Response Inhibition, Memory, and Attention in Boys with Attention-Deficit/Hyperactivity Disorder

Newly developed measures of response inhibition, verbal and non-verbal memory, and attention were applied to a sample of boys diagnosed with ADHD (n = 50; 14 predominantly inattentive type and 36 combined type) with no diagnosed comorbid conditions, who had received no stimulant medication for a minimum period of 20 hours prior to test administration. Performance was assessed relative to 50 individually age-matched control boys. Results revealed significant multivariate group differences on all three tests, supported by univariate effects on measures of verbal memory and attentional switching. In all cases, ADHD boys performed more poorly than the control boys. However, contrary to expectations, boys with ADHD made significantly fewer impulsive responses (false positives) on the specific measure of response, despite recording significantly more misses than the controls. Furthermore, no significant differences were observed according to ADHD subtype. The present research therefore demonstrates and more fully characterises the nature of the observed memory and attentional impairments in boys with ADHD and would appear to have clear implications for education and the further development of theory.

[1]  G. Logan,et al.  Impulsivity and Inhibitory Control in Normal Development and Childhood Psychopathology , 1990 .

[2]  R. Tannock,et al.  Deficient inhibitory control in attention deficit hyperactivity disorder , 1995, Journal of abnormal child psychology.

[3]  C. Edelbrock,et al.  Manual for the Child: Behavior Checklist and Revised Child Behavior Profile , 1983 .

[4]  Roger E. Kirk,et al.  Experimental design: Procedures for the behavioral sciences (3rd ed.). , 1995 .

[5]  Gordon D. Logan,et al.  Effects of methylphenidate on inhibitory control in hyperactive children , 1989, Journal of abnormal child psychology.

[6]  J. Sattler Assessment of Children , 1992 .

[7]  R. Klein,et al.  Error patterns on the continuous performance test in non-medicated and medicated samples of children with and without ADHD: a meta-analytic review. , 1996, Journal of child psychology and psychiatry, and allied disciplines.

[8]  Jacob Cohen Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[9]  J. Meere,et al.  Controlled processing and vigilance in hyperactivity: Time will tell , 1988, Journal of abnormal child psychology.

[10]  J. Meere,et al.  Focused attention in pervasively hyperactive children , 1988, Journal of abnormal child psychology.

[11]  S. Zentall,et al.  Children With Hyperactivity and Their Organizational Abilities , 1993 .

[12]  G. Domino,et al.  The Matching Familiar Figures Test: a primary, secondary, and tertiary evaluation. , 1981, Journal of clinical psychology.

[13]  J. Sattler Assessment of children, 3rd ed. , 1988 .

[14]  R. Tannock Attention deficit hyperactivity disorder: advances in cognitive, neurobiological, and genetic research. , 1998, Journal of child psychology and psychiatry, and allied disciplines.

[15]  J. Sergeant The cognitive-energetic model: an empirical approach to Attention-Deficit Hyperactivity Disorder , 2000, Neuroscience & Biobehavioral Reviews.

[16]  R. Barkley,et al.  Frontal lobe functions in attention deficit disorder with and without hyperactivity: A review and research report , 1992, Journal of abnormal child psychology.

[17]  Arthur D. Anastopoulos,et al.  The WISC-III Freedom from Distractibility Factor: Its Utility in Identifying Children with Attention Deficit Hyperactivity Disorder. , 1994 .

[18]  S. Verhulst,et al.  Individual and Combined Effects of Attention Deficits and Learning Disabilities on Computerized ADHD Assessment , 1990 .

[19]  A. G. Baker,et al.  Effects of reward and response costs on inhibition in ADHD children. , 1995, Journal of abnormal psychology.

[20]  S. Zentall,et al.  Mathematical performance and behavior of children with hyperactivity with and without coexisting aggression. , 1993, Behaviour Research and Therapy.

[21]  Gordon D. Logan,et al.  Confirmation of an Inhibitory Control Deficit in Attention-Deficit/Hyperactivity Disorder , 2000, Journal of abnormal child psychology.

[22]  T. Achenbach Manual for the child behavior checklist/4-18 and 1991 profile , 1991 .

[23]  S. Leon,et al.  Measuring Inhibitory Control in Children , 1997, Journal of developmental and behavioral pediatrics : JDBP.

[24]  Robert K. Heaton,et al.  Wisconsin Card Sorting Test Manual – Revised and Expanded , 1993 .

[25]  R. Kirk Experimental Design: Procedures for the Behavioral Sciences , 1970 .

[26]  R. Barkley,et al.  Psychological adjustment and adaptive impairments in young adults with ADHD , 1996 .

[27]  R. Barkley,et al.  Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment , 1994 .

[28]  I. Robertson,et al.  `Oops!': Performance correlates of everyday attentional failures in traumatic brain injured and normal subjects , 1997, Neuropsychologia.

[29]  J. Ferguson,et al.  National Institutes of Health Consensus Development Conference Statement: diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD) , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[30]  C. K. Hsiao,et al.  Development of Sustained Attention Assessed Using the Continuous Performance Test among Children 6–15 Years of Age , 1999, Journal of abnormal child psychology.

[31]  R. Barkley Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. , 1997, Psychological bulletin.

[32]  C. Conners Conners' rating scales-revised : technical manual , 1997 .

[33]  J. Buitelaar,et al.  Visual sustained attention in a child psychiatric population. , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[34]  O. Selnes A Compendium of Neuropsychological Tests , 1991, Neurology.

[35]  J. Sergeant,et al.  Response choice and inhibition in ADHD, anxious and aggressive children: The relationship between S-R compatibility and stop signal task , 1995 .

[36]  S. Houghton,et al.  Differential Patterns of Executive Function in Children With Attention-Deficit Hyperactivity Disorder According to Gender and Subtype , 1999, Journal of child neurology.

[37]  B. J. Casey,et al.  Implication of right frontostriatal circuitry in response inhibition and attention-deficit/hyperactivity disorder. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[38]  G D Logan,et al.  Response inhibition in AD/HD, CD, comorbid AD/HD + CD, anxious, and control children: a meta-analysis of studies with the stop task. , 1998, Journal of child psychology and psychiatry, and allied disciplines.

[39]  B. Pennington,et al.  Contrasting Cognitive Deficits in Attention Deficit Hyperactivity Disorder versus Reading Disability. , 1993 .

[40]  G. Logan,et al.  Attaining and maintaining preparation: A comparison of attention in hyperactive, normal, and disturbed control children , 1988, Journal of abnormal child psychology.

[41]  J. Halperin ADHD and the Nature of Self-Control , 1999 .

[42]  B. Pennington,et al.  A neuropsychological examination of the underlying deficit in attention deficit hyperactivity disorder: frontal lobe versus right parietal lobe theories. , 1998, Developmental psychology.

[43]  J. Nigg,et al.  The ADHD Response-Inhibition Deficit as Measured by the Stop Task: Replication with DSM–IV Combined Type, Extension, and Qualification , 1999, Journal of abnormal child psychology.

[44]  Joseph A. Sergeant,et al.  What happens after a hyperactive child commits an error? , 1988, Psychiatry Research.

[45]  J. Swanson,et al.  Effects of Methylphenidate on Impulsive Responding in Children With Attention-Deficit Hyperactivity Disorder , 1993, Journal of child neurology.

[46]  Dc Washington Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. , 1994 .

[47]  B. Pennington,et al.  Twin study of the etiology of comorbidity between reading disability and attention-deficit/hyperactivity disorder. , 2000, American journal of medical genetics.