EMOTION REGULATION AND ATTENTION DEFICIT HYPERACTIVITY SYMPTOMS IN UNIVERSITY STUDENTS: A MEDIATING ROLE OF INTERPERSONAL PROBLEMS
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Abstract
Objective: This study aims to explore the mediating role of interpersonal problems between emotion regulation and attention deficit hyperactivity symptoms in young adults.
Methodology: This cross-sectional research was carried out from September 2020 to November 2020 in the city of Lahore. A sample of 1190 university students (545 men and 645 women) selected through a multi-stage sampling technique with age range18-24 years (M=20, SD=1.55) were given a Demographic Performa, Difficulties in Emotion Regulation Scale (DERS), Interpersonal Difficulties Scale (IDS), and Attention Defecit and Hyperactive Symptoms Scale (ADHSS).
Results: The sample size consisted of 46% men and 54% women selected from BS1 (34%), BS2 (25%), BS3 (24%) and BS4 (17%). Pearson Product Moment correlation was used to investigate the relationship among study variables. Correlation analysis indicated that a significant moderate and high positive relationship between difficulties in emotion regulation and interpersonal problems (r=.56, p<.001), difficulties in emotion regulation and attention defecit hyperactivity symptoms (r=.36, p<.001), and interpersonal problems and attention defecit hyperactivity symptoms (r=.51, p<.001). Furthermore, mediation analysis revealed that interpersonal problems partially mediate the relationship between difficulties in emotion regulation and attention defecit hyperactivity symptoms in young adults.
Conclusion: This research provides empirical evidence that interpersonal relationship problems partially mediate the relationship between emotion regulation and attention defecit hyperactivity symptoms.
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References
Nankoo MMA, Palermo R, Bell JA, Pestell CM. Examining the rate of self-reported ADHD-related traits and endorsement of depression, anxiety, stress, and autistic-like traits in Australian university stu¬dents. J Atten Disord. 2019;23(8):869- 86. DOI:10.1177/1087054718758901
Cohen JR, Spiro CN, Young JF, Gibb BE, Hankin BL, Abela JRZ. Interpersonal Risk Profiles for Youth Depression: A Person-Centered, Multi-Wave, Longi¬tudinal Study. J Abnor Child Psycho. 2015;43(8):1415-26. DOI:10.1007/ s10802-015-0023-x
Huprich SK, Lengu K, Evich C. Interper¬sonal problems and their relationship to depression, self-esteem, and ma¬lignant self-regard. J Personal Disord. 2016;30:742-61.
Liu X, Ping S, Gao W. Changes in Un¬dergraduate Students’ Psychological Well-Being as They Experience Univer¬sity Life. Int J Envir Res Public Health. 2019;16(16):2864. DOI:10.3390/ ijerph16162864.
Martino F, Caselli G, Di Tommaso J, Sas¬saroli S, Spada MM, Valenti B, Berardi D, Sasdelli A, Menchetti M. Anger and depressive ruminations as predictors of dysregulated behaviors in borderline personality disorder. Clin Psycho Psy¬chother. 2017;25(2):1-7. DOI:10.1002/ cpp.2152.
Minges M, Zilcha MS, Doorn AvK, Gor¬man B, Barber JP. Interpersonal prob¬lems of cocaine dependent adults differ from those of a normative sample. Add Res Theory. 2020;28(5):443-55. DOI:1 0.1080/16066359.2019.1688304.
Moltrecht B, Deighton J, Patalay P, Edbrooke CJ. Effectiveness of current psychological interventions to improve emotion regulation in youth: a meta analysis. Eur Child Adolesc Psychiatry. 2021;30(6):829-48. DOI:10.1007/ s00787-020-01498-4.
Al-Khatib BA, Awamleh HS, Samawi FS. Student's adjustment to college life at Albalqa Applied University. Am Int J Contemp Res. 2012;11(2):8-16.
Levy T, Kronenberg S, Crosbie J, Schachar RS. Attention-Deficit/Hyper¬activity Disorder (ADHD) symptoms and suicidality in children: The medi¬ating role of depression, irritability and anxiety symptoms. J Affect Disord. 2020;265:200-206. DOI:10.1016/j. jad.2020.01.022
Beheshti A, Chavanon ML, Christian¬sen H. Emotion dysregulation in adults with attention deficit hyperactivity dis¬order: a meta-analysis. BMC Psychi¬atry. 2020;20(1):120. DOI:10.1186/ s12888-020-2442-7.
Ryckaert C, Kuntsi J, Asherson P. Emo¬tional dysregulation and ADHD. Oxford University Press; 2018.
Skirrow C, Asherson P. Emotional la¬bility, comorbidity and impairment in adults with attention-deficit hyperactivi¬ty disorder. Journal of Affective Disorder. 2013;147(1-3):80-6. DOI:10.1016/j. jad.2012.10.011.
You J, Ren Y, Zhang X, Wu Z, Xu S, Lin, MP. Emotional dysregulation and nonsuicidal self-injury: A me¬ta-analytic review. Neuropsychiatry. 2018;8(2):733-48. DOI:10.4172/Neu¬ropsychiatry.1000399.
Corbisiero S, Stieglitz RD, Retz W, Rösler M. Is emotional dysregulation part of the psychopathology of ADHD in adults? ADHD. Atten Defic Hyperact Dis¬ord. 2013:5(2):83-92. DOI:10.1007/ s12402-012-0097-z.
Young J. Emotion Dysregulation: A Ma¬jor Problem for Adolescents with ADHD. Apsard org 2020 [cited 2022 Jun 27]. Available from URL:https://apsard.org/ emotion-dysregulation-a-major-prob¬lem-for-adolescents-with-adhd/
Dvir Y, Ford JD, Hill M, Frazier JA. Childhood maltreatment, emotion¬al dysregulation, and psychiatric co¬morbidities. Harv Rev Psychiatry. 2014;22(3):149-61. DOI: 10.1097/ HRP.0000000000000014.
Zimmermann P, Iwanski A. Emotion regulation from early adolescence to emerging adulthood and middle adult¬hood: Age differences, gender differenc¬es, and emotion-specific developmental variations. Inter J Beha Development. 2014;38(2):182-94.
Ramsay JR. Non-medication treatments for adult ADHD: Evaluating impact on daily functioning and well-being. Wash¬ington, DC: American Psychological As¬sociation. 2010.
Sjowall D, Roth L, Lindqvist S, Thorell LB. Multiple deficits in ADHD: Exec¬utive dysfunction, delay aversion, re¬action time variability and emotional deficits. J Child Psychol Psychiatry. 2013;54(6):619-27. DOI:10.1111/ jcpp.12006.
Bunford N, Evans SW. Langberg JM. Emotion dysregulation is associat¬ed with social impairment among young adolescents with ADHD. J Atten Disord. 2018;22(1):66-82. DOI:1087054714527793.
Martin AJ, Marsh HW, McInerney DM, Green J. Relationships and Academic and Nonacademic Outcomes: Scop¬ing the Relative Salience of Teachers, Parents, Same-Sex Peers, and Oppo¬site-Sex Peers. 2009. Available from URL: http://www.tcrecord.org/Home. asp15593.
Soto CJ, John OP, Gosling SD, Potter J. Age differences in personality traits from 10 to 65: Big Five domains and facets in a large cross-sectional sample. J Person Soc Psychol. 2011;100(2):330- -48. DOI:10.1037/a0021717.
Barkley RA. Challenges in diagnosing adults with ADHD. J. Clini Psychi,2008; 69: 36.
Khan NT, Khan K. Prevalence of Adult Attention Deficit Hyperactivity Disor¬der (ADHD) among Undergraduates at BUITEMS. J Biomol Res Therap. 2018;7(2):165. DOI:10.4172/2167- 7956.1000165.
Naqvi SQH, Quraishe A, Ansari MA, Shiekh S. Intellectual functioning among children with ADHD presenting at psychiatric clinics of Sir C.J. Institute of Psychiatry and Liaquat University Hospital, Hyderabad. J Pak Psychiatr Soc. 2017;15(1):13-16.
Gratz KL, Roemer L. Multidimension¬al assessment of emotion regulation and dysregulation: Development, fac¬tor structure, and initial validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behav Assess. 2004;26:41-54. DOI:10.1023/b:jo¬ba.0000007455.08539.94.
Amin M. Emotion regulation, trauma appraisal and post-traumatic stress re¬sponse in orthopedic trauma sufferers [disser-tation]. School of Professional Psychology, University of Management and Technology, Lahore, Pakistan. 2019.
Saleem S, Ihsan Z, Mahmood Z. De¬velopment of Interpersonal Difficulties Scale for university students. Pak J Psy¬chol Res. 2014;29(2):277-97.
Mushtaq R, Saleem S, Mehmood Z. The development of a ADHD symptoms scale in young adults. J Liaquat Univ Med Health Sci. 2021;20(2):143-7. DOI: 10.22442/jlumhs.2021.00758.
Hayes AF. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). New York: The Guilford Press; 2018.
Weyandt L, Du PGJ, Verdi G, Rossi JS, Swentosky AJ, Vilardo BS, O’Dell SM, Carson KS. The performance of college students with and without ADHD: Neu¬ropsychological, academic, and psy-chosocial functioning. J Psychopathol Behav Assess. 2013;35(4):421-35. DOI:10.1007/s10862-013-9351-8.
Graziano PA, Garcia A. Attention-deficit hyperactivity disorder and children’s emotion dysregulation: A meta-analy¬sis. Clin Psychol Rev. 2016;46:106-23. DOI:10.1016/j.cpr.2016.04.011.
O’Neill S, Rudenstine S. Inattention, emotion dysregulation and impairment among urban, diverse adults seeking psychological treatment. Psychiatry Res. 2019; 282:112631. DOI:10.1016/j. psychres.2019.112631.
Welkie J, Babinski DE, Neely KA. Sex and emotion regulation difficulties contrib¬ute to depression in young adults with Attention- Deficit/Hyperactivity Disorder. Psychol Rep. 2020;124(2):596-610. DOI:10.1177/0033294120918803.
Sanchez M, Lavigne R, Romero JF, Elósegui E. Emotion regulation in par¬ticipants diagnosed with Attention Deficit Hyperactivity Disorder, before and after an emotion regulation inter¬vention. Front Psychol. 2019;10:1092. DOI:10.3389/fpsyg.2019.01092.
Rufenacht E, Euler S, Prada P, Nicastro R, Dieben K, Hasler R, Pham E, Per¬roud N, Weibel S. Emotion dysregula¬tion in adults suffering from attention deficit hyperactivity disorder (ADHD), a comparison with borderline personal¬ity disorder (BPD). Borderline Person¬al Disord Emot Dysregul. 2019;6:11. DOI:10.1186/s40479-019-0108-1.
Scime M, Norvilitis J. Task performance and response to frustration in children with attention deficit hyperactivity disor¬der. Psychol Sch. 2006;43(3):377-86. DOI:10.1002/pits.20151.
Carter JC, Kelly AC, Norwood SJ. In¬terpersonal problems in anorexia nervosa: Social inhibition as defining and detrimental. Person Individ Diff. 2012;53(3):169-74.
Li W, Zhang W, Xiao L, Nie J. The asso¬ciation of Internet addiction symptoms with impulsiveness, loneliness, novelty seeking and behavioral inhibition sys¬tem among adults with Attention-Defi-cit/Hyperactivity Disorder (ADHD). Psychiatry Res. 2016;243:357-64. DOI:10.1016/j.psychres.2016.02.020.