LVR Clinics Essen, University of Duisburg-Essen, Department of Psychiatry and Psychotherapy, Essen, Germany.
Neurosci Biobehav Rev. 2010 Apr;34(5):734-43. doi: 10.1016/j.neubiorev.2009.10.009. Epub 2009 Oct 24.
Attention-deficit hyperactivity disorder (ADHD) is associated with a range of cognitive deficits and social cognition impairments, which might be interpreted in the context of fronto-striatal dysfunction. So far only few studies have addressed the issue of social cognition deficits in ADHD.
Medline and Psyclit searches were performed for a 30-year period (1979-2009) using the words 'ADHD' and 'social cognition', 'theory of mind', 'prosody', 'face perception', 'humour' or 'social information processing'. Inclusion criteria consisted of a diagnosis according to DSM as well as the inclusion of a control group or a follow-up assessment following the treatment with methylphenidate.
ADHD is clearly associated with social cognition impairments involving emotional face and prosody perception. Although the database is sparse so far, there is some evidence for theory of mind deficits and reduced empathy in ADHD.
In summary, the social cognition impairments are consistent with fronto-striatal dysfunction in ADHD, but other functional networks of brain areas also appear to be implicated.
注意力缺陷多动障碍(ADHD)与一系列认知缺陷和社会认知障碍有关,这些缺陷可能与额纹体功能障碍有关。到目前为止,只有少数研究探讨了 ADHD 患者的社会认知障碍问题。
使用“ADHD”和“社会认知”、“心理理论”、“韵律”、“面孔感知”、“幽默”或“社会信息处理”等词,在 30 年期间(1979-2009 年)进行了 Medline 和 Psyclit 搜索。纳入标准包括根据 DSM 进行的诊断,以及纳入对照组或在使用哌醋甲酯治疗后进行随访评估。
ADHD 明显与涉及情绪面孔和韵律感知的社会认知障碍有关。尽管到目前为止数据库还很稀疏,但有一些证据表明 ADHD 患者存在心理理论缺陷和同理心降低。
总之,ADHD 的社会认知障碍与额纹体功能障碍一致,但其他大脑功能网络似乎也受到影响。