PMID- 28721740
OWN - NLM
STAT- MEDLINE
DCOM- 20190528
LR  - 20190528
IS  - 1744-411X (Electronic)
IS  - 1380-3395 (Linking)
VI  - 40
IP  - 4
DP  - 2018 May
TI  - Clinical features and subjective/physiological responses to emotional stimuli in 
      the presence of emotion dysregulation in attention-deficit hyperactivity 
      disorder.
PG  - 389-404
LID - 10.1080/13803395.2017.1353952 [doi]
AB  - INTRODUCTION: Emotion dysregulation (ED) has long been recognized in clinical 
      descriptions of attention-deficit hyperactivity disorder (ADHD), but a renewed 
      interest in ED has advanced research on the overlap between the two entities. 
      Autonomic reactivity (AR) is a neurobiological correlate of emotion regulation; 
      however, the association between ADHD and AR remains unclear. Our aim was to 
      explore the clinical differences, AR, and subjective emotional responses to 
      visual emotional stimuli in ADHD children with and without ED. METHOD: 
      School-aged ADHD children with (n = 28) and without (n = 20) ED, according to the 
      definition of deficiency in emotional self-regulation (DESR), and healthy 
      controls (n = 22) were interviewed by using the Schedule for Affective Disorders 
      and Schizophrenia for School Aged Children-Present and Lifetime version 
      (K-SADS-PL) to screen frequent psychopathologies for these ages. All subjects 
      were evaluated with Child Behavior Checklist 6-18 (CBCL), the Strengths and 
      Difficulties Questionnaire (SDQ), the McMaster Family Assessment Device (FAD), 
      the School-Age Temperament Inventory (SATI), and Conners' Parent Rating Scale 
      (CPRS-48), which were completed by parents. To evaluate emotional responses, the 
      International Affective Picture System (IAPS) and the subjective and 
      physiological responses (electrodermal activity and heart rate reactivity) to 
      selected pictures were examined. RESULTS: Regarding clinically distinctive 
      features, the ADHD+ED group differed from the ADHD-ED and the control groups in 
      terms of having higher temperamental negative reactivity, more 
      oppositional/conduct problems, and lower prosocial behaviors. In the AR measures, 
      children in the ADHD+ED group rated unpleasant stimuli as more negative, but they 
      still had lower heart rate reactivity (HRR) than the ADHD-ED and control groups; 
      moreover, unlike the two other groups, the ADHD+ED group showed no differences in 
      HRR between different emotional stimuli. CONCLUSION: The presented findings are 
      unique in terms of their ability to clinically and physiologically differentiate 
      between ADHD children with and without ED.
FAU - Taskiran, Candan
AU  - Taskiran C
AUID- ORCID: 0000-0001-6116-2730
AD  - a Department of Child and Adolescent Psychiatry , Hacettepe University Faculty of 
      Medicine , Sihhiye , Ankara , Turkey.
FAU - Karaismailoglu, Serkan
AU  - Karaismailoglu S
AD  - b Department of Physiology , Hacettepe University Faculty of Medicine , Sihhiye , 
      Ankara , Turkey.
FAU - Cak Esen, Halime Tuna
AU  - Cak Esen HT
AD  - a Department of Child and Adolescent Psychiatry , Hacettepe University Faculty of 
      Medicine , Sihhiye , Ankara , Turkey.
FAU - Tuzun, Zeynep
AU  - Tuzun Z
AD  - c Division of Adolescent Medicine, Department of Pediatrics , Hacettepe 
      University Faculty of Medicine , Sihhiye , Ankara , Turkey.
FAU - Erdem, Aysen
AU  - Erdem A
AD  - b Department of Physiology , Hacettepe University Faculty of Medicine , Sihhiye , 
      Ankara , Turkey.
FAU - Balkanci, Zeynep Dicle
AU  - Balkanci ZD
AD  - b Department of Physiology , Hacettepe University Faculty of Medicine , Sihhiye , 
      Ankara , Turkey.
FAU - Dolgun, Anil Barak
AU  - Dolgun AB
AUID- ORCID: 0000-0002-2693-0666
AD  - d Department of Biostatistics , Hacettepe University Faculty of Medicine , 
      Sihhiye , Ankara , Turkey.
FAU - Cengel Kultur, Sadriye Ebru
AU  - Cengel Kultur SE
AD  - a Department of Child and Adolescent Psychiatry , Hacettepe University Faculty of 
      Medicine , Sihhiye , Ankara , Turkey.
LA  - eng
PT  - Journal Article
DEP - 20170719
PL  - England
TA  - J Clin Exp Neuropsychol
JT  - Journal of clinical and experimental neuropsychology
JID - 8502170
SB  - IM
MH  - Adolescent
MH  - Affective Symptoms/diagnosis/physiopathology/*psychology
MH  - Arousal/*physiology
MH  - Attention Deficit Disorder with 
      Hyperactivity/diagnosis/physiopathology/*psychology
MH  - Autonomic Nervous System/physiopathology
MH  - Child
MH  - Correlation of Data
MH  - Emotions/*physiology
MH  - Female
MH  - Galvanic Skin Response/*physiology
MH  - Heart Rate/*physiology
MH  - Humans
MH  - Male
MH  - Pattern Recognition, Visual/physiology
MH  - Reference Values
MH  - Temperament/physiology
OTO - NOTNLM
OT  - Attention-deficit hyperactivity disorder (ADHD)
OT  - International Affective Picture System
OT  - autonomic reactivity
OT  - dysregulation profile
OT  - emotion regulation
EDAT- 2017/07/20 06:00
MHDA- 2019/05/29 06:00
CRDT- 2017/07/20 06:00
PHST- 2017/07/20 06:00 [pubmed]
PHST- 2019/05/29 06:00 [medline]
PHST- 2017/07/20 06:00 [entrez]
AID - 10.1080/13803395.2017.1353952 [doi]
PST - ppublish
SO  - J Clin Exp Neuropsychol. 2018 May;40(4):389-404. doi: 
      10.1080/13803395.2017.1353952. Epub 2017 Jul 19.