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

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<mark>Journal publication date</mark>31/12/2022
<mark>Journal</mark>Journal of Child Psychology and Psychiatry
Issue number12
Volume63
Number of pages8
Pages (from-to)1583-1590
Publication StatusPublished
Early online date29/04/22
<mark>Original language</mark>English

Abstract

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 = 9,619, 4,885 males) and fit gender-stratified autoregressive latent trajectory models with structured residuals (ALT-SR) to disaggregate within- and between-person relations between ADHD symptom, 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.