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Executive Functioning Theory and ADHD

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Handbook of Executive Functioning

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is the current diagnostic label for individuals presenting with significant problems with attention and/or impulsiveness and hyperactivity. While the disorder has not always been called ADHD, the history of the clinical syndrome of inattention and overactivity dates back over 200 years. Across the last 200+ years, different aspects of the disorder (hyperkinesis, inattention, etc.) have been emphasized yet there has been an increasing recognition of the heterogeneity of the disorder. ADHD remains among the most common reasons that a child is referred for mental health treatment and is increasingly a common reason that adults are referred for treatment. Individuals with ADHD display considerable variation in the degree of symptoms, functional impairments from these symptoms, domains of impairment, age of diagnosis, response to treatment, and psychiatric comorbidity. While not currently a symptom of ADHD, there is evidence that executive functioning (EF) deficits may be a defining aspect of the disorder and even that its two symptom dimensions actually represent dimensions of EF. This chapter presents an overview of EF theory and ADHD.

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References

  • Ainslie, G. W. (1974). Impulse control in pigeons. Journal of Experimental Analysis of Behavior, 21(3), 485–489.

    Article  Google Scholar 

  • Baddeley, A. D. (1986). Working Memory. New York: Oxford University Press.

    Google Scholar 

  • Baddeley, A. D. (1993). Verbal and visual subsystems of working memory. Current Biology, 3(8), 563–565.

    Article  PubMed  Google Scholar 

  • Baddeley, A. D., & Hitch, G. J. (1994). Developments in the concept of working memory. Neuropsychology, 8(4), 485–493.

    Google Scholar 

  • Baddeley, A. D. (2003). Working memory and language: An overview. Journal of Communication Disorders, 36(3), 189–208.

    Article  PubMed  Google Scholar 

  • Badre, D. (2008). Cognitive control, hierarchy, and the rostro-caudal organization of the frontal lobes. Trends in Cognitive Sciences, 12(5), 193–200.

    Article  PubMed  Google Scholar 

  • Barkley, R. A. (1997a). ADHD and the nature of self-control. New York: Guilford.

    Google Scholar 

  • Barkley, R. A. (1997b). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121(1), 65–94.

    Article  PubMed  Google Scholar 

  • Barkley, R. A. (2012). Executive functioning and self-regulation: Extended phenotype, synthesis, and clinical implications. New York: Guilford.

    Google Scholar 

  • Barkley, R. A., & Fischer, M. (2011). Predicting impairment in major life activities and occupational functioning in hyperactive children as adults: Self-reported executive function (EF) deficits vs EF tests. Developmental Neuropsychology, 36(2), 137–161.

    Article  PubMed  Google Scholar 

  • Barkley, R. A., & Murphy, K. R. (2010). Impairment in occupational functioning and adult ADHD: The predictive utility of executive function (EF) ratings versus EF tests. Archives of Clinical Neuropsychology, 25(3), 157–173.

    Article  PubMed  Google Scholar 

  • Barkley, R. A., & Murphy, K. R. (2011). The nature of executive function (EF) deficits in daily life activities in adults with ADHD and their relationship to EF tests. Journal of Psychopathology and Behavioral Assessment, 33, 137–158.

    Article  Google Scholar 

  • Berk, L. E., & Potts, M. K. (1991). Development and functional significance of private speech among attention-deficit hyperactivity disordered and normal boys. Journal of Abnormal Child Psychology, 19(3), 357–377.

    Article  PubMed  Google Scholar 

  • Boonstra, A. M., Oosterlaan, J., Sergeant, J. A., & Buitelaar, J. K. (2005). Executive functioning in adult ADHD: A meta-analytic review. Psychological Medicine, 35(8), 1097–1108.

    Article  PubMed  Google Scholar 

  • Bronowski, J. (1977). Human and animal languages. A sense of the future. Cambridge, MA: MIT Press.

    Google Scholar 

  • Castellanos, F. X., Sonuga-Barke, E. J., Milham, M. P., & Tannock, R. (2006). Characterizing cognition in ADHD: Beyond executive dysfunction. Trends in Cognitive Sciences, 10(3), 117–123.

    Article  PubMed  Google Scholar 

  • Clark, C., Prior, M., & Kinsella, G. J. (2000). Do executive function deficits differentiate between adolescents with ADHD and oppositional defiant/conduct disorder? A neuropsychological study using the Six Elements Test and Hayling Sentence Completion Test. Journal of Abnormal Child Psychology, 28(5), 403–414.

    Article  PubMed  Google Scholar 

  • D’Esposito, M., Detre, J. A., Aguirre, G. K., Stallcup, M., Alsop, D. C., Tippet, L. J., et al. (1997). A functional MRI study of mental image generation. Neuropsychologia, 35(5), 725–730.

    Article  PubMed  Google Scholar 

  • Damasio, A. R. (1995). On some functions of the human prefrontal cortex. In K. J. H. J. Grafma & F. Boller (Eds.), Structure and functions of the human prefrontal cortex (Vol. 769, pp. 241–251). New York: New York Academy of Sciences.

    Google Scholar 

  • Denckla, M. B. (1996). A theory and model of executive function: A neuropsychological perspective. In G. R. Lyon & N. A. Krasnegor (Eds.), Attention, memory and executive function (pp. 263–278). Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Diaz, R. M., & Berk, L. E. (1992). Private speech: From social interaction to self-regulation. Mahwah, NJ: Lawrence Erlbaum Associates, Inc.

    Google Scholar 

  • Doyle, A. E., Biederman, J., Seidman, L. J., Weber, W., & Faraone, S. V. (2000). Diagnostic efficiency of neuropsychological test scores for discriminating boys with and without attention deficit-hyperactivity disorder. Journal of Consulting and Clinical Psychology, 68, 477–488.

    Article  PubMed  Google Scholar 

  • Frazier, T. W., Demaree, H. A., & Youngstrom, E. A. (2004). Meta-analysis of intellectual and neuropsychological test performance in attention-deficit/hyperactivity disorder. Neuropsychology, 18(3), 543–555.

    Article  PubMed  Google Scholar 

  • Fuster, J. M. (1997). The prefrontal cortex. New York: Raven.

    Google Scholar 

  • Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000). Behavior rating inventory of executive function. Child Neuropsychology, 6(3), 235–238.

    Article  PubMed  Google Scholar 

  • Goldman-Rakic, P. S. (1995). Architecture of the prefrontal cortex and the central executive. Annals of the New York Academy of Sciences, 769, 71–83.

    Article  PubMed  Google Scholar 

  • Hervey, A. S., Epstein, J. N., & Curry, J. F. (2004). Neuropsychology of adults with attention-deficit/hyperactivity disorder: A meta-analytic review. Neuropsychology, 18(3), 485–503.

    Article  PubMed  Google Scholar 

  • Holmes, J., Gathercole, S. E., Place, M., Alloway, T. P., Elliott, J. G., & Hilton, K. A. (2010). The diagnostic utility of executive function assessments in the identification of ADHD in children. Child and Adolescent Mental Health, 15(1), 37–43.

    Article  Google Scholar 

  • Klorman, R., Hazel-Fernandez, L. A., Shaywitz, S. E., Fletcher, J. M., Marchione, K. E., Holahan, J. M., et al. (1999). Executive functioning deficits in attention-deficit/hyperactivity disorder are independent of oppositional defiant or reading disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 38(9), 1148–1155.

    Article  PubMed  Google Scholar 

  • Lezak, M. D., Howieson, D. B., Loring, D. W., & Hannay, H. J. (2004). Neuropsychological assessment (4th ed.). London: Oxford University Press.

    Google Scholar 

  • Nigg, J. T. (2001). Is ADHD a disinhibitory disorder? Psychological Bulletin, 127(5), 571–598.

    Article  PubMed  Google Scholar 

  • Nigg, J. T., & Casey, B. J. (2005). An integrative theory of attention-deficit/ hyperactivity disorder based on the cognitive and affective neurosciences. Development and Psychopathology, 17(3), 785–806.

    Article  PubMed  Google Scholar 

  • Nigg, J. T., Willcutt, E. G., Doyle, A. E., & Sonuga-Barke, E. J. (2005). Causal heterogeneity in attention-deficit/hyperactivity disorder: Do we need neuropsychologically impaired subtypes? Biological Psychiatry, 57(11), 1224–1230.

    Article  PubMed  Google Scholar 

  • Ramsay, J. R., & Rostain, A. L. (2008). Cognitive-behavioral therapy for adult ADHD: An integrative psychosocial and medical approach. New York: Routledge.

    Google Scholar 

  • Rapport, M. D., Alderson, R. M., Kofler, M. J., Sarver, D. E., Bolden, J., & Sims, V. (2008). Working memory deficits in boys with attention-deficit/hyperactivity disorder (ADHD): The contribution of central executive and subsystem processes. Journal of Abnormal Child Psychology, 36(6), 825–837.

    Article  PubMed  Google Scholar 

  • Roth, R. M., Isquith, P. K., & Gioia, G. A. (2005). Behavior rating inventory of executive function–adult version (BRIEF-A) Lutz. FL: Psychological Assessment Resources.

    Google Scholar 

  • Ryding, E., Bradvik, B., & Ingvar, D. H. (1996). Silent speech activates prefrontal cortical regions asymmetrically, as well as speech-related areas in the dominant hemisphere. Brain and Language, 52(3), 435–451.

    Article  PubMed  Google Scholar 

  • Safren, S. A., Otto, M. W., Sprich, S., Winett, C. L., Wilens, T. E., & Biederman, J. (2005). Cognitive-behavioral therapy for ADHD in medication-treated adults with continued symptoms. Behaviour Research and Therapy, 43(7), 831–842.

    Article  PubMed  Google Scholar 

  • Safren, S. A., Sprich, S., Mimiaga, M. J., Surman, C., Knouse, L., Groves, M., et al. (2010). Cognitive behavioral therapy vs relaxation with educational support for medication-treated adults with ADHD and persistent symptoms: A randomized controlled trial. Journal of the American Medical Association, 304(8), 875–880.

    Article  PubMed  Google Scholar 

  • Sagvolden, T., Johansen, E. B., Aase, H., & Russell, V. A. (2005). A dynamic developmental theory of attention-deficit/hyperactivity disorder (ADHD) predominantly hyperactive/impulsive and combined subtypes. The Behavioral and Brain Sciences, 28(3), 397–419. discussion 419–368.

    Article  PubMed  Google Scholar 

  • Shimamura, A. P., Janowsky, J. S., & Squire, L. R. (1990). Memory for the temporal order of events in patients with frontal lobe lesions and amnesic patients. Neuropsychologia, 28(8), 803–813.

    Article  PubMed  Google Scholar 

  • Skinner, B. F. (1953). Science and human behavior. New York: Macmillan.

    Google Scholar 

  • Solanto, M. V., Marks, D. J., Wasserstein, J., Mitchell, K., Abikoff, H., Alvir, J. M., et al. (2010). Efficacy of meta-cognitive therapy for adult ADHD. The American Journal of Psychiatry, 167(8), 958–968.

    Article  PubMed  Google Scholar 

  • Trani, M. D., Casini, M. P., Capuzzo, F., Gentile, S., Bianco, G., Menghini, D., et al. (2010). Executive and intellectual functions in attention-deficit/hyperactivity disorder with and without comorbidity. Brain & Development, 33(6), 462–469.

    Article  Google Scholar 

  • Vygotsky, L. S. (1987). Thinking and speech (Vol. 1—Problems in general psychology). New York: Plenum.

    Google Scholar 

  • Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological Psychiatry, 57(11), 1336–1346.

    Article  PubMed  Google Scholar 

  • Winsler, A., Diaz, R. M., Atencio, D. J., McCarthy, E. M., & Chabay, L. A. (2000). Verbal self-regulation over time in preschool children at risk for attention and behavior problems. Journal of Child Psychology and Psychiatry, 41(7), 875–886.

    Article  PubMed  Google Scholar 

  • Wodka, E. L., Loftis, C., Mostofsky, S. H., Prahme, C., Larson, J. C., Denckla, M. B., et al. (2008). Prediction of ADHD in boys and girls using the D-KEFS. Archives of Clinical Neuropsychology, 23(3), 283–293.

    Article  PubMed  Google Scholar 

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Correspondence to Kevin M. Antshel .

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Antshel, K.M., Hier, B.O., Barkley, R.A. (2014). Executive Functioning Theory and ADHD. In: Goldstein, S., Naglieri, J. (eds) Handbook of Executive Functioning. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8106-5_7

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