Dikkat eksikliği-hiperaktivite bozukluğu ve obsesif kompulsif bozukluğu olan ergenlerde zihin kuramı yeteneklerinin karşılaştırılması

Amaç: Çalışmanın amacı dikkat eksikliği-hiperaktivite bozukluğu ve obsesif kompulsif bozukluğu tanısı olan çocuk ve ergenlerde zihin kuramı yeteneklerini karşılaştırmaktır. Gereç ve Yöntem: Dikkat eksikliği-hiperaktivite bozukluğu ve obsesif kompulsif bozukluk tanısı alan 12-16 yaş arası iki hasta grubu çalışmaya dahil edildi. Sosyodemografik özellikleri değerlendirmek için ayrıntılı bir form ve hastaların zeka seviyelerini değerlendirmek için Wechsler Zeka Ölçeği (WISC-R) kullanılmıştır. Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli-DSM-5 psikopatolojileri değerlendirmek için kullanılmıştır. Zihin kuramı yetenekleri yanlış inanç testleri, Gözlerden zihin okuma testi ve İma testi ile değerlendirildi. Bulgular: Dikkat eksikliği-hiperaktivite bozukluğu olan ergenler, birinci ve ikinci seviye zihin kuramı testlerinde obsesif kompulsif bozukluğu olan ergenlere göre daha düşük performans göstermiştir. Dikkat eksikliği-hiperaktivite bozukluğu olan ergenler gözlerden zihin okuma testlerinde obsesif kompulsif bozukluğu olan ergenlere göre anlamlı olarak daha düşük skorlar elde etmiştir. Sonuç: Dikkat eksikliği-hiperaktivite bozukluğu ve obsesif kompulsif bozukluğunun zihin kuramı becerileri üzerinde farklılıklara neden olduğu sonucuna varılmıştır ve zihin kuramı yeteneklerinin mevcut teşhis ve tedavi yöntemlerine ek olarak yeni yöntemlerle gözden geçirilmesi gerekmektedir.

Comparison of theory of mind abilities in adolescents with attention deficit-hyperactivity disorders and obsessive compulsive disorder

Purpose: The aim of this study is to compare the theory of mind skills among children and adolescents diagnosed with attention deficit-hyperactivity disorder and obsessive compulsive disorder. Materials and Methods: Two groups of patients aged between 12-16 years who were diagnosed with obsessive compulsive disorder and attention deficit-hyperactivity disorder diagnostic criteria were included in the study. A detailed form was used for evaluating sociodemographic characteristics and the Wechsler Intelligence Scale (WISC-R) for assessing cognitive functions of patients. In order to evaluate psychopathologies, Schedule For Affective Disorders and Schizophrenia For School-Age Children-present and lifetime version was applied. Theory of mind skills were examined with false belief tests, reading the mind in the eyes task and hinting task. Results: Adolescents with attention deficit-hyperactivity disorder group showed poorer performance than adolescents with obsessive compulsive disorder in the first and second level theory of mind tests adolescents with attention deficit-hyperactivity disorder group had significantly lower scores of reading the mind in the eyes task than adolescents with obsessive compulsive disorder. Conlusion: Attention deficit-hyperactivity disorder and obsessive compulsive disorder had differences in theory of mind skills and that theory of mind skills should be reviewed with new methods in addition to the existing methods for diagnosis and treatment.

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  • 1. Baron-Cohen S, Wheelwright S, Hill J. 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;42:241–51.
  • 2. Yıldırım E, Alptekin K. A new featured dimension in schizophrenia: social cognition. Dusunen Adam. J Psychiatr Neurol Sci. 2012;25:368-75.
  • 3. Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a “theory of mind”? Cognition. 1985;21:37–46.
  • 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;5:175-192.
  • 5. Baron-Cohen S, Wheelwright S, Spong A. Are intuitive physics and intuitive psychology independent? A test with children with Asperger syndrome. J Dev Learn Disord. 2001;5:47–78.
  • 6. Tager-Flusberg H, Sullivan K. A componential view of theory of mind: evidence from Williams syndrome. Cognition. 2000;76:59-90.
  • 7. Nijmeijer JS, Minderaa RB, Buitelaar JK, Mulligan A, Hartman CA. Attention-deficit/hyperactivity disorder and social dysfunctioning. Clin Psychol Rev. 2008;28:692-708.
  • 8. Caillies S, Bertot V, Motte J. Social cognition in ADHD: irony understanding and recursive theory of mind. Res Dev Disabil. 2014;35:3191–8.
  • 9. Percinel I, Ozbaran B, Kose S. Increased deficits in emotion recognition and regulation in children and adolescents with exogenous obesity. World J Biol Psychiatry. 2018;19:112–18.
  • 10. Sayin A, Oral N, Utku C. Theory of mind in obsessive-compulsive disorder: comparison with healthy controls. Eur Psychiatry 2010;25:116–22.
  • 11. Abu-Akel A. A neurobiological mapping of theory of mind. Brain Res Rev. 2003;43:29–40.
  • 12. Henry JD, Philips LH, Crawford JR, Ietswaart M, Summers F. Theory of mind following traumatic brain injury: the role of emotion recognition and executive dysfunction. Neuropsychologia. 2006;44:1623–8.
  • 13. Savage CR, Baer L, Keuthen NJ, Brown HD, Rauch SL. Organizational strategies mediate nonverbal memory impairment in obsessive-compulsive disorder. Biol Psychiatry. 1999;45:905–16.
  • 14. Castellanos F. Neuroimaging of attention deficit hyperactivity disorder. Child Adolesc Psychiatric Clin N Am. 1997;6:383-411
  • 15. Uekermann J, Kraemer M, Abdel Hamid M, Schimmelmann BG, Hebebrand J, Kis B. Social cognition in attention deficit hyperactivity disorder (ADHD). Neurosci Biobehav Rev. 2010;34:734–43.
  • 16. Ünal F, Öktem F, Çetin Çuhadaroğlu F, Çengel Kültür S, Akdemir D, Foto Özdemir D. Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli-DSM- 5 Kasım 2016-Türkçe geçerlilik ve güvenirliği. Türk Psikiyatri Derg. 2019;30:42-50.
  • 17. Savaşır I, Şahin N. Wechsler Intelligence Scale for Children-Revised form (WISC-R) (1995). Turkish Psychological Association Publications,Ankara.
  • 18. Bora E. Theory of mind in schizophrenia spectrum disorders. Turk Psikiyatri Derg. 2009;20:269- 81.
  • 19. Wimmer H, Perner J. Beliefs about beliefs: Representation and constraining function of wrong beliefs in young children's understanding of deception. Cognition. 1983;13:103- 28.
  • 20. Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a 'theory of mind’? Cognition. 1985;21:37- 46.
  • 21. Hogrefe GJ, Wimmer H, Perner J. Ignorance versus false belief: a developmental lag in attribution of epistemic styles. Child Dev. 1986;57:567-82.
  • 22. Girli A, Tekin D. Investigating false belief levels of typically developed children and children with autism. Procedia Soc Behav Sci. 2010;2:1944- 50.
  • 23. Flobbe L, Verbrugge R. Children’s application of Theory of Mind in reasoning and language. J Log Lang Inf. 2008;17:417-42
  • 24. Perner J, Wimmer H. 'John thinks that Mary thinks that..,'Attribution of second-order beliefs by 5-10 years old children. J Exp Child Psychol. 1985;39:437- 71.
  • 25. Baron-Cohen S, Jolliffe T, Mortimore C et al advanced test of theory of mind: evidence from very high functioning adults with autism or Asperger Syndrome. J Child Psychol Psychiatry. 1997;38:813- 22.
  • 26. Baron-Cohen S, Wheelwrigt S, Spong A. Are intuitive physics and intuitive psychology independent? A test with children with Asperger Syndrome. J Dev Learn Dis 2001;5:47-78.
  • 27. The Autism Research Centre, http://www.autismresearchcentre.com/arc tests. (accessed 28.10.2012).
  • 28. Corcoran R, Mercer G. Schizophrenia, symptomatology and social inference: investigating theory of mind in people with schizophrenia. Schizophr Res. 1995;17:5- 13.
  • 29. Demurie E, DeCorel M, Roeyers H. Empathic accuracy inadolescents with autism spectrum disorders and adolescents withattentiondeficit/ hyperactivity disorder. Res Autism Spectr Disord. 2011;5:126–134.
  • 30. Demopoulos C, Hopkins J, Davis A. A comparison ofsocial cognitive profiles in children with autism spectrum disordersand attention-deficit/ hyperactivity disorder: a matter of quantitativebut not qualitative difference? J Autism Dev Disord. 2013;43:1157–70.
  • 31. Baribeau DA, Doyle-Thomas KA, Dupuis A, Iaboni A, Crosbie J, McGinn H et al. Examining and comparing social perceptionabilities across childhood-onset neurodevelopmental disorders. J. Am Acad Child Adolesc Psychiatry. 2015;54:479–86.
  • 32. Buitelaar JK, Van der Wess M, Swaab-Barneveld H, Van der Gaag RJ. Theory of mind and emotion- recognition in autism spectrum disordersand in psychiatric control and normal children. Dev Psychopathol. 1999;11:39–58.
  • 33. Sinzig J, Morsch D, Lehmkuhl G. Do hyperactivity, impulsivity and inattention have an impact on the ability of facial affect recognition in children with autism and ADHD? Eur Child Adolesc Psychiatry . 2008;17:63-72.
  • 34. Adachi T, Koeda T, Hirabayashi S, Maeoka Y, Shiota M, Wright EC et al. The metaphor and sarcasm scenario test: A new instrument to help differentiate high functioning pervasive developmental disorder from attention deficit/hyperactivity disorder. Brain Dev. 2004;26:301-6.
  • 35. Downs A, Smith T. Emotional understanding, cooperation, and social behavior in high-functioning children with autism. J Autism Dev Disord . 2004;34:625-35.
  • 36. Miranda A, Berenguer C, Rosell B, Baixauli I, Colomer C. Social cognition in children with high- functioning autism spectrum disorder and attention- deficit/hyperactivity disorder. associations with executive functions. Front Psychol. 2017;8:1035.
  • 37. Kim JA, Szatmari P, Bryson SE, Streiner DL, Wilson FJ. The prevalence of anxiety and mood problems among children with autism and Asperger syndrome. Autism. 2000;4:117–132.
  • 38. Reiersen AM, Todd RD. Co-occurrence of ADHD and autism spectrum disorders: phenomenology and treatment. Expert Rev Neurother. 2008;8:657–69.
  • 39. Berggren S, Engström AC, Bölte S. Facial affectrecognition in autism, ADHD and typical development. Cogn. Neuropsychiatry. 2016;21:213– 27.
Cukurova Medical Journal-Cover
  • ISSN: 2602-3032
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1976
  • Yayıncı: Çukurova Üniversitesi Tıp Fakültesi
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