Pragmatic deficits and social impairment in children with ADHD
Autor: | Vivien C. Tartter, Jeffrey M. Halperin, Hilary Gomes, Ekaterina Staikova, Allyssa McCabe |
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Rok vydání: | 2013 |
Předmět: |
Male
Standardized test Comorbidity Social issues behavioral disciplines and activities Article Developmental psychology Social skills Rating scale mental disorders Developmental and Educational Psychology medicine Humans Attention deficit hyperactivity disorder Language Development Disorders Narrative Child Psychiatric Status Rating Scales business.industry Social Behavior Disorders Pragmatics medicine.disease Psychiatry and Mental health Attention Deficit Disorder with Hyperactivity Pediatrics Perinatology and Child Health Female business Psychology |
Zdroj: | Journal of Child Psychology and Psychiatry. 54:1275-1283 |
ISSN: | 0021-9630 |
Popis: | Background: Impaired social functioning has been well documented in individuals with attention-deficit/hyperactivity disorder (ADHD). Existing treatments for ADHD are effective for managing core symptoms, but have limited effectiveness at improving social skills, suggesting that social deficits in ADHD may not be directly related to core symptoms of the disorder. Language problems are also common in ADHD, with accumulating evidence of pragmatic language difficulties. Pragmatic deficits are associated with social impairment in several neurodevelopmental disorders. This study systematically examined pragmatic language functioning in children with ADHD and whether social impairment in ADHD is mediated by pragmatic deficits. Method: Sixty-three children (28 ADHD; 35 typically developing), ages 7–11 years, underwent a comprehensive assessment of pragmatic language, including parent ratings, standardized tests, and a narrative task. Parents also rated children’s social skills on the Social Skills Improvement System. Results: Children with ADHD had poorer pragmatic language skills relative to peers across all measures, even after controlling for general language abilities. Furthermore, pragmatic abilities as measured by parent ratings, mediated the relation between ADHD and social skills. Conclusions: Pragmatic language skills are impaired in many children with ADHD and may partially account for high rates of social impairment. Implications for treatment and possible prevention of social problems in children with ADHD are discussed. Keywords: Attentiondeficit/hyperactivity disorder, ADHD, pragmatic language, social skills. |
Databáze: | OpenAIRE |
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