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ADHD and Social Life
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Friendship Changes in Kids with ADHD Over Six Months
Impact of Emotional Difficulties on School and Healthcare in ADHD Kids
Understanding Emotion and Thought in ADHD Versus Autism and Normal Health
Studying ADHD's Impact on Kids' School Life and Friendships
How ADHD Affects Kids' Social Lives Through Impairing Their Decision Making
ADHD's Impact on Social Life in Older Adults
How Feeling Accepted Helps Teens with ADHD in School
Understanding Social Challenges in Kids with ADHD
ADHD's Social Effects in Girls
Exploring Social Challenges in ADHD and Autism Link
Language and Social Challenges in ADHD Kids
Effect of Social Skills Training on ADHD in Youth
Social Skills Training For ADHD
Effects of Social Skills Training and Medication for ADHD
Social Skills in Kids with Different ADHD Types
Empathy and Social Skills in ADHD
ADHD's Long-Term Impact on Self-Esteem and Social Life
Quantifying Social Challenges in Girls with ADHD
How does ADHD impact emotional intelligence?
How empathy affects social skills in ADHD
How does your ADHD type affect your social skills?
Does Social Skills Training Work for ADHD?
Can ADHD affect the social lives of adults with ADHD?
How do ADHD subtypes differ in their impact on social skills and peer interactions?
Social skills in ADHD: Boys vs. Girls
Does ADHD treatment improve social functioning in children?
How does ADHD affect social skills in children?
Visual Abstract

Impaired Social Decision-Making Mediates the Association Between ADHD and Social Problems

How ADHD Affects Kids' Social Lives Through Impairing Their Decision Making

Humphreys KL, Galán CA, Tottenham N, Lee SS
Summarized by:
Charles Li, MD
February 27, 2024
study source
J Abnorm Child Psychol
2016 Jul
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What they studied
They looked into how ADHD affects kids' ability to make friends and interact socially.
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What they found
Kids with ADHD struggled more with social interactions due to poor decision-making based on others' feelings.
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Why it matters
This suggests helping kids with ADHD understand others' feelings better might improve their social skills.

Objectives

Attention-deficit/hyperactivity disorder, or ADHD for short, is a condition that can make it hard for kids to get along with others. They might struggle to make friends or fit in, and this can be really tough for them. In a recent study, researchers wanted to understand why kids with ADHD often find it hard to connect with their peers. They looked at 186 kids, some with ADHD and some without, to see how they managed socially over two years.

Study Quote
Humphreys et al, 2016

Attention-deficit/hyperactivity disorder (ADHD) reliably predicts social dysfunction, ranging from poor social competence and elevated peer rejection to inadequate social skills. Yet, the factors mediating predictions of social problems from childhood ADHD are not well understood. In the...

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Methods

The study took a close look at these kids by using a special test to see how they handle social situations. They wanted to see if the way these kids act in social settings can tell us why they might have trouble getting along with others. Parents and teachers also shared their observations about each child's behavior. The researchers were especially interested in seeing how the kids' ADHD symptoms might be linked to any social challenges they face.

Study Quote
Humphreys et al, 2016

We implemented a well-validated measure of social problems as well as a novel social decision-making task assessing dynamic response to changing affective cues at the two-year follow-up. According to separate parent and teacher report, baseline ADHD symptoms positively predicted social p...

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Results

The kids' behavior in social situations did seem to play a role in the social challenges they faced. This was true for all the kids with ADHD, no matter what kind of ADHD symptoms they had. The study didn't give specific numbers, but it was clear that there's a connection between ADHD and having a hard time socially.

Study Quote
Humphreys et al, 2016

The study did not explicitly provide numerical results such as ORRs and IRRs in the abstract but highlighted that the individual differences in a social decision-making task mediated the association between baseline ADHD symptoms and social problems at the two-year follow-up. It also men...

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Conclusions

This study suggests that kids with ADHD might not be picking up on social cues, like facial expressions or tone of voice, in the same way other kids do. And this could be why they find social situations more challenging. The researchers think that if we can help these kids get better at understanding these cues, it might make it easier for them to make friends and get along with others. This is just a starting point, though, and more research is needed to be sure.

Study Quote
Humphreys et al, 2016

These findings suggest that the deficient use of affective cues to effectively guide behavior may partially underlie poor social functioning among children with ADHD. If replicated, these preliminary findings suggest that social skills interventions that target interpretation of affectiv...

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Key Takeaways

Social Skills and ADHD
Kids with ADHD might have a harder time in social situations because they struggle to understand and react to others' emotions.
Importance of Social Decision-Making
The ability to make good decisions in social settings, influenced by understanding others' feelings, is especially challenging for kids with ADHD.
Potential for Intervention
Training that focuses on interpreting emotional cues could potentially improve social interactions for kids with ADHD.

Context

While this study offers new insights, it's important to remember that not all research agrees on the best way to help kids with ADHD improve their social skills. For example, a study from 2019 found that teaching social skills to kids with ADHD didn't really help them act differently in social situations.

Another study in 2018 suggested that kids with ADHD know what to do socially but struggle actually to do it because of their ADHD symptoms. These findings highlight the complexity of ADHD and the need for tailored approaches to help these kids navigate social challenges: