Emotion recognition and theory of mind deficits in children with attention deficit hyperactivity disorder/Dikkat eksikligi ve hiperaktivite bozuklugu olan cocuk ve ergenlerde zihin kurami ve duygu tanima

Objective: Children diagnosed with attention deficit hyperactivity disorder (ADHD) appear to represent insufficient social behavior. Emotion recognition and theory of mind (ToM) abilities are the main domains of social cognition. The purpose of the study was to evaluate the emotion recognition and ToM abilities of children with ADHD. Methods: Sixty-nine patients diagnosed with ADHD and 69 typically developing children participated as the control group in this study. ToM Tasks, Comprehension Test (CT) and Unexpected Outcomes Test (UOT) were applied in both groups. Results: According to the first order ToM Task scores, second order ToM Task scores and total scores of ToM Task, ADHD group have significantly lower scores compared to the controls. In addition, cases in the study group performed poorly on CT and UOT. The findings showed positive correlation between total ToM scores and UOT scores, ToM scores and CT scores, UOT scores and CT scores. Conclusion: Our results clearly revealed that children with ADHD encounter problems with ToM and emotion recognition. Elucidating the deficits in emotion recognition and ToM may contribute to the development of proper interventions in the children with ADHD. (Anatolian Journal of Psychiatry 2017; 18(3):250-256) Keywords: attention deficit hyperactivity disorder, emotion recognition, theory of mind Amac: Dikkat eksikligi ve hiperaktivite bozuklugu (DEHB) olan cocuklar sosyal davranislarda yetersizlik gostermektedir. Zihin kurami ve duygu tanima sosyal bilisin temel ogeleridir. Bu calismanin amaci DEHB'li cocuklarda zihin kurami ve duygu tanima becerilerini incelemektir. Yontem: DEHB'li 69 hasta ile birlikte kontrol grubu olarak 69 saglikli gelisen olgu calismaya alindi. Iki gruba da Zihin Kurami Yonergeleri, Kavrama Testi ve Beklenmedik Sonuclar Testi uygulandi. Bulgular: Birinci sira, ikinci sira ve toplam Zihin Kurami Yonerge puanlari DEHB olan grupta kontrollere gore anlamli derecede dusuk olarak saptandi. Bunun yaninda calisma grubu olgulari Beklenmedik Sonuclar Testi ve Kavrama Testinde daha dusuk basari gosterdi. Zihin Kurami ve Beklenmedik Sonuclar Testi, Zihin Kurami ve Kavrama Testi, Kavrama Testi ve Beklenmedik Sonuclar Testi puanlari arasinda pozitif baginti saptandi. Sonuc: Bulgularimiz DEHB'li cocuklarin zihin kurami ve duygu tanima becerilerinde sorunlar yasadigini gostermektedir. DEHB'li cocuklarda zihin kurami ve duygu tanima sorunlarinin acikliga kavusturulmasi uygun girisim yontemlerinin gelistirilmes