Is the Continuous Performance Task a valuable research tool for use with children with Attention-Deficit-Hyperactivity Disorder?

The Continuous Performance Task (CPT) has become a popular research tool used to distinguish children with Attention-Deficit-Hyperactivity Disorder (ADHD) from their normal peers. Whether hyperactive children have a vigilance decrement remains an ongoing controversy. The theoretical basis of the CPT and variables known to influence performance are examined in order to interpret the inconsistencies evident in the research. Studies which employed the CPT in order to examine the possibility of sustained attention deficits in children with ADHD will be reviewed. The results are examined in light of group selection criteria, task variables and situational and external variables. It is concluded that there is no compelling evidence for a sustained deficit in ADHD children. An alternative theoretical model for understanding the results of CPT performance in ADHD children is provided.

[1]  S. Shapiro,et al.  The occurrence of behavior disorders in children: the interdependence of Attention Deficit Disorder and Conduct Disorder. , 1986, Journal of the American Academy of Child Psychiatry.

[2]  H E ROSVOLD,et al.  A continuous performance test of brain damage. , 1956, Journal of consulting psychology.

[3]  J. Sergeant,et al.  On resource strategy limitations in hyperactivity: cognitive impulsivity reconsidered. , 1985, Journal of child psychology and psychiatry, and allied disciplines.

[4]  J. R. Ware,et al.  Performance of mental deficients on a simple vigilance task. , 1962, American journal of mental deficiency.

[5]  W. Horn,et al.  Sex differences in school-aged children with pervasive attention deficit hyperactivity disorder , 1989, Journal of abnormal child psychology.

[6]  Hans J. Eysenck,et al.  The Measurement of personality , 1976 .

[7]  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.

[8]  M S Buchsbaum,et al.  Effects of amphetamine on vigilance performance in normal and hyperactive children , 1980, Journal of abnormal child psychology.

[9]  V. Douglas,et al.  Attention in hyperactive children and the effect of methylphenidate (ritalin). , 1971, Journal of child psychology and psychiatry, and allied disciplines.

[10]  J. Swanson,et al.  Chapter 20 Attention and Hyperactivity , 1990 .

[11]  H. Swanson,et al.  Relationship between intelligence and vigilance in children , 1989 .

[12]  G. Hobbes,et al.  The diagnosis of attention deficit disorder (hyperkinesis) in children. , 1981, Journal of the American Academy of Child Psychiatry.

[13]  P. Firestone,et al.  An analysis of the hyperactive syndrome: A comparison of hyperactive, behavior problem, asthmatic, and normal children , 1979, Journal of abnormal child psychology.

[14]  K. Nuechterlein.  Signal detection in vigilance tasks and behavioral attributes among offspring of schizophrenic mothers and among hyperactive children. , 1983, Journal of abnormal psychology.

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

[16]  K. Nuechterlein,et al.  Hyperactive and hypoxic children: signal detection, sustained attention, and behavior. , 1984, Journal of abnormal psychology.

[17]  M. Prior,et al.  Visual and auditory attention performance in hyperactive children: Competence or compliance , 1986, Journal of abnormal child psychology.

[18]  J. Werry,et al.  Attention deficit, conduct, oppositional, and anxiety disorders in children: III. Laboratory differences , 1987, Journal of abnormal child psychology.

[19]  F. Lévy,et al.  The development of sustained attention (vigilance) and inhibition in children: some normative data. , 1980, Journal of child psychology and psychiatry, and allied disciplines.

[20]  E. Taylor,et al.  Conduct Disorder and Hyperactivity: I , 1986, British Journal of Psychiatry.

[21]  V. Douglas,et al.  Sustained attention in hyperactive children. , 1973, Journal of child psychology and psychiatry, and allied disciplines.

[22]  J. Halperin,et al.  Differential assessment of attention and impulsivity in children. , 1988, Journal of the American Academy of Child and Adolescent Psychiatry.

[23]  M. Rutter,et al.  The characteristics of situationally and pervasively hyperactive children: implications for syndrome definition. , 1981, Journal of child psychology and psychiatry, and allied disciplines.

[24]  R. Prinz,et al.  Comparative analysis of attentional deficits in hyperactive and learning-disabled children. , 1986, Journal of abnormal psychology.

[25]  V. Douglas,et al.  Toward a Clearer Definition of the Attentional Deficit of Hyperactive Children , 1979 .

[26]  S. Kupietz,et al.  Children's vigilance performance and inattentiveness in the classroom. , 1978, Journal of child psychology and psychiatry, and allied disciplines.

[27]  G. Logan,et al.  Effects of event rate and display time on sustained attention in hyperactive, normal, and control children , 1989, Journal of abnormal child psychology.

[28]  B. Garfinkel,et al.  The computerized continuous performance task: A new measure of inattention , 1983, Journal of Abnormal Child Psychology.

[29]  D. Quade,et al.  Construct validity of clinical diagnosis in pediatric psychiatry: relationship among measures. , 1985, Journal of the American Academy of Child Psychiatry.