Main Article Content

Rehana Mushtaq
Sadia Saleem
Sayyeda Taskeen Zahra



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.

Article Details

How to Cite
Mushtaq R, Saleem S, Zahra ST. EMOTION REGULATION AND ATTENTION DEFICIT HYPERACTIVITY SYMPTOMS IN UNIVERSITY STUDENTS: A MEDIATING ROLE OF INTERPERSONAL PROBLEMS. J Postgrad Med Inst [Internet]. 2022 Jun. 30 [cited 2022 Aug. 20];36(2):109-15. Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2930
Original Article


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.