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… 
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.
Adult ADHD and comorbid disorders: clinical implications of a dimensional approach
TLDR
The use of validated assessment scales and high-yield clinical questions can help identify adults with ADHD who could potentially benefit from evidence-based management strategies.
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.
ADHD With Comorbid Bipolar Disorders: A Systematic Review of Neurobiological, Clinical And Pharmacological Aspects Across The Lifespan.
TLDR
A systematic review of the scientific literature on the neurobiological, clinical features and current pharmacological management of ADHD comorbid with BDs across the entire lifespan, with a major focus on the adulthood.
Pharmacotherapy of emotional dysregulation in adults with ADHD: A systematic review and meta-analysis
...
...

References

SHOWING 1-10 OF 82 REFERENCES
Emotion Dysregulation and Emotional Impulsivity among Adults with Attention-Deficit/Hyperactivity Disorder: Results of a Preliminary Study
Recent reviews argue that emotion dysregulation is an important feature of attention-deficit/hyperactivity disorder (ADHD) and involves a failure to inhibit negative emotions that leads to negative
Emotional Dysregulation in Adult ADHD and Response to Atomoxetine
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
Research review: a new perspective on attention-deficit/hyperactivity disorder: emotion dysregulation and trait models.
  • M. Martel
  • Psychology
    Journal of child psychology and psychiatry, and allied disciplines
  • 2009
TLDR
It is argued that breakdowns in control may be a signature for ADHD specifically, while increased negative emotionality may serve as non-specific risk factors for disruptive behavior disorders, explaining their comorbidity.
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.
Behavioral, neurocognitive and treatment overlap between attention-deficit/hyperactivity disorder and mood instability
TLDR
This research suggests that mood instability and symptoms of ADHD may be interlinked and that Mood instability may be better understood as a core feature of the ADHD syndrome.
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.
...
...