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Visual Abstract

Effects of positive feedback on the social interactions of boys with attention deficit hyperactivity disorder: A test of the self-protective hypothesis

Effects of Positive Feedback in Boys with ADHD

M B Diener , R Milich
Summarized by:
Charles Li, MD
August 27, 2023
study source
J Clin Child Psychol
Sep 1997
🔎
What they studied
Do boys with ADHD over-inflate their abilities to compensate for shortcomings and insecurity?
💡
What they found
Boys with ADHD tended to give more accurate self-evaluations after positive feedback.
👩‍⚕️
What this means
Positive feedback can help those with ADHD feel more comfortable, open up, and provide more honest self-evaluations.

Effects of Positive Feedback in Boys with ADHD
Effects of positive feedback on the social interactions of boys with attention deficit hyperactivity disorder: A test of the self-protective hypothesis

Objectives

Children with ADHD have been known to overestimate their abilities when asked. They will often rate themselves as much more capable than they are. Experts believe this may be because they are compensating for their perceived shortcomings.

This study wanted to test this theory in a small trial.

Study Quote
M B Diener, R Milich. 1997

Tested the hypothesis that inflated self-assessments offered by children with attention deficit hyperactivity disorder (ADHD) serve a self-protective function. This was accomplished by examining the effects of positive feedback on self-perceptions and social interactions of boys with ADH...

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Methods

Researchers conducted a small trial on 60 boys with ADHD and 60 boys without ADHD.

They paired the boys up and asked them to cooperate on tasks. They then surveyed them on how much they thought their partner liked them and their performance.

Study Quote
M B Diener, R Milich. 1997

Boys with ADHD and comparison boys, 8 to 11 years old, were paired in 60 dyads and interacted in two unstructured cooperative tasks. Following the first interaction, 1 boy in half of the dyads received positive feedback, supposedly from his partner, concerning his performance.

Results

As expected, boys with ADHD generally overestimated how much others liked them:

After receiving positive feedback, boys without ADHD were likelier to feel well-liked, as expected.

Boys with ADHD, however, were less likely to report feeling that their partner liked them when asked.

Study Quote
M B Diener, R Milich. 1997

Results indicated that following the first interaction, but prior to feedback, boys with ADHD had an overly positive view of how much their partner liked them. However, following the second interaction, boys with ADHD who received positive feedback actually showed a significant decrease ...

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Conclusions

These results provide evidence that boys with ADHD may over-inflate themselves on self-evaluations because they are compensating for feeling inadequate.

When boys with ADHD were offered positive feedback, they felt more secure in themselves and were more able to provide genuine self-evaluations.

These results are consistent with subsequent studies that have found the importance of positive feedback in helping boys with ADHD feel more comfortable with their performance and perform better on tests.

Study Quote
M B Diener, R Milich. 1997

These results are seen as supportive of the self-protective hypothesis that children with ADHD offer inflated self-perceptions to counter feelings of inadequacy. When presented with positive feedback, they are able to relax this defensive posture and offer more realistic self-assessments.