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European Child & Adolescent Psychiatry
Published in: European Child & Adolescent Psychiatry 3/2017

Open Access 01-03-2017 | Original Contribution

Decision-making in social contexts in youth with ADHD

Authors: Ili Ma, Nanda N. J. Lambregts-Rommelse, Jan K. Buitelaar, Antonius H. N. Cillessen, Anouk P. J. Scheres

Published in: European Child & Adolescent Psychiatry | Issue 3/2017

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Abstract

This study examined reward-related decision-making in children and adolescents with ADHD in a social context, using economic games. We furthermore examined the role of individual differences in reward-related decision-making, specifically, the roles of reward sensitivity and prosocial skills. Children and adolescents (9–17 years) with ADHD-combined subtype (n = 29; 20 boys) and healthy controls (n = 38; 20 boys) completed the ultimatum game and dictator game as measures of reward-related decision-making in social contexts. Prosocial skills were measured with the Interpersonal Reactivity Index. The ADHD group had a larger discrepancy between ultimatum game and dictator game offers than controls, indicating strategic rather than fairness driven decisions. This finding was supported by self-reports showing fewer individuals with ADHD than controls who considered fairness as motive for the decisions. Perspective taking or empathic concern did not differ between groups and was not significantly associated with offers. In conclusion, the results suggest that rather than a failure to understand the perspective of others, children and adolescents with ADHD were less motivated by fairness than controls in simple social situations. Results encourage the use of economic games in ADHD research.
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Metadata
Title
Decision-making in social contexts in youth with ADHD
Authors
Ili Ma
Nanda N. J. Lambregts-Rommelse
Jan K. Buitelaar
Antonius H. N. Cillessen
Anouk P. J. Scheres
Publication date
01-03-2017
Publisher
Springer Berlin Heidelberg
Published in
European Child & Adolescent Psychiatry / Issue 3/2017
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-016-0895-5

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