Tehrani-Doost Mehdi, Noorazar Gholamreza, Shahrivar Zahra, Banaraki Anahita Khorrami, Beigi Parvane Farhad, Noorian Nahid
Department of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran; Research Center of Cognitive and Behavioral Sciences, Tehran University of Medical Sciences, Tehran, Iran; Institute for Cognitive Science Studies, Tehran, Iran.
Clinical Psychiatry Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
J Can Acad Child Adolesc Psychiatry. 2017 Winter;26(1):31-38. Epub 2017 Mar 1.
Children with attention deficit/hyperactivity disorder (ADHD) have some problems in social relationships which may be related to their deficit in recognizing emotional expressions. It is not clear if the deficit in emotion recognition is secondary to core symptoms of ADHD or can be considered as an independent symptom. This study aimed to evaluate the ability of detecting emotional faces and its relation to inattention and hyperactivity-impulsivity in children with ADHD compared to a typically developing (TD) group.
Twenty-eight boys diagnosed as having ADHD, aged from seven to 12 years old were compared to 27 TD boys using a computerized Facial Emotion Recognition Task (FERT). Conners' Parent Rating Scale (CPRS) and Continuous Performance Test II (CPT II) were also administered to assess the severity of inattention and impulsivity.
The percentages of angry, happy and sad faces detected by children with ADHD were significantly lower (p<0.05) compared to the control group. The time spent in recognizing happy faces was higher in the ADHD group (p=0.04). The sequential regression analyses showed a significant association between angry and sad targets recognition and inattention (P<0.05), as well as between oppositionality and angry faces detection (P<0.05) when hyperactivity-impulsivity was added to the model.
It can be concluded that children with ADHD suffer from some impairments in recognizing angry, happy and sad faces. This deficit may be related to inattention and hyperactivity-impulsivity.
注意缺陷多动障碍（ADHD）儿童在社会关系方面存在一些问题，这可能与他们识别情绪表达的缺陷有关。目前尚不清楚情绪识别缺陷是ADHD核心症状的继发表现还是可被视为一种独立症状。本研究旨在评估ADHD儿童与正常发育（TD）儿童相比检测情绪面孔的能力及其与注意力不集中和多动冲动的关系。
使用计算机化面部情绪识别任务（FERT），将28名年龄在7至12岁之间被诊断为患有ADHD的男孩与27名TD男孩进行比较。还使用了康纳斯父母评定量表（CPRS）和连续性能测试II（CPT II）来评估注意力不集中和冲动的严重程度。
与对照组相比，ADHD儿童检测到的愤怒、快乐和悲伤面孔的百分比显著更低（p<0.05）。ADHD组识别快乐面孔所花费的时间更长（p=0.04）。顺序回归分析显示，当将多动冲动纳入模型时，愤怒和悲伤目标识别与注意力不集中之间存在显著关联（P<0.05），以及对立违抗与愤怒面孔检测之间存在显著关联（P<0.05）。
可以得出结论，ADHD儿童在识别愤怒、快乐和悲伤面孔方面存在一些障碍。这种缺陷可能与注意力不集中和多动冲动有关。
