Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-26T17:09:18.508Z Has data issue: false hasContentIssue false

Good Holders, Bad Shufflers: An Examination of Working Memory Processes and Modalities in Children with and without Attention-Deficit/Hyperactivity Disorder

Published online by Cambridge University Press:  17 November 2015

Ashley N. Simone
Affiliation:
The Graduate Center, City University of New York, New York
Anne-Claude V. Bédard
Affiliation:
Ontario Institute for Studies in Education, the University of Toronto, Canada
David J. Marks
Affiliation:
Langone Medical Center, New York University, New York
Jeffrey M. Halperin*
Affiliation:
Queens College and The Graduate Center, City University of New York, New York
*
Correspondence and reprint requests to: Jeffrey M. Halperin, Department of Psychology, Queens College, CUNY, 65-30 Kissena Boulevard, Flushing, NY 11367. Email: [email protected]

Abstract

The aim of this study was to examine working memory (WM) modalities (visual-spatial and auditory-verbal) and processes (maintenance and manipulation) in children with and without attention-deficit/hyperactivity disorder (ADHD). The sample consisted of 63 8-year-old children with ADHD and an age- and sex-matched non-ADHD comparison group (N=51). Auditory-verbal and visual-spatial WM were assessed using the Digit Span and Spatial Span subtests from the Wechsler Intelligence Scale for Children Integrated - Fourth Edition. WM maintenance and manipulation were assessed via forward and backward span indices, respectively. Data were analyzed using a 3-way Group (ADHD vs. non-ADHD)×Modality (Auditory-Verbal vs. Visual-Spatial)×Condition (Forward vs. Backward) Analysis of Variance (ANOVA). Secondary analyses examined differences between Combined and Predominantly Inattentive ADHD presentations. Significant Group×Condition (p=.02) and Group×Modality (p=.03) interactions indicated differentially poorer performance by those with ADHD on backward relative to forward and visual-spatial relative to auditory-verbal tasks, respectively. The 3-way interaction was not significant. Analyses targeting ADHD presentations yielded a significant Group×Condition interaction (p=.009) such that children with ADHD-Predominantly Inattentive Presentation performed differentially poorer on backward relative to forward tasks compared to the children with ADHD-Combined Presentation. Findings indicate a specific pattern of WM weaknesses (i.e., WM manipulation and visual-spatial tasks) for children with ADHD. Furthermore, differential patterns of WM performance were found for children with ADHD-Predominantly Inattentive versus Combined Presentations. (JINS, 2016, 22, 1–11)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed. Text Revision). Washington, DC: American Psychiatric Association.Google Scholar
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington DC: American Psychiatric Association.Google Scholar
Baddeley, A.D. (2000). The episodic buffer: A new component of working memory. Trends in Cognitive Sciences, 4, 417423. doi:10.1016/S1364-6613(00)01538-2 Google Scholar
Baddeley, A.D. (2012). Working memory: Theories, models, and controversies. Annual Review of Psychology, 63, 129. doi: 10.1146/annurev-psych-120710-100422 Google Scholar
Baddeley, A.D., & Hitch, G. (1974). Working memory. Psychology of Learning and Motivation, 8, 4789. doi:10.1016/S0079-7421(08)60452-1 Google Scholar
Barkley, R.A. (1997). Behavioral inhibition, sustained attention, and executive function: Constructing a unified theory of ADHD. Psychological Bulletin, 121, 6594. 10.1037/0033-2909.121.1.65 Google Scholar
Bedard, A.-C., Martinussen, R., Ickowicz, A., & Tannock, R. (2004). Methylphenidate improves visual-spatial memory in children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 43(3), 260280. doi:10.1097/00004583-200403000-00006 CrossRefGoogle ScholarPubMed
Berwid, O.G., Curko Kera, E.A., Marks, D.J., Santra, A., Bender, H.A., & Halperin, J.M. (2005). Sustained attention and response inhibition in young children at risk for Attention Deficit/Hyperactivity Disorder. Journal of Child Psychology and Psychiatry, 46(11), 12191229.Google Scholar
Chacko, A., Bedard, A.-C., Marks, D.J., Feirsen, N., Uderman, J.Z., Chimiklis, A., & Ramon, M. (2014). A randomized clinical trial of Cogmed working memory training in school-age children with ADHD: A replication in a diverse sample using a control condition. Journal of Child Psychology and Psychiatry, 55(3), 247255. doi:10.1111/jcpp.12146 Google Scholar
de Jong, C.G.W., Van De Voorde, S., Roeyers, H., Raymakers, R., Oosterlaan, J., & Sergeant, J.A. (2009). How distinctive are ADHD and RD? Results of a double dissociation study. Journal of Abnormal Child Psychology, 37, 10071017. doi:10.1007/s10802-009-9328-y Google Scholar
Delis, D.C., Kaplan, E., & Kramer, J.H. (2001). D-KEFS. San Antonio, TX: Psychological Corporation.Google Scholar
Dennis, M., Francis, D.J., Cirino, P.T., Schachar, R., Barnes, M.A., & Fletcher, J.M. (2009). Why IQ is not a covariate in cognitive studies of neurodevelopmental disorders. Journal of the International Neuropsychological Society, 15(3), 331343. doi:10.1017/S1355617709090481 CrossRefGoogle Scholar
Dovis, S., Van der Oord, S., Wiers, R.W., & Prins, P.J.M. (2012). Can motivation normalize working memory and task persistence in children with attention-deficit/hyperactivity disorder? The effects of money and computer-gaming. Journal of Abnormal Child Psychology, 40, 669681. doi:10.1007/s10802-011-9601-8 Google Scholar
Dovis, S., Van der Oord, S., Wiers, R.W., & Prins, P.J.M. (2013). What part of working memory is not working in ADHD? Short-term memory, the central executive and effects of reinforcement. Journal of Abnormal Child Psychology, 41, 901917. doi:10.1007/s10802-013-9729-9 CrossRefGoogle Scholar
DuPaul, G.J., Power, T.J., Anastopoulus, A.D., & Reid, R. (1998). ADHD-Rating Scale-IV (for children and adolescents): Checklists, norms, and clinical interpretation. New York: Guilford Press.Google Scholar
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(3), 309331. doi:10.1037/0096-3445.128.3.309 Google Scholar
Fair, D.A., Bathula, D., Nikolas, M.A., & Nigg, J.T. (2012). Distinct neuropsychological subgroups in typically-developing youth inform heterogeneity in children with ADHD. Proceedings of the National Academy of Sciences of the United States of America, 109, 67696774. doi:10.1073/pnas.1115365109 Google Scholar
Ferrin, M., & Vance, A. (2012). Examination of neurological subtle signs in ADHD as a clinical tool for the diagnosis and their relationship to spatial working memory. Journal of Child Psychology and Psychiatry, 53, 290400. doi:10.1111/j.1469-7610.2011.02496.x.CrossRefGoogle ScholarPubMed
Fried, R., Hirshfield-Becker, D., Petty, C., Batchelder, H., & Biederman, J. (2012). How informative is the CANTAB to assess executive functioning in children with ADHD? A controlled 71 study. Journal of Attention Disorders doi:10.1177/1087054712457038 Google Scholar
Gau, S.S., & Chiang, H. (2013). Association between early attention-deficit/hyperactivity symptoms and current verbal and visuo-spatial short-term memory. Research in Developmental Disabilities, 34, 710720. doi:10.1016/j.ridd.2012.10.005 CrossRefGoogle ScholarPubMed
Gau, S.S., Chiu, C.D., Shang, C.Y., Cheng, A.T., & Soong, W.T. (2009). Executive function in adolescence among children with attention-deficit/hyperactivity disorder in Taiwan. Journal of Developmental & Behavioral Pediatrics, 30(6), 525534. doi:10.1097/DBP.0b013e3181c21c97 Google Scholar
Healey, D., & Rucklidge, J.J. (2006). An investigation into the relationship among ADHD symptomatology, creativity, and neuropsychological functioning in children. Child Neuropsychology, 12(6), 421438. doi:10.1080/09297040600806086 Google Scholar
Kaplan, E., Fein, D., Kramer, J., Morris, R., Delis, D., & Maerlender, A. (2004). Wechsler Intelligence Scale for Children – Fourth Edition Integrated (WISC-IV Integrated). San Antonio, TX: The Psychological Corporation.Google Scholar
Karalunas, S.L., & Huang-Pollock, C.L. (2013). Integrating impairments in reaction time and executive function using a diffusion model framework. Journal of Abnormal Child Psychology, 41, 837850. doi:10.1007/s10802-013-9715-2 Google Scholar
Kasper, L.J., Alderson, R.M., & Hudec, K.L. (2012). Moderators of working memory deficits in children with attention-deficit/hyperactivity disorder (ADHD): A meta-analytic review. Clinical Psychology Review, 32, 605617. doi:10.1016/j.cpr.2012.07.001 Google Scholar
Kaufman, J., Birmaher, B., Brent, D., Rao, U., & Ryan, N. (1996). The schedule for affective disorders and schizophrenia for school-aged children and lifetime version (version 1.0). Pittsburgh, PA: Department of Psychiatry, University of Pittsburgh School of Medicine.Google Scholar
Kerns, K.A., McInerney, R.J., & Wilde, N.J. (2001). Time reproduction, working memory, and behavioral inhibition in children with ADHD. Child Neuropsychology, 7(1), 2131. doi:10.1076/chin.7.1.21.3149 Google Scholar
Klingberg, T. (2010). Training and plasticity of working memory. Trends in Cognitive Sciences, 14, 317324. doi:10.1016/j.tics.2010.05.002 Google Scholar
Klingberg, T., Fernell, E., Olesen, P., Johnson, M., Gustafsson, P., Dahlstrom, K., & Westerberg, H. (2005). Computerized training of working memory in children with ADHD- A randomized, controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 177186. doi:10.1097/00004583-200502000-00010 Google Scholar
Lord, F.M. (1967). A paradox in the interpretation of group comparisons. Psychological Bulletin, 68, 304305.Google Scholar
Manassis, K., Tannock, R., Young, A., & Francis-John, S. (2007). Cognition in anxious children with attention deficit hyperactivity disorder: A comparison with clinical and normal children. Behavioral and Brain Functions, 3(4), 110. doi:10.1186/1744-9081-3-4 Google Scholar
Marks, D.J., Berwid, O.G., Santra, A., Kera, E.A., Cyrulnik, S.E., & Halperin, J.M. (2005). Neuropsychological correlates of AD/HD symptoms in preschoolers. Neuropsychology, 19, 446455.Google Scholar
Martinussen, R., Hayden, J., & Hogg-Johnson, S.T.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, 377384. doi:10.1097/01.chi.0000153228.72591.73 CrossRefGoogle ScholarPubMed
McInnes, A., Humphries, T., Hogg-Johnson, S., & Tannock, R. (2003). Listening comprehension and working memory are impaired in attention-deficit hyperactivity disorder irrespective of language impairment. Journal of Abnormal Child Psychology, 31, 427443. doi:10.1023/A:1023895602957 Google Scholar
Miles, J., & Shevlin, M. (2001). Applying regression and correlation: A guide for students and researchers. London: Sage.Google Scholar
Miller, G.A., & Chapman, J.P. (2001). Misunderstanding analysis of covariance. Journal of Abnormal Psychology, 110(1), 4048. doi:10.1037/0021-843X.110.1.40 CrossRefGoogle ScholarPubMed
Myatchin, I., Lemiere, J., Danckaerts, M., & Lagae, L. (2012). Within-subject variability during spatial working memory in children with ADHD: An event-related potentials study. European Child and Adolescent Psychiatry, 21, 199210. doi:10.1007/s00787-012-0253-1 Google Scholar
Nakao, K., & Treas, J. (1994). Updating occupational prestige and socioeconomic scores: How the new measures measure up. Sociological Methodology, 24, 172.Google Scholar
Nikolas, M.A., & Nigg, J.T. (2013). Neuropsychological performance and attention-deficit hyperactivity disorder subtypes and symptom dimensions. Neuropsychology, 27, 107120. doi: 10.1037/a0030685 Google Scholar
Nyman, A., Taskinen, T., Gronroos, M., Haataja, L., Landetie, J., & Korhonen, T. (2010). Elements of working memory as predictors of goal-setting in children with attention-deficit hyperactivity disorder. Journal of Learning Disabilities, 43(6), 553562. doi:10.1177/0022219410375001 CrossRefGoogle ScholarPubMed
Oosterlaan, J., Logan, G.D., & Sergeant, J.A. (1998). Response inhibition in AD/HD, CD, comorbid AD/HD+CD, and control children: A meta-analysis of studies with the stop task. Journal of Child Psychology and Psychiatry, 39(3), 411425.Google Scholar
Rajendran, K., Trampush, J.W., Rindskopf, D., Marks, D.J., O’Neill, S., & Halperin, J.M. (2013). Association between variation in neuropsychological development and trajectory of ADHD severity in early childhood. American Journal of Psychiatry, 170, 12051211. doi:10.1176/appi.ajp.2012.12101360 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, 825837. doi:10.1007/s10802-008-9215-y Google Scholar
Rapport, M.D., Orban, S.A., Kofler, M.J., & Friedman, L.M. (2013). Do programs designed to train working memory, other executive functions, and attention benefit children with ADHD? A meta-analytic review of cognitive, academic, and behavioral outcomes. Clinical Psychology Review, 33(8), 12371252. doi:10.1016/j.cpr.2013.08.005 Google Scholar
Rhodes, S.M., Park, J., Seth, S., & Coghill, D.R. (2012). A comprehensive investigation of memory impairment in attention deficit hyperactivity disorder and oppositional defiant disorder. Journal of Child Psychology and Psychiatry, 53, 128137. doi:10.1111/j.1469-7610.2011.02436.x Google Scholar
Robbins, T.W., James, M., Owen, A.M., Sahakian, B.J., McInnes, L., & Rabbitt, P. (1994). Cambridge Neuropsychological Test Automated Battery (CANTAB): A factor analytic study of a large sample of normal elderly volunteers. Dementia, 5, 266281. doi:10.1159/000106735 Google Scholar
Rommelse, N.N., Altink, M.E., de Sonneville, L.M., Buschgens, C.J., Buitelaar, J., Oosterlaan, J., & Sergeant, J.A. (2007). Are motor inhibition and cognitive flexibility dead ends in ADHD? Journal of Abnormal Child Psychology, 35(6), 957967.Google Scholar
Sergeant, J., Geurts, H., & Oosterlaan, J. (2002). How specific is a deficit of executive functioning for attention-deficit/hyperactivity disorder? Behavioural Brain Research, 130, 328.Google Scholar
Seidman, L.J., Valera, E.M., Makris, N., Monuteaux, M.C., Boriel, D.L., Kelkar, K., & Biederman, J. (2006). Dorsolateral prefrontal and anterior cingulate cortex volumetric abnormalities in adults with attention-deficit/hyperactivity disorder identified by magnetic resonance imaging. Biological Psychiatry, 60, 10711080.Google Scholar
Shaw, P., Eckstrand, K., Sharp, W., Blumenthal, J., Lerch, J.P., Greenstein, D., & Rapoport, J.L. (2007). Attention-deficit/hyperactivity disorder is characterized by a delay in cortical maturation. Proceedings of the National Academy of Sciences of the United States of America, 104(49), 1964919654. doi:10.1073/pnas.0707741104 Google Scholar
Simmonds, D.J., Hallquist, M.N., Asato, M., & Luna, B. (2014). Developmental stages and sex differences of white matter and behavioral development through adolescence: A longitudinal diffusion tensor imaging (DTI) study. Neuroimage, 92, 356368. doi:10.1016/j.neuroimage.2013.12.044 Google Scholar
Sjöwall, D., Roth, L., Lindqvist, S., & Thorell, L.B. (2013). Multiple deficits in ADHD: Executive dysfunction, delay aversion, reaction time variability, and emotional deficits. Journal of Child Psychology and Psychiatry, 54(6), 619627. doi:10.1111/jcpp.12006 Google Scholar
Skogli, E.W., Egeland, J., Andersen, P.N., Hovik, K.T., & Øie, M. (2013). Few differences in hot and cold executive functions in children and adolescents with combined and inattentive subtypes of ADHD. Child Neuropsychology, 20(2), 162181. doi:10.1080/09297049.2012.753998 Google Scholar
Solanto, M.V., Gilbert, S.N., Raj, A., Zhu, J., Pope-Boyd, S., Stepak, B., & Newcorn, J.H. (2007). Neurocognitive functioning in AD/HD, predominantly inattentive and combined subtypes. Journal of Abnormal Child Psychology, 35(5), 729744. doi:10.1007/s10802-007-9123-6 Google Scholar
Sternberg, S. (1969). The discovery of processing stages: Extensions of Donders’ method. Acta Psychologica Attention and Performance II, 30, 276315.CrossRefGoogle Scholar
Strand, M.T., Hawk, L.W. Jr., Bubnik, M., Shiels, K., Pelham, W.E. Jr., & Waxmonsky, J.G. (2012). Improving working memory in children with attention-deficit/hyperactivity disorder: The separate and combined effects of incentives and stimulant medication. Journal of Abnormal Child Psychology, 40, 11931207. doi:10.1007/s10802-012-9627-6 Google Scholar
Takács, Á., Kóbor, A., Tárnok, Z., & Csépe, V. (2014). Verbal fluency in children with ADHD: Strategy using and temporal properties. Child Neuropsychology, 20(4), 415429. doi:10.1080/09297049.2013.799645 Google Scholar
Tseng, W., & Gau, S.S. (2013). Executive function as a mediator in the link between attention-deficit/hyperactivity disorder and social problems. Journal of Child Psychology and Psychiatry, 54(9), 9961004. doi:10.1111/jcpp.12072 Google Scholar
Udal, A.H., Øygarden, B., Egeland, J., Malt, E.F., Løvdahl, H., Pripp, A.H., & Grøholt, B. (2012a). Executive deficits in early onset bipolar disorder versus ADHD: Impact of processing speed and lifetime psychosis. Clinical Child Psychology and Psychiatry, 18, 284299. doi:10.1177/1359104512455181 CrossRefGoogle ScholarPubMed
Udal, A.H., Øygarden, B., Egeland, J., Malt, E.F., & Grøholt, B. (2012b). Memory in early onset bipolar disorder and attention-deficit/hyperactivity disorder: Similarities and differences. Journal of Abnormal Child Psychology, 40, 11791192. doi:10.1007/s10802-012-9631-x Google Scholar
van der Meere, J., & Sergeant, J. (1987). A divided attention experiment with pervasively hyperactive children. Journal of Abnormal Child Psychology, 15(3), 379391.Google Scholar
van Dongen-Boomsma, M., Vollebregt, M.A., Buitelaar, J.K., & Slaats-Willemse, D. (2014). Working memory training in young children with ADHD: A randomized placebo-controlled trial. Journal of Child Psychology and Psychiatry, 55(8), 886896. doi:10.1111/jcpp.12218 Google Scholar
Vance, A., Ferrin, M., Winther, J., & Gomez, R. (2013). Examination of spatial working memory performance in children and adolescents with attention deficit hyperactivity disorder, combined type (ADHD-CT) and anxiety. Journal of Abnormal Child Psychology, 41, 891900. doi:10.1007/s10802-013-9721-4 Google Scholar
Wager, T.D., & Smith, E.E. (2003). Neuroimaging studies of working memory: A meta-analysis. Cognitive and Affective Behavioral Neuroscience, 3(4), 255274.Google Scholar
Ware, A.L., Crocker, N., O’Brien, J.W., Deweese, B.N., Roesch, S.C., & Coles, C.D., CIFASD (2012). Executive function predicts adaptive behavior in children with histories of heavy prenatal alcohol exposure and attention-deficit/hyperactivity disorder. Alcoholism: Clinical and Experimental Research, 36, 14311441. doi:10.1111/j.1530-0277.2011.01718.x Google Scholar
Wechsler, D. (2001). Wechsler Individual Achievement Test – Second Edition (WIAT-II). San Antonio, TX: The Psychological Corporation.Google Scholar
Wechsler, D. (2006). Wechsler Preschool and Primary Scale of Intelligence- Third Edition (WPPSI-III). San Antonio, TX: The Psychological Corporation.Google Scholar
Wechsler, D. (2003). Wechsler Intelligence Scale for Children—Fourth Edition. San Antonio, TX: The Psychological Corporation.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, 13361346. doi:10.1016/j.biopsych.2005.02.006 Google Scholar
Yang, P., Cheng, C., Chang, C., Liu, T., Hsu, H., & Yen, C. (2013). Wechsler Intelligence Scale for Children 4th edition-Chinese version index scores in Taiwanese children with attention-deficit/hyperactivity disorder. Psychiatry and Clinical Neurosciences, 67, 8391. doi:10.1111/pcn.12014 Google Scholar