Practitioner Review: Emotional dysregulation in attention-deficit/hyperactivity disorder - implications for clinical recognition and intervention

2018 ◽  
Vol 60 (2) ◽  
pp. 133-150 ◽  
Author(s):  
Stephen V. Faraone ◽  
Anthony L. Rostain ◽  
Joseph Blader ◽  
Betsy Busch ◽  
Ann C. Childress ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Emotional Dysregulation ◽  
Hyperactivity Disorder

Young Adult Outcome of Attention Deficit Hyperactivity Disorder

2016 ◽  
Author(s):  
Mai Uchida ◽  
Joseph Biederman
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Substance Use ◽  
Psychiatric Disorders ◽  
Substance Use Disorders ◽  
Attention Deficit ◽  
Massachusetts General Hospital ◽  
Emotional Dysregulation ◽  
Neural Basis ◽  
Hyperactivity Disorder ◽  
Wide Range

The Massachusetts General Hospital (MGH) Longitudinal Studies of Attention Deficit Hyperactivity Disorder (ADHD) evaluated and followed a large sample of both boys and girls with ADHD and controls without ADHD, along with their families, ascertained from psychiatric and pediatric sources. These studies documented that ADHD in both sexes is associated with high levels of persistence onto adulthood; high levels of familiality with ADHD and other psychiatric disorders; a wide range of comorbid psychiatric and cognitive disorders including mood, anxiety, and substance use disorders; learning disabilities with reading and math; executive function deficits; emotional dysregulation and autistic traits; as well as educational, social, and occupational dysfunctions. The MGH studies also suggested that stimulant treatment significantly decreased the risk of developing comorbid psychiatric disorders, substance use disorders, and impaired functional outcomes. The studies also documented the neural basis of the persistence of ADHD using resting-state functional magnetic resonance imaging (fMRI).

scholarly journals Emotional Bias Modification in Youths with Attention Deficit Hyperactivity Disorder (ADHD): New Research Vista

2020 ◽  
Vol 17 (11) ◽  
pp. 4028
Author(s):  
Zhang Melvyn ◽  
Aloysius Chow ◽  
Ranganath Vallabhajosyula ◽  
Daniel SS Fung
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Cognitive Bias ◽  
Attention Deficit ◽  
Cognitive Biases ◽  
Preliminary Evidence ◽  
Cognitive Bias Modification ◽  
Emotional Dysregulation ◽  
Future Research ◽  
Hyperactivity Disorder ◽  
Bias Modification

Whilst cognitive bias modification was initially used in the treatment of anxiety disorders, it is also currently being used for the treatment of other psychopathologies. In fact, cognitive bias modification has been especially well-investigated amongst children and adolescents. A recent review suggests some evidence for the modification of interpretative biases amongst children with neurodevelopment disorders. There have since been other studies reporting of the existence of other cognitive biases, such as emotional biases, amongst individuals with attention deficit hyperactivity disorder (ADHD). This perspective article will discuss the epidemiology of ADHD and the nature of emotional biases that are present amongst individuals with ADHD. This perspective article also reviewed some of the studies that have assessed and modified emotional biases in individuals with ADHD. A total of three studies have been identified from the published literature that provide evidence for targeting emotional biases amongst individuals with ADHD. These studies provide us with preliminary evidence for the effectiveness of modifying emotional biases and how it could help in ameliorating symptoms related to emotional dysregulation. There needs to be future research in this area with further evidence supporting the effectiveness of modifying emotional biases. It is also crucial for future research to determine which of these tools is best at detecting such biases, and which of these tools are versatile enough and non-invasive that they could safely be implemented for both research and clinical needs.

Efficacy of Nonpharmacological Treatments on Comorbid Internalizing Symptoms of Adults With Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review

2019 ◽  
Vol 24 (3) ◽  
pp. 456-478 ◽  
Author(s):  
Carlos López-Pinar ◽  
Sonia Martínez-Sanchís ◽  
Enrique Carbonell-Vayá ◽  
Julio Sánchez-Meca ◽  
Javier Fenollar-Cortés
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Dialectical Behavior Therapy ◽  
Attention Deficit ◽  
Internalizing Symptoms ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Emotional Dysregulation ◽  
Risk Of Bias ◽  
Hyperactivity Disorder ◽  
Analytic Review

Background: Attention-deficit/hyperactivity disorder (ADHD) is highly comorbid in adulthood. This meta-analysis was aimed at ascertaining the efficacy of different psychotherapies in improving comorbid internalizing symptoms in adults with ADHD. Method: Twenty randomized controlled trials and 12 uncontrolled pretest–posttest studies were included and combined using the inverse variance method. Risk of bias and heterogeneity assessment and moderator analyses were performed. Results: Cognitive-behavioral therapy (CBT) improved quality of life (QoL), emotional dysregulation (ED), depression, and anxiety symptoms, particularly at follow-up, which was predicted by core symptoms reduction. A significant between-group effect was obtained only on QoL, ED, and self-esteem for dialectical behavior therapy (DBT), mindfulness-based therapies (MBTs), and neurofeedback, respectively. Conclusion: Results support CBT efficacy for treating comorbid internalizing symptoms. More research is needed to determine the effectiveness of DBT, MBT, and neurofeedback. The small number of studies evaluating some therapies and the high risk of bias observed might limit these results.

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