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Cited by 156Attention Deficit Hyperactivity DisorderChild and Adolescent Psychosocial and Emotional DevelopmentAutism Spectrum Disorder Research

Understanding deficient emotional self-regulation in adults with attention deficit hyperactivity disorder: a controlled study

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Surman, Craig B. H., Biederman, Joseph, Spencer, Thomas, Miller, Carolyn A., McDermott, Katie M., Faraone, Stephen V.·2013·ADHD Attention Deficit and Hyperactivity Disorders
DOI 10.1007/s12402-012-0100-8PMC PMC4009378
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Abstract

While symptoms of deficient emotional self-regulation (DESR) such as low frustration tolerance, temper outbursts, emotional impulsivity, and mood lability are commonly associated with attention deficit hyperactivity disorder (ADHD), little is known about their nature. The main aim of this post hoc study was to examine the correlates of DESR in a large sample of adults with and without ADHD. Subjects were 206 adults with ADHD and 123 adults without ADHD from a family study of ADHD. Emotional impulsivity was operationalized using items from the Barkley Current Behavior Scale. Subjects were comprehensively assessed for psychiatric comorbidity using structured diagnostic interview methodology. We used the Quality of Life, Enjoyment, and Satisfaction Questionnaire-Short Form (QLES-Q-SF) and Social Adjustment Scale-Self-report (SAS-SR) to assess quality of life and psychosocial functioning. DESR was more common among ADHD compared with non-ADHD adults, and 55% of adults with ADHD reported extreme DESR of greater severity than 95% of control subjects. The association of ADHD and DESR was not entirely accounted for by either current or lifetime comorbid disorders. DESR was also associated with significant functional impairment as evaluated by the QLES-Q-SF and SAS-SR, and with reduced marital status, as well as higher risk for traffic accidents and arrests. DESR adversely impacts quality of life in adults with ADHD. More work is needed to further evaluate DESR in clinical and investigational studies of subjects with ADHD.

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  • Recent clinic-based studies report impairing emotion dysregulation in between 34-70% of adults with ADHD, although population based studies are needed.

    “This has been supported to some extent by recent clinic-based studies reporting impairing emotion dysregulation in between 34-70% of adults with ADHD, although population based studies are needed (69-73)–Table 1.”

    From Emotion Dysregulation in Attention Deficit Hyperactivity Disorder (2014) · cites this paper as [73]

    The Discussion reports extreme deficient emotional self-regulation in 61% of adults with ADHD, within the cited 34–70% range, and associates it with poorer quality of life and social adjustment. But the Methods (Participants) describe recruitment through both community advertisements and psychiatric-clinic referrals, so this paper is not solely a clinic-based study. It does not establish the full 34–70% range or explicitly call for population-based studies. (LLM, conf=0.86)

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Authors
Surman, C. B. H., Biederman, J., Spencer, T., Miller, C. A., McDermott, K. M., & Faraone, S. V.
Affiliations
  • Massachusetts General Hospital (US)
  • SUNY Upstate Medical University (US)
Corresponding author
Surman, Craig B. H.
ORCID
Venue
ADHD Attention Deficit and Hyperactivity Disorders
Publisher
Springer Science and Business Media LLC
Published
2013-02-15
Volume
5
Issue
3
Pages
273-281
ISSN
  • 1866-6116 (ISSN-L)
  • 1866-6647
DOI
10.1007/s12402-012-0100-8
PMC
PMC4009378
OpenAlex
W2008176510
Cited by
155
References
31
Citations by year
2026: 13 · 2025: 10 · 2024: 13 · 2023: 15 · 2022: 11 · 2021: 14 · 2020: 16 · 2019: 13 · 2018: 7 · 2017: 12 · 2016: 11 · 2015: 8 · 2014: 10 · 2013: 2
FWCI
7.32
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • ADHD Attention Deficit and Hyperactivity Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Hilda and Preston Davis Foundation
  • University of Cambridge
  • National Institute of Mental Health (R01MH057934, R01MH054509, R01MH-57934)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Keywords
attention deficit hyperactivity disorder, adult ADHD, emotional impulsivity, frustration tolerance, temper outbursts, emotional lability, psychiatric comorbidity, quality of life, social adaptation, functional disability, marital status, traffic accidents, arrests
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Mental Disorders, Emotions, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Quality of Life, Social Control, Informal, Case-Control Studies

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