Emotional dysregulation in adult ADHD: what is the empirical evidence?

@article{Retz2012EmotionalDI,
  title={Emotional dysregulation in adult ADHD: what is the empirical evidence?},
  author={Wolfgang Retz and Rolf D. Stieglitz and Salvatore Corbisiero and Petra Retz-Junginger and Michael R{\"o}sler},
  journal={Expert Review of Neurotherapeutics},
  year={2012},
  volume={12},
  pages={1241 - 1251}
}
Attention deficit/hyperactivity disorder (ADHD) is a common psychiatric disorder characterized by symptoms of inattention, hyperactivity and impulsivity. There is an ongoing discussion whether symptoms of emotional dysregulation should be added to the conceptualization of ADHD in order to describe the psychopathology of ADHD more precisely, at least in adult patients. Symptoms of emotional dysregulation are well defined and seem to be distinct factors of the psychopathology of adult ADHD… 
View on Taylor & Francis
ncbi.nlm.nih.gov
96 Citations
Highly Influential Citations
7
Background Citations
30
Results Citations
1

96 Citations

Emotional dysregulation is a primary symptom in adult Attention-Deficit/Hyperactivity Disorder (ADHD).
Emotional symptoms and their contribution to functional impairment in adults with attention-deficit/hyperactivity disorder
TLDR
Investigation of the relationship between ADHD core symptoms, emotional symptoms, and functional impairment indicates that emotional symptoms are directly linked to adult ADHD and bear a strong negative influence on different domains of daily life.
Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis
TLDR
The findings support ED symptoms as a core feature of ADHD’s psychopathology and suggest that emotional lability, negative emotional responses, and emotion recognition play a more definitive role in the psychopathology of adults with ADHD.
Association of attention-deficit/hyperactivity disorder with gambling disorder
TLDR
The high prevalence of ADHD in patients with GD indicates that childhood ADHD is a risk factor for the development of GD in later life and treatment of patients withGD and ADHD is complicated by a high rate of co-morbid disorders.
Impulsive Personality Traits Mediate the Relationship Between Adult Attention‐Deficit/Hyperactivity Symptoms and Alcohol Dependence Severity
TLDR
Results highlight the importance of looking at cohorts of ADHD symptoms and facets of impulsivity to assess the risk of developing AUD and suggest potential avenues for intervention strategies in individuals with preexisting adult ADHD symptoms who are seeking treatment for AUD.
Addressing the lack of studies in attention-deficit/hyperactivity disorder in adults
TLDR
Overall, adult ADHD is well evidenced based on epidemiological data, genetic data, neuroimaging, psychosocial impairment and treatment effectiveness.
Common ground in Attention Deficit Hyperactivity Disorder (ADHD) and Borderline Personality Disorder (BPD)–review of recent findings
TLDR
The evidence for the co-occurrence of these disorders will be reviewed as well as studies on their common genetic and environmental influences, and shared features such as impulsivity and emotion dysregulation discussed.
Pharmacotherapy of emotional dysregulation in adults with ADHD: A systematic review and meta-analysis
Emotional dysregulation of ADHD in childhood predicts poor early-adulthood outcomes: A prospective follow up study.
Types of Adult Attention-Deficit/Hyperactivity Disorder: A Replication Analysis.
TLDR
Factor analytic results supported the validity of 2 adult ADHD presentations based on levels of emotional dysregulation, and this system offers a more clinically relevant approach to the diagnosis of ADHD in adults than does the DSM system.
...
...

References

SHOWING 1-10 OF 82 REFERENCES
Emotional Self-Regulation in Adults With Attention-Deficit / Hyperactivity Disorder ( ADHD ) : The Relative Contributions of Emotional Impulsiveness and ADHD Symptoms to Adaptive Impairments in Major Life Activities
Background: Recent reviews have argued that emotional impulsiveness (EI) and deficient emotional selfregulation are central components in attention-deficit/hyperactivity disorder (ADHD), not merely…
Deficient emotional self-regulation and adult attention deficit hyperactivity disorder: a family risk analysis.
TLDR
The pattern of inheritance of ADHD with DESR preliminarily suggests that DESR may be a familial subtype of ADHD, and the data suggest thatDESR is not an expression of other axis I DSM-IV disorders or of nonfamilial environmental factors.
The unique contribution of emotional impulsiveness to impairment in major life activities in hyperactive children as adults.
  • R. Barkley, M. Fischer
  • Psychology
    Journal of the American Academy of Child and Adolescent Psychiatry
  • 2010
Psychotherapy of attention deficit hyperactivity disorder in adults
TLDR
A structured skill training program particularly tailored for adult patients with ADHD, based on the principles of cognitive-behavioral treatment for borderline personality disorder developed by M. Linehan, resulted in positive outcomes in that patients improved on all psychometric scales.
Attention-Deficit/Hyperactivity Disorder in Adults
TLDR
It is important for primary care physicians to identify patients with adult ADHD and ensure that they receive effective treatment, as symptoms result in impaired performance in academic, occupational, and social spheres.
A clinical and demographic profile of a sample of adults with attention deficit hyperactivity disorder, residual state.
Cognitive-behavioral therapy for ADHD in medication-treated adults with continued symptoms.
Current status of cognitive behavioral therapy for adult attention-deficit hyperactivity disorder.
Gender differences in 2 clinical trials of adults with attention-deficit/hyperactivity disorder: a retrospective data analysis.
TLDR
Women were more impaired than men on ADHD scales in adults in contrast to the results from childhood studies, and assessments of adults with ADHD should include an exploration of the emotional dimensions of the illness.
An integrative theory of attention-deficit/ hyperactivity disorder based on the cognitive and affective neurosciences
Attention-deficit/hyperactivity disorder (ADHD) is a behavioral syndrome that arises in early childhood, often co-occurs with conduct disorder and leads, developmentally, to antisocial behavior and…
...
...