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Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis

BACKGROUND: Emotional symptoms are increasingly considered a core feature of attention deficit/hyperactivity disorder (ADHD). We aimed to quantify the evidence of emotional dysregulation and its respective facets in individuals with adult ADHD compared to healthy controls using meta-analysis. METHOD...

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Autores principales: Beheshti, Ashkan, Chavanon, Mira-Lynn, Christiansen, Hanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069054/
https://www.ncbi.nlm.nih.gov/pubmed/32164655
http://dx.doi.org/10.1186/s12888-020-2442-7
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author Beheshti, Ashkan
Chavanon, Mira-Lynn
Christiansen, Hanna
author_facet Beheshti, Ashkan
Chavanon, Mira-Lynn
Christiansen, Hanna
author_sort Beheshti, Ashkan
collection PubMed
description BACKGROUND: Emotional symptoms are increasingly considered a core feature of attention deficit/hyperactivity disorder (ADHD). We aimed to quantify the evidence of emotional dysregulation and its respective facets in individuals with adult ADHD compared to healthy controls using meta-analysis. METHODS: Two electronic databases (PubMed, PsycINFO) were reviewed to identify studies. Studies were eligible for inclusion that had reports on any measure of emotion (dys) regulation in adults (> 18 years of age) in clinically diagnosed patients with ADHD as well as healthy control participants. We included a total of 13 studies (N = 2535) to assess (1) the standardized mean difference in emotion dysregulation (ED) as a general factor and its specific facets (i.e., emotional lability, negative emotional responses, and emotion recognition) between adults with ADHD and healthy controls; and (2) the association between ADHD symptom severity and ED. RESULTS: Compared to healthy controls, adults with ADHD revealed significantly higher levels of general ED (Hedges’ g = 1.17, p < 0.001; Hedges’ g is the adjusted effect size). With regard to intermediate dimensions of ED, emotional lability exhibited the strongest weighted effect (Hedges’ g = 1.20, CI [0.57, 1.83], p < 0.001). Furthermore, symptom severity and general ED correlated significantly (r = 0.54, p < 0.001). Regarding intermediate dimensions of ED, negative emotional responses correlated closely with ADHD symptom severity (r = 0.63, p < 0.001) and emotional lability (r = 0.52, p < 0.001). CONCLUSIONS: Our findings support ED symptoms as a core feature of ADHD’s psychopathology. With respect to dimensions of ED, emotional lability, and negative emotional responses play a more definitive role in the psychopathology of adults with ADHD. Due to insufficient statistical reports in the included studies, we could not perform meta-regressions to control the role of moderator variables.
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spelling pubmed-70690542020-03-18 Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis Beheshti, Ashkan Chavanon, Mira-Lynn Christiansen, Hanna BMC Psychiatry Research Article BACKGROUND: Emotional symptoms are increasingly considered a core feature of attention deficit/hyperactivity disorder (ADHD). We aimed to quantify the evidence of emotional dysregulation and its respective facets in individuals with adult ADHD compared to healthy controls using meta-analysis. METHODS: Two electronic databases (PubMed, PsycINFO) were reviewed to identify studies. Studies were eligible for inclusion that had reports on any measure of emotion (dys) regulation in adults (> 18 years of age) in clinically diagnosed patients with ADHD as well as healthy control participants. We included a total of 13 studies (N = 2535) to assess (1) the standardized mean difference in emotion dysregulation (ED) as a general factor and its specific facets (i.e., emotional lability, negative emotional responses, and emotion recognition) between adults with ADHD and healthy controls; and (2) the association between ADHD symptom severity and ED. RESULTS: Compared to healthy controls, adults with ADHD revealed significantly higher levels of general ED (Hedges’ g = 1.17, p < 0.001; Hedges’ g is the adjusted effect size). With regard to intermediate dimensions of ED, emotional lability exhibited the strongest weighted effect (Hedges’ g = 1.20, CI [0.57, 1.83], p < 0.001). Furthermore, symptom severity and general ED correlated significantly (r = 0.54, p < 0.001). Regarding intermediate dimensions of ED, negative emotional responses correlated closely with ADHD symptom severity (r = 0.63, p < 0.001) and emotional lability (r = 0.52, p < 0.001). CONCLUSIONS: Our findings support ED symptoms as a core feature of ADHD’s psychopathology. With respect to dimensions of ED, emotional lability, and negative emotional responses play a more definitive role in the psychopathology of adults with ADHD. Due to insufficient statistical reports in the included studies, we could not perform meta-regressions to control the role of moderator variables. BioMed Central 2020-03-12 /pmc/articles/PMC7069054/ /pubmed/32164655 http://dx.doi.org/10.1186/s12888-020-2442-7 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Beheshti, Ashkan
Chavanon, Mira-Lynn
Christiansen, Hanna
Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis
title Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis
title_full Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis
title_fullStr Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis
title_full_unstemmed Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis
title_short Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis
title_sort emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069054/
https://www.ncbi.nlm.nih.gov/pubmed/32164655
http://dx.doi.org/10.1186/s12888-020-2442-7
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