title: Functional Impairment Variability in Children With ADHD Due to Emotional Impulsivity.
abstract: The present study utilized ecological momentary assessment (EMA) to examine the effects of emotional impulsivity on overall functional impairment and functional impairment variability (FIV) of children with and without ADHD.
  
  
  
  Parents of 74 children, 8- to 12-year-olds (42 with ADHD, 32 without ADHD), completed EMA assessment protocol ratings of their child's mood (3 times daily) and functional impairment (1 time daily) over the course of 28 days.
  
  
  
  Hierarchical regression analyses supported the interaction of ADHD diagnostic status and greater EMA-derived emotional impulsivity in the estimation of total functional impairment (Total FI) and FIV. Thus, greater emotional impulsivity was found to be related to greater Total FI and FIV among children with ADHD but not among children without ADHD.
  
  
  
  This study suggests that children with ADHD and greater emotional impulsivity demonstrate greater overall levels of functional impairment, with the severity of their impairment varying significantly over time.
authors.affiliation: 1 University of Louisville, KY, USA.
authors.forename: Danielle M
authors.initials: DM
authors.lastname: Walerius
authors.affiliation: 1 University of Louisville, KY, USA.
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Reyes
authors.affiliation: 1 University of Louisville, KY, USA.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Rosen
authors.affiliation: 1 University of Louisville, KY, USA.
authors.forename: Perry I
authors.initials: PI
authors.lastname: Factor
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology*; D002648:Child; D004644:Emotions / Q000502:physiology*; D005260:Female; D006801:Humans; D007175:Impulsive Behavior / Q000502:physiology*; D008297:Male; D010290:Parents; D011569:Psychiatric Status Rating Scales
keywords: ADHD; ecological momentary assessment; emotion regulation; emotional impulsivity; functional impairment; variable impairment