The Upside of ADHD-related Risk-taking: Adolescents With ADHD Report a Higher Likelihood of Engaging in Prosocial Risk-taking Behavior Than Typically Developing Adolescents

J Atten Disord. 2025 Aug;29(10):775-786. doi: 10.1177/10870547251321882. Epub 2025 Feb 21.

Abstract

Background: ADHD is highly prevalent in adolescents. ADHD is characterized by heightened impulsive behavior and is often associated with increased risk-taking behavior in adolescence. Previous research has mostly focused on negative aspects of risk-taking behavior. However, recently two other types of risk-taking behavior have been identified: positive and prosocial risk-taking.

Objective: Here, we tested whether youth with ADHD are more inclined toward positive and prosocial risk-taking.

Methods: We assessed the self-reported likelihood of engaging in negative, positive, and prosocial risk-taking in a sample of 50 adolescents with ADHD (Mage = 16.3, SD = 1.18) and 54 typically developing adolescents (Mage = 16.9, SD = 0.73). Regardless of group, we found that positive, prosocial, and negative risk-taking behavior were positively correlated, higher risk-taking in one domain was associated with higher levels of risk-taking in another.

Results: Crucially, we found that adolescents with ADHD were more likely to engage in prosocial risk-taking behavior compared to typically developing adolescents. We did not find group differences for negative and positive risk-taking behavior.

Conclusion: Together, these results show a first indication of the upside of risk-taking in ADHD.

Keywords: ADHD; adolescence; negative; positive; prosocial; risk-taking behavior.

MeSH terms

  • Adolescent
  • Adolescent Behavior* / psychology
  • Attention Deficit Disorder with Hyperactivity* / psychology
  • Female
  • Humans
  • Impulsive Behavior
  • Male
  • Risk-Taking*
  • Social Behavior*