Two Facets of Emotion Dysregulation Are Core Symptomatic Domains in Adult ADHD: Results from the SR-WRAADDS, a Broad Symptom Self-Report Questionnaire

Author:

Weibel Sébastien12ORCID,Bicego Floriane3,Muller Sarah3,Martz Emilie2ORCID,Costache Mădălina Elena12,Kraemer Charlotte14,Bertschy Gilles12,Lopez Regis5,Weiner Luisa16

Affiliation:

1. University Hospital of Strasbourg, France

2. Inserm U1114, Strasbourg, France

3. University of Lorraine, Nancy, France

4. Private Practice, Strasbourg, France

5. National Reference Centre for Orphan Diseases, Narcolepsy- Rare hypersomnias, Sleep Unit, Department of Neurology, CHU Montpellier, Univ Montpellier, Montpellier, France; University of Montpellier, France

6. Laboratoire de psychologie des cognition, University of Strasbourg, France

Abstract

Objectives: Emotional dysregulation (ED) in adult ADHD is frequent but definition and tools for its evaluation are not consensual. Our aim was to determine the core ADHD symptomatic domains via the Self-Reported Wender-Reimherr Adult Attention Deficit Disorder Scale (SR-WRAADDS) following its validation in a large clinical sample of adults with ADHD and controls. Method: Three hundred sixty-nine adult patients with ADHD and 251 healthy participants completed the SR-WRAADDS and questionnaires about ADHD, depression, and ED. We analyzed the psychometric properties of the SR-WRAADDS and a factor analysis yielded symptomatic domains. Results: The SR-WRAADDS has good reliability. The 30 symptoms were best organized in a four-factor solution: attention/disorganization, hyperactivity/restlessness, impulsivity/emotional outbursts, and emotional lability. Conclusions: The symptomatic structure of the SR-WRAADDS includes two distinct dimensions related to ED: “impulsivity/emotional outbursts” and “emotional lability.” The SR-WRAADDS is a reliable and clinically useful tool that assesses all ADHD symptom domains, including facets of ED.

Publisher

SAGE Publications

Subject

Clinical Psychology,Developmental and Educational Psychology

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