Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery, Istanbul, Turkey.
Harran University Faculty of Medicine Department of Psychiatry, Sanliurfa, Turkey.
Appl Neuropsychol Adult. 2022 Mar-Apr;29(2):244-251. doi: 10.1080/23279095.2020.1736074. Epub 2020 Mar 18.
Studies exploring the theory of mind (ToM) in adults with Attention/Deficit Hyperactivity Disorder (ADHD), have tended to result in mixed findings. The contribution of neuropsychologic functions to ToM has not been investigated yet in adults with ADHD. The aim of this study was to investigate ToM abilities and the role of attention and executive functions in ToM of adults with ADHD.
This study was conducted in Bakirkoy Training and Research Hospital. Forty adults with ADHD and 40 healthy controls were administered a sociodemographic data form, and scales. Both groups were also assessed by Reading Mind From the Eyes Test (RMET), Trail Making Test (TMT) Part A-B and Continuous Performance Test (CPT).
ToM was significantly impaired in adults with ADHD relative to controls (23.50 ± 3.44 and 26.25 ± 1.67, t(77) = 4.543, = 0.003). Adults with ADHD performed worse on TMT Part B (76.02 ± 51.47 and 46.39 ± 18.33 seconds, t(78) = -3.429, < 0.001), and CPT than the controls (46.20 ± 8.09 and 52.00 ± 3.56, t(78) = 4.145, < 0.001). A significant regression equation was found: F (1,38) = 6.494, β = -0.382, < 0.05 with an ² of 0.146.
Our findings suggest that adults with ADHD demonstrated social cognition difficulties and executive function deficits contributed to poor ToM abilities in ADHD.
探索注意缺陷多动障碍（ADHD）成人心理理论（ToM）的研究结果往往存在差异。尚未研究 ADHD 成人的神经心理功能对 ToM 的贡献。本研究旨在调查 ADHD 成人的 ToM 能力以及注意力和执行功能在 ToM 中的作用。
本研究在 Bakirkoy 培训和研究医院进行。40 名 ADHD 成人和 40 名健康对照者接受了社会人口统计学数据表格和量表的评估。两组还接受了阅读眼睛测试（RMET）、连线测试（TMT）A 部分和 B 部分以及连续性能测试（CPT）的评估。
与对照组相比，ADHD 成人的 ToM 明显受损（23.50±3.44和 26.25±1.67，t(77)=4.543， =0.003）。ADHD 成人在 TMT 部分 B（76.02±51.47 和 46.39±18.33 秒，t(78)=-3.429， <0.001）和 CPT 上的表现均差于对照组（46.20±8.09 和 52.00±3.56，t(78)=4.145， <0.001）。发现一个显著的回归方程：F(1,38)=6.494，β=-0.382， <0.05，²为 0.146。
我们的研究结果表明，ADHD 成人表现出社会认知困难和执行功能缺陷，这导致了 ADHD 成人的 ToM 能力较差。
