Facial Emotion Recognition and Eye Gaze in Attention-Deficit/Hyperactivity Disorder With and Without Comorbid Conduct Disorder.
Facial Emotion Recognition and Eye Gaze in Attention-Deficit/Hyperactivity Disorder With and Without Comorbid Conduct Disorder.
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DOI：
10.1016/j.jaac.2018.04.016
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发表时间：
2018-08
影响因子：
13.3
通讯作者：
van Goozen SHM
中科院分区：
文献类型：
--
作者：
Airdrie JN;Langley K;Thapar A;van Goozen SHM
行为障碍（CD）与面部情绪识别障碍有关。然而，CD通常与注意力缺陷/多动障碍（ADHD）共同发生;因此，尚不清楚这些损伤是由ADHD或其核心特征之一-注意力不集中来解释的。我们探讨了情绪识别障碍是否是ADHD和共病CD患者所特有的，同时也研究了可能解释这种缺陷的机制。共有63名患有ADHD（平均年龄= 14.2岁，年龄范围= 11-18岁）和患有（ADHD+CD）或没有（ADHD）共病CD的男性和女性青少年，以及41名典型发展对照（健康对照[HC];平均年龄= 15.5岁，年龄范围= 11-18岁）进行情绪识别任务，同时进行眼动追踪。患有ADHD+CD的参与者在识别恐惧和中性面孔方面不太准确，并且比单独患有ADHD和HC的参与者更容易将恐惧与愤怒混淆。两个ADHD亚组的眼睛区域固定低于HC。尽管ADHD症状严重程度与眼睛注视持续时间呈负相关，但只有CD严重程度与情绪识别准确性呈负相关。只有患有共病CD的ADHD参与者表现出情绪识别障碍，这表明这些缺陷是有行为问题的个体所特有的。然而，缺乏对面部眼睛区域的注意力似乎是ADHD的一个特征。这些发现表明，ADHD+CD患者的情绪识别障碍与误解有关，而不是注意力不集中，这为干预提供了有趣的机会。
Conduct disorder (CD) is associated with impairments in facial emotion recognition. However, CD commonly co-occurs with attention-deficit/hyperactivity disorder (ADHD); thus, it is unclear whether these impairments are explained by ADHD or by one of its core features—inattention. We explored whether emotion recognition impairments are specific to individuals with ADHD and comorbid CD while also examining the mechanisms that might explain such deficits. A total of 63 male and female adolescents with ADHD (mean age = 14.2 years, age range = 11–18 years) and with (ADHD+CD) or without (ADHD) comorbid CD, and 41 typically developing controls (healthy controls [HC]; mean age = 15.5, age range = 11–18 years) performed an emotion recognition task with concurrent eye-tracking. Participants with ADHD+CD were less accurate at recognizing fear and neutral faces, and more likely to confuse fear with anger than participants with ADHD alone and HC. Both ADHD subgroups fixated the eye region less than HC. Although there was a negative correlation between ADHD symptom severity and eye fixation duration, only CD severity was inversely related to emotion recognition accuracy. Only ADHD participants with comorbid CD showed impairments in emotion recognition, suggesting that these deficits are specific to individuals with conduct problems. However, lack of attention to the eye region of faces appears to be a characteristic of ADHD. These findings suggest that emotion recognition impairments in those with ADHD+CD are related to misinterpretation rather than poor attention, offering interesting opportunities for intervention.
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影响因子：
10.6
作者：
Fairchild, Graeme;Stobbe, Yvette;van Goozen, Stephanie H. M.;Calder, Andrew J.;Goodyer, Ian M.
通讯作者：
Goodyer, Ian M.
影响因子：
8.2
作者：
Aviezer, Hillel;Hassin, Ran R.;Bentin, Shlomo
通讯作者：
Bentin, Shlomo
影响因子：
3.8
作者：
Andershed, Henrik;Hodgins, Sheilagh;Tengstrom, Anders
通讯作者：
Tengstrom, Anders
DOI：
10.1111/j.1469-7610.2008.02020.x
发表时间：
2009-05
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Fairchild G;Van Goozen SH;Calder AJ;Stollery SJ;Goodyer IM
通讯作者：
Goodyer IM
影响因子：
7.6
作者：
Goodman, R;Ford, T;Meltzer, H
通讯作者：
Meltzer, H