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Auditory processing disorder vs adhd5/2/2024 ![]() Investigating the role of decision making in social problems in ADHD could lead to a complementary understanding compared to simply focusing on that inattentive, impulsive, and hyperactive people cannot focus, wait, or sit still enough to develop successful interactions. However, the question of whether the social and interpersonal problems of people with ADHD are underpinned by more general deficits in basic decision-making skills has not yet been addressed. In this sense interpersonal problems can be conceptualized, from one perspective, as expressions of suboptimal decision making causing poorer and impulsive choices to be made in social situations 9. For instance, people with ADHD might choose to interject a comment into a conversation that has an inappropriate content, at an inappropriate moment or in an inappropriate way without thinking through the consequences of the actions 7, 8. These interpersonal problems seem to be the result of ill-considered and poorly timed social interventions and responses rather than a lack of knowledge about appropriate social conduct 1, 5, 6. Over half of the individuals with attention-deficit/hyperactivity disorder (ADHD) have difficulties in developing and maintaining social relationships 1, 2, 3, 4. Our findings indicate that impulsivity in social interactions may be due to a motivational deficit in youth 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. The results confirmed our expectations that suboptimal decision making was a stabile trait in children and adolescents with ADHD. ![]() The mean age at the follow-up was 14.5 years old. From the baseline assessment (nā=ā70), 67% participated at the follow-up assessment, 21 from the ADHD group and 26 from the typically developing group. 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. We thus measured decision making and its prediction of social problems longitudinally with the Cambridge Gambling Task in children with ADHD over four years. 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. Over half of children with Attention-Deficit/Hyperactivity Disorder (ADHD) display interpersonal and social problems.
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