Executive functions, effortful control, and emotional lability in adults with ADHD. implications for functional outcomes

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RESEARCH PRODUCT

Executive functions, effortful control, and emotional lability in adults with ADHD. implications for functional outcomes

Carmen Berenguer José Martínez Raga Inmaculada Baixauli Ana Miranda Belén Roselló

subject

Male Emotional lability Adolescent Psychological intervention behavioral disciplines and activities Self-Control Executive Function Young Adult 03 medical and health sciences 0302 clinical medicine Quality of life Surveys and Questionnaires mental disorders medicine Humans Prospective Studies Control (linguistics)Biological Psychiatry Executive functions Emotional Regulation 030227 psychiatry Psychiatry and Mental health Cross-Sectional Studies Treatment Outcome Attention Deficit Disorder with Hyperactivity Female medicine.symptom Psychology 030217 neurology & neurosurgery Follow-Up Studies Clinical psychology

description

Adults with diagnosis of childhood attention-deficit hyperactivity disorder (ADHD) experience impairments in self-regulation (SR). This study examined whether subgroups of these impairments can be established based on differentiable patterns. The relationships between these subgroups and a group without ADHD were then analyzed, focusing on functional outcomes. Executive functions, effortful control, and emotional lability, in addition to self-concept, quality of life, and different comorbidities, were evaluated in 61 adults with a childhood diagnosis of ADHD and 54 adults without ADHD. Latent profile analysis (LPA) revealed three ADHD classes based on different self-regulation indicators: "Normalized" (49.18%), "Moderate impairments" (27.86%), and "Severe generalized impairments" (22.96%), who were compared with a Non-ADHD group on different functional measures. The "Normalized" profile showed significantly less dysfunctionality than the other two profiles, and it only exhibited significant differences with respect to the Non-ADHD group on the Hyperactivity index. By contrast, the "Severe generalized impairments" group, with the lowest self-regulatory skills, was impaired on all the functional outcomes. Self-regulatory skills could be a key target in interventions for adults with ADHD.

year	journal	country	edition	language
2019-12-02	Psychiatry Research

https://doi.org/10.1016/j.psychres.2020.113375