Abstract
Inattentive behavior is considered a core and pervasive feature of ADHD; however, an alternative model challenges this premise and hypothesizes a functional relationship between working memory deficits and inattentive behavior. The current study investigated whether inattentive behavior in children with ADHD is functionally related to the domain-general central executive and/or subsidiary storage/rehearsal components of working memory. Objective observations of children’s attentive behavior by independent observers were conducted while children with ADHD (n = 15) and typically developing children (n = 14) completed counterbalanced tasks that differentially manipulated central executive, phonological storage/rehearsal, and visuospatial storage/rehearsal demands. Results of latent variable and effect size confidence interval analyses revealed two conditions that completely accounted for the attentive behavior deficits in children with ADHD: (a) placing demands on central executive processing, the effect of which is evident under even low cognitive loads, and (b) exceeding storage/rehearsal capacity, which has similar effects on children with ADHD and typically developing children but occurs at lower cognitive loads for children with ADHD.
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For example, if the correct response was “2 4 5 6 H”, and a child responded “2 3 4 6 H”, then the child correctly identified 3 stimuli (correct responses in bold), and incorrectly identified 2 stimuli.
References
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont Research Center for Children, Youth, & Families.
Alloway, T. P., Gathercole, S. E., & Pickering, S. J. (2006). Verbal and visual spatial short-term and working memory in children: are they separable? Child Development, 77, 1698–1716.
Baddeley, A. (2007). Working memory, thought, and action. New York: Oxford University Press.
Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65–94.
Brocki, K. C., Randall, K. D., Bohlin, G., & Kerns, K. A. (2008). Working memory in school-aged children with attention-deficit/hyperactivity disorder combined type: are deficits modality specific and are they independent of impaired inhibitory control? Journal of Clinical Experimental Neuropsychology, 4, 1–11.
Cabeza, R., Kapur, S., Craik, F. I. M., McIntosh, A. R., Houle, S., & Tulving, E. (1997). Functional neuroanatomy of recall and recognition: a PET study of episodic memory. The Journal of Cognitive Neuroscience, 9, 254–265.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.
Conway, A. R. A., Kane, M. J., Bunting, M. F., Hambrick, D. Z., Wilhelm, O., & Engle, R. W. (2005). Working memory span tasks: a methodological review and user’s guide. Psychonomic Bulletin & Review, 12, 769–786.
Engle, R. W., Tuholski, S. W., Laughlin, J. E., & Conway, A. R. (1999). Working memory, short-term memory, and general fluid intelligence: a latent variable approach. Journal of Experimental Psychology: General, 128, 309–331.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.
Gadow, K. D., Sprafkin, J., & Salisbury, H. (2004). Further validity evidence for the teacher version of the Child Symptom Inventory-4. School Psychology Quarterly, 19, 50–71.
Garavan, H. (1998). Serial attention within working memory. Memory & Cognition, 26, 263–276.
Gathercole, S. E., & Alloway, T. P. (2008). Working memory and learning: A practical guide for teachers. New York: Sage.
Gathercole, S. E., Pickering, S. J., Knight, C., & Stegmann, Z. (2004). Working memory skills and educational attainment: evidence from national curriculum assessment at 7 and 14 years of age. Applied Cognitive Psychology, 18, 1–16.
Huang-Pollock, C. L., & Nigg, J. T. (2003). Searching for the attention deficit in attention deficit hyperactivity disorder: the case of visuospatial orienting. Clinical Psychology Review, 23, 801–830.
Huang-Pollock, C. L., Nigg, J. T., & Carr, T. H. (2005). Deficient attention is hard to find: applying the perceptual load model of selective attention to attention deficit hyperactivity disorder subtypes. Journal of Child Psychology and Psychiatry, 46, 1211–1218.
Kahana, M. J., Rizzuto, D. S., & Schneider, A. R. (2005). Theoretical correlations and measured correlations: relating recognition and recall in four distributed memory models. Journal of Experimental Psychology, 31, 933–953.
Kane, M. J., Bleckley, M. K., Conway, A. R. A., & Engle, R. W. (2001). A controlled-attention view of working memory capacity: individual differences in memory span and the control of visual orienting. Journal of Experimental Psychology: General, 130, 169–183.
Kane, M. J., Brown, L. H., McVay, J. C., Silvia, P. J., Myin-Germeys, I., & Kwapil, T. R. (2007a). For whom the mind wanders, and when: an experience-sampling study of working memory and executive control in daily life. Psychological Science, 18, 614–621.
Kane, M. J., Conway, A. R. A., Miura, T. K., & Colflesh, G. J. H. (2007b). Working memory, attention control, and the n-back task: a question of construct validity. Journal of Experimental Psychology. Learning, Memory, and Cognition, 33, 615–622.
Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980–988.
Kofler, M. J., Rapport, M. D., & Alderson, R. M. (2008). Quantifying ADHD classroom inattentiveness, its moderators, and variability: a meta-analytic review. Journal of Child Psychology and Psychiatry, 49, 59–69.
Koschack, J., Kunert, H. J., Derichs, G., Weniger, G., & Irle, E. (2003). Impaired and enhanced attentional function in children with attention deficit/hyperactivity disorder. Psychological Medicine, 33, 481–489.
Lajoie, G., Anderson, V., Anderson, P., Tucker, A. R., Robertson, I. H., & Manly, T. (2005). Effects of methylphenidate on attention skills in children with attention deficit/hyperactivity disorder. Brain Impairment, 6, 21–32.
Lee, D., Riccio, C. A., & Hynd, G. W. (2004). The role of executive functions in attention deficit hyperactivity disorder: testing predictions from two models. Canadian Journal of School Psychology, 19, 167–189.
Levy, F., Hay, D. A., McStephen, M., Wood, C., & Waldman, I. (1997). Attention-deficit hyperactivity disorder: a category or a continuum? Genetic analysis of a large-scale twin study. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 737–744.
MacLeod, C. M., & Kampe, K. (1996). Word frequency effects on a recall, recognition, and word fragment completion test. Journal of Experimental Psychology, 22, 132–142.
Martinussen, R., Hayden, J., Hogg-Johnson, S., & Tannock, R. (2005). A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 377–384.
Nigg, J. T., Willcutt, E., Doyle, A. E., & Sonuga-Barke, J. S. (2005). Causal heterogeneity in ADHD: do we need neuropsychologically impaired subtypes? Biological Psychiatry, 57, 1224–1230.
Noldus Information Technology. (2003). The observer reference manual 5.0. Wageningen: Author.
Oberauer, K. (2003). Selective attention to elements in working memory. Experimental Psychology, 50, 257–269.
Pelham, W. E., Fabiano, G. A., & Massetti, G. M. (2005). Evidence-based assessment of attention deficit hyperactivity disorder in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 449–476.
Rapport, M. D., Chung, K., Shore, C., Denney, C. B., & Isaacs, P. (2000). Upgrading the science and technology of assessment and diagnosis: laboratory and clinic-based assessment of children with ADHD. Journal of Clinical Child Psychology, 29, 555–568.
Rapport, M. D., Chung, K., Shore, G., & Isaacs, P. (2001). A conceptual model of child psychopathology: implications for understanding attention deficit hyperactivity disorder and treatment efficacy. Journal of Clinical Child Psychology, 30, 48–58.
Rapport, M. D., Alderson, R. M., Kofler, M. J., Sarver, D. E., Bolden, J., & Sims, V. (2008a). 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, 825–837.
Rapport, M. D., Kofler, M. J., Alderson, R. M., & Raiker, J. (2008b). Attention-Deficit/Hyperactivity Disorder. In M. Hersen & D. Reitman (Eds.), Handbook of psychological assessment, case conceptualization and treatment, volume 2: Children and adolescents (pp. 125–157). NJ: Wiley.
Rapport, M. D., Bolden, J., Kofler, M. J., Sarver, D. E., Raiker, J. S., & Alderson, R. M. (2009). Hyperactivity in boys with attention-deficit/hyperactivity disorder (ADHD): a ubiquitous core symptom or manifestation of working memory deficits? Journal of Abnormal Child Psychology, 37, 521–534.
Rucklidge, J. J., & Tannock, R. (2002). Neuropsychological profiles of adolescents with ADHD: effects of reading difficulties and gender. Journal of Child Psychology and Psychiatry, 43, 988–1003.
Sergeant, J. A., & Scholten, C. A. (1983). A stages-of-information approach to hyperactivity. Journal of Child Psychology and Psychiatry, 24, 49–60.
SuperLab Pro (Version 2) [Computer program]. (2002). (http://www.cedrus.com), San Pedro, California: Cedrus Corporation.
Swanson, H. L., & Kim, K. (2007). Working memory, short-term memory, and naming speed as predictors of children’s mathematical performance. Intelligence, 35, 151–168.
Thorell, L. B. (2007). Do delay aversion and executive function deficits make distinct contributions to the functional impact of ADHD symptoms? A study of early academic skill deficits. Journal of Child Psychology and Psychiatry, 48, 1061–1070.
Tucha, O., Prell, S., Mecklinger, L., Bormann-Kischkel, C., Kübber, S., Linder, M., et al. (2006). Effects of methylphenidate on multiple components of attention in children with attention deficit hyperactivity disorder. Psychopharmacology, 185, 315–326.
van der Meere, J., & Sergeant, J. A. (1987). A divided attention experiment with pervasively hyperactive children. Journal of Abnormal Child Psychology, 15, 379–392.
van der Meere, J. J., & Sergeant, J. A. (1988). Focused attention abilities in pervasively hyperactive children. Journal of Abnormal Child Psychology, 16, 627–639.
van Mourik, R., Oosterlaan, J., Heslenfeld, D. J., Konig, C. E., & Sergeant, J. A. (2007). When distraction is not distracting: a behavioral and ERP study on distraction in ADHD. Clinical Neurophysiology, 118, 1855–1865.
Wilens, T. E., Biederman, J., Brown, S., Tanguay, S., Monuteaux, M. C., Blake, C., et al. (2002). Psychiatric comorbidity and functioning in clinically referred preschool children and school-age youths with ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 262–268.
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, 1336–1346.
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Kofler, M.J., Rapport, M.D., Bolden, J. et al. ADHD and Working Memory: The Impact of Central Executive Deficits and Exceeding Storage/Rehearsal Capacity on Observed Inattentive Behavior. J Abnorm Child Psychol 38, 149–161 (2010). https://doi.org/10.1007/s10802-009-9357-6
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DOI: https://doi.org/10.1007/s10802-009-9357-6