Emotional lability in children and adolescents with attention deficit/hyperactivity disorder (ADHD): clinical correlates and familial prevalence

Sobanski, Esther; Banaschewski, Tobias; Asherson, Philip; Buitelaar, Jan K.; Chen, Wai; Franke, Barbara; Holtmann, Martin; Krumm, Bertram; Sergeant, Joseph A.; Sonuga‐Barke, Edmund; Stringaris, Argyris; Taylor, Eric; Anney, Richard; Ebstein, Richard P.; Gill, Michael; Miranda, Ana; Mulas, Fernando; Oades, Robert D.; Roeyers, Herbert; Rothenberger, Aribert; Steinhausen, Hans-Christoph; Faraone, Stephen V.

doi:10.1111/j.1469-7610.2010.02217.x

Cited by 308 publications

(310 citation statements)

References 40 publications

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“…Previous studies (Sobanski et al, 2010;Surman et al, 2013;Vidal et al, 2014) have shown similar results, without differentiating between BD and other axis-1 comorbidities. These two scales therefore seem useful to assess the weight of comorbidities in emotional dysregulation among ADHD sufferers.…”

Section: Discussionsupporting

confidence: 67%

Similarities between emotional dysregulation in adults suffering from ADHD and bipolar patients

Richard-Lepouriel

Étain²,

Hasler

et al. 2016

Journal of Affective Disorders

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a b s t r a c tBackground: Emotional dysregulation in subjects with attention deficit and hyperactivity disorder (ADHD) is a topic of growing interest among clinicians and researchers. The present study aims at investigating components of emotional dysregulation in adults ADHD compared to subjects suffering from bipolar disorder (BD). Methods: A total of 150 adults ADHD, 335 adults BD subjects and 48 controls were assessed using the Affective Lability Scale (ALS) and the Affect Intensity Measure (AIM), measuring respectively emotion lability and emotion responsiveness. Results: ADHD and BD subjects scored significantly higher on the ALS compared to controls (p¼0.0001). BD subjects scored above ADHD ones (3.07 (SD¼0.66) vs. 2.30 (SD¼ 0.68); po0.0001). The average total scores achieved on the AIM were significantly different for the three groups (p¼0.0001) with significantly higher scores for ADHD subjects compared to BD ones (3.74 (SD¼ 0.59) vs. 3.56 (SD¼0.69); po0.0001). Limitations: Suspected cases of ADHD in the BD and control groups were derived from the Wender Utah Rating Scale (WURS). This study is a retrospective one. Conclusion: Our study thus highlights the importance of emotional dysregulation in adults suffering from ADHD, showing that they display higher emotional intensity than bipolar disorder subjects and controls. Although the current diagnostic criteria of ADHD do not contain an emotional dimension, a better recognition of the significance of emotional responsiveness in ADHD patients can improve the care afforded to these patients, beyond the inattentive and hyperactive/impulsive components.

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Section: Discussionsupporting

confidence: 67%

Similarities between emotional dysregulation in adults suffering from ADHD and bipolar patients

Richard-Lepouriel

Étain²,

Hasler

et al. 2016

Journal of Affective Disorders

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“…The second strand of research, is linked to a renewed interest in emotional dysregulation (Sobanski et al, 2010) as a clinical feature of ADHD and the overlap between ADHD and paediatric severe mood disorders (Donfrancesco et al, 2011). This has focused interest on amygdala and insula dysfunction in ADHD with recent studies reporting structural (Sasayama et al, 2010) and functional alterations in the amygdala (Brotman et al, 2010;Herrmann et al, 2010).…”

Section: Resultsmentioning

confidence: 99%

Brain activation to cues predicting inescapable delay in adolescent Attention Deficit/Hyperactivity Disorder: An fMRI pilot study

et al. 2012

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“…In accordance with previous findings on predominant hyperactive-impulsive subtype (Baeyens et al, 2006;Milich et al, 2001), HI group is characterized by a higher intensity of externalizing symptoms and a lower intensity of internalizing symptoms, except of anxiety depression observed by teachers. As was noted earlier, this subscale seems to be related to mood liability, which was found to be associated with hyperactivity-impulsivity (Sobanski et al, 2010). The IA group is characterized by a low intensity of comorbid symptoms.…”

Section: Discussionmentioning

confidence: 87%

“…It is surprising that symptoms of anxiety-depression were joined in a single component with externalizing symptoms and were not joined with anxiety-withdrawal. Anxiety-depression, as measured by TRF, seems to relate to mood liability, which was found to be associated with hyperactivity-impulsivity (Sobanski et al, 2010). As PCA was conducted in the group characterized by a higher-than-the-population proportion of children with hyperactivity-impulsivity symptoms, these variables were merged together in one component.…”

Section: Discussionmentioning

confidence: 99%

Heterogeneity in Clinical Symptoms and Cognitive Functioning of Children with Hyperactivity-Impulsivity and Inattention: Dimensional and Person-Centered Perspectives

Gambin¹,

Święcicka²

2016

Polish Psychological Bulletin

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Abstract:The goal of this study was to investigate heterogeneity in clinical symptoms and cognitive functioning among children with hyperactivity-impulsivity and inattention using a novel approach that combined dimensional and personcentered perspectives. Executive, verbal and visuo-spatial functioning, hyperactivity-impulsivity, inattention 2016 , vol. 47(2) 195-206 DOI -10.1515 /ppb-2016 Our population of interest is children with parent-and teacher-rated ADHD symptoms. For a diagnosis of ADHD, the child must display symptoms in at least two different settings, such as at home and at school and information needs to be gathered from two or more informants (APA, 2000). However, a lot of children with subclinical ADHD symptoms suffer from self-regulation difficulties, experience problems in day-to-day life (especially in social and school functioning) and are often referred to psychologists and other specialists as they need therapeutic help (Kóbor, Takács, Urbán & Csépe, 2002;Rielly, Craig & Parker, 2006). Children with subclinical and clinical ADHD are characterized by high heterogeneity in terms of, among others: cognitive functioning, clinical symptoms, comorbid symptoms, and presentation of symptoms in different settings. Thus, it is important to differentiate groups of children with elevated ADHD symptoms characterized by various profiles of self-regulation difficulties in order to enable the development of more effective therapeutic and educational methods adjusted to the areas of problems in functioning. Polish Psychological BulletinSeveral studies revealed heterogeneity in cognitive functioning, especially in efficiency of executive functions, of children with ADHD symptoms (Chhabildas, Pennington & Willcutt, 2001;Nigg,Willcutt, Doyle & Sonuga-Barke, 2005). In many theoretical models (e.g., Barkley, 1997;Nigg, 2001;Schachar, Tannock, & Logan, 1993), executive function deficits are central to the explanation of the underlying mechanisms that lead to the manifestation of symptoms of inattention, hyperactivity and impulsivity. Studies have consistently shown that the average performance in executive function tests of children with ADHD (especially those diagnosed with either the combined or predominantly inattentive subtypes) is significantly lower than the performance of children in a control group (Chhabildas et al., 2001;Nigg et al., 2005). However, the meta-analysis conducted by Nigg and colleagues (2005) revealed that there is a much greater variance in the scores of children with ADHD in comparison to children without ADHD on executive function tests. The distributions of these test scores for children in the control group and in the clinical group do overlap with some children with ADHD performing within the normal range on these tasks.Moreover, deficits in other various spheres of cognitive functioning were observed in children with ADHD symptoms: they achieve lower results on Unauthenticated Download Date | 5/11/18 8:59 PM

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Emotional lability in children and adolescents with attention deficit/hyperactivity disorder (ADHD): clinical correlates and familial prevalence

Cited by 308 publications

References 40 publications

Similarities between emotional dysregulation in adults suffering from ADHD and bipolar patients

Similarities between emotional dysregulation in adults suffering from ADHD and bipolar patients

Brain activation to cues predicting inescapable delay in adolescent Attention Deficit/Hyperactivity Disorder: An fMRI pilot study

Heterogeneity in Clinical Symptoms and Cognitive Functioning of Children with Hyperactivity-Impulsivity and Inattention: Dimensional and Person-Centered Perspectives

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