The Characteristics and Age Effects of Emotional Lability in ADHD Children With and Without Oppositional Defiant Disorder-Reference-Cited by-全球学者库

The Characteristics and Age Effects of Emotional Lability in ADHD Children With and Without Oppositional Defiant Disorder

Published:2017-12-09 Issue:14 Volume:24 Page:2042-2053
ISSN:1087-0547
Container-title:Journal of Attention Disorders
language:en
Short-container-title:J Atten Disord

Author:

Liu Lu¹²,Chen Wai³⁴,Sun Li¹²,Cheng Jia¹²,Su Yi¹²,Rudaizky Daniel⁴⁵,Li Hai-Mei¹²,Yang Li¹²,Qian Qiu-Jin¹²,Wang Yu-Feng¹²

Affiliation:

1. Peking University Sixth Hospital/Institute of Mental Health, Beijing, China

2. National Clinical Research Center for Mental Disorders & Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing, China

3. Department of Child and Adolescent Psychiatry, The University of Western Australia, Perth, Australia

4. Complex Attention and Hyperactivity Disorders Service, (CAHDS), Department of Health, Perth, Western Austrlia, Australia

5. School of Psychological Science, The University of Western Australia, Perth, Western Australia, Australia

Abstract

Objective: This study evaluated the concurrent validity of emotional lability (EL) in children with ADHD. Method: A total of 2,015 children with ADHD and 745 typically developed controls (TDCs) were assessed and compared on EL. Results: ADHD participants expressed higher EL scores than TDCs, not influenced by gender or IQ. Higher levels of EL symptoms were found in children with comorbid oppositional defiant disorder (ODD) and with ADHD-combined subtype. Receiver operating characteristic (ROC) analyses showed a strong screening efficacy of EL symptoms on ADHD. The effect of developmental age on EL showed a desisting pattern in TDCs, as opposed to a persisting pattern in ADHD (not influenced by ODD comorbid status). ODD symptoms in ADHD showed an ascending pattern. Conclusion: EL can potentially serve as a sentinel index for the presence of ADHD, especially when the ADHD presentation is atypical. ODD may embody a developmental entity distinct from EL.

Funder

National Natural Science Foundation of China

National Basic Research Program of China

Beijing Natural Science Foundation

Publisher

SAGE Publications

Subject

Clinical Psychology,Developmental and Educational Psychology

Link

http://journals.sagepub.com/doi/pdf/10.1177/1087054717745594

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