nach oben

ADHD Attention Deficit and Hyperactivity Disorders

Erschienen in:

01.12.2015 | Original Article

The association of emotional lability and emotional and behavioral difficulties among children with and without ADHD

verfasst von: Paul J. Rosen, Danielle M. Walerius, Nicholas D. Fogleman, Perry I. Factor

Erschienen in: ADHD Attention Deficit and Hyperactivity Disorders | Ausgabe 4/2015

Einloggen, um Zugang zu erhalten

Abstract

Children with ADHD often demonstrate a pattern of emotional lability characterized by sudden and intense shifts in affect. Emotional lability has been linked to emotional and behavioral problems in children with and without ADHD, but few studies have examined emotional lability over time. This study examined the effects of emotional lability over time on the behavioral and emotional difficulties of children with and without ADHD using an ecological momentary assessment (EMA) methodology. One hundred and two children aged 8–12 years (56 with ADHD and 46 without ADHD) and their parents completed baseline measures of the children’s behavioral and emotional difficulties. Parents then completed a 28-day 3-times daily EMA assessment protocol to rate their child’s emotional lability. Results suggested that emotional lability was associated with internalizing and/or externalizing diagnoses independent of ADHD diagnostic status, but was not directly associated with ADHD. Hierarchical regression analyses supported ADHD diagnostic status as a moderator of the association of greater EMA-derived emotional lability with children’s behavioral difficulties, such that greater emotional lability was associated with greater behavioral difficulties among children with ADHD but not among children without ADHD. Results indicated that greater emotional lability was directly linked with greater emotional difficulties and that this relation was not moderated by ADHD diagnostic status. Overall, this study suggested that emotional lability is related to emotional difficulties independent of ADHD, but is differentially related to behavioral difficulties among children with and without ADHD.

Achenbach TM (2001) Manual for the child behavioral checklist 6–18 and 2001 profile. University of Vermont Department of Psychiatry, Burlington

American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, Arlington

Anastopolous AD, Smith TF, Garrett ME, Morrissey-Kane E, Schatz NK et al (2011) Self-regulation of emotion, functional impairment, and comorbidity among children with ADHD. J Atten Disord 15(7):583–592CrossRef

Barkley RA (2010) Deficient emotion regulation is a core component of ADHD. Journal of ADHD and Related Disorders 1:5–37

Barkley RA (2013) Distinguishing sluggish cognitive tempo from ADHD in children and adolescents: executive functioning, impairment, and comorbidity. J Clin Child Adolesc Psychol 42(2):161–173CrossRefPubMed

Cole PM, Martin SE, Dennis TA (2004) Emotion regulation as a scientific construct: methodological challenges and directions for child development research. Child Dev 75(2):317–333CrossRefPubMed

Cyders MA, Smith GT (2008) Emotion-based dispositions to rash action: positive and negative urgency. Psychol Bull 134(6):807PubMedCentralCrossRefPubMed

Ebesutani C, Regan J, Smith A, Reise S, Higa-McMillan C, Chorpita BF (2012) The 10-item positive and negative affect schedule for children, child and parent shortened versions: application of item response theory for more efficient assessment. J Psychopathol Behav Assess 34:191–203CrossRef

Ebner-Priemer UW, Trull TJ (2009) Ecological momentary assessment of mood disorders and mood dysregulation. Psychol Assess 21(4):463–475CrossRefPubMed

Eisenberg N, Spinrad TL, Eggum ND (2010) Self-regulation and its relation to children’s maladjustment. Annu Rev Clin Psychol 6:495–525PubMedCentralCrossRefPubMed

Factor PI, Reyes RA, Rosen PJ (2014) Emotional impulsivity in children with ADHD associated with comorbid—not ADHD—symptomatology. J Psychopathol Behav Assess 36:530–541CrossRef

Gartstein MA, Bridgett DJ, Dishion TJ, Kaufman NK (2009) Depressed mood and parental report of child behavior problems: another look at the depression–distortion hypothesis. J Appl Dev Psychol 30:149–160PubMedCentralCrossRefPubMed

Graziano PA, McNamara JP, Geffken GR, Reid AM (2013) Differentiation co-occurring behavior problems in children with ADHD: patterns of emotional reactivity and executive functioning. J Atten Disord 17(3):249–260CrossRefPubMed

Gross JJ (2002) Emotion regulation: affective, cognitive, and social consequences. Psychophysiology 39(3):281–291CrossRefPubMed

Gross JJ (ed) (2007) Handbook of emotion regulation. Guilford, New York

Jahng S, Wood PK, Trull TJ (2008) Analysis of affective instability in ecological momentary assessment: indices using successive difference and group comparison via multilevel modeling. Psychol Methods 13(4):354–375CrossRefPubMed

Jensen SA, Rosen LA (2004) Emotional reactivity in children with attention-deficit/hyperactivity disorder. J Atten Disord 8:53–61CrossRefPubMed

Kovacs M (1992) The Children’s Depression Inventory (CDI). Multi-Health Systems Inc., Toronto

Larsen RJ (2000) Toward a science of mood regulation. Psychol Inq 11(3):129–141CrossRef

Lewis MD, Granic I, Lamm C, Zelazo PD, Stieben J et al (2008) Changes in the neural bases of emotion regulation associated with clinical improvement in children with behavior problems. Dev Psychopathol 20:913–939CrossRefPubMed

Marmorstein NR (2013) Associations between dispositions to rash action and internalizing and externalizing symptoms in children. J Clin Child Adolesc Psychol 42(1):131–138PubMedCentralCrossRefPubMed

Martel MM (2009) Research review: a new perspective on attention-deficit/hyperactivity disorder: emotion dysregulation and trait models. J Child Psychol Psychiatry 50(9):1042–1051CrossRefPubMed

Martel MM, Nigg JT (2006) Child ADHD and personality/temperament traits of reactive and effortful control, resiliency, and emotionality. J Child Psychol Psychiatry 47(11):1175–1183CrossRefPubMed

Melnick SM, Hinshaw SP (2000) Emotion regulation and parenting in AD/HD and comparison boys: linkages with social behaviors and peer preference. J Abnorm Child Psychol 28(1):73–86CrossRefPubMed

Miller DJ, Vachon DD, Lynam DR (2009) Neuroticism, negative affect, and negative affect instability. Establishing convergent and discriminant validity using ecological momentary assessment. Personal Individ Differ 47:873–877CrossRef

Mitchell JT, McIntyre EM, English J, Dennis MF, Beckham JC, Kollins SH (2013) A pilot trail of mindfulness meditation training for ADHD in adulthood: impact on core symptoms, executive functioning, and emotion dysregulation. J Atten Disord. Published online 19 November 2012. doi:10.1177/1087054713513328; Accessible at http://jad.sagepub.com/content/early/2013/12/04/1087054713513328.full.pdf+html

Musser ED, Backs RW, Schmitt CF, Ablow JC, Measelle JR, Nigg JT (2011) Emotion regulation via the autonomic nervous system in children with attention-deficit/hyperactivity disorder (ADHD). J Abnorm Child Psychol 39:841–852PubMedCentralCrossRefPubMed

Norvilitis JM, Casey RJ, Brooklier KM, Bonello PJ (2000) Emotion appraisal in children with attention-deficit/hyperactivity disorder and their parents. J Atten Disord 4:15–26CrossRef

Pelham WE, Fabiano GA (2008) Evidence-based psychosocial treatments for attention-deficit/hyperactivity disorder. J Clin Child Adolesc Psychol 37(1):184–214CrossRefPubMed

Raine A, Dodge K, Loeber R, Gatzke-Kopp L, Lynam D et al (2006) The reactive-proactive aggression questionnaire: differential correlates of reactive and proactive aggression in adolescent boys. Aggress Behav 32(2):159–171PubMedCentralCrossRefPubMed

Rosen PJ, Factor PI (2012) Emotional impulsivity and emotional and behavioral difficulties among children with ADHD: an ecological momentary assessment study. J Atten Disord. Published online 19 November 2012. doi:10.1177/1087054712463064; Accessible at http://jad.sagepub.com/content/early/2012/11/19/1087054712463064.citation

Rosen PJ, Loren REA, Epstein JN (2010) Managing Frustration for Children: a group treatment for emotion dysregulation in children. Presented at the 2010 annual meeting of the Association for Behavioral and Cognitive Therapies in San Francisco, CA

Rosen PJ, Milich R, Harris MJ (2012) Dysregulated negative emotional reactivity as a predictor of chronic peer victimization in childhood. Aggress Behav 38(5):414–427CrossRefPubMed

Rosen PJ, Epstein JN, Van Orden G (2013) I know it when I quantify it: ecological momentary assessment and recurrence quantification analysis of emotion dysregulation in children with ADHD. Atten Deficit Hyperact Disord 5(3):283–294CrossRef

Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME (2000) NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. JAACAP 39(1):28–38

Shaw P, Stringaris A, Nigg J, Leibenluft E (2014) Emotion dysregulation in attention deficit hyperactivity disorder. Am J Psychiatry 171(3):276–293PubMedCentralCrossRefPubMed

Sheppes G, Gross JJ (2011) Is timing everything? Temporal considerations in emotion regulation. Pers Soc Psychol Rev 15(4):319–331CrossRefPubMed

Shields A, Cicchetti D (1997) Emotion regulation among school-age children: the development and validation of a new criterion Q-sort scale. Dev Psychopathol 33(6):906–916CrossRef

Shrier LA, Shih M-C, Beardslee WR (2005) Affect and sexual behavior in adolescents: a review of the literature and comparison of momentary sampling with diary and retrospective self-report methods of measurement. Pediatrics 115(5):573–581CrossRef

Silk JS, Steinberg L, Sheffield Morris A (2003) Adolescents’ emotion regulation in daily life: links to depressive symptoms and problem behavior. Child Dev 74(6):1869–1880CrossRefPubMed

Skirrow C, Asherson P (2013) Emotional lability, comorbidity and impairment in adults with attention-deficit hyperactivity disorder. J Affect Disord 147(1–3):80–86CrossRefPubMed

Skirrow C, McLoughlin G, Kuntsi J, Asherson P (2009) Behavioral, neurocognitive, and treatment overlap between attention-deficit/hyperactivity disorder and mood instability. Expert Rev Neurother 9(4):489–503CrossRefPubMed

Sobanski E, Banaschewski T, Asherson P, Buitelaar J, Franke B et al (2010) Emotional lability in children and adolescents with attention-deficit/hyperactivity disorder (ADHD): clinical correlates and familial prevalence. J Child Psychol Psychiatry 51(8):915–923CrossRefPubMed

Solhan MB, Trull TJ, Jahng S, Wood PK (2009) Clinical assessment of affective instability: comparing EMA indices, questionnaire reports, and retrospective recall. Psychol Assess 21(3):425–436PubMedCentralCrossRefPubMed

Stone AA, Shiffman S (1994) Ecological momentary assessment (EMA) in behavioral medicine. Ann Behav Med 16:199–202

Strine TW, Lesesne CA, Okoro CA, McGuire LC, Chaoman DP et al (2006) Emotion and behavioral difficulties and impairments in everyday functioning among children with a history of attention-deficit/hyperactivity disorder. Prev Chronic Dis 3(2):1–10

Suveg C, Payne M, Thomassin K, Jacob ML (2010) Electronic diaries: a feasible method of assessing emotional experiences in youth? J Psychopathol Behav Assess 32(1):57–67CrossRef

Teper R, Segal ZV, Inzlicht M (2013) Inside the mindful mind: how mindfulness enhances emotion regulation through improvements in executive control. Curr Dir Psychol Sci 22(6):449–454CrossRef

Theule J, Wiener J, Tannock R, Jenkins JM (2010) Parenting stress in families of children with ADHD: a meta-analysis. J Emot Behav Disord. Published online 19 November 2012. Accessible at http://ebx.sagepub.com/content/21/1/3

United States Census Bureau (2010) Overview of race and hispanic origin: 2010. http://www.census.gov/prod/cen2010/briefs/c2010br-02.pdf

Walcott CM, Landau S (2004) The relation between disinhibition and emotion regulation in boys with attention deficit hyperactivity disorder. J Clin Child Adolesc Psychol 33(4):772–782CrossRefPubMed

Watson D, Clark LA, Tellegen A (1988) Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol 54(6):1063–1070CrossRefPubMed

Waxmonsky JG, Wymbs FA, Pariseau ME, Belin PJ, Waschbusch DA et al (2013) A novel group therapy for children with ADHD and severe mood dysregulation. J Atten Disord 17(6):527–541PubMedCentralCrossRefPubMed

Weiss HM, Beal DJ, Lucy SL, MacDermid SM (2004) Conducting EMA studies with PMAT: the purdue momentary assessment tool user’s manual. Purdue University, West Lafayette

Whalen CK, Henker B, Ishikawa SS, Floro JN, Emmerson NA et al (2009) ADHD and anger contexts: electronic diary mood reports from mothers and children. J Pediatr Psychol 34(9):940–953CrossRefPubMed

Zapolski TC, Stairs AM, Settles RF, Combs JL, Smith GT (2010) The measurement of dispositions to rash actions in children. Assessment 17(1):116–125PubMedCentralCrossRefPubMed

Zeman J, Cassano M, Perry-Parish C, Stegall S (2006) Emotion regulation in children and adolescents. Dev Behav Pediatr 27(2):155–168CrossRef

Titel: The association of emotional lability and emotional and behavioral difficulties among children with and without ADHD
verfasst von: Paul J. Rosen
Danielle M. Walerius
Nicholas D. Fogleman
Perry I. Factor
Publikationsdatum: 01.12.2015
Verlag: Springer Vienna
Erschienen in: ADHD Attention Deficit and Hyperactivity Disorders / Ausgabe 4/2015
Print ISSN: 1866-6116
Elektronische ISSN: 1866-6647
DOI: https://doi.org/10.1007/s12402-015-0175-0

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2015

ADHD symptomatology is best conceptualized as a spectrum: a dimensional versus unitary approach to diagnosis

Attention-deficit/hyperactivity disorder Under Treatment Outcomes Research (AUTOR): a European observational study in pediatric subjects

Oxidative and nitrosative stress in ADHD: possible causes and the potential of antioxidant-targeted therapies

The clinical profile of children with ADHD that require OROS-methylphenidate combined with shorter-acting formulations

Saccadic movement deficiencies in adults with ADHD tendencies