Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis - PubMed (original) (raw)

Meta-Analysis

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

Ashkan Beheshti et al. BMC Psychiatry. 2020.

Abstract

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.

Keywords: ADHD; Emotion dysregulation; Meta-analysis; adults.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1

Fig. 1

Systematic Search of the Literature: PRISMA Flow-Chart

Fig. 2

Fig. 2

Meta-Analysis Forrest Plot (random-model analysis) comparing ED in ADHD and healthy controls

Fig. 3

Fig. 3

Meta-Analysis Forrest Plot on Correlation Coefficients between measures of ADHD symptom severity and ED

Fig. 4

Fig. 4

Funnel Plot a) refers to the meta-analysis comparing ED in ADHD and healthy controls b) refers to the meta-analysis of the correlation coefficients between measures of ADHD symptom severity and ED

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References

    1. Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®) American psychiatric pub. 2013. - PubMed
    1. Barkley RA. Differential diagnosis of adults with ADHD: the role of executive function and self-regulation. J Clin Psychiatry. 2010;71:e17. doi: 10.4088/JCP.9066tx1c. - DOI - PubMed
    1. Kessler RC, Adler L, Barkley R, Biederman J, Conners CK, Demler O, et al. The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry. 2006;163:716–723. doi: 10.1176/ajp.2006.163.4.716. - DOI - PMC - PubMed
    1. Retz W, Stieglitz R-D, Corbisiero S, Retz-Junginger P, Rösler M. Emotional dysregulation in adult ADHD: what is the empirical evidence? Expert Rev Neurother. 2012;12:1241–1251. doi: 10.1586/ern.12.109. - DOI - PubMed
    1. Barkley RA, Murphy KR, Fischer M. Adult ADHD: What the science says. New York: Guilford; 2008.

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