Comorbid Internalizing and Externalizing Disorders Predict Lability of Negative Emotions Among Children With ADHD
Abstract
Objective: A subset of children with ADHD experience more frequent, sudden, and intense shifts toward negative emotions. The current study utilized ecological momentary assessment (EMA) to provide a valid assessment of the impact of comorbid internalizing and externalizing disorders on negative emotional lability (EL) among children with ADHD. Method: Parents of 58, 8- to 12-year-old children with ADHD were administered a diagnostic interview to assess for ADHD and for the presence of comorbid disorders. Parents completed EMA-based ratings of their child’s negative emotions three times daily for a total of 28 days. Results: Children with a comorbid internalizing disorder or children with comorbid oppositional defiant disorder (ODD) experienced significantly greater EMA-derived negative EL than children without comorbid disorders over time. Children with multiple comorbidities experienced greater EL than children with single comorbidities. Conclusion: Overall, this study suggested that both comorbid ODD and comorbid internalizing disorders contribute to negative EL among children with ADHD.
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From ADHD in Adulthood: Clinical Presentation, Comorbidities, and Treatment Perspectives (2025) · cites this paper as [161]
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- Authors
- Leaberry, K. D., Rosen, P. J., Fogleman, N. D., Walerius, D. M., & Slaughter, K. E.
- Affiliations
- University of Louisville (US)
- Corresponding author
- Leaberry, Kirsten D.
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2017-10-09
- Volume
- 24
- Issue
- 14
- Pages
- 1989-2001
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- OpenAlex
- W2763981635
- Cited by
- 35
- References
- 57
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 7 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 1
- FWCI
- 1.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Attention Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- attention deficit hyperactivity disorder, comorbidities, internalizing disorders, externalizing disorders, oppositional defiant disorder, negative emotions, children, multiple comorbidities
- MeSH terms
- Affective Symptoms, Attention Deficit Disorder with Hyperactivity, Child, Emotions, Humans, Comorbidity, Attention Deficit and Disruptive Behavior Disorders, Mood Disorders
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Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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