Examining the roles of cognitive flexibility, emotion recognition, and metacognitions in adult Attention Deficit and Hyperactivity Disorder with predominantly inattentive presentation

Orkun Aydın; Kuzeymen Balıkçı; İpek Sönmez; Pınar Ünal-Aydın; Marcantonio M. Spada

doi:10.1002/cpp.2645

Examining the roles of cognitive flexibility, emotion recognition, and metacognitions in adult Attention Deficit and Hyperactivity Disorder with predominantly inattentive presentation

Orkun Aydın, Kuzeymen Balıkçı, İpek Sönmez, Pınar Ünal-Aydın, Marcantonio M. Spada

London South Bank University

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

The evaluation of cognitive functions in Attention Deficit and Hyperactivity Disorder (ADHD) is fundamental to improve the efficacy of therapeutic interventions. However, the role of specific higher-order cognitive functions in adult ADHD, including cognitive flexibility, emotion recognition, and metacognitions, remains unclear. Therefore, in the current study, we aimed to examine these three distinct higher-order cognitive functions among adult ADHD individuals. Forty patients with ADHD with predominantly inattentive presentation and 42 healthy controls participated in the study. The Adult Attention Deficit and Hyperactivity Disorder Scale (AADHDS), the Wisconsin Card Sorting Test (WCST), the Reading the Mind in the Eyes Test (RMET), and the Metacognitions Questionnaire-30 (MCQ-30) were administered. Results indicated that patients with ADHD had worse metacognitions scores, in specific subdimensions, relative to healthy controls. However, cognitive flexibility and emotion recognition did not differ between the groups. Moreover, the cognitive confidence subdimension of the MCQ-30 was found to be sole significant predictor in the attention deficit subdimension of the AADHDS. Our findings suggest that lack of cognitive confidence may contribute to ADHD symptomatology despite regularly functioning cognitive flexibility and emotion recognition. Therefore, metacognitions could be a suitable target to alleviate the severity of ADHD symptoms.

Original language	English
Pages (from-to)	542-553
Number of pages	12
Journal	Clinical Psychology and Psychotherapy
Volume	29
Issue number	2
DOIs	https://doi.org/10.1002/cpp.2645
Publication status	Published - 22 Jul 2021

Bibliographical note

This is the peer reviewed version of the following article: Aydın, O., Balıkçı, K., Sönmez, İ., Ünal-Aydın, P., & Spada, M. M. (2022). Examining the roles of cognitive flexibility, emotion recognition, and metacognitions in adult Attention Deficit and Hyperactivity Disorder with predominantly inattentive presentation. Clinical Psychology & Psychotherapy, 29(2), 542–553, which has been published in final form at https://doi.org/10.1002/cpp.2645. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.

Keywords

attention deficit
cognitive flexibility
emotion recognition
hyperactivity
metacognitions, symptom severity

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Aydin, O. et al. Examining the roles of cognitive flexibility, emotion recognition and metacognitions in adult ADHDAccepted author manuscript, 172 KB
Aydin O

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title = "Examining the roles of cognitive flexibility, emotion recognition, and metacognitions in adult Attention Deficit and Hyperactivity Disorder with predominantly inattentive presentation",

abstract = "The evaluation of cognitive functions in Attention Deficit and Hyperactivity Disorder (ADHD) is fundamental to improve the efficacy of therapeutic interventions. However, the role of specific higher-order cognitive functions in adult ADHD, including cognitive flexibility, emotion recognition, and metacognitions, remains unclear. Therefore, in the current study, we aimed to examine these three distinct higher-order cognitive functions among adult ADHD individuals. Forty patients with ADHD with predominantly inattentive presentation and 42 healthy controls participated in the study. The Adult Attention Deficit and Hyperactivity Disorder Scale (AADHDS), the Wisconsin Card Sorting Test (WCST), the Reading the Mind in the Eyes Test (RMET), and the Metacognitions Questionnaire-30 (MCQ-30) were administered. Results indicated that patients with ADHD had worse metacognitions scores, in specific subdimensions, relative to healthy controls. However, cognitive flexibility and emotion recognition did not differ between the groups. Moreover, the cognitive confidence subdimension of the MCQ-30 was found to be sole significant predictor in the attention deficit subdimension of the AADHDS. Our findings suggest that lack of cognitive confidence may contribute to ADHD symptomatology despite regularly functioning cognitive flexibility and emotion recognition. Therefore, metacognitions could be a suitable target to alleviate the severity of ADHD symptoms.",

keywords = "attention deficit, cognitive flexibility, emotion recognition, hyperactivity, metacognitions, symptom severity",

author = "Orkun Aydın and Kuzeymen Balık{\c c}ı and İpek S{\"o}nmez and Pınar {\"U}nal-Aydın and Spada, {Marcantonio M.}",

note = "This is the peer reviewed version of the following article: Aydın, O., Balık{\c c}ı, K., S{\"o}nmez, İ., {\"U}nal-Aydın, P., & Spada, M. M. (2022). Examining the roles of cognitive flexibility, emotion recognition, and metacognitions in adult Attention Deficit and Hyperactivity Disorder with predominantly inattentive presentation. Clinical Psychology & Psychotherapy, 29(2), 542–553, which has been published in final form at https://doi.org/10.1002/cpp.2645. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley{\textquoteright}s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.",

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Examining the roles of cognitive flexibility, emotion recognition, and metacognitions in adult Attention Deficit and Hyperactivity Disorder with predominantly inattentive presentation. / Aydın, Orkun; Balıkçı, Kuzeymen; Sönmez, İpek et al.
In: Clinical Psychology and Psychotherapy, Vol. 29, No. 2, 22.07.2021, p. 542-553.

Research output: Contribution to journal › Article › peer-review

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KW - cognitive flexibility

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KW - metacognitions, symptom severity

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DO - 10.1002/cpp.2645

M3 - Article

SN - 1063-3995

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ER -

Examining the roles of cognitive flexibility, emotion recognition, and metacognitions in adult Attention Deficit and Hyperactivity Disorder with predominantly inattentive presentation

Abstract

Bibliographical note

Keywords

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