Emotional Regulation and Executive Function Deficits in Unmedicated Chinese Children with Oppositional Defiant Disorder.

Content Provider	Europe PMC
Author	Jiang, Wenqing Li, Yan Du, Yasong Fan, Juan
Copyright Year	2016
Abstract	ObjectiveThis study aims to explore the feature of emotional regulation and executive functions in oppositional defiant disorder (ODD) children.MethodsThe emotional regulation and executive functions of adolescents with ODD, as well as the relationship between the two factors were analyzed using tools including Adolescent Daily Emotional Regulation Questionnaire (ADERQ), Wisconsin Card Sorting Test (WCST) and Cambridge Neuropsychological Test Automated Battery (CANTAB), in comparison with attention deficit hyperactivity disorder (ADHD) children without behavioral problem and healthy children; the ADERQ assessed emotional regulation ability and others were used to assess executive function.ResultsCompared to normal children, the ODD group displayed significant differences in the scores of cognitive reappraisal, rumination, expressive suppression, and revealing of negative emotions, as well as in the score of cognitive reappraisal of positive emotions. WCST perseverative errors were well correlated with rumination of negative emotions (r=0.47). Logistic regression revealed that the minimum number of moves in the Stocking of Cambridge (SOC) test (one test in CANTAB) and negative emotion revealing, were strongly associated with ODD diagnosis.ConclusionChildren with ODD showed emotion dysregulation, with negative emotion dysregulation as the main feature. Emotion dysregulation and the lack of ability to plan lead to executive function deficits. The executive function deficits may guide us to understand the deep mechanism under ODD.
ISSN	17383684
Journal	Psychiatry Investigation
Volume Number	13
PubMed Central reference number	PMC4878961
Issue Number	3
PubMed reference number	27247593
e-ISSN	19763026
DOI	10.4306/pi.2016.13.3.277
Language	English
Publisher	Korean Neuropsychiatric Association
Publisher Date	2016-05-18
Access Restriction	Open
Rights License	This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 Korean Neuropsychiatric Association
Subject Keyword	Oppositional defiant disorder Emotion regulation Executive functions
Content Type	Text
Resource Type	Article
Subject	Biological Psychiatry Psychiatry and Mental Health