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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0058

Adaptive and maladaptive cognitive emotion regulation in children and adolescents with ADHD

ADAPTIVE AND MALADAPTIVE COGNITIVE EMOTION REGULATION IN CHILD- AND ADOLESCENT ADHD

Associations between ADHD and cognitive emotion regulation strategies largely disappear when co-occurring psychiatric symptoms are taken into account; only reduced use of acceptance appears to be specific to ADHD.

The study aimed to compare the use of adaptive and maladaptive cognitive emotion regulation strategies in children and adolescents diagnosed with ADHD with that of typically developing controls. Emotion regulation was assessed in two ways: task-specific use during an emotional task involving negatively valenced photographs (N = 176, ages 10 to 17) and self-reported use measured using the CERQ-short (n = 94, ages 13 to 17). Data were analyzed using regression models; Model 1 adjusted for age, sex, and socioeconomic status, while Model 2 additionally adjusted for psychiatric comorbidity (autistic traits, conduct problems, and symptoms of anxiety and depression). In Model 1, ADHD was negatively associated with task-specific adaptive strategy use (β = -0.09; p = 0.015) and self-reported adaptive strategy use (β = -0.21; p = 0.044), and positively associated with self-reported maladaptive strategy use (β = 0.27; p = 0.010). In Model 2, the results were β = -0.11; p = 0.038 for task-specific adaptive use, β = -0.12; p = 0.496 for task-specific maladaptive use, β = -0.18; p = 0.223 for self-reported adaptive use, and β = 0.04; p = 0.758 for self-reported maladaptive use; no significant associations remained after correction for multiple comparisons. In post hoc analyses, however, lower self-reported use of acceptance remained significantly associated with ADHD despite all adjustments. The authors report that reduced use of acceptance may be a distinguishing feature of ADHD and that psychiatric comorbidity must be taken into account to identify ADHD-specific patterns of cognitive emotion regulation.

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