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Executive Function and Theory of Mind in Children with ADHD: a Systematic Review

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Abstract

In developmental research, the relationship between Executive Function (EF) and Theory of Mind (ToM) has been extensively assessed, and EF has been considered a condition for ToM. However, few researchers have studied the relationship between EF and ToM in clinical populations, especially that of Attention Deficit Hyperactivity Disorder (ADHD), a neurodevelopmental disorder characterized by symptoms of inattention and motor hyperactivity/impulsivity, in which EF is largely impaired. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) model, 201 English and Spanish articles evaluating EF and ToM in ADHD were chosen. Fifteen papers met the inclusion criteria and were selected for further analysis. The first study dates from 2001. Most of the studies’ designs are cross-sectional, include mostly male children, have a small sample size, and were conducted in European countries. Unlike tasks assessing EF, tasks assessing ToM were heterogeneous across studies. The EFs most correlated with ToM were inhibitory control, working memory, cognitive flexibility, and attention. Interest in studying the relationship between EF and ToM in ADHD is recent,but increasing based on new findings and tuning of ToM instruments. However, while an association between EF and ToM is indicated in ADHD, the degree of prediction and predictability of one over the other cannot yet be established because of the studies’ heterogeneity.

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Acknowledgments

We thank the Editor and two anonymous reviewers for their comments and suggestions. WP-A is doctoral student at Universidad del Norte, Barranquilla, Colombia. Some of this work is to be presented in partial fulfilment of the requirements for the PhD degree. WP-A was supported by COLCIENCIAS, grant 673 of 2014. JIV was partially supported by research-grant FOFICO 32101 PE0031 from Universidad del Norte. The sponsor of the study had no role in the study design, data collection, data analysis, data interpretation or writing of the manuscript. WP-A and JE-C thank Maria Camila Pineda for her motivation and inspiration. JIV thanks Yolima Espinosa and Gabriela Perez for their love, patience and unconditional support.

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Correspondence to Wilmar Pineda-Alhucema.

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The authors declare no conflict of interest. Results of this paper have not been shared partially or totally. We complied with APA ethical standards in treating our data.

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The authors declare no competing financial interests.

Appendix A: Abbreviations in Tables 1 and 2

Appendix A: Abbreviations in Tables 1 and 2

ASS: Active Social Scale

BRIEF: Behavior Rating Inventory of Executive Function

CBCL: Child Behavior Checklist

CPRS: Conners’ Parent Rating Scale

CPT: Continuous Performance Test

CTRS: Conners’ Teacher Rating Scale

DCCS: Dimensional Change Card Sort

FPT: Faux Pas Task

ISS: Interactive Sociability Scale

LGH: Luria’s Hand Game

NEPSY III: Development NEuroPSYchological Assessment, third edition

NEPSY II: Development NEuroPSYchological Assessment, second edition

PPVT-III: Peabody Picture Vocabulary Test III

RMET: Reading the Mind in the Eyes Test

SFB: Second-order False Belief

TAP: Test for Attentional Performance

TMT-B: Trail Making Test part B

TOMI: Theory of Mind Inventory

TRF: Teacher Report Form

VABS: Vineland Adaptive Behavior Scales

WAIS: Wechsler Intelligence Test for Adults

WAIS-R: Wechsler Intelligence Test for Adults, Revised

WCST: Wisconsin Card Sorting Test

WISC-III: Wechsler Intelligence Scale for Children III

WISC-IV: Wechsler Intelligence Scale for Children IV

WJ-R: Woodcock–Johnson Psycho-Educational Battery—Revised

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Pineda-Alhucema, W., Aristizabal, E., Escudero-Cabarcas, J. et al. Executive Function and Theory of Mind in Children with ADHD: a Systematic Review. Neuropsychol Rev 28, 341–358 (2018). https://doi.org/10.1007/s11065-018-9381-9

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