Emotion recognition in children and adolescents with attention-deficit/hyperactivity disorder (ADHD)

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ORIGINAL ARTICLE

Emotion recognition in children and adolescents with attention-deficit/hyperactivity disorder (ADHD) Christina Schwenck • Thekla Schneider • Jutta Schreckenbach Yvonne Zenglein • Angelika Gensthaler • Regina Taurines • Christine M. Freitag • Wolfgang Schneider • Marcel Romanos



Received: 31 January 2013 / Accepted: 23 February 2013 / Published online: 9 March 2013 Ó Springer-Verlag Wien 2013

Abstract Children with attention-deficit/hyperactivity disorder (ADHD) are impaired in social adaptation and display deficits in social competence. Deficient emotion recognition has been discussed to underlie these social problems. However, comorbid conduct problems have not been considered in the majority of studies conducted so far, and the influence of medication on emotion recognition has rarely been studied. Here, emotion recognition performance was assessed in children with ADHD without medication compared with children with ADHD under stimulant medication and a matched control group. In order to rule out confounding by externalizing symptoms, C. Schwenck  Y. Zenglein  A. Gensthaler  C. M. Freitag Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Goethe-University, Frankfurt/M., Germany C. Schwenck  T. Schneider  R. Taurines  M. Romanos Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Wu¨rzburg, Wu¨rzburg, Germany C. Schwenck (&) Klinik fu¨r Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters Johann, Wolfgang Goethe-Universita¨t Frankfurt/M., Deutschordenstraße 50 (Haus 92), 60528 Frankfurt a. M., Germany e-mail: [email protected] T. Schneider Department of Psychology, University of Konstanz, Constance, Germany J. Schreckenbach  W. Schneider Department of Psychology, University of Wu¨rzburg, Wu¨rzburg, Germany J. Schreckenbach Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Rostock, Rostock, Germany

children with comorbid conduct problems were excluded. Video clips with neutral faces developing a basic emotion (happiness, sadness, disgust, fear and anger) were presented in order to assess emotion recognition. Results indicated between-group differences neither concerning the number of correctly identified emotions nor concerning reaction times and their standard deviations. Thus, we suggest that ADHD per se is not associated with deficits in emotion recognition. Keywords ADHD  Emotion recognition  Conduct problems  Stimulant medication  Psychopharmacotherapy

Introduction Attention-deficit/hyperactivity disorder (ADHD) comprises symptom clusters of inattention, hyperactivity and impulsivity. The disorder is rather common in childhood and adolescents and affects about 5–12 percent of this age group (Biederman and Faraone 2005; Schachar and Tannock 1995). Psychopharmacotherapy with stimulant medication such as methylphenidate is highly effective in reducing the core symptoms and is recommended to be applied in severe cases combined with beh