Current and Retrospective Childhood Ratings of Emotional Fluctuations in Adults With ADHD

Lundervold, Astri J.; Halmøy, Anne; Nordby, Emilie Sektnan; Haavik, Jan; Meza, Jocelyn I.

doi:10.3389/fpsyg.2020.571101

Cited by 5 publications

(13 citation statements)

References 52 publications

(70 reference statements)

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“…Mowlem et al (2019) found that females with ADHD had higher levels of emotional lability than males with ADHD, although this difference was not statistically significant. In contrast to most other findings related to sex and gender, Lundervold et al (2020) found that males were more likely to be in the group with emotional fluctuations.…”

Section: Demographic Factorscontrasting

confidence: 99%

“…Further, they found that emotional dysregulation was more strongly related to hyperactive and impulsive symptoms than inattentive symptoms. This finding is consistent with Lundervold et al's (2020) findings that hyperactive/impulsive symptoms were stronger predictors of mood fluctuations than inattentive symptoms.…”

Section: Psychological Factorssupporting

confidence: 92%

“…Thus, treatments targeting emotional regulation in women with ADHD may be most effective if they focus on teaching emotional regulation strategies and teaching ways to increase engagement in goal-directed activities in the face of difficult emotions. Interestingly, Lundervold et al (2020) found that males with ADHD were more likely to have emotional fluctuations than females with ADHD. However, it is important to note that the authors measured emotional fluctuations through the use of the Mood Disorder Questionnaire, which assesses the presence or absence of hypomanic periods.…”

Section: Discussionmentioning

confidence: 99%

“…For example, those with ADHD who also struggle with emotional dysregulation generally have higher levels of psychological distress, and they also have poorer emotional regulation skills than other clinical groups with major depressive or adjustment disorders (Hirsch et al, 2019). Further, adults who have ADHD and emotional dysregulation have worse outcomes in terms of education and work, quality of life, and psychopathology than adults with ADHD alone (Biederman et al, 2020; Lundervold et al, 2020). A 2021 study by Pallucchini and colleagues identified several common correlates of ADHD (emotion dysregulation, substance use, core ADHD symptoms, and positive emotionality) and found that the group marked by emotion dysregulation had worse overall functioning than the group marked by core ADHD symptoms.…”

mentioning

confidence: 99%

“…Given that not all adults with ADHD have difficulties with emotional dysregulation and that these difficulties have such a negative impact on those that do have them (Biederman et al, 2020; Bodalski et al, 2019; Bruner et al, 2015; Lundervold et al, 2020; Mazursky-Horowitz et al, 2015; Murray et al, 2021), it is extremely important to identify possible moderators and mediators of the relation between ADHD and emotional dysregulation. There are a number of demographic, psychological, and health-related factors that could be associated with emotional dysregulation in adults with ADHD.…”

mentioning

confidence: 99%

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A Scoping Review of Factors Associated With Emotional Dysregulation in Adults With ADHD

2023

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Objective: Emotion dysregulation is frequently seen in adults with ADHD and is associated with many adverse outcomes. We conducted a scoping review of factors associated with emotion dysregulation in adults with ADHD. Method: PubMed and PsycInfo (EBSCO) were searched. Articles were included if they measured ADHD, emotional dysregulation or some aspect of emotional dysregulation, and at least one other construct. Studies examining physiological underpinnings as well as clinical trials examining the effect of ADHD medications on emotional dysregulation were excluded because recent reviews have already examined these topics. Results: Thirty-five studies were included in the review. Factors such as biological sex, comorbidities, attachment style, using certain emotional regulation strategies, and ADHD subtype tend to be related to emotion dysregulation. Conclusion: Clinicians working with adults with ADHD can collect information on these factors to better understand risk for emotion dysregulation, and emotion regulation skills may be one area for intervention.

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Section: Demographic Factorscontrasting

confidence: 99%

Section: Psychological Factorssupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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A Scoping Review of Factors Associated With Emotional Dysregulation in Adults With ADHD

2023

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Adolescents Who Do Not Endorse Risk via the Patient Health Questionnaire Before Self-Harm or Suicide

Flores,

Kahn,

Penfold

et al. 2024

JAMA Psychiatry

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ImportanceGiven that the Patient Health Questionnaire (PHQ) item 9 is commonly used to screen for risk of self-harm and suicide, it is important that clinicians recognize circumstances when at-risk adolescents may go undetected.ObjectiveTo understand characteristics of adolescents with a history of depression who do not endorse the PHQ item 9 before a near-term intentional self-harm event or suicide.Design, Setting, and ParticipantsThis was a retrospective cohort study design using electronic health record and claims data from January 2009 through September 2017. Settings included primary care and mental health specialty clinics across 7 integrated US health care systems. Included in the study were adolescents aged 13 to 17 years with history of depression who completed the PHQ item 9 within 30 or 90 days before self-harm or suicide. Study data were analyzed September 2022 to April 2023.ExposuresDemographic, diagnostic, treatment, and health care utilization characteristics.Main Outcome(s) and Measure(s)Responded “not at all” (score = 0) to PHQ item 9 regarding thoughts of death or self-harm within 30 or 90 days before self-harm or suicide.ResultsThe study included 691 adolescents (mean [SD] age, 15.3 [1.3] years; 541 female [78.3%]) in the 30-day cohort and 1024 adolescents (mean [SD] age, 15.3 [1.3] years; 791 female [77.2%]) in the 90-day cohort. A total of 197 of 691 adolescents (29%) and 330 of 1024 adolescents (32%), respectively, scored 0 before self-harm or suicide on the PHQ item 9 in the 30- and 90-day cohorts. Adolescents seen in primary care (odds ratio [OR], 1.5; 95% CI, 1.0-2.1; P = .03) and older adolescents (OR, 1.2; 95% CI, 1.0-1.3; P = .02) had increased odds of scoring 0 within 90 days of a self-harm event or suicide, and adolescents with a history of inpatient hospitalization and a mental health diagnosis had twice the odds (OR, 2.0; 95% CI, 1.3-3.0; P = .001) of scoring 0 within 30 days. Conversely, adolescents with diagnoses of eating disorders were significantly less likely to score 0 on item 9 (OR, 0.4; 95% CI, 0.2-0.8; P = .007) within 90 days.Conclusions and RelevanceStudy results suggest that older age, history of an inpatient mental health encounter, or being screened in primary care were associated with at-risk adolescents being less likely to endorse having thoughts of death and self-harm on the PHQ item 9 before a self-harm event or suicide death. As use of the PHQ becomes more widespread in practice, additional research is needed for understanding reasons why many at-risk adolescents do not endorse thoughts of death and self-harm.

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Low Persistence of Inattention Symptoms From Childhood to Adolescence: A Population-Based Study

et al. 2023

Self Cite

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Objective: To investigate the persistence of dimensional measures of inattention in a population-based, gender-balanced sample of adolescents with parent reports of inattention from childhood and self-reports of inattention in adolescence. Method: Adolescents, 16–19 years old, completed the Adult ADHD Self Report Scale. Their parents completed the Swanson, Nolan, and Pelham Rating Scale—4th Edition when they were 7–9 and 11–13 years old. Results: More severe inattention in boys than girls in childhood shifted to a female predominance in adolescence. The correlation between reports of inattention in childhood and adolescence was weak, with parent reports explaining only ~5% of the variance in the inattention score reported in adolescence. Conclusion: The weak association between inattention in childhood and adolescence is consistent with the emerging challenges associated with being an adolescent, but the impact of shifts in informants, gender and age on symtpom presentations should be investigated in future studies.

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Current and Retrospective Childhood Ratings of Emotional Fluctuations in Adults With ADHD

Cited by 5 publications

References 52 publications

A Scoping Review of Factors Associated With Emotional Dysregulation in Adults With ADHD

A Scoping Review of Factors Associated With Emotional Dysregulation in Adults With ADHD

Adolescents Who Do Not Endorse Risk via the Patient Health Questionnaire Before Self-Harm or Suicide

Low Persistence of Inattention Symptoms From Childhood to Adolescence: A Population-Based Study

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