Authors: Anouck I. Staff; Marjolein Luman; Saskia van der Oord; Catharina E. Bergwerff; Barbara J. van den Hoofdakker; Jaap Oosterlaan · Research
How Do Children With ADHD Process Facial Emotions Differently Than Their Peers?
Children with ADHD show subtle differences in recognizing emotions in faces, which may impact their social relationships.
Source: Staff, A.I., Luman, M., van der Oord, S., Bergwerff, C.E., van den Hoofdakker, B.J., & Oosterlaan, J. (2021). Facial emotion recognition impairment predicts social and emotional problems in children with (subthreshold) ADHD. European Child & Adolescent Psychiatry, 31, 715-727. https://doi.org/10.1007/s00787-020-01709-y
What you need to know
- Children with ADHD show subtle difficulties recognizing emotions in others’ faces, especially when the emotional expressions are less intense
- These emotion recognition challenges are linked to greater social and emotional difficulties in daily life
- The findings suggest emotion recognition skills could be an important target for intervention
The Social Impact of Reading Faces
Imagine trying to navigate social situations when you have trouble reading the emotions on people’s faces. A subtle frown of disappointment or a slight smile of encouragement might slip past unnoticed. This is the reality for many children with Attention-Deficit/Hyperactivity Disorder (ADHD), who often struggle with peer relationships and emotional understanding.
Understanding the Research
The researchers studied how well children with ADHD could recognize four basic emotions - happiness, sadness, anger, and fear - in photographs of other children’s faces. What made this study unique was that they showed the emotions at different intensity levels, from very subtle to very obvious expressions. This better reflects real-life situations, where emotional expressions aren’t always crystal clear.
Key Findings
The study revealed that children with ADHD were slightly less accurate at recognizing emotions compared to their peers without ADHD. This difference was most noticeable when the emotional expressions were subtle. While all children got better at recognizing emotions as they became more intense, the improvement was less pronounced in children with ADHD.
Importantly, the difficulty recognizing emotions wasn’t limited to any particular emotion - it affected their ability to recognize happiness, sadness, anger, and fear equally. This suggests a general challenge with emotion recognition rather than trouble with specific emotions.
The Link to Social Challenges
Perhaps the most significant finding was that children who had more difficulty recognizing emotions also tended to have more social and emotional problems in their daily lives. This included having more trouble with peer relationships and experiencing more emotional difficulties like anxiety and sadness.
What This Means for You
If you’re a parent or work with children who have ADHD, these findings suggest several important considerations:
- Pay attention to how well your child picks up on emotional cues from others
- Consider that social difficulties might be related to challenges in recognizing emotions
- Look for opportunities to help children practice identifying emotions in others
- Consider social skills training programs that include emotion recognition components
- Remember that subtle emotional expressions might be particularly challenging to recognize
Conclusions
- Children with ADHD show mild but consistent difficulties in recognizing emotions in others’ faces
- These challenges are most apparent when emotional expressions are subtle
- Better emotion recognition skills are linked to better social functioning
- Supporting emotion recognition skills could be an important part of helping children with ADHD develop better social relationships