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The Relationship Between Cognitive Distortions and Adult Attention-Deficit/Hyperactivity Disorder After Accounting for Comorbidities and Personality Traits

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Abstract

Background

This study examined the association between cognitive distortions and ADHD severity after accounting for depression, anxiety, and personality traits.

Methods

Archival data were collected on 112 adult participants diagnosed with ADHD after an extensive assessment, which included inventories measuring mood, anxiety, and personality traits. Pearson correlations were used to assess the associations of ADHD and these comorbid variables. Regression analyses assessed the contribution of predictor comorbid variables to hypothesized associations with ADHD.

Results

Results indicated that the relationship between cognitive distortions and ADHD symptom severity was no longer statistically significant once mood, anxiety, and personality traits were taken into consideration.

Conclusions

These findings illuminate the complex role of cognitive distortions, comorbidities, and personality traits in the presentation of adult ADHD. As such, this study has clinical and conceptual relevance for understanding the role, candidate mechanisms, and therapeutic targets of cognitive-behavioral therapy for adult ADHD, particularly the cognitive component.

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Correspondence to J. Russell Ramsay.

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Amelia D. Serine, Bradley Rosenfield, Robert A. DiTomasso, Jennifer M. Collins, Anthony L. Rostain, and J. Russell Ramsay declare that they have no conflict of interest.

Research Involving Human and Animal Participants

The current study was based on a chart review study that was approved by the authors’ respective Institutional Review Boards (IRB). No animal studies were conducted in this study.

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As the study was a chart review of archival clinical records, the collection of informed consent was waived by the IRBs.

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Serine, A.D., Rosenfield, B., DiTomasso, R.A. et al. The Relationship Between Cognitive Distortions and Adult Attention-Deficit/Hyperactivity Disorder After Accounting for Comorbidities and Personality Traits. Cogn Ther Res 44, 967–976 (2020). https://doi.org/10.1007/s10608-020-10115-2

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