Individuals with ADHD are less tolerant of other people’s political views and more prone to support the idea of silencing other opinions

ADHD and political participation: An observational study. Israel Waismel-Manor et al. PLOS One, February 21, 2023. https://doi.org/10.1371/journal.pone.0280445

Abstract

Background and objective: Over the past decade, researchers have been seeking to understand the consequences of adult attention-deficit/hyperactivity disorder (ADHD) for different types of everyday behaviors. In this study, we investigated the associations between ADHD and political participation and attitudes, as ADHD may impede their active participation in the polity.

Methods: This observational study used data from an online panel studying the adult Jewish population in Israel, collected prior the national elections of April 2019 (N = 1369). ADHD symptoms were assessed using the 6-item Adult ADHD Self-Report (ASRS-6). Political participation (traditional and digital), news consumption habits, and attitudinal measures were assessed using structured questionnaires. Multivariate linear regression analyses were conducted to analyze the association between ADHD symptoms (ASRS score <17) and reported political participation and attitudes.

Results: 200 respondents (14.6%) screened positive for ADHD based on the ASRS-6. Our findings show that individuals with ADHD are more likely to participate in politics than individuals without ADHD symptoms (B = 0.303, SE = 0.10, p = .003). However, participants with ADHD are more likely to be passive consumers of news, waiting for current political news to reach them instead of actively searching for it (B = 0.172, SE = 0.60, p = .004). They are also more prone to support the idea of silencing other opinions (B = 0.226, SE = 0.10, p = .029). The findings hold when controlling for age, sex, level of education, income, political orientation, religiosity, and stimulant therapy for ADHD symptoms.

Conclusions: Overall, we find evidence that individuals with ADHD display a unique pattern of political activity, including greater participation and less tolerance of others’ views, but not necessarily showing greater active interest in politics. Our findings add to a growing body of literature that examines the impact of ADHD on different types of everyday behaviors.

Discussion

Previous work suggests that genetic and biological factors might help explain some political behaviors [52–55, 59]. This study examines whether and how one of the most prevalent neuropsychiatric disorders, ADHD [56–58], is correlated with measures of political participation and attitudes. We screened adult participants in a political participation study for ADHD symptomatology using the ASRS-6 screening questionnaire and compared political participation patterns and attitudes of participants who screened positive for ADHD to those of participants who screened negative. In our sample, where the prevalence of ADHD based on the ASRS-6 was 14.6%, we found that positive ADHD screening was associated with higher political participation through both physical and digital channels. However, while ADHD-positive participants tended to express their political opinions via social media, they did not report greater interest in politics or higher levels of active news consumption. Instead, the analysis demonstrated that individuals with ADHD symptoms are more likely to take a “political news will find me” approach. In this sense, our results align with previous work that finds that individuals who suffer from other health conditions in their daily lives tend to participate more regularly in political activity, such as contacting a politician or signing a petition [31].

Additionally, participants with ADHD symptoms were found to be less tolerant of other people’s views. Considering that participants with ADHD symptoms were not more likely to curb democratic norms as a whole, this might reflect their attentiveness rather than a broader democratic issue.

To the best of our knowledge, the impact of ADHD on political behavior has not previously been evaluated. However, a recent study has addressed the use of social media among patients with ADHD. Social media users with ADHD were found to be less agreeable, to post more often, and to use more negations, hedging, and swear words. ADHD is also correlated with addictive social media use [47]. Social media activity in general is rewarding for ADHD patients, as it provides immediate feedback and offers an easy distraction from other tasks. In this sense, political participation through social media platforms is equally rewarding for patients with ADHD.

Impatience and intolerance towards the opinion of others and/or willingness to interrupt others while speaking are also symptomatic of ADHD as defined by the DSM-V [5]. Our findings indicate that this trait is also applicable to the political arena, with participants who screened positive for ADHD displaying lower tolerance towards opposing opinions.

While there was no difference between the ADHD and non-ADHD groups in regard to the amount of political content they consume via popular news outlets, we found that participants with ADHD are more prone to consume news passively, waiting for it to “find them.” This implies, in turn, that these individuals tend to base their current political knowledge on information that is screened for them by others, or that is filtered and curated by social media algorithms. This finding, which was not previously reported, may have implications for how patients with ADHD perceive reality and their vulnerability to being captured by information bubbles.

Participants who were treated by stimulants did not differ from non-treated ADHD-positive participants in our study. A possible explanation for this finding is that pharmacological treatments for ADHD affect symptoms over a limited timeframe, even when long-acting agents are used. ADHD patients tend to take their medication in the morning, so as to manage their symptoms during working hours. However, they are more likely to post on social media at night [47]. As such, their political activity may take place largely at times of day when they are not medically treated.

Our study has four main limitations: First, it was performed on a small population in one specific political context (the state of Israel, which is considered highly polarized). It is, therefore, difficult to draw general conclusions regarding other countries. At the same time, attention disorders are common worldwide, and we hope that further research will this matter in other countries. Second, this study used a screening tool rather than a clinical diagnosis. Third, it is possible that individuals with ADHD will demonstrate a different pattern of responding to surveys. For example, they might lose interest in the middle of filing the survey, depending on the time of day. As no previous literature on this matter exists, our research was carried out using the conventional method without special adjustment for attention disorders. Forth, it examined political participation through self-reports.

Nonetheless, our findings provide insights into the possible effects of ADHD on political behavior. With growing recognition of the existence and impact of ADHD among adults, the effects of the disorder on all aspects of human life are beginning to unfold. Considering that political participation entails voluntary actions taken by individuals to influence public policy and those elected officials who shape those policies, and given that ADHD is correlated with weakened populations, it is important to understand both whether the voices of those with ADHD are heard, and how this segment of society affects the polity.

More broadly, as our understanding and acceptance of neurodiversity grows [59], we need to pay more attention to how various common neurodevelopmental disorders shape our society. The political arena in democratic societies is formed and shaped by all citizens, including “neuro-minorities,” and academic research should address their participation as part of an effort both to improve the social functioning of neurodivergent individuals and to enhance the political system for the benefit of all. Future research is needed to further validate and strengthen our findings, possibly using validated clinical diagnoses and evaluating digital political behaviors via actual inspection of participants’ social media accounts using automated approaches.