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Individual differences in tendencies to attention-deficit/hyperactivity disorder and emotionality: empirical evidence in young healthy adults from Germany and China

  • Jennifer Wernicke
  • Mei Li
  • Peng Sha
  • Min Zhou
  • Cornelia Sindermann
  • Benjamin Becker
  • Keith M. Kendrick
  • Christian Montag
Original Article

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that is characterized by inattention, hyperactivity, and impulsivity but also by negative emotionality. The aim of the present study was to investigate whether subclinical ADHD tendencies are associated with negative emotionality in healthy adult samples. The present study is of special interest since it investigated negative emotionality with a questionnaire anchored in Neuroscience Theory—the Affective Neuroscience Personality Scales (ANPS). Furthermore, through the investigation of samples in two countries, namely Germany and China, the study aims to replicate the results across different cultures. German (n = 377; age: M = 23.25, SD = 8.47; 117 males) and Chinese (n = 389; age: M = 20.74, SD = 2.47; 279 males) subjects completed ANPS (primary emotional traits) and ASRS (ADHD tendencies) questionnaires in an online survey. Principal component analysis of the ANPS revealed one factor for negative emotionality and one factor for positive emotionality. Partial correlations between ANPS and ASRS (controlled for age) were conducted separately for nation and gender. The same correlation patterns between ADHD tendencies and negative emotionality could be found in male and female German/Chinese participants (range r= .189 to r = .352). Higher negative emotionality was always significantly associated with more inattentive, hyperactive/impulsive, or combined tendencies. However, significant negative correlations between ADHD tendencies and positive emotionality could only be observed in Chinese males (range r = − .264 to r = − .296). The results are in line with former findings in children and show that also in healthy adults, associations between negative emotionality and ADHD tendencies are robustly visible. The results were independent of the cultural background, indicating a general association between ADHD tendencies and negative emotionality, even in healthy adults.

Keywords

ADHD Emotionality Primary emotional traits Replication Germany China 

Notes

Authors’ contributions

JW and CM designed the present study. JW drafted the present manuscript and conducted the statistical analysis. CS double-checked the statistical analysis. PS and MZ have been responsible for the Chinese translation process of the ASRS questionnaire. JW and ML conducted the data collection in Beijing, whereas JW and CS collected the German data and the data from Chengdu. BB and KMK critically revised the manuscript. The final version of the manuscript was approved by all authors.

Funding

JW and CS are Stipend of the German Academic Scholarship Foundation (Studienstiftung des deutschen Volkes). CM is supported by the German Research Foundation (MO 2363/3-2).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

12402_2018_266_MOESM1_ESM.pdf (586 kb)
Supplementary material 1 (PDF 587 kb)

References

  1. American Psychiatry Association (2013) Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). American Psychiatry Publishing, Washington, DCCrossRefGoogle Scholar
  2. Becker B, Steffens M, Zhao Z, Kendrick KM, Neumann C, Weber B, Schultz J, Mehta MA, Ettinger U, Hurlemann R (2017) General and emotion-specific neural effects of ketamine during emotional memory formation. NeuroImage 15:307–317.  https://doi.org/10.1016/j.neuroimage.2017.02.049 CrossRefGoogle Scholar
  3. Biederman J, Newcorn J, Sprich S (1991) Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. Am J Psychiatry 148:564–577CrossRefPubMedCentralGoogle Scholar
  4. Biederman J, Mick E, Faraone SV (2000) Age-dependent decline of symptoms of attention deficit hyperactivity disorder: impact of remission definition and symptom type. Am J Psychiatry 157:816–818CrossRefPubMedCentralGoogle Scholar
  5. Biederman J, Monuteaux MC, Mick E, Spencer T, Wilens TE, Silva JM, Snyder LE, Faraone SV (2006) Young adult outcome of attention deficit hyperactivity disorder: a controlled 10-year follow-up study. Psychol Med 36:167–179.  https://doi.org/10.1017/S0033291705006410 CrossRefPubMedPubMedCentralGoogle Scholar
  6. Bonvicini C, Faraone SV, Scassellati C (2016) Attention-deficit hyperactivity disorder in adults: a systematic review and meta-analysis of genetic, pharmacogenetic and biochemical studies. Mol Psychiatry 21:872–884.  https://doi.org/10.1038/mp.2016.74 CrossRefPubMedPubMedCentralGoogle Scholar
  7. Bortz J (2005) Statistik für Human- und Sozialwissenschaftler. Springer-Medizin, HeidelbergGoogle Scholar
  8. Braaten EB, Rosén LA (2000) Self-regulation of affect in attention deficit-hyperactivity disorder (ADHD) and non-ADHD boys: differences in empathic responding. J Consult Clin Psychol 68(2):313–321.  https://doi.org/10.10371/0022-006X.68.2.313 CrossRefPubMedPubMedCentralGoogle Scholar
  9. 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 167:61–69CrossRefPubMedCentralGoogle Scholar
  10. Buitelaar JK, Kan CC, Asherson PJ (eds) (2011) ADHD in adults: characterization, diagnosis, and treatment. Cambridge University Press, New YorkGoogle Scholar
  11. Bunford N, Evans SW, Wymbs F (2015) ADHD and emotion dysregulation among children and adolescents. Clin Child Fam Psychol Rev 18(3):185–217.  https://doi.org/10.1007/s10567-015-0187-5 CrossRefPubMedPubMedCentralGoogle Scholar
  12. Carrey NJ, MacMaster FP, Gaudet L, Schmidt MH (2007) Striatal creatine and glutamate/glutamine in attention-deficit/hyperactivity disorder. J Child Adolesc Psychopharmacol 17(1):11–17.  https://doi.org/10.1089/cap.2006.0008 CrossRefPubMedPubMedCentralGoogle Scholar
  13. Caye A, Swanson J, Thapar A, Sibley M, Arseneault L, Hechtman L et al (2016) Life span studies of ADHD—conceptual challenges and predictors of persistence and outcome. Curr Psychiatry Rep 18:111.  https://doi.org/10.1007/s11920-016-0750-x CrossRefPubMedPubMedCentralGoogle Scholar
  14. Coghill D, Sonuga-Barke EJS (2012) Annual research review: categories versus dimensions in the classification and conceptualisation of child and adolescent mental disorders—implications of recent empirical study. J Child Psychol Psychiatry 53(5):469–489.  https://doi.org/10.1111/j.1469-7610.2011.02511.x CrossRefPubMedPubMedCentralGoogle Scholar
  15. Cohen J (1988) Statistical power analysis for the behavioural science, 2nd edn. Erlbaum, Hillsdale, NJGoogle Scholar
  16. Davis KL, Panksepp J (2011) The brain‘s emotional foundations of human personality and the affective neuroscience personality scale. Neurosci Biobehav Rev 35:1946–1958.  https://doi.org/10.1016/j.neubiorev.2011.04.004 CrossRefPubMedPubMedCentralGoogle Scholar
  17. Davis KL, Panksepp J, Normansell L (2003) The affective neuroscience personality scales: normative data and implications. Neuro-Psychoanalysis 5(1):57–69Google Scholar
  18. de Zwaan M, Gruß B, Müller A, Graap H, Martin A, Glaesmer H, Hilbert A, Phillipsen A (2012) The estimated prevalence and correlates of adult ADHD in a German community sample. Eur Arch Psychiatry Clin Neurosci 262:79–86.  https://doi.org/10.1007/s00406-011-0211-9 CrossRefPubMedPubMedCentralGoogle Scholar
  19. Demirci E, Ozmen S, Kilic E, Oztop DB (2016) The relationship between aggression, empathy skills and serum oxytocin levels in male children and adolescents with attention deficit and hyperactivity disorder. Behav Pharmacol 27:681–688CrossRefPubMedCentralGoogle Scholar
  20. Faraone SV, Biederman J, Mick E (2006) The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies. Psychol Med 36:159–165.  https://doi.org/10.1017/S003329170500471X CrossRefPubMedPubMedCentralGoogle Scholar
  21. Fayyad J, Sampson NA, Hwang I, Adamowski T, Aguilar-Gaxiola S, Al-Hamzawi A et al (2017) The descriptive epidemiology of DSM-IV adult ADHD in the World Health Organization world metal health surveys. ADHD Atten Def Hyp Disord 9:47–65.  https://doi.org/10.1007/s12402-016-0208-3 CrossRefGoogle Scholar
  22. Geller B, Zimerman B, Williams M, DelBello MP, Bolhofner K, Craney JL, Frazier J, Beringer L, Nickelsburg MJ (2002) DSM-IV mania symptoms in a prepubertal and early adolescent bipolar disorder phenotype compared to attention-deficit hyperactive and normal controls. J Child Adolesc Psychopharmacol 12(1):11–25.  https://doi.org/10.1089/10445460252943533 CrossRefPubMedPubMedCentralGoogle Scholar
  23. Gershon J (2002) A meta-analytic review of gender differences in ADHD. J Atten Disord 5(3):143–154CrossRefPubMedCentralGoogle Scholar
  24. Graziano PA, Garcia A (2016) Attention-deficit hyperactive disorder and children’s emotion dysregulation: a meta-analysis. Clin Psychol Rev 46:106–123.  https://doi.org/10.1016/j.cpr.2016.04.011 CrossRefPubMedPubMedCentralGoogle Scholar
  25. Green MJ, Cahill CM, Malhi GS (2007) The cognitive and neurophysiological basis of emotion dysregulation in bipolar disorder. J Affect Disord 103:29–42.  https://doi.org/10.1016/j.jad.2007.01.024 CrossRefPubMedPubMedCentralGoogle Scholar
  26. Haukoos JS, Lewis RJ (2005) Advanced statistics: bootstrapping confidence intervals for statistics with “difficult” distributions. Acad Emerg Med 12(4):360–365.  https://doi.org/10.1197/j.aem.2004.11.018 CrossRefPubMedPubMedCentralGoogle Scholar
  27. Huang Y, Zheng S, Xu C, Wu K, Zheng M, Zhang J, Xu H (2017) Attention-deficit hyperactivity disorder in elementary school students in Shantou, China: prevalence, subtypes, and influencing factors. Neuropsychiatr Dis Treat 13:785–792.  https://doi.org/10.2147/NDT.S126100 CrossRefPubMedPubMedCentralGoogle Scholar
  28. Huss M, Hölling H, Kurth B-M, Schlack R (2008) How often are German children and adolescents diagnosed with ADHD? Prevalence based on the judgement of health care professionals: results of the German health and examination survey (KiGGS). Eur Child Adolesc Psychiatry 17:52–58.  https://doi.org/10.1007/s00787-008-1006-z CrossRefPubMedPubMedCentralGoogle Scholar
  29. Ivanov I, Bansal R, Hao X, Zhu H, Kellendonk C, Miller L, Sanchez-Pena J, Miller AM, Chakravarty MM, Klahr K, Durkin K, Greenhill LL, Peterson BS (2010) Morphological abnormalities of the thalamus in youths with attention deficit hyperactivity disorder. Am J Psychiatry 167:397–408.  https://doi.org/10.1176/appi.ajp.2009.09030398 CrossRefPubMedPubMedCentralGoogle Scholar
  30. Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E et al (2005) The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population. Psychol Med 35:245–256.  https://doi.org/10.1017/S0033291704002892 CrossRefPubMedPubMedCentralGoogle Scholar
  31. Kessler RC, Adler L, Barkley R, Biederman J, Conners CK, Demler O et al (2006) The prevalence and correlates of adult ADHD in the United States: results from the national comorbidity survey replication. Am J Psychiatry 163:716–723CrossRefPubMedCentralGoogle Scholar
  32. Maltezos S, Horder J, Coghlan S, Skirrow C, O’Gorman R, Lavender TJ, Mendez MA, Mehta M, Daly E, Xenitidis K, Paliokosta E, Spain D, Pitts M, Asherson P, Lythgoe DJ, Barker GJ, Murphy DG (2014) Glutamate/glutamine and neuronal integrity in adults with ADHD: a proton MRS study. Transl Psychiatry 4:e373.  https://doi.org/10.1038/tp.2014.11 CrossRefPubMedPubMedCentralGoogle Scholar
  33. Marcus DK, Barry TD (2011) Does attention-deficit/hyperactivity disorder have a dimensional latent structure? A taxometric analysis. J Abnorm Psychol 120(2):427–442CrossRefPubMedCentralGoogle Scholar
  34. Montag C, Davis KL (2018) Affective neuroscience theory and personality: an update. Personal Neurosci 1:1–12.  https://doi.org/10.1017/pen.2018.10 CrossRefGoogle Scholar
  35. Montag C, Panksepp J (2016) Primal emotional-affective expressive foundations of human facial expression. Motiv Emot 40:760–766.  https://doi.org/10.1007/s11031-016-9570-x CrossRefGoogle Scholar
  36. Montag C, Panksepp J (2017) Primary emotional systems and personality: an evolutionary perspective. Front Psychol 8:464.  https://doi.org/10.3389/fpsyg.2017.00464 CrossRefPubMedPubMedCentralGoogle Scholar
  37. Panksepp J (1998) Affective neuroscience: the foundations of human and animal emotions. Oxford University Press, New York, NYGoogle Scholar
  38. Perlov E, Philipsen A, Hesslinger B, Buechert M, Ahrendts J, Feige B, Bubl E, Hennig J, Ebert D, Tebartz van Elst L (2007) Reduced cingulated glutamate/glutamine-to-creatine ratios in adult patients with attention deficit/hyperactivity disorder—a magnet resonance spectroscopy study. J Psychiatr Res 41:934–941.  https://doi.org/10.1016/j.jpsychires.2006.12.007 CrossRefPubMedPubMedCentralGoogle Scholar
  39. Polanczyk G, Rohde LA (2007) Epidemiology of attention-deficit/hyperactivity disorder across the lifespan. Curr Opin Psychiatry 20:386–392CrossRefPubMedCentralGoogle Scholar
  40. Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA (2007) The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 164:942–948CrossRefPubMedCentralGoogle Scholar
  41. Polanczyk GV, Willcutt EG, Salum GA, Kieling C, Rohde LA (2014) ADHD prevalence estimates across three decades: an update systematic review and meta-regression analysis. Int J Epidemiol 43:434–442.  https://doi.org/10.1093/ije/dyt261 CrossRefPubMedPubMedCentralGoogle Scholar
  42. Ramirez CA, Rosén LA, Deffenbacher JL, Hurst H, Nicoletta C, Rosencranz T, Smith K (1997) Anger and anger expression in adults with high ADHD symptoms. J Atten Disord 2(2):115–128CrossRefGoogle Scholar
  43. Reuter M, Kirsch P, Hennig J (2006) Inferring candidate genes for attention deficit hyperactivity disorder (ADHD) assessed by the World Health Organization adult ADHD self-report scale (ASRS). J Neural Tansm 113:929–938.  https://doi.org/10.1007/s00702-005-0366-5 CrossRefGoogle Scholar
  44. Reuter M, Panksepp J, Davis K, Montag C (2017) ANPS: affective neuroscience personality scales. Hogrefe, GöttingenGoogle Scholar
  45. Rucklidge JJ, Kaplan BJ (1997) Psychological functioning of women identified in adulthood with attention-deficit/hyperactivity disorder. J Atten Disord 2(3):167–176CrossRefGoogle Scholar
  46. Sasaki T, Hashimoto K, Oda Y, Ishima T, Kurata T, Takahashi J, Kamata Y, Kimura H, Niitsu T, Komatsu H, Ishikawa M, Hasegawa T, Shiina A, Hashimoto T, Kanahara N, Shiraishi T, Iyo M (2015) Decreased levels of serum oxytocin in pediatric patients with attention deficit/hyperactivity disorder. Psychiatry Res 228:746–751CrossRefPubMedCentralGoogle Scholar
  47. Scheidegger M, Henning A, Walter M, Lehmann M, Kraehenmann R, Boeker H, Seifritz E, Grimm S (2016) Ketamine administration reduces amygdalo-hippocampal reactivity to emotional stimulation. Hum Brain Mapp 37(5):1941–1952.  https://doi.org/10.1002/hbm.23148 CrossRefPubMedPubMedCentralGoogle Scholar
  48. Shaw P, Stringaris A, Nigg J, Leibenluft E (2014) Emotion dysregulation in attention deficit hyperactivity disorder. Am J Psychiatry 171:276–293CrossRefPubMedCentralGoogle Scholar
  49. Sindermann C, Luo R, Zhao Z, Li Q, Li M, Kendrick KM, Panksepp J, Montag C (2018) High ANGER and low agreeableness predict vengefulness in German and Chinese participants. Personal Individ Differ 121:184–192.  https://doi.org/10.1016/j.paid.2017.09.004 CrossRefGoogle Scholar
  50. Skirrow C, McLoughlin G, Kunsti J, Asherson P (2009) Behavioral, neurocognitive and treatment overlap between attention-deficit/hyperactivity disorder and mood instability. Expert Rev Neurother 9(4):489–503CrossRefPubMedCentralGoogle Scholar
  51. Tajima-Pozo K, Yus M, Ruiz-Manrique G, Lewczuk A, Arrazola J, Montanes-Rada F (2016) Amygdala abnormalities in adults with ADHD. J Atten Disord 22(7):671–678.  https://doi.org/10.1177/1087054716629213 CrossRefPubMedPubMedCentralGoogle Scholar
  52. Takeda T, Tsuji Y, Kurita H (2017) Psychometric properties of the Japanese version of the adult attention-deficit hyperactivity disorder (ADHD) self-report scale (ASRS-J) and its short scale in accordance with DSM-5 diagnostic criteria. Res Dev Disabil 63:59–66.  https://doi.org/10.1016/j.ridd.2017.02.011 CrossRefPubMedPubMedCentralGoogle Scholar
  53. Thomas R, Sanders S, Doust J, Beller E, Glasziou P (2015) Prevalence of attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Pediatrics 135(4):e994–e1001.  https://doi.org/10.1542/peds.2014-3482 CrossRefPubMedPubMedCentralGoogle Scholar
  54. Wilens TE, Biederman J, Brown S, Tanguay S, Monuteaux MC, Blake C, Spencer TJ (2002) Psychiatric comorbidity and functioning in clinically referred preschool children and school-age youths with ADHD. J Am Acad Child Adolesc Psychiatry 41(3):262–268.  https://doi.org/10.1097/00004583-200203000-00005 CrossRefPubMedPubMedCentralGoogle Scholar
  55. Wingo AP, Ghaemi SN (2007) A systematic review of rates and diagnostic validity of comorbid adult attention-deficit/hyperactivity disorder and bipolar disorder. J Clin Psychiatry 68(11):1776–1784.  https://doi.org/10.4088/JCP.v68n1118 CrossRefPubMedPubMedCentralGoogle Scholar
  56. Xia S, Li X, Kimball AE, Kelly MS, Lesser I, Branch C (2012) Thalamic shape and connectivity abnormalities in children with attention-deficit/hyperactivity disorder. Psychiatry Res Neuroimaging 204:161–167.  https://doi.org/10.1016/j.pscychresns.2012.04.011 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Molecular Psychology, Institute of Psychology and Education, Faculty of Engineering, Computer Science and PsychologyUlm UniversityUlmGermany
  2. 2.Student Counseling CenterBeijing University of Civil Engineering and ArchitectureBeijingChina
  3. 3.School of Journalism and CommunicationSouthwest UniversityChongqingChina
  4. 4.Institute of Medical Statistics, Informatics and EpidemiologyUniversity of CologneCologneGermany
  5. 5.The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for NeuroinformationUniversity of Electronic Science and Technology of ChinaChengduChina

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