Visual and auditory emotion recognition problems as familial cross-disorder phenomenon in ASD and ADHD
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Autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) are frequently comorbid disorders. Emotion recognition problems are considered an important familial deficit in ASD, but this is unknown in ADHD. Very few studies have directly compared emotion recognition performance of youth with ASD and/or ADHD and of their unaffected siblings across age to quantify the contribution of emotion recognition problems to the ADHD phenotype. We therefore devised a study of 64 ASD+ADHD participants, 89 ASD-only participants, 111 ADHD-only participants, 122 unaffected ASD(+ADHD) siblings, 69 unaffected ADHD-only siblings and 220 controls aged 7-18 years, who had completed two tasks assessing auditory and visual emotion recognition. Factor analysis was used to detect underlying dimensions of emotion recognition capacity. Linear mixed models were used to compare performance across groups and to assess age effects. The factor-analysis revealed four factors separating speed and accuracy regarding visual and auditory emotion recognition. ASD+ADHD, ASD-only, and ADHD-only participants all performed worse than controls. ASD+ADHD, ASD-only, and ADHD-only participants did not differ in the severity of their emotion recognition problems. Both unaffected sibling groups performed intermediate between patients and controls. For ASD+ADHD and ADHD-only participants, group differences were more marked in adolescence than childhood, whereas in ASD participants this was not observed. We conclude that emotion recognition problems are a familial deficit in ADHD to a similar extent as in ASD. Emotion recognition problems specifically - and social cognition problems more generally - should be assessed in clinical practice for ADHD.
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ASD children show poorer emotion performance in terms of speed and accuracy compared to TD controls.
“Interestingly, the authors found not only poorer emotion performance in terms of speed and accuracy in the ASD group, but also poorer performance in the ASD sibling group compared to TD controls (Waddington et al. 2018), suggesting a possible contextual influence in emotional perception.”
From Autism Spectrum Disorder and auditory sensory alterations: a systematic review on the integrity of cognitive and neuronal functions related to auditory processing (2023) · cites this paper as Waddington et al. 2018
ASD siblings without ASD diagnosis show poorer emotion performance compared to TD controls.
“Interestingly, the authors found not only poorer emotion performance in terms of speed and accuracy in the ASD group, but also poorer performance in the ASD sibling group compared to TD controls (Waddington et al. 2018), suggesting a possible contextual influence in emotional perception.”
From Autism Spectrum Disorder and auditory sensory alterations: a systematic review on the integrity of cognitive and neuronal functions related to auditory processing (2023) · cites this paper as Waddington et al. 2018
A similar in-between result was found in ASD siblings emotional perceptions, indicating a possibility of contextual interference in ASD traits, such as parenting.
“A similar in-between result was found in ASD siblings emotional perceptions (Waddington et al. 2018), indicating a possibility of contextual interference in ASD traits, such as parenting.”
From Autism Spectrum Disorder and auditory sensory alterations: a systematic review on the integrity of cognitive and neuronal functions related to auditory processing (2023) · cites this paper as Waddington et al. 2018
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Gonçalves, A. M., & Monteiro, P. (2023) · Journal of Neural Transmission · doi:10.1007/s00702-023-02595-9 · Cited by 88 · see citing works
- Authors
- Waddington, F., Hartman, C., de Bruijn, Y., Lappenschaar, M., Oerlemans, A., Buitelaar, J., Franke, B., & Rommelse, N.
- Affiliations
- Radboud University Nijmegen (NL)
- University Medical Center Groningen (NL)
- Radboud University Medical Center (NL)
- Corresponding author
- Waddington, Francesca
- Rommelse, Nanda
- ORCID
- Venue
- European Neuropsychopharmacology
- Publisher
- Elsevier BV
- Published
- 2018-09
- Volume
- 28
- Issue
- 9
- Pages
- 994-1005
- ISSN
- 0924-977X (ISSN-L)
- OpenAlex
- W2883968364
- Cited by
- 30
- References
- 13
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 1
- FWCI
- 2.75
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Neuropsychopharmacology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by-nc-nd)
- Radboud Repository (Radboud University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by-nc-nd)
- Funders
- European Community's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie (#643051)
- Netherlands Organisation for Scientific Research (#91610024, #1750102007010, # 016-130-669)
- European Community's Seventh Framework Program (FP7) (#278948)
- Innovative Medicines Initiative Joint Undertaking (#115300)
- European Community's Horizon 2020 Program (#642996)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- autism spectrum disorder, attention deficit hyperactivity disorder, comorbidities, emotion recognition, auditory emotion recognition, visual emotion recognition, social cognition, unaffected siblings, age differences, adolescents, children
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Age Factors, Attention Deficit Disorder with Hyperactivity, Auditory Perception, Child, Emotions, Factor Analysis, Statistical, Female, Humans, Male, Netherlands, Visual Perception, Comorbidity, Case-Control Studies, Recognition, Psychology, Siblings
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