Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Difference of Facial Emotion Recognition and Discrimination between Children with Attention-Deficit Hyperactivity Disorder and Autism Spectrum Disorder

주의력결핍과잉행동장애 아동과 자폐스펙트럼장애 아동에서 얼굴 표정 정서 인식과 구별의 차이

  • Lee, Ji-Seon (Department of Psychiatry, Jeju National University Hospital) ;
  • Kang, Na-Ri (Department of Psychiatry, Jeju National University Hospital) ;
  • Kim, Hui-Jeong (Department of Psychiatry, Jeju National University Hospital) ;
  • Kwak, Young-Sook (Department of Psychiatry, Jeju National University School of Medicine)
  • 이지선 (제주대학교병원 정신건강의학과) ;
  • 강나리 (제주대학교병원 정신건강의학과) ;
  • 김희정 (제주대학교병원 정신건강의학과) ;
  • 곽영숙 (제주대학교 의과대학 정신건강의학교실)
  • Received : 2016.08.08
  • Accepted : 2016.09.05
  • Published : 2016.09.30
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Abstract

Objectives: This study aimed to investigate the differences in the facial emotion recognition and discrimination ability between children with attention-deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Methods: Fifty-three children aged 7 to 11 years participated in this study. Among them, 43 were diagnosed with ADHD and 10 with ASD. The parents of the participants completed the Korean version of the Child Behavior Checklist, ADHD Rating Scale and Conner's scale. The participants completed the Korean Wechsler Intelligence Scale for Children-fourth edition and Advanced Test of Attention (ATA), Penn Emotion Recognition Task and Penn Emotion Discrimination Task. The group differences in the facial emotion recognition and discrimination ability were analyzed by using analysis of covariance for the purpose of controlling the visual omission error index of ATA. Results: The children with ADHD showed better recognition of happy and sad faces and less false positive neutral responses than those with ASD. Also, the children with ADHD recognized emotions better than those with ASD on female faces and in extreme facial expressions, but not on male faces or in mild facial expressions. We found no differences in the facial emotion discrimination between the children with ADHD and ASD. Conclusion: Our results suggest that children with ADHD recognize facial emotions better than children with ASD, but they still have deficits. Interventions which consider their different emotion recognition and discrimination abilities are needed.

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References

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