Amaç: Dikkat eksikliği hiperaktivite bozukluğu (DEHB) tanısı konan çocuklara affektif ve bilişsel zihin kuramı becerisini değerlendiren Gaf Tanıma Testi (GTT) uygulanması, tipik gelişim gösteren çocuklarla karşılaştırılması ve psikometrik özelliklerinin incelenmesi amaçlanmaktadır. Yöntem: Araştırmanın örneklemini 9-17 yaşları arasındaki 127 DEHB’li çocuk ve tipik gelişim gösteren 9-17 yaşları arasındaki 97 çocuk oluşturmuştur. DEHB grubundan 49 çocuğa ve kontrol grubundan 83 çocuğa dört hafta sonra test tekrar uygulanmıştır. Tüm olgulara GTT, Gözlerden Zihin Okuma Testi (GZOT) uygulanmıştır. Ölçeğin güvenilirliğini değerlendirmek amacıyla test-tekrar test yöntemi ve Cronbach alfa iç tutarlılık analizi kullanılmıştır. Testin dış geçerliliğini denetlemek amacıyla korelasyon analizi yapıldı. Testin DEHB varlığını belirlemedeki başarısını değerlendirmek amacıyla ROC eğrisinden faydalanıldı. Bulgular: DEHB ve kontrol grubu arasında GTT ve GZOT puanları açısından istatistiksel olarak anlamlı fark saptanmıştır (p
Objective: This study aims to investigate the adaptation of Turkish version of Faux Pas Recognition Test Child Version (FPR) that evaluates affective and cognitive theory of mind skills, and the psychometric properties of the test. Methods: The sample of the study consists of 127 children aged 9-17 with attention deficit hyperactivity disorder (ADHD) and 97 children aged 9-17 with typical development. After four weeks, 49 children from the ADHD group and 83 children from the control group were retested. FPR, Reading the Mind in the Eyes Test (RMET) was applied to all participants. Test-retest method and Cronbach’s alpha internal consistency analysis were used to evaluate the reliability of the scale. Correlation analysis was performed to check the external validity of the test. The ROC curve was used to evaluate its success in detecting the presence of ADHD. Results: A statistically significant difference was found between ADHD and control groups in terms of FPR and RMET scores (p
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1. Happé F Frith U. The neuropsychology of autism. Brain 1996; 119:1377-1400.
2. Adolphs R. The social brain: neural basis of social knowledge. Annu Rev Psychol 2009; 60:693-716.
3. Brüne M Brüne-Cohrs U. Theory of mind—evolution, ontogeny, brain mechanisms and psychopathology. Neurosci Biobehav Rev 2006; 30(4):437- 455.
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(3):175-192.
5. Begeer S, Gevers C, Clifford P, Verhoeve M, Kat K, Hoddenbach E, et al. Theory of mind training in children with autism: a randomized controlled trial. J Autism Dev Disord 2011; 41(8):997-1006.
6. Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a 'theory of mind'? Cognition 1985; 21(1):37-46.
7. Bliksted V, Ubukata S Koelkebeck K. Discriminating autism spectrum disorders from schizophrenia by investigation of mental state attribution on an on-line mentalizing task: A review and metaanalysis. Schizophr Res 2016; 171(1-3):16-26.
8. Colle L, Baron-Cohen S Hill J. Do children with autism have a theory of mind? A non-verbal test of autism vs. specific language impairment. J Autism Dev Disord 2007; 37(4):716-723.
9. Şahin B, Karabekiroğlu K, Bozkurt A, Usta MB, Aydın M Çobanoğlu C. The relationship of clinical symptoms with social cognition in children diagnosed with attention deficit hyperactivity disorder, specific learning disorder or autism spectrum disorder. Psychiatry Investig 2018; 15(12):1144.
10. Aspan N, Bozsik C, Gadoros J, Nagy P, InantsyPap J, Vida P, et al. Emotion recognition pattern in adolescent boys with attention-deficit/hyperactivity disorder. B Biomed Res Int 2014; 761340.
11. Ayaz AB, Muhammed A, Yazgan Y. Alterations in social reciprocity in attention-deficit hyperactivity disorder. Turk Psikiyatri Derg 2013; 24(2):101.
12. Boakes J, Chapman E, Houghton S West J. Facial affect interpretation in boys with attention deficit/ hyperactivity disorder. Child Neuropsychol 2007; 14(1):82-96.
13. Nijmeijer JS, Minderaa RB, Buitelaar JK, Mulligan A, Hartman CA, Hoekstra PJ. Attention-deficit/ hyperactivity disorder and social dysfunctioning. Clin Psychol Rev 2008; 28(4):692-708.
14. Bora E, Pantelis C. Meta-analysis of social cognition in attention-deficit/hyperactivity disorder (ADHD): comparison with healthy controls and autistic spectrum disorder. Psychol Med 2016; 46(4):699-716.
15. Stone VE, Baron-Cohen S, Knight RT. Frontal lobe contributions to theory of mind. J Cogn Neurosci 1998; 10(5):640-656.
16. Demirci E Erdoğan A. Is emotion recognition the only problem in ADHD? effects of pharmacotherapy on face and emotion recognition in children with ADHD. Atten Defic Hyperact Disord 2016; 1- 8(4):197-204.
17. Yavuz M, Guliyeva S, Tetik G, Gürbaş C Kadak MT. Ergenlik döneminde somatizasyon belirtileri, gözlerden zihin okuma becerisi ve aleksitimi arasındaki ilişki. Yeni Symp 2018; 56(3):15-19.
18. Yazıcı KU, Yazıcı IP. Decreased theory of mind skills, increased emotion dysregulation and insight levels in adolescents diagnosed with obsessive compulsive disorder. Nord J Psychiatry 2019; 73(7):462-469.
19. Girli A. Psychometric properties of the Turkish child and adult form of 'Reading the Mind in the Eyes Test'. Psychology 2014; 5:1321-1337.
20. Girli A, Tekin D. Investigating false belief levels of typically developed children and children with autism. Procedia Soc Behav Sci 2010; 2(2):1944- 1950.
21. Söderstrand P, Almkvist O. Psychometric data on the Eyes Test, the Faux Pas Test, and the Dewey Social Stories Test in a population-based Swedish adult sample. Nord Psychol 2012; 64(1):30-43.
22. Pineda-Alhucema W, Rubio R, Aristizábal ET, Ossa J. Spanish adaptation of four instruments to asses Theory of Mind in Children and adolescents. Psicogente 2019; 22(42):255-281.
23. Faísca L, Afonseca S, Brüne M, Gonçalves G, Gomes A, Martins AT. Portuguese adaptation of a faux pas test and a theory of mind picture stories task. Psychopathology 2016; 49(3):143-152.
24. Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, 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):980-988.
25. Gökler B, Ünal F, Pehlivantürk B, Kültür EÇ, Akdemir D, Taner Y. Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi Şimdi ve Yaşam Boyu Şekli-Türkçe Uyarlamasının Geçerlik ve Güvenirliği. Çocuk ve Gençlik Ruh Sağliği Dergisi 2004; 11:109-116.
26. Conners CK, Sitarenios G, Parker JD, Epstein JN. The revised Conners' Parent Rating Scale (CPRS-R): factor structure, reliability, and criterion validity. J Abnorm Child Psychol 1998; 26(4):257- 268.
27. Kaner S, Büyüköztürk Ş, İşeri E. Conners ana-baba dereceleme ölçeği-yenilenmiş kısa: Türkiye stardardizasyon çalışması. NöroPsikiyatri Arşivi 2013; 50(2):100-110.
28. Baron-Cohen S, Wheelwright S, Hill J, Raste Y Plumb I. 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(2): 241-251.
29. Baron-Cohen S, O'riordan M, Stone V, Jones R, Plaisted K. Recognition of faux pas by normally developing children and children with Asperger syndrome or high-functioning autism. J Autism Dev Disord 1999; 29(5):407-418.
30. Hintze J. Power analysis and sample size system. Users Guide I. Utah, USA: NCSS Statistical Software, 2011.
31. Begeer S, Howlin P, Hoddenbach E, Clauser C, Lindauer R, Clifford P, et al. Effects and moderators of a short theory of mind intervention for children with autism spectrum disorder: A randomized controlled trial. Autism Res 2015; 8(6):738-748.
32. Holopainen A, de Veld DM, Hoddenbach E, Begeer S. Does theory of mind training enhance empathy in autism? J Autism Dev Disord 2019; 49(10):3965-3972.
33. Şan E, Köse S, Özbaran B, Bildik T, Aydın C. DEHB'li ergenlerde toplumsal biliş ve duygu düzenleme. Anadolu Psikiyatri Derg 2018; 19(1):71-79.
34. Mary A, Slama H, Mousty P, Massat I, Capiau T, Drabs V, et al. Executive and attentional contributions to Theory of Mind deficit in attention deficit/ hyperactivity disorder (ADHD). Child Neuropsychol 2016; 22(3):345-365.
35. Slaughter V, Imuta K, Peterson CC, Henry JD. Meta‐analysis of theory of mind and peer popularity in the preschool and early school years. Child Dev 2015; 86(4):1159-1174.