive behavioral approach is associated with over responsiveness to immediately reinforcing stimuli and results from an overactive appetitive motivational subsystem of the brain—the behavioral approach system. The current study tested the hypothesis that behavioral approach would be higher in a clinical sample of adults diagnosed with ADHD relative to a control group. Experimental and self-report measures of behavioral approach were administered. Behavioral approach was higher in the ADHD group across both methods of assessment. Effect size estimates fell within the medium to large range. Implications for how these findings might be incorporated into future ADHD models are discussed.

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Acknowledgment

Thank you Arthur Anastopoulos, Ph.D. and Laura Knouse, Ph.D. for assistance in participant recruitment and data collection.

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Correspondence to John T. Mitchell.

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Mitchell, J.T., Robertson, C.D., Kimbrel, N.A. et al. An Evaluation of Behavioral Approach in Adults with ADHD. J Psychopathol Behav Assess 33, 430–437 (2011). https://doi.org/10.1007/s10862-011-9253-6

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