Maire J, Galera C, Roux S, Bioulac S, Bouvard M, Michel G
Department "Health and achievement in the young", Center for Research "Bordeaux Population Health", Inserm U1219, 33076 Bordeaux cedex, France.
Department "Health and achievement in the young", Center for Research "Bordeaux Population Health", Inserm U1219, 33076 Bordeaux cedex, France; Child and Adolescent Psychiatry Department, Charles-Perrens Hospital, 121, rue de la Bechade, 33076 Bordeaux cedex, France.
Encephale. 2019 Apr;45(2):114-120. doi: 10.1016/j.encep.2018.01.006. Epub 2018 Mar 24.
This study sought to assess facial emotion recognition deficit in children with Attention Deficit/Hyperactivity Disorder (ADHD) and to test the hypothesis that it is increased by comorbid features.
Forty children diagnosed with ADHD were compared with 40 typically developing children, all aged from 7 to 11years old, on a computerized facial emotion recognition task (based on the Pictures of Facial Affect). Data from parents' ratings of ADHD and comorbid symptoms (on the Conners' Revised Parent Rating Scale) were also collected.
Children with ADHD had significantly fewer correct answer scores than typically developing controls on the emotional task while they performed similarly on the control task. Recognition of sadness was especially impaired in children with ADHD. While ADHD symptoms were slightly related to facial emotion recognition deficit, oppositional symptoms were related to a decrease in the number of correct answers on sadness and surprise recognition.
Facial emotion recognition deficit in children with ADHD might be related to an impaired emotional process during childhood. Moreover, Oppositional Defiant Disorder seems to be a risk factor for difficulties in emotion recognition especially in children with ADHD.
本研究旨在评估注意力缺陷多动障碍（ADHD）儿童的面部情绪识别缺陷，并检验共病特征会加剧该缺陷这一假设。
在一项计算机化面部情绪识别任务（基于面部表情图片）中，将40名被诊断为ADHD的儿童与40名发育正常的儿童（年龄均在7至11岁之间）进行比较。同时收集了父母对ADHD及共病症状的评分数据（使用康纳斯修订版父母评定量表）。
在情绪任务中，ADHD儿童的正确答案得分显著低于发育正常的对照组儿童，而在控制任务中的表现相似。ADHD儿童对悲伤情绪的识别尤其受损。虽然ADHD症状与面部情绪识别缺陷略有相关，但对立症状与悲伤和惊讶情绪识别中正确答案数量的减少有关。
ADHD儿童的面部情绪识别缺陷可能与儿童期情绪处理受损有关。此外，对立违抗障碍似乎是情绪识别困难的一个风险因素，尤其是在ADHD儿童中。
