Visual-motor attention in children with ADHD: The role of automatic and controlled processes

Movement-related cortical potentials underlying motor preparation and execution in children with attention-deficit/hyperactivity disorder

OBJECTIVE

Motor control difficulties are highly common in Attention-Deficit/Hyperactivity Disorder (ADHD), yet the etiology of this comorbidity remains unclear. We examined (1) whether children with ADHD have atypical movement-related cortical potentials (MRCPs) during movement preparation and/or execution compared to typically developing (TD) children, and (2) whether MRCPs associated with visual-motor performance and ADHD symptoms overlap.

METHODS

MRCPs and visual-motor integration (VMI) were measured among 66 right-handed children with ADHD and 30 TD children (ages 7-11 years). Caregivers reported on ADHD symptoms. MRCPs were extracted over fronto-central scalp regions during two ERP tasks requiring button presses.

RESULTS

Children with ADHD had lower accuracy on MRCP tasks and reduced VMI scores, compared to TDs. ADHD diagnosis was associated with attenuated correct trial MRCP amplitudes at a fronto-midline electrode during movement preparation, but not execution. ADHD symptom severity and reduced error trial MRCP amplitudes each explained unique variance in VMI performance.

CONCLUSIONS

Pediatric ADHD is associated with atypical cortical activity during movement preparation, but not execution. VMI performance and ADHD diagnosis were associated with distinct motor cortical processes, providing support for the separate etiology hypothesis.

SIGNIFICANCE

Motor difficulties in children with ADHD may require an intervention approach that is distinct from the treatment of core ADHD symptoms.

The effect of task difficulty on the aftereffects of prospective memory

ABSTRACTThe aftereffects of prospective memory (PM) are a phenomenon by which, after the completion or cancellation of a PM task, the intention remains active. The current study investigates the effect of task difficulty on the aftereffects of PM. In Experiment 1, 132 college students were recruited to explore the effect of ongoing task difficulty on the aftereffects of PM. The results of one-way analysis of variance (ANOVA) showed that the commission error rate under the high-difficulty condition was higher than that under the low-difficulty condition. In Experiment 2, 105 college students were recruited to further investigate the effect of prospective memory task difficulty on the aftereffects of PM. The results of one-way ANOVA showed that the commission error rate under the single cue condition was higher than that under the multiple cues condition. The results of the above two experiments indicate that PM aftereffects are easily influenced by task difficulty, which suggests that the PM aftereffects involve controlled processing. The results of this study tested multiple conflicting theoretical viewpoints, which is beneficial for confirming the processing mechanism of PM aftereffects. This study has been registered and the registration number is ChiCTR2500098910.

Aberrant amplitude of low-frequency fluctuation and functional connectivity in children with different subtypes of ADHD: a resting-state fNIRS study

BACKGROUND

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder with different subtypes of pathogenesis. Insufficient research on the subtypes of ADHD has limited the effectiveness of therapeutic methods.

METHODS

This study used resting-state functional near-infrared spectroscopy (fNIRS) to record hemodynamic signals in 34 children with ADHD-combined subtype (ADHD-C), 52 children with ADHD-inattentive subtype (ADHD-I), and 24 healthy controls (HCs). The amplitude of low-frequency fluctuation (ALFF) and the functional connectivity (FC) analysis were conducted for all subjects.

RESULTS

Compared with HCs, the ADHD group exhibited significantly increased ALFF and decreased FC. The ADHD-C group showed significantly higher ALFF in partial brain regions and significantly lower FC between multiple brain regions than participants with ADHD-I. The male group displayed a significant increase in ALFF in some brain regions, while no significant difference was found in FC when compared to the female group.

CONCLUSIONS

This study provides evidence to support the subtype classification of ADHD-I and ADHD-C, and the combined analysis of ALFF and FC has the potential to be a promising biomarker for the diagnosis of ADHD.

Metalinguistic and Reading Skills in a Sample of Colombian Children with Attention Deficit Hyperactivity Disorder

Objective: This study aimed to examine metalinguistic skills and reading processes in children diagnosed with ADHD, compared to a matched control group. Method: An explanatory experimental design was employed, involving a sample of 194 children from Manizales, comprising 97 children diagnosed with ADHD and 97 controls. The study utilized tasks from the Children's Neuropsychological Assessment (CNA) protocol to assess metalinguistic and reading abilities. Results: Children with ADHD exhibited significantly lower performance across all metalinguistic and reading tasks compared to the control group, except for spelling and silent reading comprehension tasks. Conclusions: These findings corroborate previous research conducted in Manizales, underscoring the specific challenges in metalinguistic and reading domains among children with ADHD. Future research should explore the influence of working memory on phonological awareness and its implications for metalinguistic skills and reading development.

Compressed cerebro-cerebellar functional gradients in children and adolescents with attention-deficit/hyperactivity disorder

Both cortical and cerebellar developmental differences have been implicated in attention-deficit/hyperactivity disorder (ADHD). Recently accumulating neuroimaging studies have highlighted hierarchies as a fundamental principle of brain organization, suggesting the importance of assessing hierarchy abnormalities in ADHD. A novel gradient-based resting-state functional connectivity analysis was applied to investigate the cerebro-cerebellar disturbed hierarchy in children and adolescents with ADHD. We found that the interaction of functional gradient between diagnosis and age was concentrated in default mode network (DMN) and visual network (VN). At the same time, we also found that the opposite gradient changes of DMN and VN caused the compression of the cortical main gradient in ADHD patients, implicating the co-occurrence of both low- (visual processing) and high-order (self-related thought) cognitive dysfunction manifesting in abnormal cerebro-cerebellar organizational hierarchy in ADHD. Our study provides a neurobiological framework to better understand the co-occurrence and interaction of both low-level and high-level functional abnormalities in the cortex and cerebellum in ADHD.

Disentangling the relationships between motor control and cognitive control in young children with symptoms of ADHD

Children with ADHD experience difficulties with motor and cognitive control. However, the relationships between these symptoms are poorly understood. As a step toward improving treatment, this study investigated associations between specific aspects of motor control and cognitive control in children with varying levels of hyperactive-impulsive symptoms. A heterogeneous sample of 255 children of 4 to 10 years of age (median = 6.50, MAD = 1.36) completed a battery of tests probing motor generation, visuomotor fluency, visuomotor flexibility, cognitive inhibition, verbal and visuospatial working memory, and cognitive flexibility. Their caregivers were interviewed regarding their hyperactive-impulsive symptoms. 25.9% of the main sample met diagnostic criteria for ADHD. Multiple linear regression analysis was used to determine whether specific aspects of motor control were associated with specific aspects of cognitive control, and whether any associations were moderated by hyperactive-impulsive symptoms. Additionally, cognitive modeling (the drift diffusion model approximated with EZ-DM) was used to understand performance on a cognitive inhibition task. Visuomotor fluency was significantly associated with cognitive inhibition. Visuomotor flexibility was significantly associated with cognitive flexibility. There were no significant moderation effects. Cognitive modeling was inconclusive. In conclusion, the ability to fluently perform visually guided continuous movement is linked with the ability to inhibit the effects of distracting information. The ability to spontaneously use visual information to flexibly alter motor responses is related to the ability to cognitively shift from one frame of mind to another. These relationships appear to be quantitatively and qualitatively similar across the childhood hyperactive-impulsive continuum as rated by parents.

Effects of the Specific Eye Fixation Training on Fine Visuomotor Coordination in Children with Attention Deficit Hyperactivity Disorder

This study investigated the effects of quiet eye training (QET) on the neuropsychological functioning and fine motor performance of children with attention deficits. The participant cohort consisted of 106 children with attention deficit hyperactivity disorder (ADHD) between the ages of 8 and 12 years. The children were assigned to either the QET group (n = 54) or the control group (n = 52). The QET group went through a 5-week intervention in which the performance of blocks of targeting tasks was preceded by watching split-screen video footage featuring the gaze and body movements of a skilled model performing a throwing motion. Both groups underwent pre-test and post-test assessments, which included the reaction test of alertness, go/no-go inhibition test, and motor performance series test. The QET group demonstrated significant improvements in attentional engagement, inhibitory control, and fine motor skills, which require precise and fast visuomotor coordination. These results highlight the potential benefits of QET intervention in ameliorating attention deficits and enhancing fine aiming motor skills in children with ADHD. However, task specificity was evident, indicating that the intervention effects were most pronounced for the hand fine motor aiming tasks requiring both precision and speed.

Is the deficit in attention-deficit/hyperactivity disorder a concentration deficit?

Attention-deficit/hyperactivity disorder (ADHD) is comprised of two behavioral clusters of symptoms, inattention and hyperactivity/impulsivity. Numerous studies have attempted to address the underlying neuropsychological mechanism of ADHD. However, there is still no uniform mechanism that can fully explain both inattention and hyperactivity/impulsivity symptoms. This review describes the research findings that have shifted the focus from cognitive selective attention to executive function deficits and notes that the prominence of the attention deficit remains unclear. As ADHD is not consistently explained by cognitive selective attention but rather with cognitive sustained attention/vigilance and executive function deficits, this review suggests that concentration deficit is likely the cause of inattention symptoms. Indeed, considering concentration deficit as the cause of inattention symptoms may better describe the underlying difficulties of maintaining and controlling attention in ADHD. In addition, as concentration, impulsivity, and hyperactivity may share a common cognitive deficit, this shift in focus may help in identifying a single mechanism for all ADHD symptoms.

ADHD Symptoms Increase Perception of Classroom Entropy and Impact Teacher Stress Levels

Attention deficit hyperactivity disorder (ADHD) is a common neuropsychiatric disorder among school-age children, characterized by persistent behavioral patterns of inattention and/or hyperactivity/impulsivity. These behaviors can create stress for teachers and negatively affect teacher-student interactions. This study hypothesized that a high frequency of ADHD students in the classroom can increase internal and external entropy, ultimately resulting in a negative stress impact on teachers. The physical concept of entropy, which measures the degree of disorder in a system, was used to better understand this relationship. The study evaluated 177 primary school teachers in their response to interacting with students with ADHD, using the Measurement of Psychological Stress (MPS) to evaluate subjective stress levels and the QUEIs and QUEIp questionnaires to measure structural and personal entropy. Path analysis was applied to identify the factors associated with the total score of MPS. The hypothesis was confirmed, as the frequency of ADHD students had a negative impact on teachers' entropy levels and personal entropy was found to significantly increase stress levels. The study highlights the negative impact of ADHD symptoms on stress levels and personal entropy of teachers when interacting with students with ADHD. These findings suggest the need for interventions aimed at balancing the frequency of students with ADHD and promoting positive training on stress reduction for teacher-student interactions.

The Influence of Smartphone Use on Tweens' Capacity for Complex Critical Thinking

The spread of modern technologies exposes many people to a high level of ambiguous and misleading information that can impact people's judgments and worldviews. This happens especially in a phase of life such as preadolescence when children are particularly sensitive to external conditioning. Critical thinking can be seen as the first line of defense against misleading information. However, little is known about the consequences of media use on the critical thinking skills of tweens. In this study, we evaluated the effects of problematic smartphone use on the various stages of critical thinking, comparing high and low tween smartphone users. The results confirm the main hypothesis, namely, that problematic smartphone use is related to the ability to think critically. There was a significant difference between high and low users in the third phase of critical thinking: evaluation of sources.