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Visual Abstract

Does a Positive Bias Relate to Social Behavior in Children with ADHD?

The Social Risk of Positivity in ADHD

Kate Linnea, Betsy Hoza, Meghan Tomb, and Nina Kaiser
Summarized by:
Charles Li, MD
September 15, 2023
study source
Behav Ther
Dec 2013
🔎
What they studied
Do positively biased self-perceptions impact social behaviors in children with ADHD?
💡
What they found
Children with ADHD and positive illusory bias exhibited less prosocial and effortful behaviors in social interactions.
👩‍⚕️
What this means
This suggests that positively biased self-perceptions may contribute to social challenges in children with ADHD.

Does a Positive Bias Relate to Social Behavior in Children with ADHD?

Objectives

Previous studies have shown that children with ADHD tend to be overly positive when asked about their own skills and attributes. While positivity and self-esteem are good attributes, researchers have found evidence that this specific phenomenon may actually be children with ADHD over-compensating for their perceived shortcomings.

Children and adults have been shown to struggle with their relationships and social lives:

This study aimed to examine whether these overestimates in children with ADHD harm their social lives.

Study Quote
Linnea et al. 2012

This study examines whether positively biased self-perceptions relate to social behaviors in children with attention-deficit/hyperactivity disorder (ADHD) as compared to control children.

Methods

Researchers conducted an observational study comparing 87 children with ADHD to 38 children without ADHD.

They asked children about their self-perceptions and had them interact socially so that researchers could evaluate their social skills.

Study Quote
Linnea et al. 2012

The social behaviors of children with ADHD (n = 87) were examined relative to control children (CTL; n = 38) during a laboratory-based dyadic social interaction task. Children with ADHD were subgrouped into those with a positive illusory bias (PIB) in their self-perceptions (ADHD+PIB) ve...

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Results

The results showed that children with ADHD struggled more in social situations. They were more disruptive than children without ADHD, consistent with previous studies.

Those with ADHD and with a positive bias in their self-opinions showed less pro-social behavior, showing, for example, less empathy and compassion.

They also put less effort in their relationships.

Study Quote
Linnea et al. 2012

Whereas both ADHD groups displayed more disruptive behavior than controls, only the ADHD+PIB group displayed less prosocial behavior and less effortful behavior.

Conclusions

These results highlight some negative effects of children holding overly positive self-opinions. When children with ADHD overcompensate for their perceived shortcomings by expressing overly positive self-opinions, they are less likely to form and maintain healthy peer relationships. They put in less effort and are less likely to display positive social behaviors.

Interestingly, one way to help combat this effect is by providing positive feedback to children with ADHD.

One study found that children who received positive feedback were less likely to overcompensate when asked to provide self-opinions and self-evaluations.

Study Quote
Linnea et al. 2012

This study breaks new ground by examining positively biased self-perceptions as they relate to social behavior in children with ADHD and provides promising new insight into the social problems experienced by these children.