Skip to main content
Log in

Saccadic movement deficiencies in adults with ADHD tendencies

  • Original Article
  • Published:
ADHD Attention Deficit and Hyperactivity Disorders

Abstract

The goal of the present study was to explore deficits in gaze detection and emotional value judgment during a saccadic eye movement task in adults with attention deficit/hyperactivity disorder (ADHD) tendencies. Thirty-two participants, consisting of 16 ADHD tendencies and 16 controls, were recruited from a pool of 243 university students. Among the many problems in adults with ADHDs, our research focused on the deficits in the processing of nonverbal cues, such as gaze direction and the emotional value of others’ faces. In Experiment 1, a cue display containing a face with emotional value and gaze direction was followed by a target display containing two faces located on the left and right side of the display. The participant’s task was to make an anti-saccade opposite to the gaze direction if the cue face was not emotionally neutral. ADHD tendencies showed more overall errors than controls in making anti-saccades. Based on the hypothesis that the exposure duration of the cue display in Experiment 1 may have been too long, we presented the cue and target display simultaneously to prevent participants from preparing saccades in advance. Participants in Experiment 2 were asked to make either a pro-saccade or an anti-saccade depending on the emotional value of the central cue face. Interestingly, significant group differences were observed for errors of omission and commission. In addition, a significant three-way interaction among groups, cue emotion, and target gaze direction suggests that the emotional recognition and gaze control systems might somehow be interconnected. The result also shows that ADHDs are more easily distracted by a task-irrelevant gaze direction. Taken together, these results suggest that tasks requiring both response inhibition (anti-saccade) and gaze-emotion recognition might be useful in developing a diagnostic test for discriminating adults with ADHDs from healthy adults.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Adams ZW, Roberts WM, Milich R, Fillmore MT (2011) Does response variability predict distractibility among adults with attention-deficit/hyperactivity disorder? Psychol Assess 23:427–436

    Article  PubMed Central  PubMed  Google Scholar 

  • Advokat C, Martino L, Hill BD, Gouvier W (2007) Continuous performance test(CPT) of college students with ADHD, psychiatric disorders, cognitive deficits, or no diagnosis. J Atten Disord 10:253–256

    Article  PubMed  Google Scholar 

  • Barkley RA (1997) Behavioral inhibition, sustained attention, and executive function: constructing a unifying theory of ADHD. Psychol Bull 121(1):65–94

    Article  CAS  PubMed  Google Scholar 

  • Bayliss AP, Frischen A, Fenske MJ, Tipper SP (2007) Affective evaluations of objects are influenced by observed gaze direction and emotional expression. Cognition 104(3):644–653

    Article  PubMed  Google Scholar 

  • Conners CK, Erhart D, Sparrow EP (1999) Conners’ adult ADHD rating scales, technical manual. Multi-Health Systems, New York

    Google Scholar 

  • Cox DJ, Cox BS, Cox J (2011) Self-reported incidences of moving vehicle collisions and citations among drivers with ADHD: a cross-sectional survey across the lifespan. Am J Psychiatry 168(3):329–330

    Article  PubMed  Google Scholar 

  • Everling S, Fischer B (1998) The antisaccade: a review of basic research and clinical studies. Neuropsychologia 36:885–899

    Article  CAS  PubMed  Google Scholar 

  • Fonseca D, Seguier VR, Santos A, Poinso F, Deruelle C (2009) Emotion understanding in children with ADHD. Child Psychiatr Hum Dev 40(1):111–121

    Article  Google Scholar 

  • Fox E, Lester B, Russo R, Bowles JR, Pichler A, Dutton K (2000) Facial expressions of emotion: are angry faces detected more efficiently? Cogn Emot 14(1):61–92

    Article  PubMed Central  PubMed  Google Scholar 

  • Hallet PE (1978) Primary and secondary saccades to goals defined by instruction. Vision Res 18:1279–1296

    Article  Google Scholar 

  • Hanisch C, Radach R, Holtkamp K, Herpertz-Dahlmann B, Konrad K (2006) Oculomotor inhibition in children with and without attention-deficit hyperactivity disorder (ADHD). J Neural Transm 113:671–684

    Article  CAS  PubMed  Google Scholar 

  • Hoyoung Kim, Jooyoung Lee, Sangsu Cho, Im-Soon Lee, Ji-Hae Kim (2005) A preliminary study on reliability and validity of the Conners adult ADHD rating Scales-Korean version in college students. Korean J Clin Psychol 24(1):171–185

    Google Scholar 

  • Ibanez A, Petroni A, Urquina H, Torrente F, Torralva T, Hurtado E, Guex R, Blenkmann A, Beltrachini L, Muravchik C, Baez S, Cetkovich M, Sigman M, Lischinsky A, Manes F (2014) Cortical deficits of emotional face processing in adults with ADHD: its relation to social cognition and executive function. Soc Neurosci 6(5–6):464–481

    Google Scholar 

  • Klein C, Raschke A, Brandenbusch A (2003) Development of pro- and antisaccades in children with attention-deficit hyperactivity disorder (ADHD) and healthy controls. Psychophysiology 40:17–28

    Article  CAS  PubMed  Google Scholar 

  • Lee TH, Lee KY, Lee K, Chol J-S, Kim HT (2006) The Korea University facial expression collection: KUFEC. Laboratory of Behavioral Neuroscience. Department of Psychology, Korea University, Seoul, South Korea

  • Mathews A, Fox E, Yeind J, Calder A (2003) The face of fear: effects of eye gaze and emotion on visual attention. Vis Cogn 10(7):823–835

    Article  PubMed Central  PubMed  Google Scholar 

  • Miller M, Hanford BR, Fassbender C, Duke M, Schweitzer BJ (2011) Affect recognition in adults with ADHD. J Atten Disord 15(6):452–460

    Article  PubMed Central  PubMed  Google Scholar 

  • MedCalc statictical software homepage. http://www.medcalc.org/manual/roc-curves.php

  • Mostofsky SH, Lasker AG, Cutting LE, Denckla MB, Zee DS (2001) Oculomotor abnormalities in attention deficit hyperactivity disorder. A preliminary study. Neurology 57:423–430

    Article  CAS  PubMed  Google Scholar 

  • Munoz DP, Everling S (2004) Look away: the anti-saccade task and the voluntary control of eye movement. Nat Rev Neurosci 5:218–228

    Article  CAS  PubMed  Google Scholar 

  • Munoz DP, Armstrong IT, Hampton KA, Moore KD (2003) Altered control of visual fixation and saccadic eye movements in attention-deficit hyperactivity disorder. J Neurophysiol 90:503–514

    Article  PubMed  Google Scholar 

  • Oosterlaan J, Logan GD, Sergeant JA (1998) Response inhibition in AD/HD, CD, comorbid AD/HD+ CD, anxious, and control children: a meta-analysis of studies with the stop task. J Child Psychol Psychiatry 39(3):411–425

    Article  CAS  PubMed  Google Scholar 

  • Rapport LJ, Friedman SL, Tzelepis A, Van Voorhis A (2012) Experienced emotion and affect recognition in adult attention-deficit hyperactivity disorder. Neuropsychology 16(1):102–110

    Article  Google Scholar 

  • Rosenbloom T, Wultz B (2011) Thirty-day self-reported risky driving behaviors of ADHD and non-ADHD drivers. Accid Anal Prev 43(1):128–133

    Article  PubMed  Google Scholar 

  • Shin D-W, Lee S-J, Kim H-J, Park Y, Lim S-W (2008) Visual attention deficits contribute to impaired facial emotion recognition in boys with attention-deficit/hyperactivity disorder. Neuropediatrics 39(6):323–327

    Article  PubMed  Google Scholar 

  • Singh SD, Ellis CR, Winton ASW, Singh NN, Leung JP (1998) Recognition of facial expressions of emotion by children with attention-deficit hyperactivity disorder. Behav Modif 22(2):128–142

    Article  CAS  PubMed  Google Scholar 

  • Tobii (1750) http://www.tobii.com/

  • Uekermann J, Kraemer M, Abdel-Hamid M, Schimmelmann BG, Hebebrand J, Daum I, Wiltfang J, Kis B (2010) Social cognition in attention-deficit hyperactivity disorder (ADHD). Neurosci Biobehav 34(5):734–743

    Article  CAS  Google Scholar 

  • Van der Stigchel S, Rommelse NJN, Deijen BJ, Geldof JAC, Witlox J, Oosterlaan J, Sergeant AJ, Theeuwes J (2007) Oculomotor capture in ADHD. Cogn Nueropsychol 24(5):535–549

    Article  Google Scholar 

Download references

Acknowledgments

This research was supported by Kyungpook National University Research Fund, 2011.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ho-Wan Kwak.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, YJ., Lee, S., Chang, M. et al. Saccadic movement deficiencies in adults with ADHD tendencies. ADHD Atten Def Hyp Disord 7, 271–280 (2015). https://doi.org/10.1007/s12402-015-0174-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12402-015-0174-1

Keywords

Navigation