Does emotion dysregulation mediate the association between ADHD symptoms and internalizing problems? A longitudinal within-person analysis in a large population-representative study

Evelyn Mary-Ann Antony, Milla Pihlajamaki, Lydia Gabriela Speyer, Aja Louise Murray

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Background: Previous research has suggested that children with attention-deficit/hyperactivity disorder (ADHD) symptoms commonly show emotion dysregulation difficulties. These difficulties may partly explain the strong tendency for internalizing problems such as anxiety and depression to co-occur with ADHD symptoms. However, no study has yet provided a longitudinal analysis of the within-person links between ADHD symptoms, emotion dysregulation, and internalizing problems necessary to examine this hypothesis from a developmental perspective.

Methods: We used data from the age 3,5, and 7 waves of the large UK population-representative Millennium Cohort Study (n = 9619, 4885 males) and fit gender-stratified autoregressive latent trajectory models with structured residuals (ALT-SR) to disaggregate within- and between-person relations between ADHD, emotion dysregulation, and internalizing problem symptoms.

Results: We found that emotion dysregulation significantly mediated the longitudinal within-person association between ADHD symptoms and internalizing problems.

Conclusions: Results underline the promise of targeting emotion dysregulation as a means of preventing internalizing problems co-occurring with ADHD symptoms.
Original languageEnglish
JournalJournal of Child Psychology and Psychiatry
Early online date29 Apr 2022
DOIs
Publication statusE-pub ahead of print - 29 Apr 2022

Keywords / Materials (for Non-textual outputs)

  • attention-deficit/hyperactivity disorder
  • emotion dysregulation
  • internalizing problems
  • child development
  • autoregressive latent trajectory model with structured residuals

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