Facial emotion recognition in children with attention-deficit/hyperactivity disorder
*Correspondencia: Dr. Esteban Vaucheret Paz. Servicio de Neurología Infantil. Hospital Italiano de Buenos Aires. Juan D. Perón, 4190. C1181ACH. Buenos Aires, Argentina.
E-mail: esteban.vaucheret@hiba.org.ar
Introduction: There are difficulties in relationships that are attributed to a commitment in facial emotions recognition skills in subjects with attention-deficit/hyperactivity disorder (ADHD). The studies carried out did not always take into account the nature of the stimulus selected in pediatrics, which is important because the familiarity in faces, in terms of their physiognomic characteristics, makes it easier the recognition of the expressions.
Aim: To identify the profile of recognition of emotions in pediatric subjects with ADHD, using as a stimulus photos of boys and girls.
Subjects and methods: Analytical cross-sectional study of cases and controls. We analyzed the results obtained from 54 participants between 7 and 13 years divided into two groups: 26 in control group and 28 in ADHD group. They conducted an assessment with the Wechsler Intelligence Scale for Children (WISC-V), Conners' Continuous Performance Test II (CPT-II), and Child Affective Facial Expression set (CAFE).
Results: The ADHD group showed a lower performance in recognition of emotions in general, with greater difficulty in the recognition of anger, surprise and neutral expression in particular. No relationship was found between the recognition of emotions and age, sex, total intelligence quotient or CPT-II care variables.
Conclusions: The subjects with ADHD present deficits in the recognition of emotions, especially in the recognition of anger, surprise and neutral expression, which could explain the difficulties in the interaction and that should be treated within the therapeutic framework.
Objetivo Identificar el perfil de reconocimiento de emociones en sujetos pediátricos con TDAH, utilizando como estímulo fotos de niños y niñas.
Sujetos y métodos Estudio analítico de corte transversal de casos y controles. Se analizaron los resultados obtenidos de 54 participantes de 7-13 años divididos en dos grupos: 26 en el grupo control y 28 en el grupo con TDAH. Realizaron una evaluación con la escala de inteligencia de Wechsler para niños (WISC-V), el Conners Continuous Performance Test II (CPT-II) y el Child Affective Facial Expression set (CAFE).
Resultados El grupo con TDAH mostró un rendimiento menor en el reconocimiento de emociones en general, con mayor dificultad en el reconocimiento de enojo, sorpresa y expresión neutral en particular. No se encontró una relación entre el reconocimiento de emociones y la edad, el sexo, el cociente intelectual total o las variables de atención del CPT-II.
Conclusiones Los sujetos con TDAH presentan déficits en el reconocimiento de emociones, especialmente en el reconocimiento de enojo, sorpresa y expresión neutral, que podrían explicar las dificultades en la interacción y deberían tratarse dentro del marco terapéutico.