An ecological momentary assessment study of the role of emotional dysregulation in co-occurring ADHD and internalising symptoms in adulthood

JOURNAL OF AFFECTIVE DISORDERS

卷:281

Article

Murray, Aja Louise¹  Wong, Siu-Ching²  Obsuth, Ingrid²  Rhodes, Sinead³  Eisner, Manuel^4,5  Ribeaud, Denis⁵ 

[1] Univ Edinburgh, Dept Psychol, 7 George Sq, Edinburgh EH8 9JZ, Midlothian, Scotland

[2] Univ Edinburgh, Clin Psychol Dept, Edinburgh, Midlothian, Scotland

[3] Univ Edinburgh, Ctr Clin Brain Sci, Edinburgh, Midlothian, Scotland

[4] Univ Cambridge, Inst Criminol, Cambridge, England

[5] Univ Zurich, Jacobs Ctr Prod Youth Dev, Zurich, Switzerland

关键词: Attention-deficit/hyperactivity disorder;    Emotional dysregulation;    Depression;    Anxiety;    Internalising problems;    Ecological momentary assessment;   

DOI  :  10.1016/j.jad.2020.11.086

来源: Elsevier

【 摘 要 】

Previous ecological momentary assessment (EMA) research in children has suggested that emotional dysregulation problems are commonly associated with ADHD symptoms and may help explain their relatively strong cooccurrence with anxiety and depression (collectively referred to as `internalising problems'); however, this has yet to be replicated for adults. In this study, we used data from a n=260 longitudinal cohort and EMA study, to evaluate the hypothesis that emotional dysregulation mediates the association between ADHD symptoms and internalising problems in emerging adulthood. Emotional dysregulation was based on affect data collected in near real time and in ecological context over a 14-day period, providing a measure of emotional lability in the context of participants' daily lives. Cross-sectional mediation was tested using structural equation modelling. Emotional lability significantly mediated the association between ADHD symptoms and internalising problems. Results suggest that interventions that address the emotional dysregulation aspects of ADHD are likely to be beneficial for preventing and managing secondary internalising symptoms.

【 授权许可】

Free