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ADHD Symptoms, Maladaptive Schemas, and Dysfunctional Automatic Thoughts: Exploring Theorized Relationships in
Christie T Pickel1, Brian T Wymbs1
1Ohio University, Athens, USA.
Journal of Attention Disorders
|August 13, 2026
Summary
This study shows that for adults with attention-deficit/hyperactivity disorder (ADHD), negative automatic thoughts and core beliefs about self-control are linked to impairment. Cognitive-behavioral therapy (CBT) should address these thoughts and beliefs.
Area of Science:
- Psychology
- Clinical Psychology
- Cognitive Science
Background:
- Cognitive-behavioral therapy (CBT) for adult attention-deficit/hyperactivity disorder (ADHD) posits that maladaptive cognitions contribute to distress and impairment.
- Empirical support linking ADHD symptoms, maladaptive schemas, negative automatic thoughts (NAT), overly-positive avoidant thoughts (OPAT), and impairment is limited.
Purpose of the Study:
- To evaluate the cognitive-behavioral framework for adult ADHD in a community sample.
- To test the relationships between ADHD symptoms, maladaptive schemas, and dysfunctional automatic thoughts.
- To examine how these cognitive factors relate to impairment in emerging adults.
Main Methods:
- A community sample of 141 emerging adults (mean age = 19.84) was assessed.
- Hierarchical stepwise regressions were used to analyze data.
- Covariates included age, sex, and self-reported anxiety and depression symptoms.
Main Results:
- ADHD symptoms and maladaptive schemas (Insufficient Self-Control, Dependence/Incompetence) predicted OPAT.
- Maladaptive schemas (Insufficient Self-Control, Failure to Achieve) were associated with NAT.
- ADHD symptoms and NAT were positively related to impairment.
Conclusions:
- Results support the cognitive-behavioral framework for adult ADHD.
- Clinicians should target NAT and core beliefs (e.g., insufficient self-control) in CBT for ADHD-related impairment.
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