Evidence map›Paper›PMID 31605387›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2020

Evaluating chronic emotional dysregulation and irritability in relation to ADHD and depression genetic risk in children with ADHD.

Joel T Nigg, Sarah L Karalunas, Hanna C Gustafsson, Priya Bhatt, Peter Ryabinin, Michael A Mooney, Stephen V Faraone, Damien A Fair, Beth Wilmot

Abstract read
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Polygenic Scores for ADHD: A Meta-Analysis.Research on child and adolescent psychopathology · 2021
    Pooled it
  7. Article
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  9. Review
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  12. Article
  13. Article
  14. The Evolving ADHD Phenotype in the Externalizing Context.The American journal of psychiatry · 2026
    Review
  15. Article
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  17. Article
  18. Observational
  19. Article
  20. The association between temperament and polygenic score for psychopathology from infancy to middle childhood.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Article

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Joel T NiggDepartment of Psychiatry, Oregon Health & Science University, Portland, Oregon, USA.
Sarah L KaralunasDepartment of Psychiatry, Oregon Health & Science University, Portland, Oregon, USA.
Hanna C GustafssonDepartment of Psychiatry, Oregon Health & Science University, Portland, Oregon, USA.
Priya BhattDepartment of Psychiatry, Oregon Health & Science University, Portland, Oregon, USA.
Peter RyabininDepartment of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, USA.
Michael A MooneyDepartment of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, USA.
Stephen V FaraoneDepartment of Psychiatry, SUNY Upstate Medical University, Syracuse, New York, USA.
Damien A FairDepartment of Psychiatry, Oregon Health & Science University, Portland, Oregon, USA.
Beth WilmotDepartment of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, USA.

Funding

ADHD heterogeneity, mechanisms, and risk profileR37MH059105 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI NIGG, JOEL T · 2014 to 2023
$7.0M
Brain trajectories in ADHDR01MH115357 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI FAIR, DAMIEN A, NIGG, JOEL T · 2017 to 2021
$3.8M
ADHD biotypes using genetic and imaging approachesR01MH099064 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI NIGG, JOEL T · 2013 to 2017
$3.2M
NIMH NIH HHS R01 MH099064NIMH NIH HHS R01 MH115357NIMH NIH HHS R37 MH059105
6 · The paper itself

Abstract

backgroundA central nosological problem concerns the etiological relationship of emotional dysregulation with ADHD. Molecular genetic risk scores provide a novel method for informing this question.

methodsParticipants were 514 community-recruited children of Northern European descent age 7-11 defined as ADHD or non-ADHD by detailed research evaluation. Parents-rated ADHD on standardized ratings and child temperament on the Temperament in Middle Childhood Questionnaire (TMCQ) and reported on ADHD and comorbid disorders by semi-structured clinical interview. Categorical and dimensional variables were created for ADHD, emotional dysregulation (implicating disruption of regulation of both anger-irritability and of positive valence surgency-sensation seeking), and irritability alone (anger dysregulation). Genome-wide polygenic risk scores (PRS) were computed for ADHD and depression genetic liability. Structural equation models and computationally derived emotion profiles guided analysis.

resultsThe ADHD PRS was associated in variable-centered analyses with irritability (β = .179, 95% CI = 0.087-0.280; ΔR

conclusionsIrritability-anger and surgency-sensation seeking, as forms of negative and positively valenced dysregulated affect in ADHD populations, both relate principally to ADHD genetic risk and not mood-related genetic risk.

Indexed as

Affective SymptomsAngerAttention Deficit Disorder with HyperactivityCase-Control StudiesChildChild BehaviorDepressive DisorderEmotional RegulationEuropeFemaleGenome-Wide Association StudyHumansIrritable MoodMaleMultifactorial InheritanceSeverity of Illness IndexADHDirritabilitypolygenic scoretemperament

Identifiers

PMID31605387
PMCPMC6980250

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.