Applied Neuropsychology-Adult最新文献

Is the ACE-III an effective cognitive screening tool for service users with acquired brain injuries? A descriptive service evaluation comparing cognitive results in CABIS. ACE-III是服务使用者获得性脑损伤的有效认知筛查工具吗？比较CABIS患者认知结果的描述性服务评价。

IF 1.6 4区心理学

Applied Neuropsychology-Adult Pub Date : 2026-09-04 DOI: 10.1080/23279095.2026.2682526

Maxime Levasseur, Chloe Witty

{"title":"Is the ACE-III an effective cognitive screening tool for service users with acquired brain injuries? A descriptive service evaluation comparing cognitive results in CABIS.","authors":"Maxime Levasseur, Chloe Witty","doi":"10.1080/23279095.2026.2682526","DOIUrl":"https://doi.org/10.1080/23279095.2026.2682526","url":null,"abstract":"Background: The Addenbrooke's Cognitive Examination III is a cognitive screen developed for early detection of dementia and is also used to detect mild cognitive impairments.Methods: This service evaluation aimed to explore whether the ACE-III is associated with cognitive domains identified from more detailed assessment in acquired brain injury (ABI), and therefore a clinically useful screening tool, for service users in the Community Acquired Brain Injury Service (CABIS). A sample of 20 CABIS service users were deemed eligible for this service evaluation. Correlations and weighted linear regressions were conducted.Results: Pearson and Spearman Rank correlations and weighted linear regressions identified significant associations between certain cognitive domains in the ACE-III and the WAIS-IV. A significant positive correlation of moderate strength was found for Attention × Working Memory, Spearman's ρ(16)=0.52, p=.028. Weighted linear regressions were found to be significant for Attention × Working Memory (F=4.60, p=.048, R2=0.22); Visuospatial × Perceptual Reasoning (F=27.17, p<.001, R2=0.66); and Total Score × Full Scale (F=5.76, p=.032, R2=0.31).Conclusions: This study reveals practical applications for the service in which the evaluation was conducted, in that the ACE-III may be considered a clinically useful tool to indicate trends of cognitive functioning for people with ABI. Future research should aim to replicate these findings in a larger sample, using true experimental designs.","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-8"},"PeriodicalIF":1.6,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neuromodulatory mechanisms and therapeutic effects of repetitive transcranial magnetic stimulation (rTMS) in multiple sclerosis: A systematic review and exploratory meta-analysis. 重复经颅磁刺激（rTMS）治疗多发性硬化症的神经调节机制和疗效：一项系统综述和探索性荟萃分析。

IF 1.6 4区心理学

Applied Neuropsychology-Adult Pub Date : 2026-09-04 DOI: 10.1080/23279095.2026.2727513

Veda Siddharth R G, Nisha Phakey, Karishma Godara, Karthik Vinay Mahesh

{"title":"Neuromodulatory mechanisms and therapeutic effects of repetitive transcranial magnetic stimulation (rTMS) in multiple sclerosis: A systematic review and exploratory meta-analysis.","authors":"Veda Siddharth R G, Nisha Phakey, Karishma Godara, Karthik Vinay Mahesh","doi":"10.1080/23279095.2026.2727513","DOIUrl":"https://doi.org/10.1080/23279095.2026.2727513","url":null,"abstract":"Noninvasive neuromodulatory interventions, particularly repetitive Transcranial Magnetic Stimulation (rTMS) and intermittent Theta Burst Stimulation (iTBS), are increasingly emerging as alternative and complementary approaches for symptomatic management of Multiple Sclerosis (MS). This systematic review and exploratory meta-analysis synthesized evidence from 11 Randomized Controlled Trials (RCTs) evaluating the clinical efficacy and underlying mechanisms of rTMS. Across individual trials, directionally consistent short-term improvements were observed in spasticity, fatigue, balance, gait, dexterity, and cerebellar functions. Exploratory Meta-analytic results indicated a reduction in spasticity, as well as modest improvements in fatigue and depressive symptoms. Neuroimaging findings further suggested microstructural changes consistent with altered white matter properties. Potential mechanisms include modulation of cortical excitability, synaptic plasticity, interhemispheric balance, and neuroimmune processes. Despite these promising directional trends, small sample sizes, variability in stimulation protocols, and limited geographic representation limit the broader generalizability and robustness of these findings. Overall, rTMS appears generally well tolerated in small trials, with short-term symptomatic improvements reported in some domains. These preliminary findings highlight the need for longitudinal trials employing standardized stimulation protocols and multimodal outcome assessments to elucidate sustained efficacy and underlying mechanisms.","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-14"},"PeriodicalIF":1.6,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ADHD and working memory: Reviewing causes for a consistent correlation. 注意力缺陷多动障碍和工作记忆：回顾两者一致相关性的原因。

IF 1.6 4区心理学

Applied Neuropsychology-Adult Pub Date : 2026-08-30 DOI: 10.1080/23279095.2026.2721598

Steven C Hertler, Kaan Kideys, Mateo Peñaherrera-Aguirre

{"title":"ADHD and working memory: Reviewing causes for a consistent correlation.","authors":"Steven C Hertler, Kaan Kideys, Mateo Peñaherrera-Aguirre","doi":"10.1080/23279095.2026.2721598","DOIUrl":"https://doi.org/10.1080/23279095.2026.2721598","url":null,"abstract":"Working memory capacity negatively correlates with Attention Deficit Hyperactivity Disorder. In this narrative review, we examine the strength of this correlation, alongside explanations for its existence. Some explanations cast working memory weaknesses as an artifact of testing, such that inattention during testing disrupts encoding. Other explanations link working memory weakness to poor executive control and selective attention, such that ADHD impedes mental manipulation central to all working memory tasks. We thereafter compare these extant explanations against the following alternative explanation: Correlations between ADHD and working memory are artifacts of contaminated samples employing imprecise inclusion and exclusion criteria that neither commonly control for intelligence nor rule out low intelligence as an alternative explanation for putative ADHD. This alternative explanation is relevant because intelligence positively correlates with working memory capacity; and at the same time, ADHD samples are often selected based on ratings that neither measure intelligence nor attention. This alternative explanation suggests that, though not spurious, the correlation between these constructs is exaggerated by including those with lower intelligence in ADHD samples. We systematically select a subset of ADHD studies, scrutinizing their methodology, discussion, and limitations sections so as to determine, where possible, whether working memory weaknesses remain after controlling for intelligence.","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychometric properties of the adult executive functioning inventory (ADEXI) in adults with attention-deficit/hyperactivity disorder (ADHD). 注意缺陷/多动障碍（ADHD）成人执行功能量表（ADEXI）的心理测量特征

IF 1.6 4区心理学

Applied Neuropsychology-Adult Pub Date : 2026-08-27 DOI: 10.1080/23279095.2026.2721605

Giulio Emilio Brancati, Marina Baroni, Anna Magnesa, Cosimo Lazzerini, Marco Scalese, Mario Miniati, Danilo Menicucci, Giulio Perugi, Luca Bastiani, Sabrina Molinaro

{"title":"Psychometric properties of the adult executive functioning inventory (ADEXI) in adults with attention-deficit/hyperactivity disorder (ADHD).","authors":"Giulio Emilio Brancati, Marina Baroni, Anna Magnesa, Cosimo Lazzerini, Marco Scalese, Mario Miniati, Danilo Menicucci, Giulio Perugi, Luca Bastiani, Sabrina Molinaro","doi":"10.1080/23279095.2026.2721605","DOIUrl":"https://doi.org/10.1080/23279095.2026.2721605","url":null,"abstract":"The Adult Executive Functioning Inventory (ADEXI) is a brief novel self-report questionnaire designed to assess executive functioning. The aim of this study was to evaluate the psychometric properties of its Italian version in adults with attention-deficit/hyperactivity disorder (ADHD). A clinical sample of 84 adults diagnosed with ADHD at a tertiary care center was recruited. Discriminant validity was examined with respect to 252 age- and sex-matched non-clinical controls and norms extracted from a large epidemiological survey. Good internal consistency was observed for both the total score (Cronbach's α = 0.857) and subscale scores (α = 0.731-0.825). Both one- and two-factor structures showed acceptable fit. Convergent validity was supported by moderate correlations with self-reported ADHD symptoms measured by the ASRS-v1.1 Part A (r = 0.422-0.502), while only weak correlations were found with informant-reported executive impairments on the BRIEF-A (r = 0.231-0.237). Significant differences between participants with ADHD and non-clinical controls were observed. ADEXI total score best identified participants with ADHD using a cutoff ≥ 34, with accuracy = 89.6%, sensitivity = 92.9%, and specificity = 88.5%. ADEXI total scores converted in T-scores based on normative data revealed a prevalence of at least mild executive impairment (T-score ≥ 60) of 86.9% in the clinical sample, while two-thirds showed severe executive impairment (T-score ≥ 70; 66.7%). In conclusion, the ADEXI could be considered a useful instrument to screen for executive functioning impairments among the general population and a promising tool to stratify the severity of self-reported executive impairment across different clinical samples.","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Theory of mind as a mediator between executive functions and future-oriented thinking in adult teacher candidates of Science in Saudi Arabia. 心理理论在沙特阿拉伯理科成人教师候选人执行功能与未来导向思维之间的中介作用

IF 1.6 4区心理学

Applied Neuropsychology-Adult Pub Date : 2026-08-20 DOI: 10.1080/23279095.2026.2716893

Ashwaq Hamzah Ali Alturki

{"title":"Theory of mind as a mediator between executive functions and future-oriented thinking in adult teacher candidates of Science in Saudi Arabia.","authors":"Ashwaq Hamzah Ali Alturki","doi":"10.1080/23279095.2026.2716893","DOIUrl":"https://doi.org/10.1080/23279095.2026.2716893","url":null,"abstract":"In this study, the focus is on theory of mind as a mediator variable in the relationship between executive functions and future-oriented thinking. Participants were 320 adultteacher candidates of Science in Saudi Arabia (48.43% female, N = 155; 51.56% male, N = 165; aged 20 to 24 years, M age = 21.50, SD = 0.98). Participant selection was based on availability and access to the sample. The research falls within the post-positivist paradigm, employing a quantitative approach, and a descriptive, correlational, and mediation analysis scope. Pearson correlation analysis was used to examine the correlation between theory of mind, executive functions and future-oriented thinking. The results showed that thinking about the future can have a significant correlation with the executive functions of adult teacher candidates of Science in Saudi Arabia. The results also showed that theory of mind correlates positively with executive functions. This foresight correlates his/her ToM, and they can predict and understand themselves and the mental states of others. Since EFs are a higher cognitive and metacognitive ability, higher levels of ToM can be associated with EFs.","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-6"},"PeriodicalIF":1.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Frontal cortical activity during dominant and non-dominant handwriting in healthy adults: an fNIRS study. 健康成人在显性和非显性书写时的额叶皮质活动：一项近红外光谱研究。

IF 1.6 4区心理学

Applied Neuropsychology-Adult Pub Date : 2026-08-20 DOI: 10.1080/23279095.2026.2719743

Nobuhiro Takahashi, Mimpei Kawamura, Yasutaka Kobayashi

{"title":"Frontal cortical activity during dominant and non-dominant handwriting in healthy adults: an fNIRS study.","authors":"Nobuhiro Takahashi, Mimpei Kawamura, Yasutaka Kobayashi","doi":"10.1080/23279095.2026.2719743","DOIUrl":"https://doi.org/10.1080/23279095.2026.2719743","url":null,"abstract":"Handwriting integrates linguistic and motor processes and is a complex neuropsychological function. We investigated whether frontal cortical activity during written object naming differs between dominant- and non-dominant-hand writing. Sixteen healthy right-handed adults performed written-naming and circle-drawing motor-control tasks with the dominant right and non-dominant left hands while measuring bilateral frontal cortical hemodynamic responses using functional near-infrared spectroscopy. Writing-related activity was defined as the difference in oxygenated hemoglobin responses between written naming and corresponding motor-control conditions. Three-factor repeated-measures ANOVA showed a significant main effect of Hemisphere, with greater written-naming-minus-motor-control responses in the left than in the right hemisphere (F(1, 15) = 11.87, Holm-adjusted p = .025, ηp2 = .442). Hand showed no significant main or interaction effects. Writing duration was longer with the non-dominant hand (t(15) = 3.56, p = .0028, Cohen's dz = 0.89), whereas writing onset latency did not differ significantly between hands. These findings indicate an overall left-lateralized pattern of frontal activity associated with written naming across both hand conditions. However, the absence of significant Hand-related effects should not be interpreted as evidence of equivalent frontal responses between dominant- and non-dominant-hand writing. The findings provide a healthy-adult reference for future studies of compensatory writing following dominant-hand impairment.","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The predictive role of executive function and verbal ability on theory of mind in adults with visual impairment in Saudi Arabia context. 沙特阿拉伯语境下执行功能和语言能力对成人视觉障碍心理理论的预测作用。

IF 1.6 4区心理学

Applied Neuropsychology-Adult Pub Date : 2026-08-14 DOI: 10.1080/23279095.2026.2718361

Adel Abed H Alkhaldi

{"title":"The predictive role of executive function and verbal ability on theory of mind in adults with visual impairment in Saudi Arabia context.","authors":"Adel Abed H Alkhaldi","doi":"10.1080/23279095.2026.2718361","DOIUrl":"https://doi.org/10.1080/23279095.2026.2718361","url":null,"abstract":"Introduction: It is thought that many behaviors that occur in daily life, especially during social communication, are influenced by ToM skills.Objectives: The aim of this study was to investigate the predictive role of executive function and verbal ability on theory of mind development in adults with visual impairment in Saudi Arabia context.Method: Participants volunteered for this study at a nonprofit organization for visually impaired in Saudi Arabia. A total of 110 subjects were selected to participate in the study. Participants ranged in age from 30-70, with a mean age of 50. Advanced ToM, Cognitive Spare Capacity Test and the vocabulary subtest in the Wechsler Adult Intelligence Scale were used.Results: The findings indicated that executive function and verbal ability directly predicted theory of mind. The three variables were correlated positively and significantly. The indirect effects of executive function on theory of mind via verbal ability (standardized indirect effect = 0.40, p < 0.01, 95% BC CIs = 0.20-0.59) were significant.Discussion/conclusion: The current study provides evidence that executive function and verbal ability play a predictive role on theory of mind in adults with visual impairment. The findings provide direction for further research in this area.","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The mediating role of theory of mind in the relationship between executive functions and perceived academic self-efficacy in Saudi young adults with intellectual giftedness. 心理理论在沙特青年智资执行功能与学术自我效能感关系中的中介作用。

IF 1.6 4区心理学

Applied Neuropsychology-Adult Pub Date : 2026-08-11 DOI: 10.1080/23279095.2026.2714318

Manar Mohammed Haneefa

{"title":"The mediating role of theory of mind in the relationship between executive functions and perceived academic self-efficacy in Saudi young adults with intellectual giftedness.","authors":"Manar Mohammed Haneefa","doi":"10.1080/23279095.2026.2714318","DOIUrl":"https://doi.org/10.1080/23279095.2026.2714318","url":null,"abstract":"Background: The objective of this research is to study whether Theory of Mind (ToM) mediates the relationship between executive functions (EFs)and perceived academic self-efficacy (PASE) in Saudi young adults with intellectual giftedness.Methods: Three hundred and twenty young adults participated in this study. They were 180 females (56.25%) and 140 (43.75%). All of them were identified as intellectually gifted. The mean age was 22.4 years old, (SD = 1.01). Descriptive statistics and correlation analysis were performed using SPSS 24.0 software, with missing values of variables replaced by serial means. The mediation model was tested using the SPSS macroprocess program.Results: Positive correlations between EFs and PASE were revealed. Significant negative correlations between ToM and PASE were found. ToM played a mediating role in the relationship between EFs and PASE.Conclusion: The ability to use executive functions strengthens students' sense of self-efficacy and allows them to develop greater confidence in their academic abilities.","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-5"},"PeriodicalIF":1.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Machine learning-based prediction of subjective cognitive impairment levels in cancer survivors using demographic predictors. 基于机器学习的人口统计学预测癌症幸存者主观认知障碍水平的预测。

IF 1.6 4区心理学

Applied Neuropsychology-Adult Pub Date : 2026-08-10 DOI: 10.1080/23279095.2026.2716173

Ali Jafarian, Fatemeh Keshmiri Nasrabadi, Mehrshad Khosraviani

{"title":"Machine learning-based prediction of subjective cognitive impairment levels in cancer survivors using demographic predictors.","authors":"Ali Jafarian, Fatemeh Keshmiri Nasrabadi, Mehrshad Khosraviani","doi":"10.1080/23279095.2026.2716173","DOIUrl":"https://doi.org/10.1080/23279095.2026.2716173","url":null,"abstract":"Objectives: Cancer-related cognitive impairment is a decline in cognitive functioning following cancer treatment that negatively affects survivors' quality of life. Self-report tools such as the Cognitive Failure Questionnaire (CFQ) offer a rapid and cost-effective method for early detection of subjective cognitive difficulties. This study aimed to develop and compare machine learning models using demographic variables to classify subjective cognitive impairment (SCI) severity into low, moderate, and high levels.Methods: Data from 437 cancer survivors were analyzed. SCI severity was defined based on self-reported CFQ scores. Demographic predictors included age, gender, marital status, education, and occupation. Four supervised machine learning algorithms, Logistic Regression (LR), Support Vector Machine (SVM), Artificial Neural Network (ANN), and k-Nearest Neighbors (KNN), were applied for multiclass classification. Model performance was evaluated using accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), F1-score and area under the ROC curve (AUC), with stratified 5-fold cross-validation.Results: LR model demonstrated the best performance (accuracy = 0.89, AUC = 0.95), followed by SVM (accuracy = 0.86, AUC = 0.95), ANN (accuracy = 0.85, AUC = 0.93), and KNN (accuracy = 0.82, AUC = 0.91).Conclusion: Logistic Regression provided the most robust and interpretable results. These findings support the utility of simple demographic-based models as noninvasive tools that may support early supportive screening of subjective cognitive difficulties in cancer survivorship care. However, external validation using independent datasets is required.","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of incorporating emotion dysregulation into ADHD diagnostic criteria. 将情绪失调纳入ADHD诊断标准的效果。

IF 1.6 4区心理学

Applied Neuropsychology-Adult Pub Date : 2026-08-10 DOI: 10.1080/23279095.2026.2713190

Ara Nazmiyal, Benjamin J Lovett, Allyson G Harrison

{"title":"Effects of incorporating emotion dysregulation into ADHD diagnostic criteria.","authors":"Ara Nazmiyal, Benjamin J Lovett, Allyson G Harrison","doi":"10.1080/23279095.2026.2713190","DOIUrl":"https://doi.org/10.1080/23279095.2026.2713190","url":null,"abstract":"Emotion dysregulation (ED) is common in ADHD, and a source of greater clinical impairment. Current official diagnostic criteria for ADHD do not include ED symptoms, although some scholars have proposed revisions to address this issue. The present study examined how substituting elevated ED for elevated hyperactivity-impulsivity would change which postsecondary students meeting a combined-presentation symptom threshold. Archival data from 2,459 postsecondary students referred for a neuropsychological evaluation were analyzed. Participants completed a standard rating scale of ADHD symptoms as well as at least one ED measure. The proportions meeting the traditional and ED-inclusive symptom thresholds were similar: 22.1% met the traditional combined-presentation threshold, whereas 21.7% and 22.3% met two different ED-inclusive thresholds. Agreement between the traditional and ED-inclusive classifications was moderate (φ = .34-.37), and the ED-inclusive groups contained higher proportions of female participants (60-68%) than the traditional ADHD symptom group did (52%). Thus, substituting ED produced similarly sized but only partially overlapping symptom-threshold groups. These findings do not establish improved diagnostic accuracy or support a particular revision to ADHD criteria; rather, they demonstrate that substituting ED for traditional hyperactivity-impulsivity changes who meets the symptom threshold while leaving the overall proportion classified largely unchanged.","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-8"},"PeriodicalIF":1.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0