Sensitivity to Peer Feedback in Young Adolescents with Symptoms of ADHD: Examination of Neurophysiological and Self-Report Measures
Open accessAbstract
Many youth with ADHD experience peer difficulties, but the mechanisms underlying this dysfunction remain unknown. Very little work has examined neurophysiological measures of social feedback processing in relation to ADHD symptoms. The goal of this study was to examine associations of ADHD symptoms with indicators of sensitivity to social feedback in a laboratory task and self-report of rejection sensitivity. A large community sample of 10- to 15-year-old adolescents (N = 391; M age = 12.64, 48.6% girls) participated in the study. Mothers rated youth ADHD symptoms. Youth completed the Island Getaway task, which elicits neurophysiological (i.e., event-related potentials [ERP]) measures of sensitivity to peer rejection and acceptance feedback, and also completed self-ratings of rejection sensitivity. Greater ADHD symptoms were associated with an enhanced N1 ERP component, which correlated with higher levels of self-reported rejection sensitivity. In addition, greater ADHD symptoms were associated with reduced reactivity to social acceptance, as measured by the later reward positivity ERP component. Youth with elevated ADHD symptoms exhibited enhanced sensitivity to peer rejection at the neurophysiological and self-report level, as well as reduced neurophysiological reactivity to peer acceptance. Future work including neural measures of social functioning may serve to elucidate mechanisms underlying the social dysfunction characteristic of ADHD.
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Strong, understanding, and accommodating social connections can significantly enhance the overall quality of life of individuals with ADHD.
“The presence of strong, understanding, and accommodating social connections can significantly enhance their overall quality of life (Babinski et al. 2019; Eakin et al. 2004; Fuller‐Thomson et al. 2022).”
From “I Felt Like a Burden”: An Exploration Into the Experience of Romantic Relationships for People With ADHD (2026) · cites this paper as Babinski et al. 2019
The introductory passage labeled Abstract (page unavailable) says peer functioning is increasingly salient in adolescence and links peer dysfunction among adolescents with ADHD to serious negative outcomes. This supports the importance of social relationships, but the paper does not establish that strong, understanding, and accommodating connections significantly enhance overall quality of life. (LLM, conf=0.76)
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Addressing Borderline Personality Disorder in Females with ADHD
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“Following N1, a series of positivities in the ERP wave emerge, including the reward positivity (RewP), which is enhanced (i.e., more positive) for acceptance versus rejection feedback.”
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“Babinski et al. (2019) reported that individuals with elevated ADHD symptoms exhibited enhanced sensitivity to peer rejection as well as reduced peer acceptance.”
BackgroundField placement experiences of neurodivergent pre-service teachers
Jackson, T. (2026) · Revue de la neurodiversité / Journal of Neurodiversity · doi:10.65130/nh9wr6x
Early maladaptive schemas and attention-deficit/hyperactivity disorder: a scoping review
Cook, M., & Allen, A. (2026) · Clinical Psychologist · doi:10.1080/13284207.2026.2713449
Development and testing of the Autism Brief Criticism Coding System for families of autistic youth.
Baker, J., Fenning, R., Hess, E., Thompson, A., Lim, A., Ha, L., Sweet, E., & Khanna, D. (2026) · Research in autism · doi:10.1016/j.reia.2026.202881
Physiological Implications of Exclusion in Individuals With ADHD Symptomatology
Curtis, J., Swenson, S. S., Olsem, M., Scherf, A., & Gilbertson, R. (2025) · Psi Chi Journal of Psychological Research · doi:10.24839/2325-7342.jn30.2.150
“A study by Babinski et al. (2019) has shown that individuals with ADHD may exhibit heightened neurophysiological reactivity to rejection and higher levels of selfreported rejection sensitivity during social exclusion.”
- Authors
- Babinski, D. E., Kujawa, A., Kessel, E. M., Arfer, K. B., & Klein, D. N.
- Affiliations
- Pennsylvania State University (US)
- Vanderbilt University (US)
- Stony Brook University (US)
- University of California, Los Angeles (US)
- Corresponding author
- Babinski, Dara E.
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2018-08-29
- Volume
- 47
- Issue
- 4
- Pages
- 605-617
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- PMC
- PMC6395560
- OpenAlex
- W2888824845
- Cited by
- 58
- References
- 67
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 7 · 2023: 22 · 2022: 9 · 2021: 4 · 2020: 4 · 2019: 1
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01 MH069942)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- attention deficit hyperactivity disorder, peer acceptance, event-related potentials, N1 component, reward positivity, self-report, social dysfunction, adolescents
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Electroencephalography, Evoked Potentials, Female, Humans, Longitudinal Studies, Male, Peer Group, Psychological Distance, Feedback, Psychological
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