Skip to main content

Advertisement

Log in

Emotion recognition in children and adolescents with attention-deficit/hyperactivity disorder (ADHD)

  • Original Article
  • Published:
ADHD Attention Deficit and Hyperactivity Disorders

Abstract

Children with attention-deficit/hyperactivity disorder (ADHD) are impaired in social adaptation and display deficits in social competence. Deficient emotion recognition has been discussed to underlie these social problems. However, comorbid conduct problems have not been considered in the majority of studies conducted so far, and the influence of medication on emotion recognition has rarely been studied. Here, emotion recognition performance was assessed in children with ADHD without medication compared with children with ADHD under stimulant medication and a matched control group. In order to rule out confounding by externalizing symptoms, children with comorbid conduct problems were excluded. Video clips with neutral faces developing a basic emotion (happiness, sadness, disgust, fear and anger) were presented in order to assess emotion recognition. Results indicated between-group differences neither concerning the number of correctly identified emotions nor concerning reaction times and their standard deviations. Thus, we suggest that ADHD per se is not associated with deficits in emotion recognition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abikoff H, Hechtman L, Klein RG et al (2004) Social functioning in children with ADHD treated with long-term methylphenidate and multimodal psychosocial treatment. J Am Acad Child Adolesc Psychiatry 43:820–829. doi:10.1097/01.chi.0000128797.91601.1a

    Article  PubMed  Google Scholar 

  • Achenbach TM (1991) Manual for the child behavior checklist/4-18 and 1991 profile. University of Vermont, Burlington

    Google Scholar 

  • American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders (DSM-IV), 4(null) ed. American Psychiatric Press, Washington

  • Biederman J, Faraone SV (2005) Attention-deficit hyperactivity disorder. Lancet 366:237–248

    Article  PubMed  Google Scholar 

  • Blair RJR, Mitchell DGV, Peschardt KS et al (2004) Reduced sensitivity to others’ fearful expressions in psychopathic individuals. Pers Individ Differ 37:1111–1122. doi:10.1016/j.paid.2003.10.008

    Article  Google Scholar 

  • Booster GD, DuPaul GJ, Eiraldi R, Power TJ (2012) Functional impairments in children with ADHD: unique effects of age and comorbid status. J Atten Disord 16:179–189. doi:10.1177/1087054710383239

    Article  PubMed  Google Scholar 

  • Cadesky EB, Mota VL, Schachar RJ (2000) Beyond words: how do children with ADHD and/or conduct problems process nonverbal information about affect? J Am Acad Child Adolesc Psychiatry 39:1160–1167

    Article  CAS  PubMed  Google Scholar 

  • Corbett B, Glidden H (2000) Processing affective stimuli in children with attention-deficit hyperactivity disorder. Child Neuropsychol (Neuropsychology, Development and Cognition: Section C) 6:144–155. doi:10.1076/chin.6.2.144.7056

  • Dadds MR, Cauchi AJ, Wimalaweera S et al (2012) Outcomes, moderators, and mediators of empathic-emotion recognition training for complex conduct problems in childhood. Psychiatry Res 199:201–207. doi:10.1016/j.psychres.2012.04.033

    Article  PubMed  Google Scholar 

  • Döpfner M, Görtz-Dorten A, Lehmkuhl G et al (2008) Diagnostik-System für psychische Störungen nach ICD-10 und DSM-IV für Kinder und Jugendliche-II (DISYPS-II). Huber, Bern

    Google Scholar 

  • DuPaul GJ, Volpe RJ, Jitendra AK et al (2004) Elementary school students with AD/HD: predictors of academic achievement. J Sch Psychol 42:285–301. doi:10.1016/j.jsp.2004.05.001

    Article  Google Scholar 

  • Dyck MJ, Ferguson K, Shochet IM (2001) Do autism spectrum disorders differ from each other and from non-spectrum disorders on emotion recognition tests? Eur Child Adolesc Psychiatry 10:105–116

    Article  CAS  PubMed  Google Scholar 

  • Fonseca D, Seguier V, Santos A et al (2008) Emotion understanding in children with ADHD. Child Psychiatry Hum Dev 40:111–121. doi:10.1007/s10578-008-0114-9

    Article  PubMed  Google Scholar 

  • Goeleven E, De Raedt R, Leyman L, Verschuere B (2008) The Karolinska directed emotional faces: a validation study. Cogn Emot 22:1094–1118. doi:10.1080/02699930701626582

    Article  Google Scholar 

  • Greene RW, Biederman J, Faraone SV et al (1997) Adolescent outcome of boys with attention-deficit/hyperactivity disorder and social disability: results from a 4-year longitudinal follow-up study. J Consult Clin Psychol 65:758

    Article  CAS  PubMed  Google Scholar 

  • Hall CW, Peterson AD, Webster RE et al (1999) Perception of nonverbal social cues by regular education, ADHD, and ADHD/LD students. Psychol Sch 36:505–514

    Article  Google Scholar 

  • Hinshaw SP (1987) On the distinction between attentional deficits/hyperactivity and conduct problems/aggression in child psychopathology. Psychol Bull 101:443

    Article  CAS  PubMed  Google Scholar 

  • Hoza B, Mrug S, Gerdes AC et al (2005) What aspects of peer relationships are impaired in children with attention-deficit/hyperactivity disorder? J Consult Clin Psychol 73:411–423. doi:10.1037/0022-006X.73.3.411

    Article  PubMed  Google Scholar 

  • Kats-Gold I, Besser A, Priel B (2007) The role of simple emotion recognition skills among school aged boys at risk of ADHD. J Abnorm Child Psychol 35:363–378. doi:10.1007/s10802-006-9096-x

    Article  PubMed  Google Scholar 

  • Kendall T, Taylor E, Perez A et al (2008) Diagnosis and management of attention-deficit/hyperactivity disorder in children, young people, and adults: summary of NICE guidance. BMJ 337:a1239. doi:10.1136/bmj.a1239

    Article  PubMed  Google Scholar 

  • King S, Waschbusch DA, Frankland BW et al (2005) Taxonomic examination of ADHD and conduct problem comorbidity in elementary school children using cluster analyses. J Psychopathol Behav Assess 27:77–88. doi:10.1007/s-10862-005-5382-0

    Article  Google Scholar 

  • Lee SS, Falk AE, Aguirre VP (2012) Association of comorbid anxiety with social functioning in school-age children with and without attention-deficit/hyperactivity disorder (ADHD). Psychiatry Res 197:90–96. doi:10.1016/j.psychres.2012.01.018

    Article  PubMed  Google Scholar 

  • Lundqvist D, Flykt A, Öhman A (1998) The Karolinska directed emotional faces. Karolinska Institute, Department of Clinical Neuroscience, Stockholm

  • Mrug S, Molina BSG, Hoza B et al (2012) Peer rejection and friendships in children with attention-deficit/hyperactivity disorder: contributions to long-term outcomes. J Abnorm Child Psychol 40:1013–1026. doi:10.1007/s10802-012-9610-2

    Article  PubMed  Google Scholar 

  • Pelham WE Jr, Waschbusch DA, Hoza B et al (2001) Effects of methylphenidate and expectancy on performance, self-evaluations, persistence, and attributions on a social task in boys with ADHD. Exp Clin Psychopharmacol 9:425

    Article  CAS  PubMed  Google Scholar 

  • Petermann F, Petermann U (2007) Hamburg-Wechsler-Intelligenztest für Kinder (HAWIK-IV). Hogrefe, Göttingen

  • Rice K, Moriuchi JM, Jones W, Klin A (2012) Parsing heterogeneity in autism spectrum disorders: visual scanning of dynamic social scenes in school-aged children. J Am Acad Child Adolesc Psychiatry 51:238–248. doi:10.1016/j.jaac.2011.12.017

    Article  PubMed  Google Scholar 

  • Schachar R, Tannock R (1995) Test of four hypotheses for the comorbidity of attention-deficit hyperactivity disorder and conduct disorder. J Am Acad Child Adolesc Psychiatry 34:639–648

    Article  CAS  PubMed  Google Scholar 

  • Schwenck C, Mergenthaler J, Keller K et al (2012) Empathy in children with autism and conduct disorder: group-specific profiles and developmental aspects. J Child Psychol Psychiatry 53:651–659

    Article  PubMed  Google Scholar 

  • Shapiro EG, Hughes SJ, August GJ, Bloomquist ML (1993) Processing of emotional information in children with attention-deficit hyperactivity disorder. Dev Neuropsychol 9:207–224. doi:10.1080/87565649309540553

    Article  Google Scholar 

  • Singh SD, Ellis CR, Winton ASW et al (1998) Recognition of facial expressions of emotion by children with attention-deficit hyperactivity disorder. Behav Modif 22:128–142. doi:10.1177/01454455980222002

    Article  CAS  PubMed  Google Scholar 

  • Sinzig J, Morsch D, Lehmkuhl G (2008) Do hyperactivity, impulsivity and inattention have an impact on the ability of facial affect recognition in children with autism and ADHD? Eur Child Adolesc Psychiatry 17:63–72. doi:10.1007/s00787-007-0637-9

    Article  PubMed  Google Scholar 

  • Storebø OJ, Skoog M, Damm D et al (2011) Social skills training for attention deficit hyperactivity disorder (ADHD) in children aged 5 to 18 years. Cochrane Database Syst Rev 7(12):8223

    Google Scholar 

  • Taurines R, Schmitt J, Renner T et al (2010) Developmental comorbidity in attention-deficit/hyperactivity disorder. Atten Def Hyperact Disord 2:267–289. doi:10.1007/s12402-010-0040-0

    Article  Google Scholar 

  • Taurines R, Schwenck C, Westerwald E et al (2012) ADHD and autism: differential diagnosis or overlapping traits? A selective review. Atten Defic Hyperact Disord 4:115–139. doi:10.1007/s12402-012-0086-2

    Article  PubMed  Google Scholar 

  • Van der Geest JN, Kemner C, Verbaten MN, Van Engeland H (2002) Gaze behavior of children with pervasive developmental disorder toward human faces: a fixation time study. J Child Psychol Psychiatry 43:669–678

    Article  PubMed  Google Scholar 

  • World Health Organization (1993) The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research. World Health Organization, Geneva

    Google Scholar 

  • Yuill N, Lyon J (2007) Selective difficulty in recognising facial expressions of emotion in boys with ADHD. Eur Child Adolesc Psychiatry 16:398–404. doi:10.1007/s00787-007-0612-5

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We thank all participants and their families for their participation in the study. Our sincere thanks go to all colleagues from collaborating institutes for their cooperation and support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christina Schwenck.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schwenck, C., Schneider, T., Schreckenbach, J. et al. Emotion recognition in children and adolescents with attention-deficit/hyperactivity disorder (ADHD). ADHD Atten Def Hyp Disord 5, 295–302 (2013). https://doi.org/10.1007/s12402-013-0104-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12402-013-0104-z

Keywords

Navigation