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ADHD and Social Life
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Impact of Emotional Difficulties on School and Healthcare in ADHD Kids
Understanding Emotion and Thought in ADHD Versus Autism and Normal Health
Studying ADHD's Impact on Kids' School Life and Friendships
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Effect of Social Skills Training on ADHD in Youth
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ADHD's Long-Term Impact on Self-Esteem and Social Life
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Can ADHD affect the social lives of adults with ADHD?
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Does ADHD treatment improve social functioning in children?
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Visual Abstract

Pragmatic deficits and social impairment in children with ADHD

Language and Social Challenges in ADHD Kids

Staikova E, Gomes H, Tartter V, McCabe A, Halperin JM
Summarized by:
Charles Li, MD
February 26, 2024
study source
J Child Psychol Psychiatry
2013 Dec
Language and Social Challenges in ADHD Kids
Language and Social Challenges in ADHD Kids
πŸ”Ž
What they studied
They looked into how kids with ADHD struggle with social skills and if it's linked to language issues.
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What they found
Kids with ADHD had more trouble with language used in social settings, even with basic language skills considered.
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Why it matters
This suggests that the social troubles in kids with ADHD might be partly due to language issues in social settings.

Objectives

The study dives into how kids with ADHD often find it hard to use language in social situations. This includes not just picking the right words but also understanding jokes, sarcasm, and body language. These challenges can make school and friendships tough for them. Unlike other kids, they might start talking later and have trouble with conversations. This is important because it affects not just their learning but also how they get along with others. The study aims to better understand these language challenges to help improve social skills in kids with ADHD.

Study Quote
Staikova et al, 2013

Impaired social functioning has been well documented in individuals with attention-deficit/hyperactivity disorder (ADHD). Existing treatments for ADHD are effective for managing core symptoms, but have limited effectiveness at improving social skills, suggesting that social deficits in A...

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Methods

In this study, 63 kids, some with ADHD and some without, aged between 7 and 11 years, were closely observed. The researchers looked at how well these kids could use language in everyday situations. This wasn't just about how many words they knew, but also about how they used these words in conversations and stories. Parents also shared their views on how their kids got along with others, giving a fuller picture of their social skills.

Study Quote
Staikova et al, 2013

Sixty-three children (28 ADHD; 35 typically developing), ages 7-11 years, underwent a comprehensive assessment of pragmatic language, including parent ratings, standardized tests, and a narrative task. Parents also rated children's social skills on the Social Skills Improvement System.

Results

The findings were clear: kids with ADHD struggled more with using language socially compared to kids without ADHD. This wasn't just about the number of words they knew; even when that was taken into account, they still had difficulties. These language challenges were a big part of why they found it hard to make friends and get along with others. The study found that problems with language explained about 40% of these social difficulties.

ADHD significantly impairs pragmatic language skills across all measures, even when general language abilities are accounted for, and contributes to 40% of the variance in social skills.
Study Quote
Staikova et al, 2013

Children with ADHD had poorer pragmatic language skills relative to peers across all measures, even after controlling for general language abilities. Furthermore, pragmatic abilities as measured by parent ratings, mediated the relation between ADHD and social skills.

Conclusions

The study concludes that many kids with ADHD face significant challenges with pragmatic language skills, which impacts their social interactions. This insight is crucial for coming up with ways to help these kids improve their social skills and overall quality of life. Other studies have also shown that ADHD affects not just kids but adults too, impacting their social life and mental health. However, there's hope as social skills can be improved with the right training and support.

Study Quote
Staikova et al, 2013

Pragmatic language skills are impaired in many children with ADHD and may partially account for high rates of social impairment. Implications for treatment and possible prevention of social problems in children with ADHD are discussed.

Key Takeaways

Language struggles link to social issues
Kids with ADHD find it hard to use language in social situations, which might be why they struggle socially.
Basic language skills aren't enough
Even when basic language skills are okay, kids with ADHD have trouble with the kind of language used when socializing.
Potential for better social skills
Focusing on improving these specific language skills might help kids with ADHD get better at socializing.

Context

ADHD's impact on social life is complex and varies among individuals. A study by Sobanski et al. in 2008 found that adults with ADHD face many challenges, including less education, higher unemployment, and more mental health issues, regardless of their ADHD subtype. This underscores the broad impact of ADHD on social adjustment and mental health.

Another study looked at the long-term impact of ADHD on social lives and self-esteem: