Frustration Response and Regulation Among Irritable Children: Contributions of Chronic Irritability, Internalizing,

Olivia J Derella1,2, Emilie J Butler2, Karen E Seymour3

  • 1Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center/Albert Einstein College of Medicine.

Insights

Childhood chronic irritability (CI) is linked to difficulties in frustration recovery and inhibitory control, especially when co-occurring with internalizing symptoms or ADHD. Addressing self-regulation impairments is key for treatment.

Area of Science:

  • Child psychology
  • Developmental psychopathology
  • Neuroscience

Background:

  • Childhood chronic irritability (CI) is associated with significant developmental impairments and comorbidities.
  • Frustration reactivity is a known mechanism, but regulation-oriented frustration recovery and cognitive control remain understudied.
  • Understanding these factors is crucial for differentiating CI from comorbid conditions.

Purpose of the Study:

  • To investigate frustration recovery, tolerance, and cognitive control in children with CI.
  • To examine the role of comorbid symptoms, including ADHD and internalizing disorders, in these processes.
  • To identify specific self-regulation deficits associated with CI.

Main Methods:

  • Sixty-three children (25 with CI, 38 without) and their parents completed surveys.
  • Participants underwent computerized tasks: Frustration Go/No-Go (FGNG) and Mirror Tracing Persistence Task (MTPT).
  • Analyses compared task performance and affect across groups, including subgroups screened for ADHD.

Main Results:

  • Children with CI showed persistent frustration and inhibitory control difficulties during FGNG recovery, not necessarily during initial frustration.
  • Internalizing symptoms predicted frustration intolerance and reactivity across tasks.
  • ADHD severity correlated with higher frustration reactivity, while oppositional behavior predicted lower frustration. Frustration recovery was linked to lower irritability but higher internalizing symptoms.

Conclusions:

  • Co-occurring symptoms, particularly internalizing ones, may explain some frustration-related difficulties in CI.
  • Difficulties in post-frustration affect and inhibitory control recovery highlight the importance of self-regulation impairments in characterizing CI.
  • These findings suggest that targeting self-regulation deficits could be crucial for managing childhood chronic irritability.
Abstract

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