Research Article
BibTex RIS Cite

Comparison of theory of mind abilities in adolescents with attention deficit-hyperactivity disorders and obsessive compulsive disorder

Year 2020, Volume: 45 Issue: 4, 1333 - 1339, 27.12.2020
https://doi.org/10.17826/cumj.715592

Abstract

Purpose: The aim of this study is to compare the theory of mind skills among children and adolescents diagnosed with attention deficit-hyperactivity disorder and obsessive compulsive disorder.
Materials and Methods: Two groups of patients aged between 12-16 years who were diagnosed with obsessive compulsive disorder and attention deficit-hyperactivity disorder diagnostic criteria were included in the study. A detailed form was used for evaluating sociodemographic characteristics and the Wechsler Intelligence Scale (WISC-R) for assessing cognitive functions of patients. In order to evaluate psychopathologies, Schedule For Affective Disorders and Schizophrenia For School-Age Children-present and lifetime version was applied. Theory of mind skills were examined with false belief tests, reading the mind in the eyes task and hinting task.
Results: Adolescents with attention deficit-hyperactivity disorder group showed poorer performance than adolescents with obsessive compulsive disorder in the first and second level theory of mind tests adolescents with attention deficit-hyperactivity disorder group had significantly lower scores of reading the mind in the eyes task than adolescents with obsessive compulsive disorder.
Conlusion: Attention deficit-hyperactivity disorder and obsessive compulsive disorder had differences in theory of mind skills and that theory of mind skills should be reviewed with new methods in addition to the existing methods for diagnosis and treatment.

References

  • 1. Baron-Cohen S, Wheelwright S, Hill J, et al. The “Reading the Mind in the Eyes”; test revised version: a study with normal adults, and adults with Asperger syndrome or high-functioning autism. J Child Psychol Psychiatry. 2001;42:241–251. 2. Yıldırım E, Alptekin K. A new featured dimension in schizophrenia: social cognition. Dusunen Adam. J Psychiatr Neurol Sci 2012;25:368-375. 3. Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a “theory of mind”?. Cognition. 1985;21:37–46. 4.Bach LJ, Happe F, Fleminger S, Powell J. Theory of mind: independence of executive function and the role of the frontal cortex in acquired brain injury. Cogn Neuropsychiatry 2000;5:175-192. 5. Baron-Cohen S, Wheelwright S, Spong A, et al. Are intuitive physics and intuitive psychology independent? A test with children with Asperger syndrome. J Dev Learn Disord. 2001;5:47–78. 6. Tager-Flusberg H, Sullivan K. A componential view of theory of mind: evidence from Williams syndrome. Cognition 2000;76:59-90. 7. Nijmeijer JS, Minderaa RB, Buitelaar JK, Mulligan A, Hartman CA, Hoekstra PJ. Attention-deficit/hyperactivity disorder and social dysfunctioning.Clin Psychol Rev 2008;28:692-708. 8. Caillies S, Bertot V, Motte J, et al. Social cognition in ADHD: irony understanding and recursive theory of mind. Res Dev Disabil.2014;35:3191–3198. 9. Percinel I, Ozbaran B, Kose S, et al. Increased deficits in emotion recognition and regulation in children and adolescents with exogenous obesity. World J Biol Psychiatry. 2018;19:112–118. 10. Sayin A, Oral N, Utku C, et al. Theory of mind in obsessive-compulsive disorder: comparison with healthy controls. Eur Psychiatry. 2010;25:116–122. 11. Abu-Akel A. A neurobiological mapping of theory of mind. Brain Res Rev 2003;43:29–40. 12. Henry JD, Philips LH, Crawford JR, Ietswaart M, Summers F. Theory of mind following traumatic brain injury: the role of emotion recognition and executive dysfunction. Neuropsychologia 2006;44:1623–8. 13. Savage CR, Baer L, Keuthen NJ, Brown HD, Rauch SL, Jenike MA. Organizational strategies mediate nonverbal memory impairment in obsessive-compulsive disorder. Biol Psychiatry 1999;45:905–16. 14. Castellanos F. Neuroimaging of attention deficit hyperactivity disorder. Child Adolesc Psychiatric Clin N Am. 1997; 6(2): 383-411 15. Uekermann J., Kraemer M., Abdel‐Hamid M., Schimmelmann BG, Hebebrand J., Daum I., Kis B. Social cognition in attention‐deficit hyperactivity disorder (ADHD). Neuroscience and Biobehavioral Reviews 2010, 34, 734–743. 16. Kaufman J, Birmaher B, et al. Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997; 36(7):980-8. 17. Gökler B, Ünal F, Pehlivantürk B, et al. the Schedule for Affective Disorders and Schizophrenia for School Age Children – Present and Lifetime Version (K-SADS-PL) - Validity and reliability of the Turkish version. Çocuk ve Gençlik Ruh Sağlığı Dergisi 2004; 11(3): 109- 16. 18. Baron-Cohen S, Leslie A, Frith U. Mechanical, behavioural and intentional understanding of Picture stories in autistic children. Br J Dev Psychol 1986;4:113–25. 19. Baron-Cohen S. Theory of mind and autism: a review. Int Rev Ment Retardation 2001;23:169–84. 20. Wolf F, Brüne M, Assion HJ. Theory of mind and neurocognitive functioning in patients with bipolar disorder. Bipolar Disord 2010;12(6):657- 66. 21. Yücelen Erkal G, Arman Rodopman A, Topçuoğlu V, et al. Yale-Brown Obsession-Compulsion Scale for Children Validity and reliability of the Turkish version 2002. Presented as a poster at the 12th National Child and Adolescent Psychiatry Congress. 22. Savaşır I., Şahin N. Wechsler Intelligence Scale for Children-Revised form (WISC-R) (1995). Turkish Psychological Association Publications,Ankara. 23. Bora E. Theory of Mind in Schizophrenia Spectrum Disorders. Turk Psikiyatri Derg 2009;20(3): 269- 81. 24. Wimmer H, Perner J. Beliefs about beliefs: Representation and constraining function of wrong beliefs in young children's understanding of deception. Cognition 1983;13(1): 103- 28. 25. Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a 'theory of mind’? Cognition 1985; 21(1): 37- 46. 26. Hogrefe GJ, Wimmer H, Perner J. Ignorance versus false belief: a developmental lag in attribution of epistemic styles. Child Dev 1986;57(3):567-82. 27. Girli A, Tekin D. Investigating false belief levels of typically developed children and children with autism. Procedia Social and Behavioral Sciences 2010;2(2): 1944- 50. 28. Flobbe L, Verbrugge R. Children’s application of Theory of Mind in reasoning and language. J Log Lang Inf. 2008;17(4): 417- 42 29. Perner J, Wimmer H. 'John thinks that Mary thinks that..,'Attribution of second-order beliefs by 5-10 years old children. J Exp Child Psychol 1985; 39(3): 437-71. 30. Baron-Cohen S, Jolliffe T, Mortimore C, et al advanced test of theory of mind: evidence from very high functioning adults with autism or Asperger Syndrome. J Child Psychol Psychiatry 1997;38(7): 813- 22. 31. Baron-Cohen S, Wheelwrigt S, Spong A, et al. Are intuitive physics and intuitive psychology independent? A test with children with Asperger Syndrome. J Dev Learn Dis 2001; 5:47- 78. 32. The Autism Research Centre, http://www.autismresearchcentre.com/arc tests. 28.10.2012 reached on. 33. Corcoran R, Mercer G. Schizophrenia, symptomatology and social inference: investigating theory of mind in people with schizophrenia. Schizophrenia Res 1995; 17(1):5- 13. 34.Demurie E., deCorel M., and Roeyers H. Empathic accuracy inadolescents with autism spectrum disorders and adolescents withattentiondeficit/ hyperactivity disorder. Res. Autism Spectr. Disord.2011;5:126–134. 35.Demopoulos C., Hopkins J., and Davis A. A comparison ofsocial cognitive profiles in children with autism spectrum disordersand attention-deficit/ hyperactivity disorder: a matter of quantitativebut not qualitative difference? J. Autism Dev. Disord.2013;43:1157–1170. 36.Baribeau DA., Doyle-Thomas KA, Dupuis A., Iaboni A., Crosbie J.,McGinn H., et al. Examining and comparing social perceptionabilities across childhood-onset neurodevelopmental disorders.J. Am.Acad. Child Adolesc. Psychiatry 2015;54:479–486. 37.Buitelaar JK., Van der Wess M., Swaab-Barneveld H., and Van der Gaag RJ. Theory of mind and emotion-recognition in autism spectrumdisordersand in psychiatric control and normal children.Dev. Psychopathol.1999;11:39–58. 38.Sinzig J., Morsch D., & Lehmkuhl G. Do hyperactivity, impulsivity and inattention have an impact on the ability of facial affect recognition in children with autism and ADHD? European Child & Adolescent Psychiatry 2008;17:63-72. 39. Adachi T, Koeda T, Hirabayashi S, Maeoka Y, Shiota M, Wright EC, et al. The metaphor and sarcasm scenario test: A new instrument to help differentiate high functioning pervasive developmental disorder from attention deficit/hyperactivity disorder. Brain Dev 2004;26:301-306. 40. Downs A, Smith T. Emotional understanding, cooperation, and social behavior in high-functioning children with autism. J Autism Dev Dis-ord 2004;34:625-635. 41.Berggren S., Engström AC., and Bölte S. Facial affectrecognition inautism, ADHD and typical development.Cogn. Neuropsychiatry 2016;21:213–227. 42.Vivan AS., Rodrigues L., Wendt G., Bicca MG., Cordioli AV. Quality of life in adolescents with obsessive-compulsive disorder. Rev. Bras. Psiquiatr.2013;35:369-374. 43.Whiteside SP., Abramowitz JS. The expression of anger and its relationship to symptoms and cognitions in obsessive-compulsive disorder. Depress. Anxiety. 2015;21:106-111. 44. Meinzer MC, Pettit JR, Waxmonsky JG, Gnagy E, Molina BSG, Pelham WE. Does childhood attention-deficit/hyperactivity disorder (ADHD) predict levels of depressive symptoms during emerging adulthood? J Abnorm Child Psychol 2016;44(4):787–797

Dikkat eksikliği-hiperaktivite bozukluğu ve obsesif kompulsif bozukluğu olan ergenlerde zihin kuramı yeteneklerinin karşılaştırılması

Year 2020, Volume: 45 Issue: 4, 1333 - 1339, 27.12.2020
https://doi.org/10.17826/cumj.715592

Abstract

Amaç: Çalışmanın amacı dikkat eksikliği-hiperaktivite bozukluğu ve obsesif kompulsif bozukluğu tanısı olan çocuk ve ergenlerde zihin kuramı yeteneklerini karşılaştırmaktır.
Gereç ve Yöntem: Dikkat eksikliği-hiperaktivite bozukluğu ve obsesif kompulsif bozukluk tanısı alan 12-16 yaş arası iki hasta grubu çalışmaya dahil edildi. Sosyodemografik özellikleri değerlendirmek için ayrıntılı bir form ve hastaların zeka seviyelerini değerlendirmek için Wechsler Zeka Ölçeği (WISC-R) kullanılmıştır. Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli-DSM-5 psikopatolojileri değerlendirmek için kullanılmıştır. Zihin kuramı yetenekleri yanlış inanç testleri, Gözlerden zihin okuma testi ve İma testi ile değerlendirildi.
Bulgular: Dikkat eksikliği-hiperaktivite bozukluğu olan ergenler, birinci ve ikinci seviye zihin kuramı testlerinde obsesif kompulsif bozukluğu olan ergenlere göre daha düşük performans göstermiştir. Dikkat eksikliği-hiperaktivite bozukluğu olan ergenler gözlerden zihin okuma testlerinde obsesif kompulsif bozukluğu olan ergenlere göre anlamlı olarak daha düşük skorlar elde etmiştir.
Sonuç: Dikkat eksikliği-hiperaktivite bozukluğu ve obsesif kompulsif bozukluğunun zihin kuramı becerileri üzerinde farklılıklara neden olduğu sonucuna varılmıştır ve zihin kuramı yeteneklerinin mevcut teşhis ve tedavi yöntemlerine ek olarak yeni yöntemlerle gözden geçirilmesi gerekmektedir.

References

  • 1. Baron-Cohen S, Wheelwright S, Hill J, et al. The “Reading the Mind in the Eyes”; test revised version: a study with normal adults, and adults with Asperger syndrome or high-functioning autism. J Child Psychol Psychiatry. 2001;42:241–251. 2. Yıldırım E, Alptekin K. A new featured dimension in schizophrenia: social cognition. Dusunen Adam. J Psychiatr Neurol Sci 2012;25:368-375. 3. Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a “theory of mind”?. Cognition. 1985;21:37–46. 4.Bach LJ, Happe F, Fleminger S, Powell J. Theory of mind: independence of executive function and the role of the frontal cortex in acquired brain injury. Cogn Neuropsychiatry 2000;5:175-192. 5. Baron-Cohen S, Wheelwright S, Spong A, et al. Are intuitive physics and intuitive psychology independent? A test with children with Asperger syndrome. J Dev Learn Disord. 2001;5:47–78. 6. Tager-Flusberg H, Sullivan K. A componential view of theory of mind: evidence from Williams syndrome. Cognition 2000;76:59-90. 7. Nijmeijer JS, Minderaa RB, Buitelaar JK, Mulligan A, Hartman CA, Hoekstra PJ. Attention-deficit/hyperactivity disorder and social dysfunctioning.Clin Psychol Rev 2008;28:692-708. 8. Caillies S, Bertot V, Motte J, et al. Social cognition in ADHD: irony understanding and recursive theory of mind. Res Dev Disabil.2014;35:3191–3198. 9. Percinel I, Ozbaran B, Kose S, et al. Increased deficits in emotion recognition and regulation in children and adolescents with exogenous obesity. World J Biol Psychiatry. 2018;19:112–118. 10. Sayin A, Oral N, Utku C, et al. Theory of mind in obsessive-compulsive disorder: comparison with healthy controls. Eur Psychiatry. 2010;25:116–122. 11. Abu-Akel A. A neurobiological mapping of theory of mind. Brain Res Rev 2003;43:29–40. 12. Henry JD, Philips LH, Crawford JR, Ietswaart M, Summers F. Theory of mind following traumatic brain injury: the role of emotion recognition and executive dysfunction. Neuropsychologia 2006;44:1623–8. 13. Savage CR, Baer L, Keuthen NJ, Brown HD, Rauch SL, Jenike MA. Organizational strategies mediate nonverbal memory impairment in obsessive-compulsive disorder. Biol Psychiatry 1999;45:905–16. 14. Castellanos F. Neuroimaging of attention deficit hyperactivity disorder. Child Adolesc Psychiatric Clin N Am. 1997; 6(2): 383-411 15. Uekermann J., Kraemer M., Abdel‐Hamid M., Schimmelmann BG, Hebebrand J., Daum I., Kis B. Social cognition in attention‐deficit hyperactivity disorder (ADHD). Neuroscience and Biobehavioral Reviews 2010, 34, 734–743. 16. Kaufman J, Birmaher B, et al. Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997; 36(7):980-8. 17. Gökler B, Ünal F, Pehlivantürk B, et al. the Schedule for Affective Disorders and Schizophrenia for School Age Children – Present and Lifetime Version (K-SADS-PL) - Validity and reliability of the Turkish version. Çocuk ve Gençlik Ruh Sağlığı Dergisi 2004; 11(3): 109- 16. 18. Baron-Cohen S, Leslie A, Frith U. Mechanical, behavioural and intentional understanding of Picture stories in autistic children. Br J Dev Psychol 1986;4:113–25. 19. Baron-Cohen S. Theory of mind and autism: a review. Int Rev Ment Retardation 2001;23:169–84. 20. Wolf F, Brüne M, Assion HJ. Theory of mind and neurocognitive functioning in patients with bipolar disorder. Bipolar Disord 2010;12(6):657- 66. 21. Yücelen Erkal G, Arman Rodopman A, Topçuoğlu V, et al. Yale-Brown Obsession-Compulsion Scale for Children Validity and reliability of the Turkish version 2002. Presented as a poster at the 12th National Child and Adolescent Psychiatry Congress. 22. Savaşır I., Şahin N. Wechsler Intelligence Scale for Children-Revised form (WISC-R) (1995). Turkish Psychological Association Publications,Ankara. 23. Bora E. Theory of Mind in Schizophrenia Spectrum Disorders. Turk Psikiyatri Derg 2009;20(3): 269- 81. 24. Wimmer H, Perner J. Beliefs about beliefs: Representation and constraining function of wrong beliefs in young children's understanding of deception. Cognition 1983;13(1): 103- 28. 25. Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a 'theory of mind’? Cognition 1985; 21(1): 37- 46. 26. Hogrefe GJ, Wimmer H, Perner J. Ignorance versus false belief: a developmental lag in attribution of epistemic styles. Child Dev 1986;57(3):567-82. 27. Girli A, Tekin D. Investigating false belief levels of typically developed children and children with autism. Procedia Social and Behavioral Sciences 2010;2(2): 1944- 50. 28. Flobbe L, Verbrugge R. Children’s application of Theory of Mind in reasoning and language. J Log Lang Inf. 2008;17(4): 417- 42 29. Perner J, Wimmer H. 'John thinks that Mary thinks that..,'Attribution of second-order beliefs by 5-10 years old children. J Exp Child Psychol 1985; 39(3): 437-71. 30. Baron-Cohen S, Jolliffe T, Mortimore C, et al advanced test of theory of mind: evidence from very high functioning adults with autism or Asperger Syndrome. J Child Psychol Psychiatry 1997;38(7): 813- 22. 31. Baron-Cohen S, Wheelwrigt S, Spong A, et al. Are intuitive physics and intuitive psychology independent? A test with children with Asperger Syndrome. J Dev Learn Dis 2001; 5:47- 78. 32. The Autism Research Centre, http://www.autismresearchcentre.com/arc tests. 28.10.2012 reached on. 33. Corcoran R, Mercer G. Schizophrenia, symptomatology and social inference: investigating theory of mind in people with schizophrenia. Schizophrenia Res 1995; 17(1):5- 13. 34.Demurie E., deCorel M., and Roeyers H. Empathic accuracy inadolescents with autism spectrum disorders and adolescents withattentiondeficit/ hyperactivity disorder. Res. Autism Spectr. Disord.2011;5:126–134. 35.Demopoulos C., Hopkins J., and Davis A. A comparison ofsocial cognitive profiles in children with autism spectrum disordersand attention-deficit/ hyperactivity disorder: a matter of quantitativebut not qualitative difference? J. Autism Dev. Disord.2013;43:1157–1170. 36.Baribeau DA., Doyle-Thomas KA, Dupuis A., Iaboni A., Crosbie J.,McGinn H., et al. Examining and comparing social perceptionabilities across childhood-onset neurodevelopmental disorders.J. Am.Acad. Child Adolesc. Psychiatry 2015;54:479–486. 37.Buitelaar JK., Van der Wess M., Swaab-Barneveld H., and Van der Gaag RJ. Theory of mind and emotion-recognition in autism spectrumdisordersand in psychiatric control and normal children.Dev. Psychopathol.1999;11:39–58. 38.Sinzig J., Morsch D., & Lehmkuhl G. Do hyperactivity, impulsivity and inattention have an impact on the ability of facial affect recognition in children with autism and ADHD? European Child & Adolescent Psychiatry 2008;17:63-72. 39. Adachi T, Koeda T, Hirabayashi S, Maeoka Y, Shiota M, Wright EC, et al. The metaphor and sarcasm scenario test: A new instrument to help differentiate high functioning pervasive developmental disorder from attention deficit/hyperactivity disorder. Brain Dev 2004;26:301-306. 40. Downs A, Smith T. Emotional understanding, cooperation, and social behavior in high-functioning children with autism. J Autism Dev Dis-ord 2004;34:625-635. 41.Berggren S., Engström AC., and Bölte S. Facial affectrecognition inautism, ADHD and typical development.Cogn. Neuropsychiatry 2016;21:213–227. 42.Vivan AS., Rodrigues L., Wendt G., Bicca MG., Cordioli AV. Quality of life in adolescents with obsessive-compulsive disorder. Rev. Bras. Psiquiatr.2013;35:369-374. 43.Whiteside SP., Abramowitz JS. The expression of anger and its relationship to symptoms and cognitions in obsessive-compulsive disorder. Depress. Anxiety. 2015;21:106-111. 44. Meinzer MC, Pettit JR, Waxmonsky JG, Gnagy E, Molina BSG, Pelham WE. Does childhood attention-deficit/hyperactivity disorder (ADHD) predict levels of depressive symptoms during emerging adulthood? J Abnorm Child Psychol 2016;44(4):787–797
There are 1 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research
Authors

Fatih Dağdelen 0000-0002-0663-7497

Publication Date December 27, 2020
Acceptance Date July 26, 2020
Published in Issue Year 2020 Volume: 45 Issue: 4

Cite

MLA Dağdelen, Fatih. “Comparison of Theory of Mind Abilities in Adolescents With Attention Deficit-Hyperactivity Disorders and Obsessive Compulsive Disorder”. Cukurova Medical Journal, vol. 45, no. 4, 2020, pp. 1333-9, doi:10.17826/cumj.715592.