Generic placeholder image

Adolescent Psychiatry

Editor-in-Chief

ISSN (Print): 2210-6766
ISSN (Online): 2210-6774

Research Article

The Moderated Mediation Relationship Between Trait Impulsivity, Emotional Regulation, ADHD Hyperactivity/Impulsivity, and Oppositional Defiant Disorder Symptoms in Emerging Adults

Author(s): Rapson Gomez, Taylor Brown* and Shaun Watson

Volume 15, Issue 3, 2025

Published on: 04 February, 2025

Page: [279 - 291] Pages: 13

DOI: 10.2174/0122106766323652241213073109

Price: $65

Abstract

Introduction/Objective: The present study explored a moderated mediation model within a cohort of emerging adults, examining the interplay between Trait Impulsivity (TI), Emotional Regulation (ER), and symptoms of ADHD Hyperactivity/Impulsivity (HI) and Oppositional Defiant Disorder (ODD).

Methods: Utilizing a convenience sample of 210 emerging adults (men = 49, women = 161; mean age 21.17 years; SD = 2.20 years), the study employed standardized measures to analyze the relationships between TI, HI, ODD, and ER, using Hayes’s macro for SPSS Process model 14.

Results: The findings showed that HI mediated the association between TI and ODD and that ER moderated the association between HI and ODD, such that lower levels of ER increased the association.

Conclusion: These findings align with the Trait Impulsivity Hypothesis (TIH), extending its application by integrating temperament literature on ADHD. This study contributes to the theoretical and practical understanding of impulsivity's role in externalizing disorders, highlighting the importance of ER in this dynamic.

Keywords: Trait impulsivity hypothesis, trait impulsivity, hyperactivity/impulsivity, oppositional defiant disorder, emotional regulation, moderated mediation, emerging adults.

Ahmad, S.I., Hinshaw, S.P. (2017). Attention-deficit/hyperactivity disorder, trait impulsivity, and externalizing behavior in a longitudinal sample. J. Abnorm. Child Psychol., 45(6), 1077-1089.

[http://dx.doi.org/10.1007/s10802-016-0226-9] [PMID: 27838891]
American Psychiatric Association Diagnostic and statistical manual of mental disorders. (2013).

[http://dx.doi.org/10.1176/appi.books.9780890425596]
Arnett, J.J. (2014). Emerging adulthood: The winding road from the late teens through the twenties.. Oxford University Press.

[http://dx.doi.org/10.1093/acprof:oso/9780199929382.001.0001]
Barkley, R.A., Murphy, K.R. (1998). A Clinical Workbook: Attention-deficit Hyperactivity Disorder.. The Guilford Press.

[http://dx.doi.org/10.1007/978-1-4615-4881-2_13]
Barkley, R.A. (2015). History of ADHD.Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment.. The Guilford Press.
Barkley, R.A., Fischer, M. (2010). The unique contribution of emotional impulsiveness to impairment in major life activities in hyperactive children as adults. J. Am. Acad. Child Adolesc. Psychiatry, 49(5), 503-513.

[http://dx.doi.org/10.1016/j.jaac.2010.01.019] [PMID: 20431470]
Barry, T.D., Marcus, D.K., Barry, C.T., Coccaro, E.F. (2013). The latent structure of oppositional defiant disorder in children and adults. J. Psychiatr. Res., 47(12), 1932-1939.

[http://dx.doi.org/10.1016/j.jpsychires.2013.08.016] [PMID: 24075326]
Beauchaine, T.P., Constantino, J.N. (2017). Redefining the endophenotype concept to accommodate transdiagnostic vulnerabilities and etiological complexity. Biomarkers Med., 11(9), 769-780.

[http://dx.doi.org/10.2217/bmm-2017-0002] [PMID: 28891303]
Beauchaine, T.P., Hinshaw, S.P., Pang, K.L. (2010). Comorbidity of attention‐deficit/hyperactivity disorder and early‐onset conduct disorder: Biological, environmental, and developmental mechanisms. Clin. Psychol. Sci. Pract., 17(4), 327-336.

[http://dx.doi.org/10.1111/j.1468-2850.2010.01224.x]
Beauchaine, T.P., McNulty, T. (2013) Comorbidities and continuities as ontogenic processes: Toward a developmental spectrum model of externalizing psychopathology. Dev. Psychopathol.,, 25(4pt2), 1505-1528.

[http://dx.doi.org/10.1017/S0954579413000746] [PMID: 24342853]
Beauchaine, T.P., Zisner, A.R., Sauder, C.L. (2017). Trait impulsivity and the externalizing spectrum. Annu. Rev. Clin. Psychol., 13(1), 343-368.

[http://dx.doi.org/10.1146/annurev-clinpsy-021815-093253] [PMID: 28375718]
Beheshti, A., Chavanon, M.L., Christiansen, H. (2020). Emotion dysregulation in adults with attention deficit hyperactivity disorder: A meta-analysis. BMC Psychiatry, 20(1), 120.

[http://dx.doi.org/10.1186/s12888-020-2442-7] [PMID: 32164655]
Cyders, M.A., Littlefield, A.K., Coffey, S., Karyadi, K.A. (2014). Examination of a short English version of the UPPS-P Impulsive Behavior Scale. Addict. Behav., 39(9), 1372-1376.

[http://dx.doi.org/10.1016/j.addbeh.2014.02.013] [PMID: 24636739]
Fowler, J.C., Charak, R., Elhai, J.D., Allen, J.G., Frueh, B.C., Oldham, J.M. (2014). Construct validity and factor structure of the difficulties in emotion regulation scale among adults with severe mental illness. J. Psychiatr. Res., 58, 175-180.

[http://dx.doi.org/10.1016/j.jpsychires.2014.07.029] [PMID: 25171941]
Gomez, R., Stavropoulos, V., Watson, S., Brown, T., Chen, W. (2022). Inter-relationships between ADHD, ODD and impulsivity dimensions in emerging adults revealed by network analysis: Extending the ‘trait impulsivity hypothesis. Heliyon, 8(10), e10712.

[http://dx.doi.org/10.1016/j.heliyon.2022.e10712] [PMID: 36247147]
Gratz, K.L., Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J. Psychopathol. Behav. Assess., 26(1), 41-54.

[http://dx.doi.org/10.1023/B:JOBA.0000007455.08539.94]
Harpold, T., Biederman, J., Gignac, M., Hammerness, P., Surman, C., Potter, A., Mick, E. (2007). Is oppositional defiant disorder a meaningful diagnosis in adults? Results from a large sample of adults with ADHD. J. Nerv. Ment. Dis., 195(7), 601-605.

[http://dx.doi.org/10.1097/NMD.0b013e318093f448] [PMID: 17632251]
Hart, E.L., Lahey, B.B., Loeber, R., Applegate, B., Frick, P.J. (1995). Developmental change in attention-deficit hyperactivity disorder in boys: A four-year longitudinal study. J. Abnorm. Child Psychol., 23(6), 729-749.

[http://dx.doi.org/10.1007/BF01447474] [PMID: 8609310]
Hayes, N. (2013). Doing qualitative analysis in psychology.. Psychology Press.

[http://dx.doi.org/10.4324/9781315804552]
Hayes, A.F. (2019). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach.. Guilford publications.
Hayes, A.F., Scharkow, M. (2013). The relative trustworthiness of inferential tests of the indirect effect in statistical mediation analysis: Does method really matter? Psychol. Sci., 24(10), 1918-1927.

[http://dx.doi.org/10.1177/0956797613480187] [PMID: 23955356]
Hayes, S.C., Wilson, K.G., Gifford, E.V., Follette, V.M., Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. J. Consult. Clin. Psychol., 64(6), 1152-1168.

[http://dx.doi.org/10.1037/0022-006X.64.6.1152] [PMID: 8991302]
Johnston, O.G., Derella, O.J., Burke, J.D. (2018). Identification of oppositional defiant disorder in young adult college students. J. Psychopathol. Behav. Assess., 40(4), 563-572.

[http://dx.doi.org/10.1007/s10862-018-9696-0]
Joseph, H.M., Lorenzo, N.E., Fisher, N., Novick, D.R., Gibson, C., Rothenberger, S.D., Foust, J.E., Chronis-Tuscano, A. (2023). Research review: A systematic review and meta‐analysis of infant and toddler temperament as predictors of childhood attention‐deficit/hyperactivity disorder. J. Child Psychol. Psychiatry, 64(5), 715-735.

[http://dx.doi.org/10.1111/jcpp.13753] [PMID: 36599815]
LaCount, P.A., Hartung, C.M., Shelton, C.R., Stevens, A.E. (2018). Efficacy of an organizational skills intervention for college students with ADHD symptomatology and academic difficulties. J. Atten. Disord., 22(4), 356-367.

[http://dx.doi.org/10.1177/1087054715594423] [PMID: 26253149]
Lee, C.A., Goh, P.K., Shelton, C.R., Hartung, C.M. (2021). Networks of ADHD and SCT symptoms in emerging adulthood. J. Atten. Disord., 10870547211045743.

[http://dx.doi.org/10.1177/10870547211045743] [PMID: 34693775]
MacKinnon, D.P., Fairchild, A.J., Fritz, M.S. (2007). Mediation analysis. Annu. Rev. Psychol., 58(1), 593-614.

[http://dx.doi.org/10.1146/annurev.psych.58.110405.085542] [PMID: 16968208]
Martel, M.M., Nigg, J.T. (2006). Child ADHD and personality/temperament traits of reactive and effortful control, resiliency, and emotionality. J. Child Psychol. Psychiatry, 47(11), 1175-1183.

[http://dx.doi.org/10.1111/j.1469-7610.2006.01629.x] [PMID: 17076757]
Muller, D., Judd, C.M., Yzerbyt, V.Y. (2005). When moderation is mediated and mediation is moderated. J. Pers. Soc. Psychol., 89(6), 852-863.

[http://dx.doi.org/10.1037/0022-3514.89.6.852] [PMID: 16393020]
Nigg, J.T., Goldsmith, H.H., Sachek, J. (2004). Temperament and attention deficit hyperactivity disorder: The development of a multiple pathway model. J. Clin. Child Adolesc. Psychol., 33(1), 42-53.

[http://dx.doi.org/10.1207/S15374424JCCP3301_5] [PMID: 15028540]
Osborne, T.L., Michonski, J., Sayrs, J., Welch, S.S., Anderson, L.K. (2017). Factor structure of the difficulties in emotion regulation scale (DERS) in adult outpatients receiving dialectical behavior therapy (DBT). J. Psychopathol. Behav. Assess., 39(2), 355-371.

[http://dx.doi.org/10.1007/s10862-017-9586-x]
Persike, M., Seiffge-Krenke, I., Cok, F., Głogowska, K., Pavlopoulos, V., Tantaros, S., Perchec, C., Rohail, I., Saravia, J.C. (2020). Emerging adults’ psychopathology in seven countries: The impact of identity-related risk factors. Emerg. Adulthood, 8(3), 179-194.

[http://dx.doi.org/10.1177/2167696818791108]
Pompeia, S., Inacio, L.M., de Freitas, R.S., Zanini, G.V., Malloy-Diniz, L., Cogo-Moreira, H. (2018). Psychometric properties of a short version of the impulsiveness questionnaire UPPS-P in a Brazilian adult sample: Invariance for effects of age, sex and socioeconomic status and subscales viability. Front. Psychol., 9, 1059.

[http://dx.doi.org/10.3389/fpsyg.2018.01059] [PMID: 29997552]
Sánchez-Domínguez, R., Benjet, C., Marín-Navarrete, R., Nicolini, H. (2023). Validity and reliability of the short version of the UPPS-P impulsive behavior scale in patients with substance use disorders. J. Subst. Use, 28(5), 721-729.

[http://dx.doi.org/10.1080/14659891.2022.2087777]
Siegel, D.J. (2010). The mindful therapist: A clinician’s guide to mindsight and neural integration.. WW Norton & Company.
Thompson, R.A. (1994). Emotion regulation: A theme in search of definition. Monogr. Soc. Res. Child Dev., 59(2-3), 25-52.

[http://dx.doi.org/10.1111/j.1540-5834.1994.tb01276.x] [PMID: 7984164]
Ullsperger, J.M., Nigg, J.T., Nikolas, M.A. (2016). Does child temperament play a role in the association between parenting practices and child attention deficit/hyperactivity disorder? J. Abnorm. Child Psychol., 44(1), 167-178.

[http://dx.doi.org/10.1007/s10802-015-9982-1] [PMID: 25684446]
Winer, E.S., Cervone, D., Bryant, J., McKinney, C., Liu, R.T., Nadorff, M.R. (2016). Distinguishing mediational models and analyses in clinical psychology: Atemporal associations do not imply causation. J. Clin. Psychol., 72(9), 947-955.

[http://dx.doi.org/10.1002/jclp.22298] [PMID: 27038095]

Rights & Permissions Print Cite
© 2025 Bentham Science Publishers | Privacy Policy