The Relatonship Between Alexithymia and Impulsiveness in Adult Attention Deficit and Hyperactivity Disorder

Kıraz, Seda; Taycan, Serap Erdoğan

doi:10.5080/u23775

Cited by 15 publications

(3 citation statements)

References 6 publications

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“…There may be difficulties in completing activities, where the person has tried to perform activities based on old habits and routines such as before the illness, and difficulty managing energy levels [6]. One reason for this could be that the phenotype with overly elastic connective tissue is overrepresented in ME/CFS [49] and often accompanied by decreased interoceptive ability (ability to read, interpret and adapt to bodily signals) [50][51][52][53][54]. Secondly, a greater exposure from persistent negative psychosocial stress especially in ME/CFS, where the often-unexplained symptoms of ME/CFS may cause a notion of one's well-being as unpredictable and out of control, leading to feelings of, among others, insecurity and a dependency on external circumstances [55].…”

Section: Discussionmentioning

confidence: 99%

A comparison of health-related factors between patients diagnosed with ME/CFS and patients with a related symptom picture but no ME/CFS diagnosis: a cross-sectional exploratory study

2022

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Background In chronic fatigue syndrome/myalgic encephalomyelitis (ME/CFS), the capacity for activity and participation is strongly limited. The disease definition is very broad, and considering the lack of evidence for best treatment, it is important to understand what is ME/CFS-specific in the biopsychosocial perspective in comparison with similar syndromes. The objective was to study the difference between those diagnosed with ME/CFS and those with similar symptoms but no ME/CFS diagnosis for self-perceived level of physical activity, work ability, anxiety/depression, and health-related quality of life. Methods This was a clinical cross-sectional study with data collected from mailed questionnaires. The following variables were compared between patients diagnosed with ME/CFS (n = 205) and those with similar symptoms but no diagnosis (n = 57); level of physical activity, Work ability index (WAI), Hospital anxiety and depression scale (HAD-A/HAD-D), and RAND-36 Physical functioning, Role limitations due to physical health problems, Role limitations due to personal or emotional problems, Social functioning, Energy/fatigue, Bodily pain, Emotional well-being, and General health perceptions. The Chi-squared test (nominal data), the Mann-Whitney U test, the Student’s t test and regression analysis were used to analyze the data. Results The group diagnosed with ME/CFS had a more impaired physical and mental exertion ability as compared to the group that had similar symptoms but was not diagnosed with ME/CFS, shown by a RAND-36 lower index of physical role functioning, social functioning, energy, worse pain and poorer overall health (p ≤ 0.05). In contrast, no significant group differences emerged for weekly level of physical activity, work ability, anxiety/depression, and RAND-36 Emotional role limitation and well-being. Conclusion Our results indicate that those with a diagnosis of ME/CFS are characterized by an impaired ability for physical or mental exertion, worse pain, and poorer overall health as compared to individuals with similar symptoms but for whom ME/CFS-diagnosis was not established. The results may be cautiously interpreted as support when focusing on patients’ self-care in terms of management of energy levels. The results must however be verified in future studies.

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Section: Discussionmentioning

confidence: 99%

A comparison of health-related factors between patients diagnosed with ME/CFS and patients with a related symptom picture but no ME/CFS diagnosis: a cross-sectional exploratory study

2022

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“…There may be di culties in completing activities, where the person has tried to perform activities based on old habits and routines such as before the illness, and di culty managing energy levels [6]. One reason for this could be that the phenotype with overly elastic connective tissue is overrepresented in ME/CFS [49] and often accompanied by decreased interoceptive ability (ability to read, interpret and adapt to bodily signals) [50][51][52][53][54]. Secondly, a greater exposure from persistent negative psychosocial stress especially in ME/CFS, where the often-unexplained symptoms of ME/CFS may cause a notion of one's well-being as unpredictable and out of control, leading to feelings of, among others, insecurity and a dependency on external circumstances [55] A strength with this study is that it sheds light on the disease entity of ME/CFS.…”

Section: Discussionmentioning

confidence: 99%

A comparison of health-related factors between patients diagnosed with ME/CFS and patients with a related symptom picture but no ME/CFS diagnosis: A cross-sectional exploratory study

Bernhoff

Rasmussen-Barr

Käll

2022

Preprint

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Background In chronic fatigue syndrome/myalgic encephalomyelitis (ME/CFS), the capacity for activity and participation is strongly limited. The disease definition is very broad, and considering the lack of evidence for best treatment, it is important to understand what is ME/CFS-specific in the biopsychosocial perspective in comparison with similar syndromes. The objective was to study the difference between those diagnosed with ME/CFS and those with similar symptoms but no ME/CFS diagnosis for self-perceived level of physical activity, work ability, anxiety/depression, and health-related quality of life. Methods This was a clinical cross-sectional study with data collected from mailed questionnaires. The following variables were compared between patients diagnosed with ME/CFS (n=205) and those with similar symptoms but no diagnosis (n=57); level of physical activity, Work ability index (WAI), Hospital anxiety and depression scale (HAD-A/HAD-D), and RAND-36 Physical functioning, Role limitations due to physical health problems, Role limitations due to personal or emotional problems, Social functioning, Energy/fatigue, Bodily pain, Emotional well-being, and General health perceptions. The Chi-squared test (nominal data), the Mann-Whitney U test and the Student’s t test were used to analyze the data. Results The group diagnosed with ME/CFS had a more impaired physical and mental exertion ability as compared to the group that had similar symptoms but was not diagnosed with ME/CFS, shown by a RAND-36 lower index of physical role functioning (p = 0.00), social functioning (p=0.00), energy (p = 0.01), worse pain (p = 0.02) and poorer overall health (p = 0.00). In contrast, no significant group differences emerged for weekly level of physical activity, work ability, anxiety/depression, and RAND-36 Emotional role limitation and well-being. Conclusion Our results indicate that those with a diagnosis of ME/CFS are characterized by an impaired ability for physical or mental exertion, worse pain, and poorer overall health as compared to individuals with similar symptoms but for whom ME/CFS-diagnosis was not established. The results may be cautiously interpreted as support when focusing on patients' self-care in terms of management of energy levels. The results must however be verified in future studies.

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“…In addition, studies show that difficulty in recognizing and identifying emotions and feelings can also be seen frequently in ADHD (Donfrancesco et al, 2013; Rapport et al, 2002). In a study, it was found that alexithymic characteristics such as difficulty in identifying and describing emotions in the ADHD group were positively correlated with impulsivity and ADHD symptom severity (Kiraz, Sertçelik, & Erdogan Taycan, 2020). Based on this, we found it logical that the schema subscales of “Emotional Inhibition” and “Social Isolatıon” were closely related to ADHD in our study.…”

Section: Discussionmentioning

confidence: 99%

Adult attention deficit hyperactivity disorder and early maladaptive schemas

Kıraz

2021

Clin Psychology and Psychoth

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The purpose of the current study is to present the early maladaptive schemas in adult attention deficit hyperactivity disorder (ADHD). The study sample comprised 107 participants, including 55 adult ADHD and 52 healthy volunteers. The age of the participants ranged between 18 and 32 years. Structured Clinical Interview Form for DSM‐IV Axis I (SCID‐I) and Structured Clinical Interview Form for DSM‐III‐R Disorders (SCID‐II) were applied to all participants and Diagnostic Interview for ADHD (DIVA) for ADHD group based on DSM‐5 criteria. The participants filled the Young Schema Questionnaire (YSQ‐S3), Adult ADHD Self‐Report Scale (ASRS), Wender Utah RatingScale‐25 (WURS), Beck Depression Inventory (BDI) and The Beck Anxiety Inventory (BAI). All maladaptive schemas were found to be statistically significantly higher in the ADHD group. As compatible with ADHD core symptoms, “Failure,” “Emotional Inhibition,” “Insufficient Self‐Control” and “Social Isolation” were the most seen maladaptive schemas in the ADHD group. “Approval Seeking,” “Entitlement/Grandiosity” and “Punitiveness” were found the weakest schemas in the ADHD group. This study besides supporting the theory of early maladaptive schemas suggests that identifying and modifying maladaptive schemas interventions based on specific schemas can be an important and useful method for psychotherapy in treatment of ADHD.

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The Relatonship Between Alexithymia and Impulsiveness in Adult Attention Deficit and Hyperactivity Disorder

Cited by 15 publications

References 6 publications

A comparison of health-related factors between patients diagnosed with ME/CFS and patients with a related symptom picture but no ME/CFS diagnosis: a cross-sectional exploratory study

A comparison of health-related factors between patients diagnosed with ME/CFS and patients with a related symptom picture but no ME/CFS diagnosis: a cross-sectional exploratory study

A comparison of health-related factors between patients diagnosed with ME/CFS and patients with a related symptom picture but no ME/CFS diagnosis: A cross-sectional exploratory study

Adult attention deficit hyperactivity disorder and early maladaptive schemas

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