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Soler Gutiérrez, Ana María

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Soler Gutiérrez
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  • Publicación
    Evidence of emotion dysregulation as a core symptom of adult ADHD: A systematic review
    (PLOS, 2023-01-06) Soler Gutiérrez, Ana María; Pérez González, Juan Carlos; Mayas Arellano, Julia; Yoshiyuki Tachibana
    Attention Deficit Hyperactivity Disorder (ADHD) is a developmental disorder, with an onset in childhood, that accompanies the person throughout their life, with prevalence between 3 and 5% in adults. Recent studies point towards a fourth core symptom of the disorder related to the emotional information processing that would explain the repercussions that ADHD has on the social, academic, and professional life of the people affected. This review aims to describe emotion dysregulation features as well as the brain activity associated in adults with ADHD. A search of the scientific literature was launched in specialized databases: PsycInfo, Medline, Eric, PsycArticle, Psicodoc and Scopus, following PRISMA guidelines. Twenty-two articles met the inclusion criteria: (a) an ADHD clinical diagnosis, (b) participants over 18 years old, (c) emotion regulation measurement, (d) empirical studies, and (c) in English. Due to the heterogeneity of the studies included, they were classified into three sections: measures and features of emotion regulation (ER) in people with ADHD, neurological and psychophysiological activity related to ER, and treatments. The studies found that meet the selection criteria are scarce and very heterogeneous both in aims and in sample features. Adults with ADHD show a more frequent use of non-adaptive emotion regulation strategies compared to people without ADHD symptoms. Moreover, emotion dysregulation was associated with symptom severity, executive functioning, psychiatric comorbidities, and even with criminal conviction. Different patterns of brain activity were observed when people with and without ADHD were compared. These results may suggest that psychopharmacological treatments as well as behavioral therapies could be useful tools for improving emotional difficulties in adult ADHD.
  • Publicación
    Emotion processing difficulties in ADHD: a Bayesian meta-analysis study
    (Springer, 2025) Soler Gutiérrez, Ana María; Sánchez Carmona, Alberto J.; Albert Bitaubé, Jacobo; Hinojosa, Jose; Cortese, Samuele; Bellato, Alessio; Mayas Arellano, Julia; https://orcid.org/0000-0001-6538-9801; https://orcid.org/0000-0002-7482-9503; https://orcid.org/0000-0001-5877-8075; https://orcid.org/0000-0001-5330-6773
    We investigated whether there is an emotional processing deficit in ADHD and whether this only applies to specific emotional categories. In this PRISMA-compliant systematic review based on a pre-registered protocol (https://osf.io/egp7d), we searched MEDLINE, PsycINFO, ERIC, Scopus and Web of Science databases until 3rd December 2023, to identify empirical studies comparing emotional processing in individuals meeting DSM (version III to 5-TR) or ICD (version 9 or 10) criteria for Attention Deficit/Hyperactivity Disorder (ADHD) and in a non-psychiatric control group. Study quality was assessed with the Appraisal tool for Cross-Sectional Studies (AXIS). Eighty studies were included and meta-analysed (encompassing 6191 participants and 465 observations). Bayesian meta-analyses were conducted to compare individuals with ADHD and non-psychiatric controls on overall emotional processing measures (meta-analysis 1) and across emotional categories (meta-analysis 2). The type of stimulus employed, outcome measurement reported, age, sex, and medication status were analysed as moderators. We found poorer performance in both overall emotion processing (g =  − 0.65) and across emotional categories (anger g =  − 0.37; disgust g =  − 0.24; fear g =  − 0.37; sadness g =  − 0.34; surprise g =  − 0.26; happiness/positive g =  − 0.31; negative g =  − 0.20; neutral g =  − 0.25) for individuals with ADHD compared to non-psychiatric controls. Scales items and accuracy outcome being the most effective moderators in detecting such differences. No effects of age, sex, or medication status were found. Overall, these results show that impaired emotional processing is a relevant feature of ADHD and suggest that it should be systematically assessed in clinical practice.
  • Publicación
    Emotional information processing impairment in Attention Deficit Hyperactivity Disorder (ADHD)
    (Universidad Nacional de Educación a Distancia (España). Escuela Internacional de Doctorado. Programa de Doctorado en Psicología, 2024) Soler Gutiérrez, Ana María; Mayas Arellano, Julia; Hinojosa Poveda, José Antonio; Albert Bitaubé, Jacobo