E-ISSN : 2733-4538
The purpose of this study is to examine the relationship between Attention Deficit/Hyperactivity Disorder (ADHD) traits and injury behaviors and the mediating effect of implicit and explicit decision-making abilities between ADHD traits and injury behaviors. A total of 56 elementary school students (27 boys, 29 girls) completed two decision-making tasks including Iowa Gambling Task (IGT) and Game of Dice Task (GDT). Their parents carried out an assessment battery consisting of the measures of ADHD traits and injury behaviors, such as actual injury experience and injury behavior tendency. The results indicated that there was a positive relationship between ADHD traits of the children and their injury behaviors and a negative relationship between ADHD traits and implicit and explicit decision-making abilities. A Bootstrap approach was used to test the mediation effect of implicit and explicit decision-making abilities. Results indicated that, for the actual injury experience, there were no the mediating effects of the two decision-making abilities, just the influence of ADHD traits’. In addition, for the injury behavior tendency, only the implicit decision-making ability mediates the influence of ADHD traits on injury behavior tendency. Thus, the significant and clinical implications of the current study have been discussed on the basis of the overall findings, followed b suggestions for further research.
Abouzari, M., Oberg, S., Gruber, A., & Tata, M. (2015). Interactions among attention-deficit hyperactivity disorder (ADHD)and problem gambling in a probabilistic reward-learning task. Behavioural Brain Research, 291, 237-243.
Bechara, A. (2004). The role of emotion in decision-making: Evidence from neurological patients with orbitofrontal damage. Brain and Cognition, 55, 30-40.
Bechara, A., Damasio, H., & Damasio, A. R. (2000). Emotion, decision making and the orbitofrontal cortex. Cerebral Cortex, 10, 295-307.
Biederman, J., Fried, R., Monuteaux, M. C., Reimer, B., Coughlin, J. F., Surman, C. B., . . . Faraone, S. V. (2007). A laboratory driving simulation for assessment of driving behavior in adults with ADHD: A controlled study. Annals of General Psychiatry, 6. 4. doi: 10.1186/1744-859X-6-4
Biederman, J., Newcorn, J., & Sprich, S. (1991). Comorbidity of attention deficit hyperactivity disorder. American Journal of Psychiatry, 148, 564-577.
Chou, I., Lin, C. C., Sung, F. C., & Kao, C. H. (2014). Attentiondeficit‐hyperactivity disorder increases risk of bone fracture: A population‐based cohort study. Developmental Medicine and Child Neurology, 56, 1111-1116.
Dalsgaard, S., Østergaard, S. D., Leckman, J. F., Mortensen, P. B., & Pedersen, M. G. (2015). Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: A nationwide cohort study. The Lancet, 385, 2190-2196.
Garon, N., Moore, C., & Waschbusch, D. A. (2006). Decision making in children with ADHD only, ADHD-anxious/depressed, and control children using a child version of the Iowa Gambling Task. Journal of Attention Disorders, 9, 607-619.
Hinshaw, S. P. (2002). Preadolescent girls with attention-deficit/hyperactivity disorder: I. Background characteristics, comorbidity, cognitive and social functioning, and parenting practices. Journal of Consulting and Clinical Psychology, 70, 1086-1098.
Hodgkins, P., Montejano, L., Sasané, R., & Huse, D. (2011). Risk of Injury Associated With Attention-Deficit/Hyperactivity Disorder in Adults Enrolled in Employer-Sponsored Health Plans: A Retrospective Analysis. The Primary Care Companion to CNS Disorders, 13, e1-e12. doi: 10.4088/PCC.10m01031
Hosain, G. M. M., Berenson, A. B., Tennen, H., Bauer, L. O., & Wu, Z. H. (2012). Attention Deficit Hyperactivity Symptoms and Risky Sexual Behavior in Young Adult Women. Journal of Women’s Health, 21, 463-468.
Jensen, P. S., Martin, D., & Cantwell, D. P. (1997). Comorbidity in ADHD: Implications for research, practice, and DSM-V. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1065-1079.
Kahneman, D. (2003). A perspective on judgment and choice: Mapping bounded rationality. American Psychologist, 58, 697-720.
Kang, O. R. (2014). Brain Science Approach of Children with Attention Deficit/Hyperactivity Disorder (ADHD). Korean Journal of Elementary Education, 25, 315-333.
Kim, D. I., Kim, E. N., Lee, K. J., Jung, S. R., Kim, B. N., & Ko, E. Y.(2008). Comorbidity of Attention - Deficit / Hyperactivity Disorder (ADHD) and Learning Disabilities (LD): The Present and The Future. Asian Journal of Education, 9, 111-147.
Kim, H. G. (2006). The relationship between children’s risk taking behaviors and children’s cognitions and fear of injury risk. Korean Journal of After-school Child Education, 3, 1-16.
Kim, K. H., Kim, K. J., & Kwon, S. J. (2013). The Validation of the Korean Version of Iowa Gambling Task for Children. The Korean Journal of Health Psychology, 18, 87-104.
Kim, Y. S., So, Y. K., Noh, J. S., Choi, N. K., Kim, S. J., & Ko, Y. J.(2003). Normative Date on the Korean ADHD Rating Scales(KARS)for Parents and Teacher. Journal of the Korean Neuropsychiatric Association, 42, 352-359.
Lee, D. H. (2009). Estimated Prevalence of ADHD Symptoms and Relationships of ADHD Symptoms with Depression, Anxiety, Stress, and School Maladjustment. Korea Journal of Counseling, 10, 2397-2419.
Lee, D. H., Kim, H. S., & Song, Y. J. (2013). A Moderating Effect of Stress on the Relation between ADHD symptoms and Depression in Elementary School Students. Korean Journal Of Counseling And Psychotherapy, 25, 331-350.
Mangus, R. S., Bergman, D., Zieger, M., & Coleman, J. J. (2004). Burn injuries in children with attention-deficit/hyperactivity disorder. Burns, 30, 148-150.
Merrill, R. M., Lyon, J. L., Baker, R. K., & Gren, L. H. (2009). Attention Deficit Hyperactivity Disorder and Increased Risk of Injury. Advances in Medical Sciences, 54, 20-26.
Millisecond Software (2015). Game of Dice Task [Software]. Available from http://www.millisecond.com.
Potts, R., Martinez, I. G., Dedmon, A., Schwarz, L., DiLillo, D., & Swisher, L. (1997). Brief Report: Cross-Validtion of the Injury Behavior Checklist in a School-Age Sample. Journal of Pediatric Psychology, 22, 533-540.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879-891.
Richards, T. L., Deffenbacher, J. L., Rosén, L. A., Barkley, R. A., & Rodricks, T. (2006). Driving anger and driving behavior in adults with ADHD. Journal of Attention Disorders, 10, 54-64.
Schwebel, D. C., Binder, S. C., & Plumert, J. M. (2002). Using an injury diary to describe the ecology of children's daily injuries. Journal of Safety Research, 33, 301-319.
Schwebel, D. C., Speltz, M. L., Jones, K., & Bardina, P. (2002). Unintentional injury in preschool boys with and without early onset of disruptive behavior. Journal of Pediatric Psychology, 27, 727-737.
So, Y. K., Noh, J. S., Kim, Y. S., Ko, S. K., & Ko, Y. J. (2002). The Reliability and Validity of Korean Parent and Teacher ADHD Rating Scale. Journal of the Korean Neuropsychiatric Association, 41, 283-289.
Son, S. M., & Yi, I. H. (2016). The relationship of irrational belief, deficit of decision making and gambling problem. Clinical Psychology in Korea: Research and Practice, 2, 39-57.
Starcke, K., Pawlikowski, M., Wolf, O. T., Altstötter-Gleich, C., & Brand, M. (2011). Decision-making under risk conditions is susceptible to interference by a secondary executive task. Cognitive Processing, 12, 177-182.
Turnbull, O. H., Evans, C. E., Bunce, A., Carzolio, B., & O’Connor, J. (2005). Emotion-based learning and central executive resources:An investigation of intuition and the Iowa Gambling Task. Brain and Cognition, 57, 244-247.
Whitesell, M., Bachand, A., Peel, J., & Brown, M. (2013). Familial, Social, and Individual Factors Contributing to Risk for Adolescent Substance Use. Journal of Addiction, 2013, Article ID 579310. doi: 10.1155/2013/579310
Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological Psychiatry, 57, 1336-1346.
Yen, J. Y., Yen, C. F., Chen, C. S., Tang, T. C., & Ko, C. H. (2009). The association between adult ADHD symptoms and internet addiction among college students: the gender difference. Cyber-Psychology and Behavior, 12, 187-191.
Zermatten, A., Van der Linden, M., d'Acremont, M., Jermann, F., & Bechara, A. (2005). Impulsivity and decision making. The Journal of Nervous and Mental Disease, 193, 647-650.