Skip to main content

Advertisement

Log in

Neurobiological and psychophysiological correlates of emotional dysregulation in ADHD patients

  • Review Article
  • Published:
ADHD Attention Deficit and Hyperactivity Disorders

Abstract

Emotional dysregulation in ADHD patients has become an important issue in recent years. Dysfunctions especially in brain regions related to emotional processing as well as psychophysiological reactions have been reported. This review includes functional MRI, event-related potentials as well as emotion-modulated startle studies in ADHD patients. It reflects a selective review of the authors with no claim of completeness. Changes in the processing of positive stimuli, with reduced brain activity in the amygdala, in the ventral striatum and reduced EEG potentials were found. The relevance of the observed dysregulation in emotional processing and psychophysiological reactions with regard to theoretical constructs of ADHD-specific emotional dysregulation versus comorbidity will be discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • Alpert JE, Maddocks A, Nierenberg AA, O’Sullivan R, Pava JA, Worthington JJ 3rd, Biederman J, Rosenbaum JF, Fava M (1996) Attention deficit hyperactivity disorder in childhood among adults with major depression. Psychiatry Res 62(3):213–219

    Article  CAS  PubMed  Google Scholar 

  • American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, text revision, 4th edn. American Psychiatric Association, Washington DC

    Book  Google Scholar 

  • Biederman J (2005) Attention-deficit/hyperactivity disorder: a selective overview. Biol Psychiatry 57(11):1215–1220

    Article  PubMed  Google Scholar 

  • Biederman J, Faraone S, Keenan K, Benjamin J, Krifcher B, Moore C, Sprich-Buckminster S, Ugaglia K, Jellinek MS, Steingard R et al (1992) Further evidence for family-genetic risk factors in attention deficit hyperactivity disorder. Patterns of comorbidity in probands and relatives psychiatrically and pediatrically referred samples. Arch Gen Psychiatry 49(9):728–738

    CAS  PubMed  Google Scholar 

  • Biederman J, Faraone S, Spencer T, Wilens T, Norman D, Lapey KA, Mick E, Lehman BK, Doyle A (1993) Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder. Am J Psychiatry 150(12):1792–1798

    CAS  PubMed  Google Scholar 

  • Biederman J, Faraone S, Milberger S, Guite J, Mick E, Chen L, Mennin D, Marrs A, Ouellette C, Moore P, Spencer T, Norman D, Wilens T, Kraus I, Perrin J (1996) A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders. Arch Gen Psychiatry 53(5):437–446

    CAS  PubMed  Google Scholar 

  • Biederman J, Faraone S, Monuteaux MC, Bober M, Cadogen E (2004) Gender effects on attention-deficit/hyperactivity disorder in adults, revisited. Biol Psychiatry 55(7):692–700

    Article  PubMed  Google Scholar 

  • Brotman MA, Rich BA, Guyer AE, Lunsford JR, Horsey SE, Reising MM, Thomas LA, Fromm SJ, Towbin K, Pine DS, Leibenluft E (2010) Amygdala activation during emotion processing of neutral faces in children with severe mood dysregulation versus adhd or bipolar disorder. Am J Psychiatry 167(1):61–69

    Article  PubMed  Google Scholar 

  • Brown TE (1996) Brown attention deficit disorder scales. The Psychological Corporation, San Antonio

    Google Scholar 

  • Cadesky EB, Mota VL, Schachar RJ (2000) Beyond words: how do children with adhd and/or conduct problems process nonverbal information about affect? J Am Acad Child Adolesc Psychiatry 39(9):1160–1167

    Article  CAS  PubMed  Google Scholar 

  • Conners CK, Erhardt D, Sparrow E (1999) Conners’ adult adhd rating scales (Caars). Technical manual. MHS, North Tonawanda

    Google Scholar 

  • Conzelmann A, Mucha RF, Jacob CP, Weyers P, Romanos J, Gerdes AB, Baehne CG, Boreatti-Hummer A, Heine M, Alpers GW, Warnke A, Fallgatter AJ, Lesch KP, Pauli P (2009) Abnormal affective responsiveness in attention-deficit/hyperactivity disorder: subtype differences. Biol Psychiatry 65(7):578–585

    Article  PubMed  Google Scholar 

  • Corbett B, Glidden H (2000) Processing affective stimuli in children with attention-deficit hyperactivity disorder. Child Neuropsychol 6(2):144–155

    CAS  PubMed  Google Scholar 

  • Fallgatter AJ, Herrmann MJ (2001) Electrophysiological assessment of impulsive behavior in healthy subjects. Neuropsychologia 39(3):328–333

    Article  CAS  PubMed  Google Scholar 

  • Fallgatter AJ, Ehlis AC, Rosler M, Strik WK, Blocher D, Herrmann MJ (2005) Diminished prefrontal brain function in adults with psychopathology in childhood related to attention deficit hyperactivity disorder. Psychiatry Res 138(2):157–169

    Article  PubMed  Google Scholar 

  • Faraone SV, Biederman J, Weber W, Russell RL (1998) Psychiatric, neuropsychological, and psychosocial features of dsm-iv subtypes of attention-deficit/hyperactivity disorder: results from a clinically referred sample. J Am Acad Child Adolesc Psychiatry 37(2):185–193

    Article  CAS  PubMed  Google Scholar 

  • Fischer M, Barkley RA, Smallish L, Fletcher K (2002) Young adult follow-up of hyperactive children: self-reported psychiatric disorders, comorbidity, and the role of childhood conduct problems and teen cd. J Abnorm Child Psychol 30(5):463–475

    Article  PubMed  Google Scholar 

  • Frank MJ, Santamaria A, O’Reilly RC, Willcutt E (2007) Testing computational models of dopamine and noradrenaline dysfunction in attention deficit/hyperactivity disorder. Neuropsychopharmacology 32(7):1583–1599

    Article  CAS  PubMed  Google Scholar 

  • Hechtman L, Weiss G (1986) Controlled prospective fifteen year follow-up of hyperactives as adults: non-medical drug and alcohol use and anti-social behaviour. Can J Psychiatry 31(6):557–567

    CAS  PubMed  Google Scholar 

  • Herpertz SC, Huebner T, Marx I, Vloet TD, Fink GR, Stoecker T, Shah NJ, Konrad K, Herpertz-Dahlmann B (2008) Emotional processing in male adolescents with childhood-onset conduct disorder. J Child Psychol Psychiatry 49(7):781–791

    Article  PubMed  Google Scholar 

  • Herrmann MJ, Ehlis AC, Ellgring H, Fallgatter AJ (2005a) Early stages (p100) of face perception in humans as measured with event-related potentials (erps). J Neural Transm 112(8):1073–1081

    Article  CAS  PubMed  Google Scholar 

  • Herrmann MJ, Ehlis AC, Muehlberger A, Fallgatter AJ (2005b) Source localization of early stages of face processing. Brain Topogr 18(2):77–85

    Article  PubMed  Google Scholar 

  • Herrmann MJ, Schreppel T, Biehl SC, Jacob C, Heine M, Boreatti-Hummer A, Muhlberger A, Fallgatter AJ (2009) Emotional deficits in adult adhd patients: an erp study. Soc Cogn Affect Neurosci 4(4):340–345

    Article  PubMed  Google Scholar 

  • Hesslinger B, Tebartz van Elst L, Mochan F, Ebert D (2003) A psychopathological study into the relationship between attention deficit hyperactivity disorder in adult patients and recurrent brief depression. Acta Psychiatr Scand 107(5):385–389

    Article  CAS  PubMed  Google Scholar 

  • Jacob CP, Strobel A, Hohenberger K, Ringel T, Gutknecht L, Reif A, Brocke B, Lesch KP (2004) Association between allelic variation of serotonin transporter function and neuroticism in anxious cluster c personality disorders. Am J Psychiatry 161(3):569–572

    Article  PubMed  Google Scholar 

  • Jacob CP, Muller J, Schmidt M, Hohenberger K, Gutknecht L, Reif A, Schmidtke A, Mossner R, Lesch KP (2005) Cluster b personality disorders are associated with allelic variation of monoamine oxidase a activity. Neuropsychopharmacology 30(9):1711–1718

    Article  CAS  PubMed  Google Scholar 

  • Jacob CP, Romanos J, Dempfle A, Heine M, Windemuth-Kieselbach C, Kruse A, Reif A, Walitza S, Romanos M, Strobel A, Brocke B, Schafer H, Schmidtke A, Boning J, Lesch KP (2007) Comorbidity of adult attention-deficit/hyperactivity disorder with focus on personality traits and related disorders in a tertiary referral center. Eur Arch Psychiatry Clin Neurosci 257(6):309–317

    Article  PubMed  Google Scholar 

  • Kelly TM, Cornelius JR, Clark DB (2004) Psychiatric disorders and attempted suicide among adolescents with substance use disorders. Drug Alcohol Depend 73(1):87–97

    Article  PubMed  Google Scholar 

  • Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005) Lifetime prevalence and age-of-onset distributions of dsm-iv disorders in the national comorbidity survey replication. Arch Gen Psychiatry 62(6):593–602

    Article  PubMed  Google Scholar 

  • Knutson B, Cooper JC (2005) Functional magnetic resonance imaging of reward prediction. Curr Opin Neurol 18(4):411–417

    Article  PubMed  Google Scholar 

  • Kooij JJ, Burger H, Boonstra AM, Van der Linden PD, Kalma LE, Buitelaar JK (2004) Efficacy and safety of methylphenidate in 45 adults with attention-deficit/hyperactivity disorder. A randomized placebo-controlled double-blind cross-over trial. Psychol Med 34(6):973–982

    Article  CAS  PubMed  Google Scholar 

  • Leppänen JM (2006) Emotional information processing in mood disorders: a review of behavioral and neuroimaging findings. Curr Opin Psychiatry 19:34–39

    Article  PubMed  Google Scholar 

  • Ludolph AG, Kassubek J, Schmeck K, Glaser C, Wunderlich A, Buck AK, Reske SN, Fegert JM, Mottaghye FM (2008) Dopaminergic dysfunction in attention deficit hyperactivity disorder (adhd), differences between pharmacologically treated and never treated young adults: a 3, 4-dihdroxy-6-[18f]fluorophenyl-l-alanine pet study. Neuroimage 41(3):718–727

    Article  PubMed  Google Scholar 

  • Mannuzza S, Klein RG, Bessler A, Malloy P, LaPadula M (1998) Adult psychiatric status of hyperactive boys grown up. Am J Psychiatry 155(4):493–498

    CAS  PubMed  Google Scholar 

  • Marks DJ, Newcorn JH, Halperin JM (2001) Comorbidity in adults with attention-deficit/hyperactivity disorder. Ann N Y Acad Sci 931:216–238

    Article  CAS  PubMed  Google Scholar 

  • Marsh AA, Finger EC, Mitchell DG, Reid ME, Sims C, Kosson DS, Towbin KE, Leibenluft E, Pine DS, Blair RJ (2008) Reduced amygdala response to fearful expressions in children and adolescents with callous-unemotional traits and disruptive behavior disorders. Am J Psychiatry 165(6):712–720

    Article  PubMed  Google Scholar 

  • McGough JJ (2005) Attention-deficit/hyperactivity disorder pharmacogenomics. Biol Psychiatry 57(11):1367–1373

    Article  CAS  PubMed  Google Scholar 

  • Morrison J (1980) Adult psychiatric disorders in parents of hyperactive children. Am J Psychiatry 137(7):825–827

    CAS  PubMed  Google Scholar 

  • Murphy K, Barkley RA (1996) Attention deficit hyperactivity disorder adults: comorbidities and adaptive impairments. Compr Psychiatry 37(6):393–401

    Article  CAS  PubMed  Google Scholar 

  • Ochsner KN, Bunge SA, Gross JJ, Gabrieli JD (2002) Rethinking feelings: an fmri study of the cognitive regulation of emotion. J Cogn Neurosci 14(8):1215–1229

    Article  PubMed  Google Scholar 

  • Pelc K, Kornreich C, Foisy ML, Dan B (2006) Recognition of emotional facial expressions in attention-deficit hyperactivity disorder. Pediatr Neurol 35(2):93–97

    Article  PubMed  Google Scholar 

  • Plessen KJ, Bansal R, Zhu H, Whiteman R, Amat J, Quackenbush GA, Martin L, Durkin K, Blair C, Royal J, Hugdahl K, Peterson BS (2006) Hippocampus and amygdala morphology in attention-deficit/hyperactivity disorder. Arch Gen Psychiatry 63(7):795–807

    Article  PubMed  Google Scholar 

  • Plichta MM, Vasic N, Wolf RC, Lesch KP, Brummer D, Jacob C, Fallgatter AJ, Gron G (2009) Neural hyporesponsiveness and hyperresponsiveness during immediate and delayed reward processing in adult attention-deficit/hyperactivity disorder. Biol Psychiatry 65(1):7–14

    Article  PubMed  Google Scholar 

  • Rasmussen P, Gillberg C (2000) Natural outcome of adhd with developmental coordination disorder at age 22 years: a controlled, longitudinal, community-based study. J Am Acad Child Adolesc Psychiatry 39(11):1424–1431

    Article  CAS  PubMed  Google Scholar 

  • Ratey JJ, Greenberg MS, Bemporad JR, Lindem KJ (1992) Unrecognized attention-deficit hyperactivity disorder in adults presenting for outpatient psychotherapy. J Child Adolesc Psychopharmacol 2(4):267–275. doi:101089/cap.1992.2.267

    Article  CAS  PubMed  Google Scholar 

  • Rosler M, Retz W, Retz-Junginger P, Hengesch G, Schneider M, Supprian T, Schwitzgebel P, Pinhard K, Dovi-Akue N, Wender P, Thome J (2004a) Prevalence of attention deficit-/hyperactivity disorder (adhd) and comorbid disorders in young male prison inmates. Eur Arch Psychiatry Clin Neurosci 254(6):365–371

    Article  PubMed  Google Scholar 

  • Rosler M, Retz W, Retz-Junginger P, Thome J, Supprian T, Nissen T, Stieglitz RD, Blocher D, Hengesch G, Trott GE (2004b) Tools for the diagnosis of attention-deficit/hyperactivity disorder in adults. Self-rating behaviour questionnaire and diagnostic checklist. Nervenarzt 75(9):888–895

    Article  CAS  PubMed  Google Scholar 

  • Rosler M, Retz W, Fischer R, Ose C, Alm B, Deckert J, Philipsen A, Herpertz S, Ammer R (2010) Twenty-four-week treatment with extended release methylphenidate improves emotional symptoms in adult adhd. World J Biol Psychiatry 11(5):709–718

    Article  PubMed  Google Scholar 

  • Sasayama D, Hayashida A, Yamasue H, Harada Y, Kaneko T, Kasai K, Washizuka S, Amano N (2010) Neuroanatomical correlates of attention-deficit-hyperactivity disorder accounting for comorbid oppositional defiant disorder and conduct disorder. Psychiatry Clin Neurosci 64(4):394–402

    Article  PubMed  Google Scholar 

  • Scheres A, Milham MP, Knutson B, Castellanos FX (2007) Ventral striatal hyporesponsiveness during reward anticipation in attention-deficit/hyperactivity disorder. Biol Psychiatry 61(5):720–724

    Article  PubMed  Google Scholar 

  • Shekim WO, Asarnow RF, Hess E, Zaucha K, Wheeler N (1990) A clinical and demographic profile of a sample of adults with attention deficit hyperactivity disorder, residual state. Compr Psychiatry 31(5):416–425

    Article  CAS  PubMed  Google Scholar 

  • Singh SD, Ellis CR, Winton AS, Singh NN, Leung JP, Oswald DP (1998) Recognition of facial expressions of emotion by children with attention-deficit hyperactivity disorder. Behav Modif 22(2):128–142

    Article  CAS  PubMed  Google Scholar 

  • Sobanski E (2006) Psychiatric comorbidity in adults with attention-deficit/hyperactivity disorder (adhd). Eur Arch Psychiatry Clin Neurosci 256(Suppl 1):i26–i31

    Article  PubMed  Google Scholar 

  • Sobanski E, Banaschewski T, Asherson P, Buitelaar J, Chen W, Franke B, Holtmann M, Krumm B, Sergeant J, Sonuga-Barke E, Stringaris A, Taylor E, Anney R, Ebstein RP, Gill M, Miranda A, Mulas F, Oades RD, Roeyers H, Rothenberger A, Steinhausen HC, Faraone SV (2010) Emotional lability in children and adolescents with attention deficit/hyperactivity disorder (adhd): clinical correlates and familial prevalence. J Child Psychol Psychiatry 51(8):915–923

    Article  PubMed  Google Scholar 

  • Sonuga-Barke EJ (2003) The dual pathway model of ad/hd: an elaboration of neuro-developmental characteristics. Neurosci Biobehav Rev 27(7):593–604

    Article  PubMed  Google Scholar 

  • Sonuga-Barke EJ (2005) Causal models of attention-deficit/hyperactivity disorder: from common simple deficits to multiple developmental pathways. Biol Psychiatry 57(11):1231–1238

    Article  PubMed  Google Scholar 

  • Spencer T, Biederman J, Wilens T, Doyle R, Surman C, Prince J, Mick E, Aleardi M, Herzig K, Faraone S (2005) A large, double-blind, randomized clinical trial of methylphenidate in the treatment of adults with attention-deficit/hyperactivity disorder. Biol Psychiatry 57(5):456–463

    Article  CAS  PubMed  Google Scholar 

  • Stark R, Bauer E, Merc CJ, Zimmermann M, Reuter M, Plichta MM, Kirsch P, Lesch KP, Fallgatter AJ, Vaitl D, Herrmann MJ (submitted) ADHD related behaviors are associated with brain activation in the reward system

  • Sterzer P, Stadler C, Krebs A, Kleinschmidt A, Poustka F (2005) Abnormal neural responses to emotional visual stimuli in adolescents with conduct disorder. Biol Psychiatry 57(1):7–15. i

    Google Scholar 

  • Ströhle A, Stoy M, Wrase J, Schwarzer S, Schlagenhauf F, Huss M, Hein J, Nedderhut A, Neumann B, Gregor A, Juckel G, Knutson B, Lehmkuhl U, Bauer M, Heinz A (2008) Reward anticipation and outcomes in adult males with attention-deficit/hyperactivity disorder. Neuroimage 39:966–972

    Article  PubMed  Google Scholar 

  • Volkow ND, Wang G-J, Newcorn J, Telang F, Solanto MV, Fowler JS, Logan J, Ma Y, Schulz K, Pradhan K, Wong C, Swanson JM (2007) Depressed dopamine activity in caudate and preliminary evidence of limbic involvement in adults with attention-deficit/hyperactivity disorder. Arch Gen Psychiatry 64(8):932–940

    Article  CAS  PubMed  Google Scholar 

  • Ward MF, Wender PH, Reimherr FW (1993) The wender utah rating scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. Am J Psychiatry 150(6):885–890

    CAS  PubMed  Google Scholar 

  • Weiss G, Hechtman L, Milroy T, Perlman T (1985) Psychiatric status of hyperactives as adults: a controlled prospective 15-year follow-up of 63 hyperactive children. J Am Acad Child Psychiatry 24(2):211–220

    Article  CAS  PubMed  Google Scholar 

  • Wender PH (1995) Attention-deficit hyperactivity disorder in adults. Oxford University Press, New York

    Google Scholar 

  • Willcutt EG, Doyle AE, Nigg JT, Faraone SV, Pennington BF (2005) Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psychiatry 57(11):1336–1346

    Article  PubMed  Google Scholar 

  • Williams LM, Hermens DF, Palmer D, Kohn M, Clarke S, Keage H, Clark CR, Gordon E (2008) Misinterpreting emotional expressions in attention-deficit/hyperactivity disorder: evidence for a neural marker and stimulant effects. Biol Psychiatry 63(10):917–926

    Article  PubMed  Google Scholar 

  • Woidich E, Conzelmann A, Muchal RF, Weyers P, Jacob CP, Pauli P (2009) The impact of methylphenidate on early emotional processes in adult patients with attention deficient hyperactivity disorder (adhd). J Cogn Neurosci Supplement:92

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Martin J. Herrmann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Herrmann, M.J., Biehl, S.C., Jacob, C. et al. Neurobiological and psychophysiological correlates of emotional dysregulation in ADHD patients. ADHD Atten Def Hyp Disord 2, 233–239 (2010). https://doi.org/10.1007/s12402-010-0047-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12402-010-0047-6

Keywords

Navigation