Authors: Aja Murray; Lydia Speyer; Melissa Thye; Tracy Stewart; Ingrid Obsuth; Jennifer Kane; Katie Whyte; John Devaney; Luis Augusto Rohde; Anastasia Ushakova; Sinead Rhodes · Research

How Do Adolescents with ADHD Experience Emotions and Social Interactions in Daily Life?

A new study will use smartphone surveys to understand the daily emotional and social experiences of teens with ADHD.

Source: Murray, A., Speyer, L., Thye, M., Stewart, T., Obsuth, I., Kane, J., Whyte, K., Devaney, J., Rohde, L. A., Ushakova, A., & Rhodes, S. (2023). Illuminating the daily life experiences of adolescents with and without ADHD: protocol for an ecological momentary assessment study. BMJ Open, 13(9), e077222. https://doi.org/10.1136/bmjopen-2023-077222

What you need to know

  • This study will use smartphone surveys to understand how teens with ADHD experience emotions and social interactions in their daily lives.
  • The researchers hope to identify targets for more effective interventions to support emotion regulation and social skills in adolescents with ADHD.
  • By collecting data in real-time, the study aims to provide insights that are more relevant to teens’ actual daily experiences than traditional surveys.

Understanding Daily Life with ADHD

Attention-deficit/hyperactivity disorder (ADHD) is a common condition that affects many children and teenagers. While we know quite a bit about ADHD from traditional research methods, there’s still a lot to learn about how it impacts young people’s everyday lives. A new study aims to shed light on this by using an innovative approach called ecological momentary assessment (EMA).

What is Ecological Momentary Assessment?

EMA involves collecting data from participants multiple times per day as they go about their normal activities. In this study, teens will use a smartphone app to answer brief surveys about their emotions, social interactions, and other experiences several times each day for two weeks.

This method has some key advantages:

  1. It captures information in real-time, rather than asking people to remember past experiences.
  2. It provides a more realistic picture of how symptoms and experiences fluctuate throughout the day.
  3. It allows researchers to examine how different factors interact in daily life.

Focusing on Emotions and Social Interactions

The study will pay special attention to how teens with ADHD experience and manage their emotions, as well as how they interact with peers. These are two areas where many young people with ADHD struggle.

Emotion Regulation

Emotion regulation refers to how people recognize, understand, and manage their emotional reactions. Many teens with ADHD have difficulty with emotion regulation. This can show up in different ways:

  • More intense emotional reactions
  • Rapid shifts between emotions
  • Trouble calming down when upset
  • Difficulty controlling positive emotions (e.g. getting over-excited)

The study will look at various aspects of emotion regulation, such as:

  • How often teens experience different emotions
  • How quickly their emotions change
  • What strategies they use to manage emotions
  • How successful those strategies are

Social Interactions

ADHD can also impact how teens get along with their peers. Some common challenges include:

  • Being rejected or disliked by peers
  • Getting into conflicts
  • Being bullied
  • Difficulty making and keeping friends

The researchers will examine things like:

  • How often teens interact with peers
  • The quality of those interactions
  • Whether teens experience rejection or conflicts
  • How peer interactions relate to emotional experiences

Why This Matters

Understanding these daily life experiences is crucial for developing better ways to support teens with ADHD. Current treatments often don’t translate well to real-world situations or address the connections between emotional and social challenges. By identifying the most immediate factors that influence teens’ well-being, this study could inform more effective and practical interventions.

How the Study Will Work

The researchers plan to recruit about 120 teens aged 11-14 who have been diagnosed with ADHD, as well as 120 teens without ADHD for comparison. All participants will:

  1. Complete an initial online survey
  2. Use a smartphone app to answer brief surveys 5 times per day for 2 weeks
  3. Complete a final online survey

The app surveys will take less than 2 minutes each and ask about things like:

  • Current emotions
  • Recent social interactions
  • ADHD symptoms
  • Use of ADHD medications
  • Sleep
  • Physical activity

Analyzing the Data

The researchers will use advanced statistical techniques to examine patterns in the data. Some key questions they hope to answer include:

  • How do aspects of emotion regulation differ between teens with and without ADHD?
  • How do emotion regulation difficulties relate to social problems for teens with ADHD?
  • Do emotion regulation and social problems help explain why teens with ADHD are at higher risk for other mental health issues like anxiety and depression?

Potential Impact

This study has the potential to significantly advance our understanding of how ADHD affects teens in their day-to-day lives. Some possible benefits include:

More Effective Interventions

By identifying the most immediate factors that influence teens’ well-being, the findings could inform interventions that:

  • Are more relevant to real-world situations
  • Target both emotional and social skills together
  • Can be delivered via smartphone apps for greater accessibility

Personalized Support

The detailed data could help in developing more personalized approaches to supporting teens with ADHD based on their individual patterns of emotional and social experiences.

Increased Awareness

The findings may help parents, teachers, and clinicians better understand the daily challenges faced by teens with ADHD, potentially leading to greater empathy and support.

Limitations to Consider

While this study has many strengths, there are some limitations to keep in mind:

  • The two-week time frame won’t capture longer-term changes or patterns.
  • Constantly answering surveys could potentially influence participants’ behaviors or experiences.
  • The study relies on self-reported data, which can be biased or inaccurate.
  • Some teens may have difficulty consistently completing the surveys.

Conclusions

  • This innovative study will provide unprecedented insights into the daily emotional and social experiences of teens with ADHD.
  • The findings could lead to more effective, personalized interventions that better address real-world challenges.
  • While there are some limitations, this research represents an important step towards improving support for young people with ADHD.
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