The Unique Contribution of Emotional Impulsiveness to Impairment in Major Life Activities in Hyperactive Children as Adults

Objective Emotional impulsiveness (EI) may be a central feature of attention-deficit/hyperactivity disorder (ADHD) contributing impairment beyond the two ADHD dimensions of inattention and hyperactivity–impulsivity. Method We evaluated EI in hyperactive (N = 135) and control (N = 75) children follow...

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Veröffentlicht in:Journal of the American Academy of Child and Adolescent Psychiatry 2010-05, Vol.49 (5), p.503-513
Hauptverfasser: Barkley, Russell A., Ph.D, Fischer, Mariellen, Ph.D
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container_title Journal of the American Academy of Child and Adolescent Psychiatry
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creator Barkley, Russell A., Ph.D
Fischer, Mariellen, Ph.D
description Objective Emotional impulsiveness (EI) may be a central feature of attention-deficit/hyperactivity disorder (ADHD) contributing impairment beyond the two ADHD dimensions of inattention and hyperactivity–impulsivity. Method We evaluated EI in hyperactive (N = 135) and control (N = 75) children followed to adulthood (mean age 27 years). The hyperactive cases were subdivided into those individuals whose ADHD persisted (ADHD-P) and did not persist (ADHD-NP) to adulthood. We examined the additional contribution of EI apart from ADHD symptoms to global ratings of impairment in 10 major life activities, adverse occupational and educational outcomes, criminal and driving outcomes, and money management difficulties at ages 21 and 27. Results The ADHD-P group reported more EI symptoms than either the ADHD-NP or community control groups. EI uniquely contributed to seven of 10 major life domains and to overall impairment beyond ADHD symptoms. Severity of EI uniquely contributed to numerous impairments in occupational, educational, criminal, driving, and financial outcomes beyond ADHD symptoms. Conclusions EI is as much a component of ADHD as are its two traditional dimensions and is associated with impairments beyond those contributed by the two traditional dimensions.
doi_str_mv 10.1016/j.jaac.2010.01.019
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Method We evaluated EI in hyperactive (N = 135) and control (N = 75) children followed to adulthood (mean age 27 years). The hyperactive cases were subdivided into those individuals whose ADHD persisted (ADHD-P) and did not persist (ADHD-NP) to adulthood. We examined the additional contribution of EI apart from ADHD symptoms to global ratings of impairment in 10 major life activities, adverse occupational and educational outcomes, criminal and driving outcomes, and money management difficulties at ages 21 and 27. Results The ADHD-P group reported more EI symptoms than either the ADHD-NP or community control groups. EI uniquely contributed to seven of 10 major life domains and to overall impairment beyond ADHD symptoms. Severity of EI uniquely contributed to numerous impairments in occupational, educational, criminal, driving, and financial outcomes beyond ADHD symptoms. 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Method We evaluated EI in hyperactive (N = 135) and control (N = 75) children followed to adulthood (mean age 27 years). The hyperactive cases were subdivided into those individuals whose ADHD persisted (ADHD-P) and did not persist (ADHD-NP) to adulthood. We examined the additional contribution of EI apart from ADHD symptoms to global ratings of impairment in 10 major life activities, adverse occupational and educational outcomes, criminal and driving outcomes, and money management difficulties at ages 21 and 27. Results The ADHD-P group reported more EI symptoms than either the ADHD-NP or community control groups. EI uniquely contributed to seven of 10 major life domains and to overall impairment beyond ADHD symptoms. Severity of EI uniquely contributed to numerous impairments in occupational, educational, criminal, driving, and financial outcomes beyond ADHD symptoms. 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Hyperactivity</subject><subject>Attention Deficit Hyperactivity Disorder</subject><subject>attention-deficit/hyperactivity disorder (ADHD)</subject><subject>Automobile Driving - psychology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child &amp; adolescent psychiatry</subject><subject>Child clinical studies</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>Conceptual Tempo</subject><subject>Control Groups</subject><subject>Criminals</subject><subject>emotional impulsiveness</subject><subject>Emotional intelligence</subject><subject>Emotions</subject><subject>Humans</subject><subject>Hyperactivity</subject><subject>impairment</subject><subject>Impulsivity</subject><subject>longitudinal research</subject><subject>Longitudinal Studies</subject><subject>Medical sciences</subject><subject>Offenders</subject><subject>Outcomes of Education</subject><subject>Pediatrics</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychiatry</subject><subject>Psychological Patterns</subject><subject>Psychology. 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Hyperactivity</topic><topic>Attention Deficit Hyperactivity Disorder</topic><topic>attention-deficit/hyperactivity disorder (ADHD)</topic><topic>Automobile Driving - psychology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child &amp; adolescent psychiatry</topic><topic>Child clinical studies</topic><topic>Children</topic><topic>Children &amp; youth</topic><topic>Conceptual Tempo</topic><topic>Control Groups</topic><topic>Criminals</topic><topic>emotional impulsiveness</topic><topic>Emotional intelligence</topic><topic>Emotions</topic><topic>Humans</topic><topic>Hyperactivity</topic><topic>impairment</topic><topic>Impulsivity</topic><topic>longitudinal research</topic><topic>Longitudinal Studies</topic><topic>Medical sciences</topic><topic>Offenders</topic><topic>Outcomes of Education</topic><topic>Pediatrics</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychiatry</topic><topic>Psychological Patterns</topic><topic>Psychology. 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Psychiatry</topic><topic>Quality of Life - psychology</topic><topic>Symptoms</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barkley, Russell A., Ph.D</creatorcontrib><creatorcontrib>Fischer, Mariellen, Ph.D</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barkley, Russell A., Ph.D</au><au>Fischer, Mariellen, Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ944595</ericid><atitle>The Unique Contribution of Emotional Impulsiveness to Impairment in Major Life Activities in Hyperactive Children as Adults</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><date>2010-05-01</date><risdate>2010</risdate><volume>49</volume><issue>5</issue><spage>503</spage><epage>513</epage><pages>503-513</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><coden>JAAPEE</coden><abstract>Objective Emotional impulsiveness (EI) may be a central feature of attention-deficit/hyperactivity disorder (ADHD) contributing impairment beyond the two ADHD dimensions of inattention and hyperactivity–impulsivity. Method We evaluated EI in hyperactive (N = 135) and control (N = 75) children followed to adulthood (mean age 27 years). The hyperactive cases were subdivided into those individuals whose ADHD persisted (ADHD-P) and did not persist (ADHD-NP) to adulthood. We examined the additional contribution of EI apart from ADHD symptoms to global ratings of impairment in 10 major life activities, adverse occupational and educational outcomes, criminal and driving outcomes, and money management difficulties at ages 21 and 27. Results The ADHD-P group reported more EI symptoms than either the ADHD-NP or community control groups. EI uniquely contributed to seven of 10 major life domains and to overall impairment beyond ADHD symptoms. Severity of EI uniquely contributed to numerous impairments in occupational, educational, criminal, driving, and financial outcomes beyond ADHD symptoms. Conclusions EI is as much a component of ADHD as are its two traditional dimensions and is associated with impairments beyond those contributed by the two traditional dimensions.</abstract><cop>Maryland Heights, MO</cop><pub>Elsevier Inc</pub><pmid>20431470</pmid><doi>10.1016/j.jaac.2010.01.019</doi><tpages>11</tpages></addata></record>
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subjects Adolescent
Adult
Adulthood
Adults
Affective Symptoms
Attention Deficit Disorder with Hyperactivity - physiopathology
Attention Deficit Disorder with Hyperactivity - psychology
Attention deficit disorders. Hyperactivity
Attention Deficit Hyperactivity Disorder
attention-deficit/hyperactivity disorder (ADHD)
Automobile Driving - psychology
Biological and medical sciences
Child
Child & adolescent psychiatry
Child clinical studies
Children
Children & youth
Conceptual Tempo
Control Groups
Criminals
emotional impulsiveness
Emotional intelligence
Emotions
Humans
Hyperactivity
impairment
Impulsivity
longitudinal research
Longitudinal Studies
Medical sciences
Offenders
Outcomes of Education
Pediatrics
Psychiatric Status Rating Scales
Psychiatry
Psychological Patterns
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of Life - psychology
Symptoms
Young Adult
title The Unique Contribution of Emotional Impulsiveness to Impairment in Major Life Activities in Hyperactive Children as Adults
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