The role of moment-to-moment dynamics of perceived stress and negative affect in co-occurring ADHD and internalising symptoms

J Autism Dev Disord. 2023 Mar;53(3):1213-1223. doi: 10.1007/s10803-022-05624-w. Epub 2022 Jun 8.

Abstract

A maladaptive response to stress in individuals with high ADHD traits may be a key factor explaining co-occurring ADHD symptoms and internalising problems. The current study investigates whether between-person differences in ADHD traits are associated with differences in the within-person moment-to-moment coupling of stress and negative affect; and whether these can explain between-person differences in internalising problems (N = 262, median-age 20). Results of a dynamic structural equation model indicated that between-person differences in ADHD traits significantly moderated the daily life coupling between stress and negative affect. Further, higher ADHD traits were associated with stronger stress carry-over and higher mean levels of negative affect. Stress carry-over and mean levels of negative affect mediated the association between ADHD traits and internalising problems.

Keywords: ADHD; Ecological momentary assessment; Internalising problems; Negative affect; Perceived stress.

MeSH terms

  • Adult
  • Affect
  • Attention Deficit Disorder with Hyperactivity*
  • Autism Spectrum Disorder*
  • Humans
  • Phenotype
  • Stress, Psychological
  • Young Adult