ADHD and Depression: the Role of Poor Frustration Tolerance

Overview

Journal Curr Dev Disord Rep

Date 2020 Sep 1

PMID 32864293

Citations 7

Authors

Karen E Seymour

Leslie Miller

Affiliations

Soon will be listed here.

Abstract

Unipolar depression is a common comorbidity in children with ADHD with rates ranging from 12-50%. Compared to children with ADHD alone, children with comorbid ADHD and depression require more intense interventions since they experience higher levels of stress and more psychosocial and familial problems. One mechanism hypothesized to underlie the relationship between ADHD and depression is emotion dysregulation. Cross-sectional and longitudinal research has shown that emotion dysregulation mediates the relationship between ADHD and depression. However, there are a number of limitations in the extant literature regarding emotion dysregulation as a mechanism underlying the relationship between ADHD and depression. This article aims to review those limitations and propose that by examining a specific type of emotion dysregulation, poor frustration tolerance, we may gain critical insight into the mechanisms underlying ADHD and depression. We discuss the construct of frustration, its neural basis and evidence that poor frustration tolerance is a key impairment in children with ADHD. We conclude by suggesting that poor frustration tolerance may be a key mechanism underlying the relationship between ADHD and depression, and provide recommendations for how future research can utilize affective neuroscience techniques to examine the neural, behavioral and clinical correlates of frustration tolerance in children with ADHD to more comprehensively examine this relationship.

Citing Articles

Aging and Pubertal Development Differentially Predict Symptoms of ADHD, Depression, and Impairment in Children and Adolescents: An Eight-Year Longitudinal Study.

Eng A, Phan J, Shirtcliff E, Eisenlohr-Moul T, Goh P, Martel M Res Child Adolesc Psychopathol. 2023; 51(6):819-832.

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Testing the Impact of Depressive and Anxiety Features on the Association between Attention-Deficit/Hyperactivity Disorder Symptoms and Academic Performance among University Students: A Mediation Analysis.

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Depressive symptoms in youth with ADHD: the role of impairments in cognitive emotion regulation.

Mayer J, Brandt G, Medda J, Basten U, Grimm O, Reif A Eur Arch Psychiatry Clin Neurosci. 2022; 272(5):793-806.

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Maternal Emotion Dysregulation Predicts Emotion Socialization Practices and Adolescent Emotion Lability: Conditional Effects of Youth ADHD Symptoms.

Oddo L, Miller N, Felton J, Cassidy J, Lejuez C, Chronis-Tuscano A Res Child Adolesc Psychopathol. 2020; 50(2):211-224.

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The Canine Frustration Questionnaire-Development of a New Psychometric Tool for Measuring Frustration in Domestic Dogs ().

McPeake K, Collins L, Zulch H, Mills D Front Vet Sci. 2019; 6:152.

PMID: 31165075 PMC: 6535675. DOI: 10.3389/fvets.2019.00152.

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