Executive control and higher‐order theory of mind in children at risk of ADHD

Nursery teachers assessed 234 children aged 4½ to 6½ years on the DSM-IV criteria for hyperactivity–impulsivity and attention deficit (ADHD). Using slightly lenient classification criteria 21 children scored on hyperactivity–impulsivity and/or attention deficit and were classified as ‘at risk of ADHD’. An age-matched control group showed significant relations between acquisition of an advanced theory of mind, in particular understanding second-order beliefs, and executive competence as measured by several tasks from the NEPSY. This extends findings from younger children that theory of mind development relates to executive control. The group at risk of ADHD showed impaired performance relative to the control group on several executive tasks but no impairment at all on the advanced theory of mind tasks. This speaks against the theory that later theory of mind development is a consequence of improvements in executive control. Copyright © 2002 John Wiley & Sons, Ltd.

[1]  James A. Russell,et al.  The ‘windows task’ as a measure of strategic deception in preschoolers and autistic subjects , 1991 .

[2]  J. Buitelaar,et al.  Theory of mind and emotion-recognition functioning in autistic spectrum disorders and in psychiatric control and normal children , 1999, Development and Psychopathology.

[3]  J. Flavell,et al.  Development of children's knowledge about unconsciousness. , 1999, Child development.

[4]  M. Wolraich,et al.  Comparison of diagnostic criteria for attention deficit disorders in a German elementary school sample. , 1995, Journal of the American Academy of Child and Adolescent Psychiatry.

[5]  J. Dunn,et al.  Trick or treat?: uneven understanding of mind and emotion and executive dysfunction in "hard-to-manage" preschoolers. , 1998, Journal of child psychology and psychiatry, and allied disciplines.

[6]  K. Sullivan,et al.  Executive functions and performance on false belief tasks , 1997 .

[7]  David R. Olson,et al.  Working memory and children's developing understanding of mind , 1998 .

[8]  M. Greenberg,et al.  Neuropsychological characteristics and test behaviors of boys with early onset conduct problems. , 1999, Journal of abnormal psychology.

[9]  Josef Perner,et al.  Theory of mind and self-control: more than a common problem of inhibition. , 2002, Child development.

[10]  J. Russell.  Agency: Its Role In Mental Development , 1996 .

[11]  J. Perner,et al.  Development of theory of mind and executive control , 1999, Trends in Cognitive Sciences.

[12]  M. Siegal,et al.  Deafness, conversation and theory of mind. , 1995, Journal of child psychology and psychiatry, and allied disciplines.

[13]  Josef Perner,et al.  Language and thought: The meta-intentional nature of executive functions and theory of mind , 1998 .

[14]  J. Flavell,et al.  Young children's knowledge about thinking. , 1995, Monographs of the Society for Research in Child Development.

[15]  Carol Gregory,et al.  Dissociation of Social Cognition and Executive Function in Frontal Variant Frontotemporal Dementia. , 2001, Neurocase.

[16]  Finding your marbles: does preschoolers' strategic behavior predict later understanding of mind? , 1998, Developmental psychology.

[17]  L. Moses,et al.  Individual differences in inhibitory control and children's theory of mind. , 2001, Child development.

[18]  Claire Hughes,et al.  Executive function in preschoolers: Links with theory of mind and verbal ability , 1998 .

[19]  Helen Tager-Flusberg,et al.  Preschoolers can attribute second-order beliefs , 1994 .

[20]  T. Charman,et al.  Theory of mind, executive function and social competence in boys with ADHD , 2001 .

[21]  A. Ardila,et al.  Prevalence of Attention-Deficit/Hyperactivity Disorder Symptoms in 4- to 17-Year-Old Children in the General Population , 1999, Journal of abnormal child psychology.

[22]  S. Baron-Cohen,et al.  Children with either autism, Gilles de la Tourette syndrome or both: Mapping cognition to specific syndromes. , 1995 .

[23]  F. Happé,et al.  Good test--retest reliability for standard and advanced false-belief tasks across a wide range of abilities. , 2000, Journal of child psychology and psychiatry, and allied disciplines.

[24]  B. Pennington,et al.  Executive function deficits in high-functioning autistic individuals: relationship to theory of mind. , 1991, Journal of child psychology and psychiatry, and allied disciplines.

[25]  James A. Russell,et al.  Autistic children's difficulty with mental disengagement from an object: Its implications for theories of autism. , 1993 .

[26]  L. Moses,et al.  The role of inhibitory processes in young children's difficulties with deception and false belief. , 1998, Child development.

[27]  J. Villiers,et al.  Linguistic determinism and the understanding of false beliefs. , 2000 .

[28]  Douglas Frye,et al.  Theory of mind and rule-based reasoning , 1995 .

[29]  Robert Reid,et al.  Adhd Rating Scale-IV: Checklists, Norms, and Clinical Interpretation , 1998 .

[30]  H. Wimmer,et al.  “John thinks that Mary thinks that…” attribution of second-order beliefs by 5- to 10-year-old children ☆ , 1985 .

[31]  D. Skuse,et al.  Individual differences in cognitive planning on the Tower of Hanoi task: neuropsychological maturity or measurement error? , 2001, Journal of child psychology and psychiatry, and allied disciplines.

[32]  U. Rauchfleisch.  5.3 Hamburg-Wechsler-Intelligenztest für Kinder, Revision 1983, HAWIK-R (Tewes, 1985) , 2001 .

[33]  Thomas R. Keenan.  Memory Span as a Predictor of False Belief Understanding , 1998 .

[34]  S. Goldstein,et al.  Managing Attention Deficit Hyperactivity Disorder in Children: A Guide for Practitioners , 1998 .

[35]  Chris Pratt,et al.  The development of children's theory of mind: The working memory explanation , 1995 .

[36]  S. Leekam,et al.  Jokes and lies: Children's understanding of intentional falsehood. , 1991 .

[37]  John H. Flavell,et al.  Development of the appearance-reality distinction , 1983, Cognitive Psychology.

[38]  D R Olson,et al.  The relation between acquisition of a theory of mind and the capacity to hold in mind. , 1998, Journal of experimental child psychology.

[39]  H. Wimmer.  Common-Sense Mentalismus und Emotion: Einige entwicklungspsychologische Implikationen , 1989 .

[40]  J. Perner.  Understanding the Representational Mind , 1993 .

[41]  C. Hartung,et al.  Utility of Behavior Ratings by Examiners During Assessments of Preschool Children With Attention-Deficit/Hyperactivity Disorder , 1999, Journal of abnormal child psychology.

[42]  Uta Frith,et al.  Theory of mind and social impairment in children with conduct disorder , 1996 .