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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

21-10-2015

Impaired Social Decision-Making Mediates the Association Between ADHD and Social Problems

Auteurs: Kathryn L. Humphreys, Chardeé A. Galán, Nim Tottenham, Steve S. Lee

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 5/2016

Abstract

Attention-deficit/hyperactivity disorder (ADHD) reliably predicts social dysfunction, ranging from poor social competence and elevated peer rejection to inadequate social skills. Yet, the factors mediating predictions of social problems from childhood ADHD are not well understood. In the present study, we investigated social functioning in 186 (69 % male) 6 to 10 year-old (M = 7.88, SD = 1.17) children with (n = 98) and without (n = 87) ADHD who were followed prospectively for two years. We implemented a well-validated measure of social problems as well as a novel social decision-making task assessing dynamic response to changing affective cues at the two-year follow-up. According to separate parent and teacher report, baseline ADHD symptoms positively predicted social problems at the two-year follow-up; individual differences on the social decision-making task mediated this association. This finding was replicated when ADHD dimensions (i.e., inattention and hyperactivity/impulsivity) were separately examined. These findings suggest that the deficient use of affective cues to effectively guide behavior may partially underlie poor social functioning among children with ADHD. If replicated, these preliminary findings suggest that social skills interventions that target interpretation of affective cues to aid in social decision-making behavior may improve social outcomes negatively affected by early ADHD symptoms.

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Abikoff, H., Hechtman, L., Klein, R., Gallagher, R., Fleiss, K., Etcovitch, J., et al. (2004). Social functioning in children with ADHD treated with long-term methylphenidate and multimodal psychosocial treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 820–829. doi:10.1097/01.chi.0000128797.91601.1a.CrossRefPubMed

Achenbach, T. M., & Rescorla, L. A. (2001). ASEBA school age forms and profiles. Burlington, VT: ASEBA.

Antshel, K. M., & Remer, R. (2003). Social skills training in children with attention deficit hyperactivity disorder: a randomized-controlled clinical trial. Journal of Clinical Child and Adolescent Psychology, 32, 153–165. doi:10.1207/15374420360533149.CrossRefPubMed

Asher, S. R., Parker, J. G., & Walker, D. L. (1998). Distinguishing friendship from acceptance: Implications for intervention and assessment. The company they keep: Friendship in childhood and adolescence (pp. 366–405). New York, NY: Cambridge University Press.

Association, A. P. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). In Diagnostic and statistical manual of mental disorders 4th edition TR. Arlington, VA: American Psychiatric Publishing.CrossRef

August, G. J., Realmuto, G. M., MacDonald, A. W., Nugent, S. M., & Crosby, R. (1996). Prevalence of ADHD and comorbid disorders among elementary school children screened for disruptive behavior. Journal of Abnormal Child Psychology, 24, 571–595. doi:10.1007/BF01670101.CrossRefPubMed

Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65–94. doi:10.1037/0033-2909.121.1.65.CrossRefPubMed

Barkley, R. A. (2006). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (vol. 628, ). New York: Guilford Press.

Barkley, R. A., Murphy, K. R., & Fischer, M. (2008). ADHD in adults: What the science says. ADHD in adults: What the science says. New York, NY: Guilford Press.

Biederman, J., Monuteaux, M. C., Doyle, A. E., Seidman, L. J., Wilens, T. E., Ferrero, F., et al. (2004). Impact of executive function deficits and attention-deficit/hyperactivity disorder (ADHD) on academic outcomes in children. Journal of Consulting and Clinical Psychology, 72, 757–766. doi:10.1037/0022-006X.72.5.757.CrossRefPubMed

Blachman, D. R., & Hinshaw, S. P. (2002). Patterns of friendship among girls with and without attention-deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 30, 625–640. doi:10.1023/A:1020815814973.CrossRefPubMed

Bunford, N., Brandt, N. E., Golden, C., Dykstra, J. B., Suhr, J. A., & Owens, J. S. (2015). Attention-deficit/hyperactivity disorder symptoms mediate the association between deficits in executive functioning and social impairment in children. Journal of Abnormal Child Psychology, 43, 133–147. doi:10.1007/s10802-014-9902-9.CrossRefPubMed

Cadesky, E. B., Mota, V. L., & Schachar, R. J. (2000). Beyond words: how do problem children with ADHD and/or conduct problems process nonverbal information about affect? Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1160–1167. doi:10.1097/00004583-200009000-00016.CrossRefPubMed

Corbett, B., & Glidden, H. (2000). Processing affective stimuli in children with attention-deficit hyperactivity disorder. Child Neuropsychology, 6, 144–155. doi:10.1076/chin.6.2.144.7056.CrossRefPubMed

de Boo, G. M., & Prins, P. J. M. (2007). Social incompetence in children with ADHD: possible moderators and mediators in social-skills training. Clinical Psychology Review, 27, 78–97. doi:10.1016/j.cpr.2006.03.006.CrossRefPubMed

Erhardt, D., & Hinshaw, S. P. (1994). Initial sociometric impressions of attention-deficit hyperactivity disorder and comparison boys: predictions from social behaviors and from nonbehavioral variables. Journal of Consulting and Clinical Psychology, 62, 833–842. doi:10.1037/0022-006X.62.4.833.CrossRefPubMed

Frankel, F., & Feinberg, D. (2002). Social problems associated with ADHD vs. ODD in children referred for friendship problems. Child Psychiatry and Human Development, 33, 125–146. doi:10.1023/A:1020730224907.CrossRefPubMed

Frankel, F., Myatt, R., Cantwell, D. P., & Feinberg, D. T. (1997). Parent-assisted transfer of children’s social skills training: effects on children with and without attention-deficit hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1056–1064. doi:10.1097/00004583-199708000-00013.CrossRefPubMed

Greene, R. W., Biederman, J., Faraone, S. V., Sienna, M., & Garcia-Jetton, J. (1997). Adolescent outcome of boys with attention-deficit/hyperactivity disorder and social disability: results from a 4-year longitudinal follow-up study. Journal of Consulting and Clinical Psychology, 65, 758–767. doi:10.1037/0022-006X.65.5.758.CrossRefPubMed

Greene, R. W., Biederman, J., Faraone, S. V., Wilens, T. E., Mick, E., & Blier, H. K. (1999). Further validation of social impairment as a predictor of substance use disorders: findings from a sample of siblings of boys with and without ADHD. Journal of Clinical Child Psychology, 28, 349–354. doi:10.1207/S15374424jccp280307.CrossRefPubMed

Gresham, F. M., MacMillan, D. L., Bocian, K. M., Ward, S. L., & Forness, S. R. (1998). Comorbidity of hyperactivity-impulsivity-inattention and conduct problems: risk factors in social, affective, and academic domains. Journal of Abnormal Child Psychology, 26, 393–406. doi:10.1023/A:1021908024028.CrossRefPubMed

Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable moderation, mediation, and conditional process modeling. White paper. Retrieved from http://www.afhayes.com/public/process2012.pdf

Hayes, A. F., Gentry, W. A., Gilmore, D. C., Shuffler, M. L., Leslie, J. B., Gandz, J., et al. (2009). Beyond baron and kenny: statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420. doi:10.1080/03637750903310360.CrossRef

Hodgens, J. B., Cole, J., & Boldizar, J. (2000). Peer-based differences among boys with ADHD. Journal of Clinical Child Psychology, 29, 443–452. doi:10.1207/S15374424JCCP2903_15.CrossRefPubMed

Hoza, B. (2007). Peer functioning in children with ADHD. Journal of Pediatric Psychology, 32, 655–663. doi:10.1093/jpepsy/jsm024.CrossRefPubMed

Hoza, B., Waschbusch, D. A., Pelham, W. E., Molina, B. S. G., & Milich, R. (2000). Attention-deficit/hyperactivity disordered and control boys' responses to social success and failure. Child Development, 71, 432–446. doi:10.1111/1467-8624.00155.CrossRefPubMed

Hoza, B., Pelham Jr., W. E., Dobbs, J., Owens, J. S., & Pillow, D. R. (2002). Do boys with attention-deficit/hyperactivity disorder have positive illusory self-concepts? Journal of Abnormal Psychology, 111, 268–278. doi:10.1037/0021-843X.111.2.268.CrossRefPubMed

Hoza, B., Gerdes, A. C., Hinshaw, S. P., Arnold, L. E., Pelham Jr., W. E., Molina, B. S. G., et al. (2004). Self-perceptions of competence in children with ADHD and comparison children. Journal of Consulting and Clinical Psychology, 72, 382–391. doi:10.1037/0022-006X.72.3.382.CrossRefPubMed

Hoza, B., Gerdes, A. C., Mrug, S., Hinshaw, S. P., Bukowski, W. M., Gold, J. A., et al. (2005a). Peer-assessed outcomes in the multimodal treatment study of children with attention deficit hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology, 34, 74–86. doi:10.1207/s15374424jccp3401_7.CrossRefPubMed

Hoza, B., Mrug, S., Gerdes, A. C., Hinshaw, S. P., Bukowski, W. M., Gold, J. A., et al. (2005b). What aspects of peer relationships are impaired in children with attention-deficit/hyperactivity disorder? Journal of Consulting and Clinical Psychology, 73, 411. doi:10.1037/0022-006X.73.3.411.CrossRefPubMed

Huang-Pollock, C. L., Mikami, A. Y., Pfiffner, L., & McBurnett, K. (2009). Can executive functions explain the relationship between attention deficit hyperactivity disorder and social adjustment? Journal of Abnormal Child Psychology, 37, 679–691. doi:10.1007/s10802-009-9302-8.CrossRefPubMed

Humphreys, K. L., & Lee, S. S. (2011). Risk taking and sensitivity to punishment in children with ADHD, ODD, ADHD + ODD, and controls. Journal of Psychopathology and Behavioral Assessment, 33, 299–307. doi:10.1007/s10862-011-9237-6.CrossRef

Humphreys, K. L., Aguirre, V. P., & Lee, S. S. (2012). Association of anxiety and ODD/CD in children with and without ADHD. Journal of Clinical Child and Adolescent Psychology, 41, 370–377. doi:10.1080/15374416.2012.656557.CrossRefPubMed

Humphreys, K. L., Katz, S. J., Lee, S. S., Hammen, C., Brennan, P. A., & Najman, J. M. (2013). The association of ADHD and depression: mediation by peer problems and parent–child difficulties in two complementary samples. Journal of Abnormal Psychology, 122, 854–867. doi:10.1037/a0033895.CrossRefPubMedPubMedCentral

Jezior, K. L., McKenzie, M. E., & Lee, S. S. (2015). Narcissism and callous-unemotional traits prospectively predict child conduct problems. Journal of Clinical Child & Adolescent Psychology. Advance Online publication. doi: 10.1080/15374416.2014.982280

Kats-Gold, I., & Priel, B. (2009). Emotion, understanding, and social skills among boys at risk of attention deficit hyperactivity disorder. Psychology in the Schools, 46, 658–678. doi:10.1002/pits.20406.CrossRef

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

Kirsh, S. J., & Mounts, J. R. W. (2007). Violent video game play impacts facial emotion recognition. Aggressive Behavior, 33, 353–358. doi:10.1002/ab.20191.CrossRefPubMed

Kroes, G., Veerman, J. W., & De Bruyn, E. E. J. (2003). Bias in parental reports? Maternal psychopathology and the reporting of problem behavior in clinic-referred children. European Journal of Psychological Assessment, 19, 195–203. doi:10.1027//1015-5759.19.3.195.CrossRef

Lahey, B. B., Applegate, B., Barkley, R. A., Garfinkel, B., McBurnett, K., Kerdyk, L., et al. (1994a). DSM-IV field trials for oppositional defiant disorder and conduct disorder in children and adolescents. The American Journal of Psychiatry, 151, 1163–1171.CrossRefPubMed

Lahey, B. B., Applegate, B., McBurnett, K., Biederman, J., Greenhill, L., Hynd, G. W., et al. (1994b). DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents. American Journal of Psychiatry, 151, 1673–1685.CrossRefPubMed

Lahey, B. B., Pelham, W. E., Loney, J., Kipp, H., Ehrhardt, A., Lee, S. S., et al. (2004). Three-year predictive validity of DSM-IV attention deficit hyperactivity disorder in children diagnosed at 4–6 years of age. The American Journal of Psychiatry, 161, 2014–2020. doi:10.1176/appi.ajp.161.11.2014.CrossRefPubMed

Landau, S., & Milich, R. (1988). Social communication patterns of attention-deficit-disordered boys. Journal of Abnormal Child Psychology, 16, 69–81. doi:10.1007/BF00910501.CrossRefPubMed

Lee, V. K., & Harris, L. T. (2013). How social cognition can inform social decision making. Frontiers in Neuroscience. doi:10.3389/fnins.2013.00259.

Lee, S. S., & Humphreys, K. L. (2014). Interactive association of dopamine receptor (DRD4) genotype and ADHD on alcohol expectancies in children. Experimental and Clinical Psychopharmacology, 22, 100–109. doi:10.1037/a0035338.CrossRefPubMedPubMedCentral

Lee, S. S., Lahey, B. B., Owens, E. B., & Hinshaw, S. P. (2008). Few preschool boys and girls with ADHD are well-adjusted during adolescence. Journal of Abnormal Child Psychology, 36, 373–383. doi:10.1007/s10802-007-9184-6.CrossRefPubMed

Lee, S. S., Falk, A. E., & Aguirre, V. P. (2012). Association of comorbid anxiety with social functioning in school-age children with and without attention-deficit/hyperactivity disorder (ADHD). Psychiatry Research, 197, 90–96. doi:10.1016/j.psychres.2012.01.018.CrossRefPubMed

Li, Y. H., & Tottenham, N. (2013). Exposure to the self-face facilitates identification of dynamic facial expressions: influences on individual differences. Emotion, 13, 196–202. doi:10.1037/a0030755.CrossRefPubMed

MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007). Mediation analysis. Annual Review of Psychology, 58, 593–614. doi:10.1146/annurev.psych.58.110405.085542.CrossRefPubMedPubMedCentral

Maedgen, J. W., & Carlson, C. L. (2000). Social functioning and emotional regulation in the attention deficit hyperactivity disorder subtypes. Journal of Clinical Child Psychology, 29, 30–42. doi:10.1207/S15374424jccp2901_4.CrossRefPubMed

Matthys, W., Cuperus, J. M., & Van Engeland, H. (1999). Deficient social problem-solving in boys with ODD/CD, with ADHD, and with both disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 311–321. doi:10.1097/00004583-199903000-00019.CrossRefPubMed

Mikami, A. Y., & Hinshaw, S. P. (2003). Buffers of peer rejection among girls with and without ADHD: the role of popularity with adults and goal-directed solitary play. Journal of Abnormal Child Psychology, 31, 381–397. doi:10.1023/A:1023839517978.CrossRefPubMed

Mikami, A. Y., Huang-Pollock, C. L., Pfiffner, L. J., McBurnett, K., & Hangai, D. (2007). Social skills differences among attention-deficit/hyperactivity disorder types in a chat room assessment task. Journal of Abnormal Child Psychology, 35, 509–521. doi:10.1007/s10802-007-9108-5.CrossRefPubMed

Mikami, A. Y., Jack, A., & Lerner, M. D. (2009). Attention-deficit/hyperactivity disorder. In J. L. Matson (Ed.), Social behavior and skills in children (pp. 159–185). New York: Springer.

Morrison, R. L., & Bellack, A. S. (1981). The role of social perception in social skill. Behavior Therapy, 12, 69–79.CrossRef

Mrug, S., Hoza, B., Pelham, W. E., Gnagy, E. M., & Greiner, A. R. (2007). Behavior and peer status in children with ADHD: continuity and change. Journal of Attention Disorders, 10, 359–371. doi:10.1177/1087054706288117.CrossRefPubMed

Nakamura, B. J., Ebesutani, C., Bernstein, A., & Chorpita, B. F. (2009). A psychometric analysis of the child behavior checklist DSM-oriented scales. Journal of Psychopathology and Behavioral Assessment, 31, 178–189. doi:10.1007/s10862-008-9119-8.CrossRef

Owens, E. B., Hinshaw, S. P., Lee, S. S., & Lahey, B. B. (2009). Few girls with childhood attention-deficit/hyperactivity disorder show positive adjustment during adolescence. Journal of Clinical Child and Adolescent Psychology, 38, 132–143. doi:10.1080/15374410802575313.CrossRefPubMedPubMedCentral

Pelc, K., Kornreich, C., Foisy, M.-L., & Dan, B. (2006). Recognition of emotional facial expressions in attention-deficit hyperactivity disorder. Pediatric Neurology, 35, 93–97. doi:10.1016/j.pediatrneurol.2006.01.014.CrossRefPubMed

Pelham, W. E., & Bender, M. E. (1982). Peer relationships in hyperactive children: description and treatment. Advances in Learning & Behavioral Disabilities, 1, 365–436.

Polanczyk, G., de Lima, M. S., Horta, B. L., Biederman, J., & Rohde, L. A. (2007). The worldwide prevalence of ADHD: a systematic review and metaregression analysis. The American Journal of Psychiatry, 164, 942–948. doi:10.1176/appi.ajp.164.6.942.CrossRefPubMed

Premack, D., & Woodruff, G. (1978). Does the chimpanzee have a theory of mind? Behavioral and Brain Sciences, 1, 515–526. doi:10.1017/S0140525X00076512.CrossRef

Rapport, L. J., Friedman, S. L., Tzelepis, A., & Van Voorhis, A. (2002). Experienced emotion and affect recognition in adult attention-deficit hyperactivity disorder. Neuropsychology, 16, 102–110. doi:10.1037/0894-4105.16.1.102.CrossRefPubMed

Ronk, M. J., Hund, A. M., & Landau, S. (2011). Assessment of social competence of boys with attention-deficit/hyperactivity disorder: problematic peer entry, host responses, and evaluations. Journal of Abnormal Child Psychology, 39, 829–840. doi:10.1007/s10802-011-9497-3.CrossRefPubMed

Scahill, L., & Schwab-Stone, M. (2000). Epidemiology of ADHD in school-age children. Child and Adolescent Psychiatric Clinics of North America, 9, 541–555.PubMed

Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38. doi:10.1097/00004583-200001000-00014.CrossRefPubMed

Sheridan, S. M., & Dee, C. C. (1996). A multimethod intervention for social skills deficits in children with ADHD and their parents. School Psychology Review, 25, 57.

Singh, S. D., Ellis, C. R., Winton, A. S. W., Singh, N. N., Leung, J. P., & Oswald, D. P. (1998). Recognition of facial expressions of emotion by children with attention-deficit hyperactivity disorder. Behavior Modification, 22, 128–142. doi:10.1177/01454455980222002.CrossRefPubMed

Soliva, J. C., Carmona, S., Fauquet, J., Hoekzema, E., Bulbena, A., Hilferty, J., & Vilarroya, O. (2009). Neurobiological substrates of social cognition impairment in attention-deficit hyperactivity disorder: gathering insights from seven structural and functional magnetic resonance imaging studies. Values, Empathy, and Fairness across Social Barriers, 1167, 212–220. doi:10.1111/j.1749-6632.2009.04604.x.

Tottenham, N., Tanaka, J. W., Leon, A. C., McCarry, T., Nurse, M., Hare, T. A., et al. (2009). The NimStim set of facial expressions: judgments from untrained research participants. Psychiatry Research, 168, 242–249. doi:10.1016/j.psychres.2008.05.006.CrossRefPubMedPubMedCentral

Tseng, W.-L., Kawabata, Y., Gau, S. S.-F., & Crick, N. R. (2014). Symptoms of attention-deficit/hyperactivity disorder and peer functioning: a transactional model of development. Journal of Abnormal Child Psychology, 42, 1353–1365. doi:10.1007/s10802-014-9883-8.CrossRefPubMed

Tung, I., Brammer, W. A., Li, J. J., & Lee, S. S. (2014). Parenting behavior mediates the intergenerational association of parent and child offspring ADHD symptoms. Journal of Clinical Child and Adolescent Psychology. doi:10.1080/15374416.2014.913250.PubMedPubMedCentral

Waschbusch, D. A., Andrade, B. F., & King, S. (2006). Attention-deficit/hyperactivity disorder. In C. A. Essau (Ed.), Child and adolescent psychopathology: Theoretical and clinical implications (pp. 52–77). New York: Routledge.

Wellman, H. M. (1992). The child’s theory of mind. The MIT Press series in learning, development, and conceptual change. Cambridge, MA: The MIT Press.

Whalen, C. K., Henker, B., Collins, B. E., Finck, D., & Dotemoto, S. (1979). A social ecology of hyperactive boys: medication effects in structured classroom environments. Journal of Applied Behavior Analysis, 12, 65–81. doi:10.1901/jaba.1979.12-65.CrossRefPubMedPubMedCentral

Whalen, C. K., Henker, B., & Granger, D. A. (1990). Social judgment processes in hyperactive boys: effects of methylphenidate and comparisons with normal peers. Journal of Abnormal Child Psychology, 18, 297–316. doi:10.1007/BF00916567.CrossRefPubMed

Williams, L. M., Hermens, D. F., Palmer, D., Kohn, M., Clarke, S., Keage, H., et al. (2008). Misinterpreting emotional expressions in attention-deficit/hyperactivity disorder: evidence for a neural marker and stimulant effects. Biological Psychiatry, 63, 917–926. doi:10.1016/j.biopsych.2007.11.022.CrossRefPubMed

Youngstrom, E., Izard, C., & Ackerman, B. (1999). Dysphoria-related bias in maternal ratings of children. Journal of Consulting and Clinical Psychology, 67, 905–916. doi:10.1037/0022-006X.67.6.905.CrossRefPubMed

Zoromski, A. K., Owens, J. S., Evans, S. W., & Brady, C. E. (2015). Identifying ADHD symptoms most associated with impairment in early childhood, middle childhood, and adolescence using teacher report. Journal of Abnormal Child Psychology, 1–13. doi:10.1007/s10802-015-0017-8.

Titel: Impaired Social Decision-Making Mediates the Association Between ADHD and Social Problems
Auteurs: Kathryn L. Humphreys
Chardeé A. Galán
Nim Tottenham
Steve S. Lee
Publicatiedatum: 21-10-2015
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 5/2016
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-015-0095-7

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