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Deficient inhibitory control in attention deficit hyperactivity disorder

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Abstract

The purpose of this study was to examine two executive control processes — response inhibition and re-engagement of responses after inhibition in children with attention deficit hyperactivity disorder (ADHD). Thirty-three children with ADHD and 22 normal control children of similar age (7 to 11 years) and mean IQ (107) were tested with the change paradigm. ADHD subgroups were defined by the context in which the ADHD symptoms predominated (in the home only; at school only; and in both, i.e., pervasive ADHD). Children with marked oppositional defiant or conduct disorder were excluded. Children with ADHD exhibited deficits in inhibitory control and in response re-engagement. Deficits were greatest in pervasive ADHD and, to a lesser extent, in those with ADHD limited to the school context. ADHD limited to the home context showed the least deficit. These results replicate an earlier study that found deficient inhibitory control in pervasive ADHD and demonstrate that the deficit in ADHD involves a second aspect of executive control.

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References

  • Abikoff, H., Gittelman, R., & Klein, D. F. (1980). Classroom observation code for hyperactive children: A replication of validity.Journal of Consulting and Clinical Psychology, 48 555–565.

    PubMed  Google Scholar 

  • Aman, M. G., & Turbott, S. H. (1986). Incidental learning, distraction, and sustained attention in hyperactive and control subjects.Journal of Abnormal Child Psychology, 14 441–455.

    PubMed  Google Scholar 

  • American Psychiatric Association. (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.

    Google Scholar 

  • Atkins, M. S., Pelham, W. E., & Licht, M. H. (1985). A comparison of objective classroom measures and teacher ratings of attention deficit disorder.Journal of Abnormal Child Psychology, 13 155–167.

    PubMed  Google Scholar 

  • Barkley, R. A. (1990).Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: Guilford Press.

    Google Scholar 

  • Barkley, R. A. (1994). Impaired delayed responding: A unified theory of attention deficit hyperactivity disorder. In D. K. Routh (Ed.),Disruptive behavior disorders in childhood: Essays honoring Herbert C. Quay. (pp. 11–58). New York: Plenum Press.

    Google Scholar 

  • Boudreault, M., Thivierge, J., Còté, R. Boutin, P., Julien, Y., & Bergeron, S. (1988). Cognitive development and reading achievement in pervasive-ADD, situational-ADD and control children.Journal of Child Psychology and Psychiatry, 29 611–619.

    PubMed  Google Scholar 

  • Boyle, M. H., Offord, D. R., Hoffman, H. G., Catlin, G. P., Byles, J. A., Cadman, D. T., Crawford, J. W., Links, P. S., Rae-Grant, N. I., & Szatmari P. (1987). Ontario Child Health Study: I. Methodology.Archives of General Psychiatry, 44 826–831.

    PubMed  Google Scholar 

  • Chee, P., Logan, G., Schachar, R., Lindsay, P., & Wachsmuth, R. (1989). Effects of event rate and display time on sustained attention in hyperactive, normal, and control children.Journal of Abnormal Child Psychology, 17 371–91.

    PubMed  Google Scholar 

  • Chelune, G. J., Ferguson, W., Koon, R., & Dickey, T. O. (1986). Frontal lobe disinhibition in attention deficit disorder.Child Psychiatry & Human Development, 16 221–234.

    Google Scholar 

  • Costello, E. J., Loeber, R., & Stouthamer-Loeber, M. (1991). Pervasive and situational hyperactivity — confounding effect of informant: A research note.Journal of Child Psychology and Psychiatry, 32 367–376.

    PubMed  Google Scholar 

  • De Jong, R., Coles, M. G., Logan, G. D., & Gratton, G. (1990). In search of the point of no return: The control of response processes.Journal of Experimental Psychology: Human Perception and Performance, 16 164–182.

    Google Scholar 

  • Douglas, V. I. (1983). Attentional and cognitive problems. In M. Rutter (Ed.),Developmental neuropsychiatry (Chap. 14, pp. 280–329). New York: Guilford Press.

    Google Scholar 

  • Douglas, V. I. (1988). Cognitive deficits in children with attention deficit disorder with hyperactivity. In L. M. Bloomingdale & J. Sergeant (Eds.),Attention deficit disorder — Criteria, cognition, intervention (pp. 65–81). Oxford, England: Pergamon Press.

    Google Scholar 

  • Draeger, S., Prior, M., & Sanson, A. (1986). Visual and auditory attention performance in hyperactive children: Competence or compliance.Journal of Abnormal Child Psychology, 14 411–424.

    PubMed  Google Scholar 

  • Dykman, R. A., Ackerman, P. T., & Oglesby, D. M. (1979). Selective and sustained attention in hyperactive, learning-disabled, and normal boys.The Journal of Nervous and Mental Disease, 167 288–297.

    PubMed  Google Scholar 

  • Dyme, I. Z., Sahakian, B. J., Golinko, B. E., & Rabe, E. F. (1982). Perseveration induced by methylphenidate in children: Preliminary findings.Progress in Neuro-Psychopharmacology and Biological Psychiatry, 6 269–273.

    PubMed  Google Scholar 

  • Goldstein, H. S. (1987a). Cognitive development in inattentive, hyperactive, and aggressive children: Two- to five-year follow-up.Journal of the American Academy of Child and Adolescent Psychiatry, 26 219–221.

    PubMed  Google Scholar 

  • Goldstein, H. S. (1987b). Cognitive development in low attentive, hyperactive, and aggressive 6- through 11-year old children.Journal of the American Academy of Child and Adolescent Psychiatry, 26 214–218.

    PubMed  Google Scholar 

  • Gorenstein, E. E., Mammato, C. A., & Sandy, J. (1989). Performance of inattentive-overactive children on selected measures of prefrontal-type function.Journal of Clinical Psychology, 45 619–632.

    PubMed  Google Scholar 

  • Grattan, L. M., & Eslinger, P. J. (1990). Higher cognition and social behavior: Cognitive flexibility and empathy after brain injury.Neuropsychology, 3 175–185.

    Google Scholar 

  • Halperin, J. M., Wolf, L. E., Pascualvaca, D. M., Newcorn, J. H., Healey, J. M., O'Brien, J. D., Morganstein, A., & Young, J. G. (1988). Differential assessment of attention and impulsivity in children.Journal of the American Academy of Child and Adolescent Psychiatry, 27 326–329.

    PubMed  Google Scholar 

  • Henker, B., & Whalen, C. K. (1989). Hyperactivity and attention deficits.American Psychologist, 44 216–223.

    PubMed  Google Scholar 

  • Jastak, S., & Wilkinson, G. S. (1984).The Wide Range Achievement Test revised administration manual. Wilmington, DE: Author.

    Google Scholar 

  • Jennings, J. R., van der Molen M. W., Brock, K., & Somsen, R. J. M. (1992). On the synchrony of stopping motor responses and delaying heartbeats.Journal of Experimental Psychology: Human Perception and Performance, 18 422–436.

    Google Scholar 

  • Keppel, G. (1982).Design and analysis: A researcher's handbook (2nd ed.). Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Lezak, M. D. (1983).Neuropsychological assessment (2nd ed.). New York: Oxford University Press.

    Google Scholar 

  • Logan, G. D. (1981). Attention, automaticity, and the ability to stop a speeded choice response. In J. B. Long & A. Baddeley (Eds.),Attention and performance IX (International symposium on attention and performance) (9th ed., pp. 205–22). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Logan, G. D. (1985). On the ability to inhibit simple thoughts and actions: II. Stop-signal studies of repetition priming.Journal of Experimental Psychology: Learning, Memory, and Cognition, 11 675–691.

    Google Scholar 

  • Logan, G. D. (1994). On the ability to inhibit thought and action: A users' guide to the stop signal paradigm. In D. Dagenbach & T. H. Carr (Eds.),Inhibitory processes in attention, memory, and language. (pp. 189–240). San Diego: Academic Press.

    Google Scholar 

  • Logan, G. D., & Burkell J. (1986). Dependence and independence in responding to double stimulation: A comparison of stop, change, and dual-task paradigms.Journal of Experimental Psychology: Human Perception and Performance, 12 549–563.

    Google Scholar 

  • Logan, G. D., & Cowan, W. B. (1984). On the ability to inhibit thought and action: A theory of an act of control.Psychological Review, 91 295–327.

    Google Scholar 

  • Logan, G. D., Cowan, W. B., & Davis, K. A. (1984). On the ability to inhibit simple and choice reaction time responses: A model and a method.Journal of Experimental Psychology: Human Perception and Performance, 10 276–291.

    Google Scholar 

  • Oxford, D. R., Boyle, M. H., Fleming, J. E., Blum, H. M., & Grant, N. I. R. (1989). Ontario Child Health Study: Summary of Selected results.Canadian Journal of Psychiatry, 34 483–491.

    Google Scholar 

  • Pribram, K. H. (1973). The primate frontal cortex — executive of the brain. In K. H. Pribram & A. R. Luria (Eds.),Psychophysiology of the frontal lobes (pp. 293–314). New York: Academic Press.

    Google Scholar 

  • Prior, M., & Sanson, A. (1986). Attention deficit disorder with hyperactivity: A critique.Journal of Child Psychology and Psychiatry, 27 307–319.

    PubMed  Google Scholar 

  • Quay, H. C. (1988). Attention deficit disorder and the behavioral inhibition system: The relevance of the neuropsychological theory of Jeffrey A. Gray. In L. M. Bloomingdale & J. Sergeant (Eds.),Attention deficit disorders: Criteria, cognition, and intervention (pp. 117–126). New York: Pergamon Press.

    Google Scholar 

  • Rosenthal, R., & Rosnow, R. L. (1985).Contrast analysis: Focused comparisons in the analysis of variance. Cambridge, England: Cambridge University Press.

    Google Scholar 

  • Rosenthal, R. H., & Allen, T. W. (1980). Intratask distractibility in hyperkinetic and nonhyperkinetic children.Journal of Abnormal Child Psychology, 8 175–187.

    PubMed  Google Scholar 

  • Sandberg, S. T., Rutter, M., & Taylor, E. (1978). Hyperkinetic disorder in psychiatric clinic attenders.Developmental Medicine and Child Neurology, 20 279–299.

    PubMed  Google Scholar 

  • Schachar, R. (1991). Childhood hyperactivity.Journal of Child Psychology and Psychiatry, 32 155–191.

    PubMed  Google Scholar 

  • Schachar, R., & Logan, G. D. (1990a). Impulsivity and inhibitory control in normal development and childhood psychopathology.Developmental Psychology, 26 710–720.

    Google Scholar 

  • Schachar, R., & Logan, G. (1990b). Are hyperactive children deficient in attentional capacity?Journal of Abnormal Child Psychology, 18, 493–513.

    Google Scholar 

  • Schachar, R., Rutter, M., & Smith, A. (1981). The characteristics of situationally and pervasively hyperactive children: Implications for syndrome definition.Journal of Child Psychology and Psychiatry, 22 375–392.

    PubMed  Google Scholar 

  • Schachar, R., & Tannock, R. (1990)Teacher Telephone Interview. Unpublished manuscript, The Hospital for Sick Children, Department of Psychiatry, Toronto.

    Google Scholar 

  • Schachar, R., Tannock, R., & Logan, G. D. (1993). Inhibitory control, impulsiveness, and attention deficit hyperactivity disorder.Clinical Psychology Review, 13 721–739.

    Google Scholar 

  • Schachar, R., & Wachsmuth, R. (1989).Parent Interview for Child Symptoms — Revised DSM-III-R. Unpublished manuscript, The Hospital for Sick Children, Department of Psychiatry, Toronto.

    Google Scholar 

  • Seidel, W. T., & Joschko, M. (1990). Evidence of difficulties in sustained attention in children with ADDH.Journal of Abnormal Child Psychology, 18 217–229.

    PubMed  Google Scholar 

  • Sergeant, J. (1988). From DSM-III attentional deficit disorder to functional defects. In L. M. Bloomingdale & J. A. Sergeant (Eds.),Attention deficit disorder: Criteria, cognition, intervention (pp. 183–198). Oxford, England: Pergamon Press.

    Google Scholar 

  • Sergeant, J., & van der Meere, J. (1990). Additive factor method applied to psychopathology with special reference to childhood hyperactivity.Acta Psychologica, 74 277–295.

    PubMed  Google Scholar 

  • Sergeant, J. A., & Scholten, C. A. (1985a). On data limitations in hyperactivity.Journal of Child Psychology and Psychiatry, 26 111–124.

    PubMed  Google Scholar 

  • Sergeant, J. A., & Scholten, C. A. (1985b). On resource strategy limitations in hyperactivity: Cognitive impulsivity reconsidered.Journal of Child Psychology and Psychiatry, 26 97–109.

    PubMed  Google Scholar 

  • Shue, K. L., & Douglas, V. I. (1992). Attention deficit hyperactivity disorder and the frontal lobe syndrome.Brain and Cognition, 20 104–124.

    PubMed  Google Scholar 

  • Szatmari, P., Offord, D. R., & Boyle, M. H. (1989). Ontario Child Health Study: Prevalence of attention deficit disorder with hyperactivity:Journal of Child Psychology and Psychiatry, 30 219–230.

    PubMed  Google Scholar 

  • Tannock, R., Schachar, R., & Logan, G. (1995) Methylphenidate, and cognitive flexibility: Dissociated dose effects in hyperactive children.Journal of Abnormal Child Psychology, 23, 235–266.

    PubMed  Google Scholar 

  • Taylor, E., Sandberg, S., Thorley, G., & Giles, S. (1991).The epidemiology of childhood hyperactivity, London and Oxford, England: Institute of Psychiatry Maudsley Monographs.

    Google Scholar 

  • Taylor, E., Schachar, R., Thorley, G., & Wieselberg, M. (1986). Conduct disorder and hyperactivity: I. Separation of hyperactivity and antisocial conduct in British child psychiatric patients.British Journal of Psychiatry, 149 760–777.

    PubMed  Google Scholar 

  • Trommer, B. L., Hoeppner, J.-A. B., Lorber, R., & Armstrong, K. J. (1988). The go-no-go paradigm in attention deficit disorder.Annals of Neurology, 24 610–614.

    PubMed  Google Scholar 

  • van der Meere, J., & Sergeant, J. (1987). A divided attention experiment with pervasively hyperactive children.Journal of Abnormal Child Psychology, 15 379–392.

    PubMed  Google Scholar 

  • van der Meere, J., & Sergeant, J. (1988a). Controlled processing and vigilance in hyperactivity: Time will tell.Journal of Abnormal Child Psychology, 16 641–655.

    PubMed  Google Scholar 

  • van der Meere, J., & Sergeant, J. (1988b). Focused attention in pervasively hyperactive children.Journal of Abnormal Child Psychology, 16 627–639.

    PubMed  Google Scholar 

  • van der Meere, J., Wekking, E., & Sergeant, J. (1991). Sustained attention and pervasive hyperactivity.Journal of Child Psychology and Psychiatry, 32 275–284.

    PubMed  Google Scholar 

  • Wechsler, D. (1974).Wechsler Intelligence Scale for Children: Manual (revised). New York: Psychological Corporation.

    Google Scholar 

  • Winer, B. J. (1971).Statistical principles in experimental design (2nd ed.). New York: McGraw-Hill.

    Google Scholar 

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We are grateful to Anne Rhodes and Isobelle Williams for their assistance in the conduct of this research. This research was supported by grants from Health and Welfare Canada and the Medical Research Council of Canada. This paper was prepared with the assistance of Medical Publications, The Hospital for Sick Children, Toronto, Ontario.

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Schachar, R., Tannock, R., Marriott, M. et al. Deficient inhibitory control in attention deficit hyperactivity disorder. J Abnorm Child Psychol 23, 411–437 (1995). https://doi.org/10.1007/BF01447206

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