Abstract
The goal of the current study was to test whether deficits in processing speed (PS) may be a shared cognitive risk factor in reading disability (RD) and Attention Deficit/Hyperactivity Disorder (ADHD), which are known to be comorbid. Literature on ADHD and RD suggests that deficits on tasks with a speeded component are seen in both of these disorders individually. The current study examined a wide range of speeded tasks in RD, ADHD, comorbid RD+ADHD, and a control group to test whether RD and ADHD have similar profiles of PS deficits, and whether these deficits are shared by the two disorders. The results suggest that a general PS deficit exists in both clinical groups compared to controls, although children with RD demonstrate greater PS deficits than children with ADHD. Two tests (underadditivity and partial correlations) were conducted to test whether these PS deficits are shared. Since we found that PS deficits were underadditive in the comorbid group and that partialling PS reduced the correlation between RD and ADHD, it appears that PS is a shared cognitive risk factor that may help explain the comorbidity of these two disorders.
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References
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
August, G. J., & Garfinkel, B. D. (1990). Comorbidity of ADHD and reading disability among clinic referred children. Journal of Abnormal Child Psychology, 18(1), 29–45.
Barkley, R. A. (1997) Behavioral Inhibition, sustained attention, and executive function: Constructing a unified theory of ADHD. Psychological Bulletin, 121, 65–94.
Barkley, R., & Murphy, K. (1998). Attention-deficit hyperactivity disorder: A clinical workbook (2nd ed.). New York, NY, US: Guilford Press.
Carlson, C. L., Shin, M., & Booth, J. (1999). The case for DSM-IV subtypes in ADHD. Mental Retardation and Developmental Disabilities Research Reviews, 5(3), 199–206.
Carroll, J. B. (1993). Human cognitive abilities: A survey of factor analytic studies. Australia: Press Syndicate of the University of Cambridge.
Catts, H. W., Gillespie, M., Leonard, L. B., Kail, R. V., & Miller, C. A. (2002). The role of speed of processing, rapid naming, and phonological awareness in reading achievement. Journal of Learning Disabilities, 32,38–50.
Chhabildas. N. (2003). A twin study of the validity of the executive function theory of ADHD. Dissertation Abstracts International: Section B: The Sciences and Engineering, 64(1B), 411.
Chhabildas, N., Pennington, B. F., & Willcutt, E. (2001). A comparison of the neuropsychological profiles of the DSM-IV subtypes of ADHD. Journal of Abnormal Child Psychology, 29(6), 529– 540.
Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Compton, D. L., Olson, R. K., DeFries, J. C., & Pennington, B. F. (2002). Comparing the relationships among two different versions of the alphanumeric rapid automatized naming and word level reading skills. Scientific Studies of Reading, 6, 343–368.
Decker, S. N. (1989). Cognitive processing rates among disabled and normal reading young adults: A nine year follow-up study. Reading and Writing: An Interdisciplinary Journal, 1, 123–134.
Denckla, M. B. (1972). Color naming deficits in dyslexic boys. Cortex, 8(2), 164–176.
Denckla, M. B., & Cutting, L. E. (1999). History and Significance of Rapid Automatized Naming. Annals of Dyslexia, 49, 29–42.
Denckla, M. B., & Rudel, R. (1974). Rapid “automatized” naming of pictured objects, colors, letters, and numbers by normal children. Cortex, 10(2), 186–202.
DeFries, J. C., Singer, S. M., Foch, T. T., & Lewitter, F. I. (1978). Familial nature of reading disability. British Journal of Psychiatry, 132, 361–367.
Doyle, A. E., Willcutt, E. G., Seidman, L. J., Biederman, J., Chouinard, V., Silva, J., & Faraone, S. V., (2005). Attention-Deficit/Hyperactivity Disorder Endophenotypes. Biological Psychiatry, 57(11), 1324–1335.
Foch, T. T., DeFries, J. C., McClearn, G. E., & Singer, S. M. (1977). Familial patterns of impairment in reading disability. Journal of Educational Psychology, 69, 316–329.
French, J. W., Ekstrom, R. G., & Price, L. A. (1963). Manual for a kit of reference tests for cognitive factors. Princeton, NJ: Educational Testing Service.
Gadow, K. D., Drabick, D. A., Loney, J., Sprafkin, J., Salisbury, H., Azizian, A., & Schwartz, J. (2004). Comparison of ADHD symptom subtypes as source-specific syndromes. Journal of Child Psychology and Psychiatry, 45 (6), 1135–1149.
Gayan, J., Willcutt, E. G., Fisher, S. E., Franks, C., Cardon, L. R., Olson, R. K., Pennington, B. F., Smith, S. D. Monaco, A. P. & DeFries, J. C. (2005). Bivariate linkage scan for reading disability and attention-deficit hyperactivity disorder localizes pleiotropic loci. Journal of Child Psychology and Psychiatry, 46, 1045–1056.
Gilger, J. W., Pennington, B. F., & DeFries, J. C. (1992). A twin study of the etiology of comorbidity: Attention-deficit hyperactivity disorder and dyslexia. Journal of the American Academy of Child and Adolescent Psychiatry, 31 (2), 343–348.
Hollingshead, A. (1975). Two-factor index of social status. Unpublished manuscript.
Homack, S., & Riccio, C. A. (2004). A meta-analysis of the sensitivity and specificity of the stroop color and word test with children. Archives of Clinical Neuropsychology, 19(6), 725–743.
Kail, R., & Hall, L. K. (1994). Processing speed, naming speed, and reading. Developmental Psychology, 30(6), 949–954.
Kail, R., & Hall, L. K. (1999). Processing speed, exposure to print, and naming speed. Applied Psycholinguistics, 20, 303–314.
Kuntsi, J., & Stevenson, J. (2001). Psychological mechanisms in hyperactivity: II The role of genetic factors. Journal of Child Psychology & Psychiatry and Allied Disciplines, 42(2), 211–219.
Lahey, B. B., Pelham, W. E., Stein, M. A., Loney, J., Trapani, C., Nugent, K., Kipp, H., et al. (1998). Validity of DSM-IV attention-deficit/hyperactivity disorder for younger children. Journal of the American Academy of Child and Adolescent Psychiatry, 37(7), 695–702.
Lieberman, I. Y., Shankweiler, D., Fischer, F. W., & Carter, B. (1974). Explicit syllable and phoneme segmentation in the young child. Journal of Experimental Child Psychology, 18(2), 201–212.
Milich, R., Balentine, A., & Lynam, D. R. (2001). ADHD combined type and ADHD predominantly inattentive type are distinct and unrelated disorders. Clinical Psychology: Science and Practice, 8, 463–488.
Nigg, J. T., Blaskey, L. G., Huang-Pollack, C. L., & Rappley, M. D. (2002). Neuropsychological executive functions and DSM-IV ADHD subtypes. Journal of the American Academy of Child and Adolescent Psychiatry, 41 (1), 59–98.
Nigg, J. (2001). Is ADHD a disinhibitory disorder? Psychological Bulletin, 127(5), 571–598.
Nigg, J. T., Willcutt, E. W., Doyle, A. E., & Sonuga-Barke, E. J. (2004). Causal heterogeneity in Attention Deficit/Hyperactivity Disorder: Do we need neuropsychologically impaired subtypes? Journal of Biological Psychiatry, 8(25), 1–7.
Pennington, B. F. (2005). Towards a new neuropsychological model of ADHD: Subtypes and multiple deficits. Biological Psychiatry, 57(11), 1221–1223
Pennington, B. F., Van Orden, G.C., Smith, S. D., Green, P. A., & Haith, M. M. (1990). Phonological processing skills and deficits in adult dyslexics. Child Development, 61(6), 1753–1778.
Pennington, B. F. (1991). Diagnosing learning disorders: A neuropsychological framework. New York, NY: Guilford Press.
Pennington, B. F., Groisser, D., & Welsh, M. C. (1993). Contrasting cognitive deficits in attention deficit hyperactivity disorder and reading disability. Developmental Psychology, 29(3), 511–523.
Pennington, B. F., & Ozonoff, S. (1996). Executive Functions and Developmental Psychopathology. Journal of Child Psychology and Psychiatry and Allied Disciplines, 37 (1), 51–87.
Pennington, B. F., Willcutt, E. G., & Rhee, S. H. (in press). Analyzing Comorbidity.
Plomin, R., DeFries, J. C., McClearn, G. E., & McGuffin, P. (2001). Behavioral genetics (4th ed.). New York, NY: Worth Publishers.
Perfetti, C. A., Finger, E., & Hogaboam, T. W. (1978). Sources of vocalization latency differences between skilled and less skilled young readers. Journal of Educational Psychology, 70(5), 730–739.
Ransby, M. J., & Swanson, H. L. (2003). Reading comprehension skills of young adults with childhood diagnoses of dyslexia. Journal of Learning Disabilities, 36(6), 538–555.
Reich, W., Welner, Z., & Herjanic, B. (1997). Diagnostic Interview for Children and Adolescents-IV. North Towanda Falls, NY: Multi-Health System.
Rubia, K., Oosterlaan, J., Sergeant, J. A., Brandeis, D., & van Leeuwen, T. (1998). Inhibitory dysfunction in hyperactive boys. Behavioural Brain Research, 94, 25–32.
Rucklidge, J., & Tannock, R. (2002). Neuropsychological profiles of adolescents with ADHD: Effects of reading difficulties and gender. Journal of Child Psychology and Psychiatry and Allied Disciplines, 43(8), 988–1003.
Salthouse, T. A. (1991). Theoretical perspectives on cognitive aging. Hillsdale, NJ: Lawrence Erlbaum Associates.
Savage, R. (2004). Motor skills, automaticity, and developmental dyslexia: A review of the research literature. Reading and Writing: An interdisciplinary journal, 17, 301–324.
Savitz, J. B., & Jansen, P. (2003). The stroop color-word test as an indicator of ADHD in poor readers. Journal of Genetic Psychology, 164(3), 319–333.
Scheres, A., Oosterlaan, J., & Sergeant, J. A. (2001). Response Inhibition in children with DSM-IV subtypes of ADHD and related disruptive disorders: the role of reward. Child Neuropsychology, 7(3), 172–89.
Schmitz, M., Cadore, L., Paczko, M., Kipper, L., Chaves, M., Pohde, L., Moura, C., Knijnik, M. (2002). Neuropsychological performance in DSM-IV ADHD subtypes: An exploratory study with untreated adolescents. Canadian Journal of Psychiatry, 47 (9), 863-869.
Semrud-Clikeman, M., Biederman, J., Sprich-Buckmister, S., Lehman, B. A., Faraone, S. V., & Norman, D. (1992). Comorbidity between ADDH and LD: A review and report in a clinically referred sample. Journal of American Academy of Child and Adolescent Psychiatry, 31, 439–448.
Sergeant, J. A. (2005). Modeling Attention Deficit/Hyperactivity Disorder: A critical appraisal of the cognitive-energetic model. Biological Psychiatry, 57 (11), 1248-1255.
Shaywtiz, B. A., Fletcher, J. M., & Shaywtiz, S. E. (1995). Defining and classifying learning disabilities and attention-deficit/hyperactivity disorder. Journal of Child Neurology, 10, S50–S57.
Shaywtiz, B. A., Fletcher, J. M., Holahan, J. M., Shneider, A. E., Marchione, K. E., Stuebing, K. K., Francis, D. J., Shankweler, D. P., Katz, L., Liverman, I. Y., & Shaywitz, S. E. (1995). Interrelationships between reading disability and attention-deficit/hyperactivity disorder. Child Neuropsychology, 1(3), 170–183.
Slusarek, M., Velling, S., Bunk, D., & Eggers, C. (2001). Motivational effects on inhibitory control in children with ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 40(3), 355–363.
Solanto, M. V., Abikoff, H., Sonuga-Barke, E., Schachar, R., Logan, G., Wigal, T., Hechtman, L., Hinshaw, S., & Turkel, E. (2001). The ecological validity of delay aversion and response inhibition as measures of impulsivity in AD/HD: a supplement to the NIMH Multimodal Treatment Study of AD/HD. Journal of Abnormal Child Psychology, 29(3), 215–228.
Suk-han Ho, C., & Lai, D. N. (1999). Naming speed deficits and phonological memory deficits in Chinese developmental dyslexia. Learning and Individual Differences, 11(2), 173–191.
Tallal, P., Miller, S. L., Jenkins, W. M., & Merzenich, M. M. (1997). The role of temporal processing in developmental language-based learning disorders: Research and clinical implications. In B.A. Blachman (Eds.), Foundations of reading acquisition and dyslexia: Implications for early intervention. Mahwah, NJ: Lawrence Erlbaum Associates, Publishers.
Todd, R. D., Nantawat, S., Reich, W., Ted, H.-C., Joyner, C., Heath, A. C., Neuman, R. J. (2002). Discrimination of DSM-IV and latent class attention-deficit/hyperactivity disorder subtypes by educational and cognitive performance in a population-based sample of child and adolescent twins. Journal of the American Academy of Child and Adolescent Psychiatry, 41(7), 820–829.
van der Meere, J., & Stermerdink, N. (1998). The development of state regulation in normal children: An indirect comparison with children with ADHD. Developmental Neuropsychology, 16, 213–225.
van der Meere, J., Stermerdink, N., & Gunning, B. (1995). Effects of presentation rate of stimuli on response inhibition in ADHD children with and without tics. Perceptual and Motor Skills, 81(1), 259–262.
Wagner, R. K., Torgenson, J. K., Laughon, P., Simmons, K., & Rashotte, C. A. (1993). Development of young readers’ phonological processing abilities. Journal of Educational Psychology, 85(1), 83–103.
Wechsler, D. (2003). Wechsler Intelligence Scale for Children- Fourth Edition: Administration and Scoring Manual. San Antonio, TX: The Psychological Corporation.
Weiler, M. D., Holmes Bernstein, J., Bellinger, D. C., & Waber, D. P. (2000). Processing speed in children with Attention Deficit/Hyperactivity Disorder, inattentive type. Child Neuropsychology, 6(3), 218–234.
Werry, J. S., Elkind, G. S., & Reeves, J. C. (1987). Attention deficit, conduct, oppositional, and anxiety disorders in children: III. Laboratory differences. Journal of Abnormal Child Psychology, 15(3), 409–428.
Willcutt, E. G., DeFries, J. C., Pennington, B. F., Olson, R. K., Smith, S. D., & Cardon, L. R. (2003). Genetic etiology of comorbid reading difficulties and ADHD. In R. Plomin, J.C. DeFries, P. McGuffin, & I. Craig (Eds.), Behavioral genetics in a post-genomic era (pp. 227–246). Washington, DC: American Psychological Association.
Willcutt, E. G., & Pennington, B. F. (2000). Comorbidity of reading disability and attention-deficit/hyperactivity disorder: Differences by gender and subtype. Journal of Learning Disabilities, 33(2), 179–191.
Willcutt, E. G., Pennington, B. F., Boada, R., Ogline, J. S., Tunick, R. A., Chhabildas, N. A., & Olson, R. K. (2001). A comparison of the cognitive deficits in reading disability and attention-deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 110(1), 157–172.
Willcutt, E. G., Pennington, B. F., & DeFries, J. C. (2000). A twin study of the etiology of the comorbidity between reading disability and attention-deficit/hyperactivity disorder. American Journal of Medical Genetics (Neuropsychiatric Genetics), 96, 296–301.
Willcutt, E. G., Pennington, B. F., Smith, S. D., Cardon, L. R., Gayan, J., Knopik, V. S., et al. (2002). Quantitative trait locus for reading disability on chromosome 6p is pleiotropic for ADHD. American Journal of Medical Genetics (Neuropsychiatric Genetics),114 (3), 260–268.
Willcutt, E. G., Pennington, B. F., Olson, R. K., Chhabildas, N., & Hulslander, J. (2005). Neuropsychological Analyses of comoribidity between reading disability and attention deficit hyperactivity disorder: In search of the common deficit. Developmental Neuropsychology, 27 (1), 35–78.
Wimmer, H., Mayringer, H., & Landerl, K. (2000). The double deficit hypothesis and difficulties in learning to read a regular orthography. Journal of Educational Psychology, 92(4), 668–680.
Wolf. M. (1999). What time may tell: Towards a new conceptualization of developmental dyslexia. Annals of Dyslexia, 49,3–23.
Wolf, M., & Bowers, P. G. (1999). The double-deficit hypothesis for the developmental dyslexias. Journal of Educational Psychology, 91(3), 415–438.
Wolf, M., Bowers, P. G., & Biddle, K. (2000). Naming speed processes, timing, and reading: A conceptual review. Journal of Learning Disabilities 33(4), 387–407.
Wolf, M., O’Rourke, G. A., Gidney, C., Lovett, M., Cirino, P. & Morris, R. (2002). The second deficit: An investigation of the independence of phonological and naming-speed deficits in developmental dyslexia. Reading and Writing: An Interdisciplinary Journal, 15, 43–72.
Woods, S. P., Lovejoy, D. W., Ball, J. D. (2002). Neuropsychological characteristics of adults with ADHD: A comprehensive review of initial studies. Clinical Neuropsychologist, 16(1), 12–34.
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This study was supported by HD 27802 and HD 04024.
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Shanahan, M.A., Pennington, B.F., Yerys, B.E. et al. Processing Speed Deficits in Attention Deficit/Hyperactivity Disorder and Reading Disability. J Abnorm Child Psychol 34, 584–601 (2006). https://doi.org/10.1007/s10802-006-9037-8
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DOI: https://doi.org/10.1007/s10802-006-9037-8