Irritability and Emotional Impulsivity as Core Feature of ADHD and ODD in Children
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Irritability and Emotional Impulsivity as Core Feature of ADHD and ODD in Children. / Junghänel, Michaela; Thöne, Ann-Kathrin; Ginsberg, Claudia; Görtz-Dorten, Anja; Frenk, Franziska; Mücke, Kristina; Treier, Anne-Katrin; Labarga, Sara Zaplana; Banaschewski, Tobias; Millenet, Sabina; Fegert, Jörg M.; Bernheim, Dorothee; Hanisch, Charlotte; Kölch, Michael; Schüller, Anne; Ravens-Sieberer, Ulrike; Kaman, Anne; Roessner, Veit; Hinz, Julian; Döpfner, Manfred.
In: J PSYCHOPATHOL BEHAV, Vol. 44, 11.05.2022, p. 679–697.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Irritability and Emotional Impulsivity as Core Feature of ADHD and ODD in Children
AU - Junghänel, Michaela
AU - Thöne, Ann-Kathrin
AU - Ginsberg, Claudia
AU - Görtz-Dorten, Anja
AU - Frenk, Franziska
AU - Mücke, Kristina
AU - Treier, Anne-Katrin
AU - Labarga, Sara Zaplana
AU - Banaschewski, Tobias
AU - Millenet, Sabina
AU - Fegert, Jörg M.
AU - Bernheim, Dorothee
AU - Hanisch, Charlotte
AU - Kölch, Michael
AU - Schüller, Anne
AU - Ravens-Sieberer, Ulrike
AU - Kaman, Anne
AU - Roessner, Veit
AU - Hinz, Julian
AU - Döpfner, Manfred
PY - 2022/5/11
Y1 - 2022/5/11
N2 - The categorical approach of diagnosing mental disorders entails the problem of frequently occurring comorbidities, suggesting a more parsimonious structure of psychopathology. In this study, we therefore aim to assess how affective dysregulation (AD) is associated with attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in children. To assess AD in children aged 8–12 years (n = 391), we employed the parent version of a newly constructed parent rating scale. Following item reduction, we conducted exploratory and confirmatory factor analyses to establish a factorial structure of AD. One core dimension was identified, comprising irritability and emotional impulsivity, and two smaller dimensions, comprising positive emotionality and exuberance. Subsequently, we examined five different latent factor models – a unidimensional model, a first-order correlated factor model, a second-order correlated factor model, a traditional bifactor model, and a bifactor S-1 model, in which the first-order factor AD-Irritability/Emotional Impulsivity (II) was modeled as the general reference factor. A bifactor S-1 model with the a priori defined general reference domain AD-II provided the best fit to our data and was straightforward to interpret. This model showed excellent model fit and no anomalous factor loadings. This still held true, when comparing it to bifactor S-1 models with ADHD/ODD-related reference factors. Differential correlations with emotion regulation skills and the established Parent Proxy Anger Scale validate the interpretation of the different dimensions. Our results suggest that irritability/emotional impulsivity might be a common core feature of ADHD and ODD.
AB - The categorical approach of diagnosing mental disorders entails the problem of frequently occurring comorbidities, suggesting a more parsimonious structure of psychopathology. In this study, we therefore aim to assess how affective dysregulation (AD) is associated with attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in children. To assess AD in children aged 8–12 years (n = 391), we employed the parent version of a newly constructed parent rating scale. Following item reduction, we conducted exploratory and confirmatory factor analyses to establish a factorial structure of AD. One core dimension was identified, comprising irritability and emotional impulsivity, and two smaller dimensions, comprising positive emotionality and exuberance. Subsequently, we examined five different latent factor models – a unidimensional model, a first-order correlated factor model, a second-order correlated factor model, a traditional bifactor model, and a bifactor S-1 model, in which the first-order factor AD-Irritability/Emotional Impulsivity (II) was modeled as the general reference factor. A bifactor S-1 model with the a priori defined general reference domain AD-II provided the best fit to our data and was straightforward to interpret. This model showed excellent model fit and no anomalous factor loadings. This still held true, when comparing it to bifactor S-1 models with ADHD/ODD-related reference factors. Differential correlations with emotion regulation skills and the established Parent Proxy Anger Scale validate the interpretation of the different dimensions. Our results suggest that irritability/emotional impulsivity might be a common core feature of ADHD and ODD.
U2 - 10.1007/s10862-022-09974-8
DO - 10.1007/s10862-022-09974-8
M3 - SCORING: Journal article
VL - 44
SP - 679
EP - 697
JO - J PSYCHOPATHOL BEHAV
JF - J PSYCHOPATHOL BEHAV
SN - 0882-2689
ER -