Suboptimal decision making and interpersonal problems in ADHD: longitudinal evidence from a laboratory task

Abstract Over half of children with Attention-Deficit/Hyperactivity Disorder (ADHD) display interpersonal and social problems. Several lines of research suggest that suboptimal decision making, the ability to adjust choices to different risk-varying options, influences poorer choices made in social...

Descrizione completa

Dettagli Bibliografici
Autori principali: L. Sørensen, S. Adolfsdottir, E. Kvadsheim, H. Eichele, K. J. Plessen, E. Sonuga-Barke
Natura: Articolo
Lingua:English
Pubblicazione: Nature Portfolio 2024-03-01
Serie:Scientific Reports
Accesso online:https://doi.org/10.1038/s41598-024-57041-x
_version_ 1827310367717457920
author L. Sørensen
S. Adolfsdottir
E. Kvadsheim
H. Eichele
K. J. Plessen
E. Sonuga-Barke
author_facet L. Sørensen
S. Adolfsdottir
E. Kvadsheim
H. Eichele
K. J. Plessen
E. Sonuga-Barke
author_sort L. Sørensen
collection DOAJ
description Abstract Over half of children with Attention-Deficit/Hyperactivity Disorder (ADHD) display interpersonal and social problems. Several lines of research suggest that suboptimal decision making, the ability to adjust choices to different risk-varying options, influences poorer choices made in social interactions. We thus measured decision making and its prediction of social problems longitudinally with the Cambridge Gambling Task in children with ADHD over four years. Children with ADHD had shown suboptimal decision making driven mainly by delay aversion at baseline and we expected this to be a stabile trait which would predict greater parent-reported social problems. From the baseline assessment (n = 70), 67% participated at the follow-up assessment, 21 from the ADHD group and 26 from the typically developing group. The mean age at the follow-up was 14.5 years old. The results confirmed our expectations that suboptimal decision making was a stabile trait in children and adolescents with ADHD. Although delay aversion did not differ from controls at follow-up it still proved to be the main longitudinal predictor for greater social problems. Our findings indicate that impulsivity in social interactions may be due to a motivational deficit in youth with ADHD.
first_indexed 2024-04-24T19:58:39Z
format Article
id doaj.art-e437fac8dc94421fb4143bb9c7ff0147
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-04-24T19:58:39Z
publishDate 2024-03-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-e437fac8dc94421fb4143bb9c7ff01472024-03-24T12:15:16ZengNature PortfolioScientific Reports2045-23222024-03-0114111110.1038/s41598-024-57041-xSuboptimal decision making and interpersonal problems in ADHD: longitudinal evidence from a laboratory taskL. Sørensen0S. Adolfsdottir1E. Kvadsheim2H. Eichele3K. J. Plessen4E. Sonuga-Barke5Department of Biological and Medical Psychology, University of BergenDepartment of Biological and Medical Psychology, University of BergenDepartment of Clinical Medicine, University of BergenRegional Resource Centre for Autism, ADHD and Tourette Syndrome Western Norway, Division of Psychiatry, Haukeland University HospitalDivision of Child and Adolescent Psychiatry, Department of Psychiatry, Lausanne University Hospital, University of LausanneDepartment of Child and Adolescent Psychiatry, King’s College LondonAbstract Over half of children with Attention-Deficit/Hyperactivity Disorder (ADHD) display interpersonal and social problems. Several lines of research suggest that suboptimal decision making, the ability to adjust choices to different risk-varying options, influences poorer choices made in social interactions. We thus measured decision making and its prediction of social problems longitudinally with the Cambridge Gambling Task in children with ADHD over four years. Children with ADHD had shown suboptimal decision making driven mainly by delay aversion at baseline and we expected this to be a stabile trait which would predict greater parent-reported social problems. From the baseline assessment (n = 70), 67% participated at the follow-up assessment, 21 from the ADHD group and 26 from the typically developing group. The mean age at the follow-up was 14.5 years old. The results confirmed our expectations that suboptimal decision making was a stabile trait in children and adolescents with ADHD. Although delay aversion did not differ from controls at follow-up it still proved to be the main longitudinal predictor for greater social problems. Our findings indicate that impulsivity in social interactions may be due to a motivational deficit in youth with ADHD.https://doi.org/10.1038/s41598-024-57041-x
spellingShingle L. Sørensen
S. Adolfsdottir
E. Kvadsheim
H. Eichele
K. J. Plessen
E. Sonuga-Barke
Suboptimal decision making and interpersonal problems in ADHD: longitudinal evidence from a laboratory task
Scientific Reports
title Suboptimal decision making and interpersonal problems in ADHD: longitudinal evidence from a laboratory task
title_full Suboptimal decision making and interpersonal problems in ADHD: longitudinal evidence from a laboratory task
title_fullStr Suboptimal decision making and interpersonal problems in ADHD: longitudinal evidence from a laboratory task
title_full_unstemmed Suboptimal decision making and interpersonal problems in ADHD: longitudinal evidence from a laboratory task
title_short Suboptimal decision making and interpersonal problems in ADHD: longitudinal evidence from a laboratory task
title_sort suboptimal decision making and interpersonal problems in adhd longitudinal evidence from a laboratory task
url https://doi.org/10.1038/s41598-024-57041-x
work_keys_str_mv AT lsørensen suboptimaldecisionmakingandinterpersonalproblemsinadhdlongitudinalevidencefromalaboratorytask
AT sadolfsdottir suboptimaldecisionmakingandinterpersonalproblemsinadhdlongitudinalevidencefromalaboratorytask
AT ekvadsheim suboptimaldecisionmakingandinterpersonalproblemsinadhdlongitudinalevidencefromalaboratorytask
AT heichele suboptimaldecisionmakingandinterpersonalproblemsinadhdlongitudinalevidencefromalaboratorytask
AT kjplessen suboptimaldecisionmakingandinterpersonalproblemsinadhdlongitudinalevidencefromalaboratorytask
AT esonugabarke suboptimaldecisionmakingandinterpersonalproblemsinadhdlongitudinalevidencefromalaboratorytask