Perceived Stress and ADHD Symptoms in Adults

Objective: Given that ADHD has been linked to dysfunction across development and in many life domains, it is likely that individuals experiencing these symptoms are at increased risk for experiencing stress. The current study examines the association between ADHD and other psychiatric symptoms and perceived stress in a community sample of adults. Method: Perceived stress data collected from 983 participants (M age = 45.6 years) were analyzed primarily via hierarchical multiple regression using ADHD symptom clusters, demographic variables, and anxiety and depression scale variables as predictors. Results and Conclusion: ADHD symptoms positively associated with perceived stress. Inattention and sluggish cognitive tempo (SCT), as opposed to hyperactivity-impulsivity and newly proposed executive dysfunction symptoms, were the most consistent predictors. These findings reinforce that the experience of ADHD symptoms in adulthood is associated with stress and suggest that SCT could play an important role in assessing risk for negative adult outcomes

Stimulant Medication Use in College Students: Comparison of Appropriate Users, Misusers, and Nonusers

While stimulant medication is commonly prescribed to treat Attention-Deficit/Hyperactivity Disor-der in children and adolescents (Merikangas, He, Rapoport, Vitiello, & Olfson, 2013; Zuvekas & Vitiello, 2012) and is considered an empirically supported intervention for those groups (Barkley, Murphy, & Fischer, 2008; Pelham & Fabiano, 2008; Safren et al., 2005) surprisingly little is known about the efficacy of stimulants in the slightly older emerging adult population. A focus has emerged, however, on illicit stimulant use among undergraduates, with studies suggesting such behavior is not uncommon (e.g., Arria et al., 2013). Unfortunately, details are lacking regarding outcomes and personal characteristics associated with different patterns of stimulant misuse. The current study compares the characteristics of four groups of college students, including those with stimulant prescriptions who use them appropriately (i.e., appropriate users), those who misuse their prescription stimulants (i.e., medical misusers), those who obtain and use stimulants without a prescription (i.e., nonmedical misusers), and those who do not use stimulant medications at all (i.e., nonusers). Undergraduates (N 1,153) from the Southeastern, Midwest, and Rocky Mountain regions completed online measures evaluating patterns of use, associated motives, side effects, ADHD symptomatology, and other substance use. Both types of misusers (i.e., students who abused their prescriptions and those who obtained stimulants illegally) reported concerning patterns of other and combined substance use, as well as higher prevalence of debilitating side effects such as insomnia and restlessness. Research and practical implications are discussed

Rejection Sensitivity and Social Outcomes of Young Adult Men with ADHD

Objective: Attention-Deficit/Hyperactivity Disorder (ADHD) has been consistently linked to social maladjustment. This study investigated whether elevated rejection sensitivity (RS) could contribute to the relational problems that adults with ADHD encounter. Method: Undergraduate men in ADHD-Combined Type (ADHD-C; n = 31), ADHD-Primarily Inattentive Type (ADHD-IA; n = 22), and nondiagnosed control (NC; n = 25) groups completed questionnaires concerning RS, relational history, current relationships, and self-esteem. Results: The hypothesis that those with ADHD would have elevated RS (versus NC peers) was not supported. However, low RS predicted divergent outcomes across groups. Furthermore, ADHD-IA men reported more negative relational outcomes than their ADHD-C peers, although both groups reported lower general self-esteem than controls. Conclusion: Perhaps the positive illusory bias associated with childhood ADHD could buffer RS development. Findings provide evidence of ADHD-related impairment in adult relationships, further differentiate the principal ADHD subtypes, and extend the RS literature to this clinical population

Sex Differences in the Manifestation of ADHD in Emerging Adults

Objective: Given the mixed literature in the area, the aim of the current study was to determine whether sex differences exist in inattention, hyperactivity, and impairment in college adults with ADHD. Method: Individuals from three universities were recruited for the study. Participants with (n = 164) and without ADHD (n = 710) completed on-line measures of symptoms and impairment. Results: College women with ADHD were shown to have higher rates of inattention, hyperactivity, and impairment than college women without ADHD and college men with ADHD. Analyses revealed that women in college who have ADHD experience higher levels of impairment in the following domains: home life, social life, education, money management, and daily life activities. Conclusion: Overall, clear differences emerged between men and women with ADHD. Implications and future directions are discussed

An Experiential Learning Activity Demonstrating Normal and Phobic Anxiety

This article describes an activity for an undergraduate abnormal psychology course that used student-generated data to illustrate normal versus clinically significant anxiety responses related to specific phobias. Students (N = 37) viewed 14 images of low- or high-anxiety valence and rated their subjective response to each. Discussion in a subsequent class focused on differentiating normal from pathological fear and the theory of predisposed, evolution-linked phobias. Students indicated the exercise was interesting and contributed to their understanding of specific and social phobias

Social Appraisal of Adult ADHD: Stigma and Influences of the Beholder’s Big Five Personality Traits

Objective: This study investigates social stigma associated with a diagnosis of ADHD in adulthood and whether Big Five personality traits predict appraisals of affected individuals. Method: A sample of 257 undergraduates rate the desirability of targets with ADHD, minor medical problems, and with no appreciable weakness, across several social engagement contexts. Results: Participants exhibit significantly less desire to engage with those with ADHD (as compared to both controls). Agreeableness, Extraversion, and Conscientiousness are found to predict appraisals of targets with and without ADHD, moderated by sex of the target and the beholder. Conclusion: It is suggested that fairly subtle, negative bias toward ADHD contributes to rejection of individuals with the disorder, particularly in academic and work settings. Findings also suggest peers’ personalities do have some effect on appraisals of targets with ADHD (J. of Att. Dis. 2008; 11(6) 700-710)

Potential Symptoms of ADHD for Emerging Adults

To identify potential diagnostic criteria for Attention-Deficit/Hyperactivity Disorder (ADHD) in emerging adults using a combination of DSM-IV and Barkley, Murphy, and Fischer’s (2007) executive functioning (EF) items. Participants in ADHD and control groups self-report on: (1) the 18 DSM-IV criteria, (2) 87 Barkley et al. (2007) EF items, and (3) 10 impairment items. Factor analyses, expert ratings, and logistic regression analyses reveal two factors named Cognitive Inflexibility (CI) and Disinhibition (DI) that have potential diagnostic utility. Confirmatory factor analyses and further regression analyses reveal that specific DSM-IV items and items from CI and DI factors account for unique variance in self-reported impairment. Therefore, a 17-item set consisting of CI and DI items is proposed for further study. Reflecting the developmental nature of ADHD, a novel set of 17 items is shown to have potential diagnostic utility for emerging adults

Impact of Sluggish Cognitive Tempo and Attention-Deficit/Hyperactivity Disorder Symptoms on Adults’ Quality of Life

The symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) have been linked to dysfunction in numerous life domains for both children and adults. As such, it is likely that individuals with these and other related symptoms (e.g., sluggish cognitive tempo, SCT) may also experience impaired quality of life. The current study examines the association between ADHD and SCTsymptoms and quality of life (QOL)in a community sample of adults. Quality of life data collected from 983 participants (M age = 45.6 years) were analyzed primarily through a series of hierarchical multiple regressions employing SCT and ADHD symptom clusters, demographic, and anxiety and depression scale variables as predictors. Results generally supported the hypothesis that ADHD and SCT symptoms would negatively associate with QOL. Amongst the indicators, inattention and SCT emerged as the strongest predictors of low QOL. These findings underscore the negative impact of ADHD symptoms in adulthood, the independent contribution of SCT, and the importance of considering QOL in prospective research and intervention

ADHD Comorbidities: Handbook for ADHD Complications in Children and Adults

Book revie

Parent-, Teacher-, and Self-Rated Motivational Styles in ADHD Subtypes

The motivational styles of 25 children with attention-deficit/hyperactivity disorder, combined type (ADHD/C), 13 children with ADHD, inattentive type (ADHD/IA), and 25 nondiagnosed controls (NC) were compared using parent, teacher, and self-ratings. Both ADHD subtypes demonstrated motivational impairment characterized by a preference for easy work, less enjoyment of learning, less persistence, and a greater reliance on external than on internal standards to judge their performance relative to NC. Some motivational style differences between ADHD subtypes were also revealed, with the ADHD/C group more motivated by competitiveness and a desire to be perceived as superior to others and the ADHD/IA group less uncooperative and possibly more passive in their learning styles. When IQ was statistically controlled, these results were generally unchanged. The contributing role of motivational deficits to the generally poor academic functioning of children with ADHD is discussed, along with potential intervention implications of the divergent motivational styles of different ADHD subtypes