{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T22:22:44Z","timestamp":1776723764220,"version":"3.51.2"},"reference-count":65,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2024,7,14]],"date-time":"2024-07-14T00:00:00Z","timestamp":1720915200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Difficulties in emotion regulation (DER) is a defining feature of attention deficit hyperactivity disorder (ADHD), and arguments are being made for it to be considered as a defining feature of oppositional defiant disorder (ODD). However, the consensus is that it is better viewed as an important correlate distinct from ADHD. This study examined the incremental validity of DER over and above trait impulsivity (TI) in the predictions of ADHD and ODD symptoms. It also examined the incremental validity of affect lability (AL) over and above TI and (DER) in these predictions. Five hundred and twenty-five adults from the general community completed a series of questionnaires. A model-based SEM approach for evaluating incremental validity indicated that TI predicted ADHD and ODD symptoms over age; DER predicted ADHD and ODD symptoms over age and TI; and AL did not predict ADHD and ODD symptoms over and above age, IT, or DER. In addition, AL predicted ADHD and ODD symptoms over age and TI, and DER also predicted ADHD and ODD symptoms over and above age, TI, and AL. In conclusion, TI is core to ADHD, and although DER is important, it is unlikely to be relevant as a diagnostic indicator for ADHD or ODD. These findings notwithstanding, there is need for caution when interpreting our findings, as the study did not control for potentially influencing factors on emotional regulation such as age, gender, culture, and existing psychopathologies.<\/jats:p>","DOI":"10.3390\/bs14070598","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T14:15:49Z","timestamp":1721052949000},"page":"598","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Incremental Validity of Trait Impulsivity, Dysfunctional Emotional Regulation, and Affect Lability in the Predictions of Attention Deficit Hyperactivity Disorder and Oppositional Defiant Disorder Symptoms in Adults"],"prefix":"10.3390","volume":"14","author":[{"given":"Rapson","family":"Gomez","sequence":"first","affiliation":[{"name":"School of Health and Biomedical Sciences, Federation University, Melbourne, VIC 3000, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6744-1068","authenticated-orcid":false,"given":"Stephen J","family":"Houghton","sequence":"additional","affiliation":[{"name":"Graduate School of Education, University of Western Australia, Perth, WA 6009, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association. [5th ed.]. text revision.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1146\/annurev-clinpsy-021815-093253","article-title":"Trait impulsivity and the externalizing spectrum","volume":"13","author":"Beauchaine","year":"2017","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_3","first-page":"503","article-title":"The unique contribution of emotional impulsiveness to impairment in major life activities in hyperactive children as adults","volume":"49","author":"Barkley","year":"2010","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Beheshti, A., Chavanon, M.L., Schneider, S., and Christiansen, H. (2021). ADHD overdiagnosis and the role of patient gender among Iranian psychiatrists. BMC Psychiatry, 21.","DOI":"10.1186\/s12888-021-03525-3"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1207\/S15374424JCCP3301_5","article-title":"Temperament and attention deficit hyperactivity disorder: The development of a multiple pathway model","volume":"33","author":"Nigg","year":"2004","journal-title":"J. Clin. Child Adolesc. Psychol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1586\/ern.12.109","article-title":"Emotional dysregulation in adult ADHD: What is the empirical evidence?","volume":"12","author":"Retz","year":"2012","journal-title":"Expert Rev. Neurother."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.jad.2018.02.007","article-title":"Emotional dysregulation is a primary symptom in adult Attention-Deficit\/Hyperactivity Disorder (ADHD)","volume":"232","author":"Hirsch","year":"2018","journal-title":"J. Affect. Disord."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.jad.2012.10.011","article-title":"Emotional lability, comorbidity and impairment in adults with attention-deficit hyperactivity disorder","volume":"147","author":"Skirrow","year":"2013","journal-title":"J. Affect. Disord."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s12402-012-0100-8","article-title":"Understanding deficient emotional self-regulation in adults with attention deficit hyperactivity disorder: A controlled study","volume":"5","author":"Surman","year":"2013","journal-title":"ADHD Atten. Deficit Hyperact. Disord."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1177\/1087054713520221","article-title":"Oppositional defiant disorder is better conceptualized as a disorder of emotional regulation","volume":"21","author":"Cavanagh","year":"2017","journal-title":"J. Atten. Disord."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1177\/0165025412444077","article-title":"Developmental differences in structure of attention-deficit\/hyperactivity disorder (ADHD) between childhood and adulthood","volume":"36","author":"Martel","year":"2012","journal-title":"Int. J. Behav. Dev."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.1177\/1087054715608442","article-title":"Prevalence and gender differences of ODD, anxiety, and depression in a sample of children with ADHD","volume":"23","author":"Mitchison","year":"2019","journal-title":"J. Atten. Disord."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1176\/appi.ajp.2013.13070966","article-title":"Emotion dysregulation in attention deficit hyperactivity disorder","volume":"171","author":"Shaw","year":"2014","journal-title":"Am. J. Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1505","DOI":"10.1017\/S0954579413000746","article-title":"Comorbidities and continuities as ontogenic processes: Toward a developmental spectrum model of externalizing psychopathology","volume":"25","author":"Beauchaine","year":"2013","journal-title":"Dev. Psychopathol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1007\/BF01447474","article-title":"Developmental change in attention-deficit hyperactivity disorder in boys: A four-year longitudinal study","volume":"23","author":"Hart","year":"1995","journal-title":"J. Abnorm. Child Psychol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1111\/j.1468-2850.2010.01224.x","article-title":"Comorbidity of attention-deficit\/hyperactivity disorder and early-onset conduct disorder: Biological, environmental, and developmental mechanisms","volume":"17","author":"Beauchaine","year":"2010","journal-title":"Clin. Psychol. Sci. Pract."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"769","DOI":"10.2217\/bmm-2017-0002","article-title":"Redefining the endophenotype concept to accommodate transdiagnostic vulnerabilities and etiological complexity","volume":"11","author":"Beauchaine","year":"2017","journal-title":"Biomark. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1111\/j.1540-5834.1994.tb01276.x","article-title":"Emotion regulation: A theme in search of definition","volume":"59","author":"Thompson","year":"1994","journal-title":"Monogr. Soc. Res. Child Dev."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.cpr.2016.04.011","article-title":"Attention-deficit hyperactivity disorder and children\u2019s emotion dysregulation: A meta-analysis","volume":"46","author":"Graziano","year":"2016","journal-title":"Clin. Psychol. Rev."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s12402-012-0097-z","article-title":"Is emotional dysregulation part of the psychopathology of ADHD in adults?","volume":"5","author":"Corbisiero","year":"2013","journal-title":"ADHD Atten. Deficit Hyperact. Disord."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1037\/met0000075","article-title":"Testing measurement invariance in longitudinal data with ordered-categorical measures","volume":"22","author":"Liu","year":"2017","journal-title":"Psychol. Methods"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.jaac.2013.11.006","article-title":"Genetic associations between the symptoms of attention-deficit\/hyperactivity disorder and emotional lability in child and adolescent twins","volume":"53","author":"Merwood","year":"2014","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1111\/j.1469-7610.2010.02217.x","article-title":"Emotional lability in children and adolescents with attention deficit\/hyperactivity disorder (ADHD): Clinical correlates and familial prevalence","volume":"51","author":"Sobanski","year":"2010","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1037\/1089-2680.2.3.271","article-title":"The emerging field of emotion regulation: An integrative review","volume":"2","author":"Gross","year":"1998","journal-title":"Rev. Gen. Psychol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1177\/2167702620956972","article-title":"Components of emotion regulation flexibility: Linking latent profiles to depressive and anxious symptoms","volume":"9","author":"Chen","year":"2021","journal-title":"Clin. Psychol. Sci."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"277","DOI":"10.4306\/pi.2016.13.3.277","article-title":"Emotional regulation and executive function deficits in unmedicated Chinese children with oppositional defiant disorder","volume":"13","author":"Jiang","year":"2016","journal-title":"Psychiatry Investig."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Zhang, W., He, T., Hinshaw, S., Chi, P., and Lin, X. (2023). Longitudinal relationship between oppositional defiant disorder symptoms and attention-deficit\/hyperactivity disorder symptoms in Chinese children: Insights from cross-lagged panel network analyses. Eur. Child Adolesc. Psychiatry, 1\u201314.","DOI":"10.1007\/s00787-023-02347-w"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1793","DOI":"10.1017\/S0033291713002407","article-title":"How is affective instability defined and measured? A systematic review","volume":"44","author":"Marwaha","year":"2014","journal-title":"Psychol. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1007\/s10862-018-9696-0","article-title":"Identification of oppositional defiant disorder in young adult college students","volume":"40","author":"Johnston","year":"2018","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1932","DOI":"10.1016\/j.jpsychires.2013.08.016","article-title":"The latent structure of oppositional defiant disorder in children and adults","volume":"47","author":"Barry","year":"2013","journal-title":"J. Psychiatr. Res."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1097\/NMD.0b013e318093f448","article-title":"Is oppositional defiant disorder a meaningful diagnosis in adults? Results from a large sample of adults with ADHD","volume":"195","author":"Harpold","year":"2007","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1111\/j.1469-7610.2007.01733.x","article-title":"Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: Results from the National Comorbidity Survey Replication","volume":"48","author":"Nock","year":"2007","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_33","first-page":"1039","article-title":"Model-based incremental validity","volume":"27","author":"Feng","year":"2022","journal-title":"Psychol. Methods"},{"key":"ref_34","unstructured":"Soper, D. (2022, October 20). A-Priori Sample Size Calculator for Structural Equation Models [Software]. Available online: https:\/\/www.danielsoper.com\/statcalc\/."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Barkley, R.A., and Murphy, K.R. (1998). Attention-Deficit Hyperactivity Disorder: A Clinical Workbook, Guilford Press. [2nd ed.].","DOI":"10.1038\/scientificamerican0998-66"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.1016\/j.addbeh.2014.02.013","article-title":"Examination of a short English version of the UPPS-P Impulsive Behavior Scale","volume":"39","author":"Cyders","year":"2014","journal-title":"Addict. Behav."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1016\/j.paid.2003.12.013","article-title":"N & Simons, J.S. The affective lability scales: Development of a short-form measure","volume":"37","author":"Oliver","year":"2004","journal-title":"Personal. Individ. Differ."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1002\/1097-4679(198909)45:5<786::AID-JCLP2270450515>3.0.CO;2-P","article-title":"The affective lability scales: Development, reliability, and validity","volume":"45","author":"Harvey","year":"1989","journal-title":"J. Clin. Psychol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1023\/B:JOBA.0000007455.08539.94","article-title":"Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale","volume":"26","author":"Gratz","year":"2004","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.jpsychires.2014.07.029","article-title":"Construct validity and factor structure of the difficulties in emotion regulation scale among adults with severe mental illness","volume":"58","author":"Fowler","year":"2014","journal-title":"J. Psychiatr. Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1007\/s10862-017-9586-x","article-title":"Factor structure of the difficulties in emotion regulation scale (DERS) in adult outpatients receiving dialectical behavior therapy (DBT)","volume":"39","author":"Osborne","year":"2017","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/j.1745-3984.1992.tb00371.x","article-title":"Estimating population characteristics from sparse matrix samples of item responses","volume":"29","author":"Mislevy","year":"1992","journal-title":"J. Educ. Meas."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1037\/1082-989X.3.4.424","article-title":"Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification","volume":"3","author":"Hu","year":"1998","journal-title":"Psychol. Methods"},{"key":"ref_44","first-page":"23","article-title":"Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures","volume":"8","author":"Moosbrugger","year":"2003","journal-title":"Methods Psychol. Res. Online"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"M Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives","volume":"6","author":"Hu","year":"1999","journal-title":"Struct. Equ. Model. Multidiscip. J."},{"key":"ref_46","unstructured":"Brown, T.A. (2015). Confirmatory Factor Analysis for Applied Research, Guilford Press. [2nd ed.]."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1007\/s10862-017-9611-0","article-title":"Developing age and gender adjusted normative reference values for the Difficulties in Emotion Regulation Scale (DERS)","volume":"39","author":"Giromini","year":"2017","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1002\/jclp.22404","article-title":"A Brazilian investigation of the 36-and 16-item difficulties in emotion regulation scales","volume":"73","author":"Miguel","year":"2017","journal-title":"J. Clin. Psychol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1080\/13607860902989661","article-title":"Specificity of age differences in emotion regulation","volume":"13","author":"Orgeta","year":"2009","journal-title":"Aging Ment. Health"},{"key":"ref_50","first-page":"139","article-title":"Adaptaci\u00f3n al castellano de la Escala de Dificultades en la Regulaci\u00f3n Emocional","volume":"19","year":"2008","journal-title":"Cl\u00ednica y Salud"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s10862-012-9321-6","article-title":"The Greek version of the Difficulties in Emotion Regulation Scale: Testing the factor structure, reliability and validity in an adult community sample","volume":"35","author":"Mitsopoulou","year":"2013","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1002\/jclp.20665","article-title":"Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale","volume":"66","year":"2010","journal-title":"J. Clin. Psychol."},{"key":"ref_53","unstructured":"Barkley, R.A. (2006). A Handbook for Diagnosis and Treatment, Guilford Publications."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1037\/abn0000125","article-title":"Recent longitudinal studies of childhood attention-deficit\/hyperactivity disorder: Important themes and questions for further research","volume":"125","author":"Barkley","year":"2016","journal-title":"J. Abnorm. Psychol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.cpr.2006.01.001","article-title":"Behavioral models of impulsivity in relation to ADHD: Translation between clinical and preclinical studies","volume":"26","author":"Winstanley","year":"2006","journal-title":"Clin. Psychol. Rev."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1037\/emo0000646","article-title":"Emotion regulation as a transdiagnostic process","volume":"20","author":"Cludius","year":"2020","journal-title":"Emotion"},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Moriarity, D.P., Grehl, M.M., Walsh, R.F.L., Roos, L.G., Slavich, G.M., and Alloy, L.B. (2023). A systematic review of associations between emotion regulation characteristics and inflammation. Neurosci. Biobehav. Rev., 150.","DOI":"10.1016\/j.neubiorev.2023.105162"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"NS20220077","DOI":"10.1042\/NS20220077","article-title":"Inflammation and emotion regulation: A narrative review of evidence and mechanisms in emotion dysregulation disorders","volume":"7","author":"Petruso","year":"2023","journal-title":"Neuronal Signal."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1037\/0022-006X.64.6.1152","article-title":"Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment","volume":"64","author":"Hayes","year":"1996","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Hallion, L.S., Steinman, S.A., Tolin, D.F., and Diefenbach, G.J. (2018). Psychometric properties of the Difficulties in Emotion Regulation Scale (DERS) and its short forms in adults with emotional disorders. Front. Psychol., 9.","DOI":"10.3389\/fpsyg.2018.00539"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.jpsychires.2024.04.025","article-title":"Interventions targeting emotion regulation: A systematic umbrella review","volume":"174","author":"Saccaro","year":"2024","journal-title":"J. Psychiatr. Res."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1017\/S1352465813000453","article-title":"The influence of age on emotion regulation strategies and psychological distress","volume":"42","author":"Brummer","year":"2014","journal-title":"Behav. Cogn. Psychother."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1080\/02699931.2013.792244","article-title":"Cultural and gender differences in emotion regulation: Relation to depression","volume":"27","author":"Kwon","year":"2013","journal-title":"Cogn. Emot."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1146\/annurev-clinpsy-032511-143109","article-title":"Emotion regulation and psychopathology: The role of gender","volume":"8","year":"2012","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1146\/annurev-clinpsy-032814-112739","article-title":"Emotion regulation and psychopathology","volume":"11","author":"Sheppes","year":"2015","journal-title":"Annu. Rev. Clin. Psychol."}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/14\/7\/598\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:16:40Z","timestamp":1760109400000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/14\/7\/598"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,14]]},"references-count":65,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024,7]]}},"alternative-id":["bs14070598"],"URL":"https:\/\/doi.org\/10.3390\/bs14070598","relation":{},"ISSN":["2076-328X"],"issn-type":[{"value":"2076-328X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,14]]}}}