The Construct Validity of The Tower of London DX As a Measure of The Executive Functioning of ADHD Children

Currently, there are a limited number of measures that have been developed to assess childhood executive planning and problem-solving abilities. The present study represents ongoing efforts to determine the psychometric properties of the newly developed Tower of London-Drexel (TOLDX), a measure of executive functions. Specifically, the construct-related validity of the TOLDX was investigated with a sample of attentiondeficit hyperactivity disorder (ADHD) children (N = 129), 7 to 15 years of age. The performance of the children on a neuropsychological battery of measures sensitive to executive abilities, psychometric intelligence, and memory was subjected to maximumlikelihood factor analysis. A four-factor solution was extracted that "best fit" the selected variables. The TOLDX was found to produce the highest loading on an Executive Planning/Inhibition factor comprised of other executive measures. The Executive Planning/Inhibition measure was separate from factors of Executive Concept Formation/Flexibility, Psychometric Intelligence, and Memory. Moreover, the two executive factors were found to be correlated (r = .42) suggesting that each assesses, to varying degrees, related executive dimensions. The neuropsychological construct structure of the TOLDX is discussed in relationship with the temporal organization of behavior and frontal lobe functioning.

[1]  S. Faraone,et al.  Effects of family history and comorbidity on the neuropsychological performance of children with ADHD: preliminary findings. , 1995, Journal of the American Academy of Child and Adolescent Psychiatry.

[2]  R. Krikorian,et al.  Tower of London procedure: a standard method and developmental data. , 1994, Journal of clinical and experimental neuropsychology.

[3]  Amy E. Chused,et al.  Cognitive functioning in sydenham's chorea: Part 2. executive functioning , 1994 .

[4]  T. Robbins,et al.  Planning and spatial working memory in Parkinson's disease. , 1988, Journal of neurology, neurosurgery, and psychiatry.

[5]  M. Welsh Rule-guided behavior and self-monitoring on the tower of hanoi disk-transfer task , 1991 .

[6]  O. Spreen,et al.  A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary , 1991 .

[7]  J. Stevens Applied Multivariate Statistics for the Social Sciences , 1986 .

[8]  T. Shallice Specific impairments of planning. , 1982, Philosophical transactions of the Royal Society of London. Series B, Biological sciences.

[9]  J. Fuster Prefrontal Cortex , 2018 .

[10]  A. Benton Prefrontal injury and behavior in children , 1991 .

[11]  B. Pennington,et al.  Executive functions and developmental psychopathology. , 1996, Journal of child psychology and psychiatry, and allied disciplines.

[12]  H. Levin,et al.  Selective reminding test: an examination of the equivalence of four forms. , 1985, Journal of clinical and experimental neuropsychology.

[13]  W. L. Wansart,et al.  Learning to Solve a Problem , 1990, Journal of learning disabilities.

[14]  J. Stroop Studies of interference in serial verbal reactions. , 1992 .

[15]  M. Morales,et al.  The Computerized Tower of Hanoi: A New Form of Administration and Suggestions for Interpretation , 1991, Perceptual and motor skills.

[16]  G. Lyon,et al.  Attention, Memory, and Executive Function , 1995 .

[17]  V. Douglas,et al.  Attention deficit hyperactivity disorder and the frontal lobe syndrome , 1992, Brain and Cognition.

[18]  Adrian M. Owen,et al.  Dopamine-Dependent Frontostriatal Planning Deficits in Early Parkinson's Disease , 1995 .

[19]  N. Birbaumer,et al.  The cerebellum and cognitive functions in humans. , 1993, Behavioral neuroscience.

[20]  B. Garfinkel,et al.  A computerized assessment battery for attention deficits. , 1983 .

[21]  R. Cattell The Scree Test For The Number Of Factors. , 1966, Multivariate behavioral research.

[22]  L. L. Thurstone,et al.  An analytical method for simple structure , 1954 .

[23]  Donald T. Stuss,et al.  Biological and psychological development of executive functions , 1992, Brain and Cognition.

[24]  B. Pennington,et al.  Executive function deficits in high-functioning autistic individuals: relationship to theory of mind. , 1991, Journal of child psychology and psychiatry, and allied disciplines.

[25]  J. Fletcher,et al.  Developmental changes in performance on tests of purported frontal lobe functioning , 1991 .

[26]  Cognitive development among children with early-treated phenylketonuria , 1994 .

[27]  J. Fletcher,et al.  Dimensions of cognition measured by the tower of London and other cognitive tasks in head‐injured children and adolescents , 1996 .

[28]  W. Grant Willis,et al.  Executive functions in school‐aged children: Potential efficacy of tasks in discriminating clinical groups , 1994 .

[29]  R. Diamond,et al.  Frontal lobe functioning in boys with attention‐deficit hyperactivity disorder , 1992 .

[30]  H. Kaiser A second generation little jiffy , 1970 .

[31]  H. H. Spitz,et al.  Tower of Hanoi performance of retarded young adults and nonretarded children as a function of solution length and goal state. , 1982, Journal of experimental child psychology.

[32]  D L Streiner,et al.  Figuring Out Factors: The Use and Misuse of Factor Analysis , 1994, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[33]  T. Robbins,et al.  Planning and spatial working memory following frontal lobe lesions in man , 1990, Neuropsychologia.

[34]  J. Saint-Cyr,et al.  Procedural learning and neostriatal dysfunction in man. , 1988, Brain : a journal of neurology.

[35]  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.

[36]  A. Benton,et al.  Frontal Lobe Function and Dysfunction , 1991 .

[37]  Bruce F. Pennington,et al.  A normative‐developmental study of executive function: A window on prefrontal function in children , 1991 .

[38]  S. Chapman,et al.  Tower of London Performance in Relation to Magnetic Resonance Imaging Following Closed Head Injury in Children , 1994 .

[39]  N C Andreasen,et al.  The neuropsychology of the prefrontal cortex. , 1993, Archives of neurology.

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

[41]  T. Shallice,et al.  Deficits in strategy application following frontal lobe damage in man. , 1991, Brain : a journal of neurology.

[42]  R. Barkley,et al.  Neuropsychological and academic functioning in preschool boys with attention deficit hyperactivity disorder. , 1997 .

[43]  B. Pennington,et al.  Specific frontal lobe deficits among women with the fragile X gene. , 1992, Journal of the American Academy of Child and Adolescent Psychiatry.

[44]  H. Kaiser An index of factorial simplicity , 1974 .

[45]  C. Dziuban,et al.  When is a correlation matrix appropriate for factor analysis? Some decision rules. , 1974 .

[46]  G. August,et al.  Comorbidity of ADHD and reading disability among clinic-referred children , 1990, Journal of abnormal child psychology.

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

[48]  D. Benson,et al.  The Role of Frontal Dysfunction in Attention Deficit Hyperactivity Disorder , 1991, Journal of child neurology.

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

[50]  B. Schmand,et al.  Procedural learning of cognitive and motor skills in psychotic patients , 1992, Schizophrenia Research.

[51]  H. Kaiser The Application of Electronic Computers to Factor Analysis , 1960 .

[52]  R. Dolan,et al.  Neural systems engaged by planning: a PET study of the Tower of London task , 1996, Neuropsychologia.

[53]  V. Douglas,et al.  Rehearsal strategies and recall performance in boys with and without attention deficit hyperactivity disorder. , 1996, Journal of pediatric psychology.

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

[55]  N C Andreasen,et al.  Hypofrontality in neuroleptic-naive patients and in patients with chronic schizophrenia. Assessment with xenon 133 single-photon emission computed tomography and the Tower of London. , 1992, Archives of general psychiatry.

[56]  H. Jasper,et al.  Epilepsy and the Functional Anatomy of the Frontal Lobe , 1995 .