Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-04T17:27:28.419Z Has data issue: false hasContentIssue false

Atypical Visual Scan Path Affects Remembering in ADHD

Published online by Cambridge University Press:  12 December 2019

Nasrin Mohammadhasani
Affiliation:
Department of Educational Technology, Faculty of Psychology and Education, Kharazmi University, Tehran1417466191, Iran
Tindara Caprì*
Affiliation:
Department of Clinical and Experimental Medicine, University of Messina, Via Bivona, 98122Messina, Italy
Andrea Nucita
Affiliation:
Department of Cognitive Sciences, Psychological, Educational and Cultural Studies, University of Messina, Via Concezione, 6, 98122Messina, Italy
Giancarlo Iannizzotto
Affiliation:
Department of Cognitive Sciences, Psychological, Educational and Cultural Studies, University of Messina, Via Concezione, 6, 98122Messina, Italy
Rosa Angela Fabio
Affiliation:
Department of Clinical and Experimental Medicine, University of Messina, Via Bivona, 98122Messina, Italy
*
*Correspondence and reprint requests to: Tindara Caprì, Department of Clinical and Experimental Medicine, University of Messina, Via Bivona, 98122Messina, Italy. Phone: +39-090-6766032. E-mail: [email protected]

Abstract

Objective:

Several studies agree on the link between attention and eye movements during reading. It has been well established that attention and working memory (WM) interact. A question that could be addressed to better understand these relationships is: to what extent can an attention deficit affect eye movements and, consequently, remembering a word? The main aims of the present study were (1) to compare visual patterns of word stimuli between children with Attention Deficit Hyperactivity Disorder (ADHD) and typically developing (TD) children, during a visual task on word stimuli; (2) to examine the WM accuracy of the word stimuli; and (3) to compare the dynamic of visual scan path in both groups.

Method:

A total of 49 children with ADHD, age and sex matched with 32 TD children, were recruited. We used eye-tracking technology in which the Word Memory Test was implemented. To highlight the scan path of participants, two measures were used: the ordered direction of reading and the entropy index.

Results:

ADHD groups showed a poorer WM than TD group. They did not follow a typical scan path across the words compared with TD children, but their visual scanning was discontinuous, uncoordinated, and chaotic. ADHD groups showed an index of entropy among the four categories of saccades higher than TD group.

Conclusions:

The findings were discussed in light of two directions: the relationship between atypical visual scan path and WM and the training implications related to the necessity of redirecting the dynamic of visual scan path in ADHD to improve WM.

Type
Regular Research
Copyright
Copyright © INS. Published by Cambridge University Press, 2019

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

REFERENCES

Alloway, T.P. & Gathercole, S.E. (2006). Working memory and neurodevelopmental disorders. Hove, UK: Psychology Press.Google Scholar
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Antonietti, A., Monnier, A.S., Gatti, E., & Fabio, R.A. (2010). Emotional and relational processes in pre-adolescents with attentional deficits: An attempt to test some psychodynamic hypotheses [Le dinamiche emotivo-relazionali in pre-adolescenti con disturbi dell’attenzione]. Psicologia Clinica dello Sviluppo, 14(2), 359378.CrossRefGoogle ScholarPubMed
Awh, E. & Jonides, J. (2001). Overlapping mechanisms of attention and spatial working memory. Trends of Cognitive Sciences, 5(3), 119126.CrossRefGoogle Scholar
Baddeley, A. (2007). Working memory, thought, and action. New York: Oxford University Press.CrossRefGoogle ScholarPubMed
Bellocchi, S., Muneaux, M., Bastien-Toniazzo, M., & Ducrot, S. (2013). I can read it in your eyes: What eye movements tell us about visuo-attentional processes in developmental dyslexia. Research in Developmental Disabilities, 34, 452460.CrossRefGoogle Scholar
Bianchini, R., Bianchini, R., Postorino, V., Grasso, R., Santoro, B., Migliore, S., & Mazzone, L. (2013). Prevalence of ADHD in a sample of Italian students: A population-based study. Research in Developmental Disabilities, 34, 25432550.CrossRefGoogle Scholar
Booth, J.R., Burman, D.D., Meyer, J.R., Lei, Z., Trommer, B.L., Davenport, N.D., & Mesulam, M.M. (2005). Larger deficits in brain networks for response inhibition than for visual selective attention in attention deficit hyperactivity disorder (ADHD). Journal of Child Psychology and Psychiatry and Allied Disciplines, 46(1), 94111.CrossRefGoogle Scholar
Cain, K., Oakhill, J., & Bryant, P. (2004). Children’s reading comprehension ability: Concurrent prediction by working memory, verbal ability, and component skills. Educational Psychology, 96(1), 3142.Google Scholar
Capodieci, A. (2017). L’uso delle scale di valutazione per l’identificazione dei casi con ADHD: il confronto tra la rilevazione in base a punteggi di gravità, cut-off e numero di sintomi [The use of rating scales for the identification of ADHD: A comparison between criteria of intensity, cut-offs, and number of symptoms]. Psicologia clinica e dello sviluppo, 21(2), 277290.CrossRefGoogle Scholar
Capodieci, A., Lachinam, S., & Cornoldi, C. (2018). Handwriting difficulties in children with attention deficit hyperactivity disorder (ADHD). Research in Developmental Disabilities, 74, 4149.Google Scholar
Caprì, T., Gugliandolo, M.C., Iannizzotto, G., Nucita, A., & Fabio, R.A. (2019). The influence of media usage on family functioning. Current Psychology, 1(23), 110.CrossRefGoogle Scholar
Casal, P.V., Esposito, F.L., Martínez, I.M., Capdevila, A., Puig, M.S., de la Osa, N., … Cañete, J. (2019). Clinical validation of eye vergence as an objective marker for diagnosis of ADHD in children. Journal of Attention Disorders, 23(6), 599614.CrossRefGoogle ScholarPubMed
Chan, R., Guo, M., Zou, X., Li, D., Hu, Z., & Yang, B. (2006). Multitasking performance of Chinese children with ADHD. Journal of the International Neuropsychological Society, 12(4), 575579.CrossRefGoogle ScholarPubMed
Croskerry, P. (2009). A universal model of diagnostic reasoning. Academic Medicine, 84, 10221028.CrossRefGoogle Scholar
de Fockert, J.W., Rees, G., Frith, C.D., & Lavie, N. (2001). The role of working memory in visual selective attention. Science, 29,18031806.CrossRefGoogle Scholar
Deans, P., O’Laughlin, L., Brubaker, B., Gay, N., & Krug, D. (2010). Use of eye movement tracking in the differential diagnosis of attention deficit hyperactivity disorder (ADHD) and reading disability. Psychology, 1, 238246.CrossRefGoogle ScholarPubMed
Desimone, R. (1996). Neural mechanisms for visual memory and their role in attention. Proceedings of the National Academy of Sciences of the United States of America, 93(24), 1349413499.CrossRefGoogle ScholarPubMed
Ecker, U.K., Lewandowsky, S., Oberauer, K., & Chee, A.E. (2010). The components of working memory updating: An experimental decomposition and individual differences. Journal of Experimental Psychology Learning Memory and Cognition, 36, 170189.CrossRefGoogle ScholarPubMed
Eden, G.F., Stein, J.F., Wood, M.H., & Wood, F.B. (1994). Differences in eye movements and reading problems in dyslexic and normal children. Vision Research, 34, 13451358.CrossRefGoogle ScholarPubMed
Ely, J.W., Graber, M.L., & Croskerry, P. (2011). Checklists to reduce diagnostic errors. Academic Medicine, 86, 307313.CrossRefGoogle ScholarPubMed
Engbert, R. & Kliegl, R. (2003). Microsaccades uncover the orientation of covert attention. Vision Research, 43, 10351045.Google Scholar
Fabio, R.A. (2017). The study of automatic and controlled processes in ADHD: A reread and a new proposal. Mediterranean Journal of Clinical Psychology, 5, 234.CrossRefGoogle ScholarPubMed
Fabio, R.A. & Antonietti, A. (2012). Effects of hypermedia instruction on declarative, conditional and procedural knowledge in ADHD students. Research in Developmental Disabilities, 33, 20282039.CrossRefGoogle Scholar
Fabio, R.A. & Caprì, T. (2015). Autobiographical memory in ADHD subtypes. Journal of Developmental and Intellectual Disability, 6, 2636.Google Scholar
Fabio, R.A. & Caprì, T. (2017). The executive functions in a sample of Italian adults with ADHD: Attention, response inhibition and planning/organization. Mediterranean Journal of Clinical Psychology, 5, 218.CrossRefGoogle ScholarPubMed
Fabio, R.A. & Caprì, T. (2019). Automatic and controlled attentional capture by threatening stimuli. Heliyon, 5, 1752.Google Scholar
Fabio, R.A., Caprì, T., Campana, R., & Buzzai, C. (2018). The construction and validation of an Italian dsyfunctional belifies questionnaire. Current Psychology, 2(1), 111.CrossRefGoogle ScholarPubMed
Fabio, R.A., Caprì, T., Iannizzotto, G., Nucita, A., & Mohammadhasani, N. (2019). Interactive avatar boosts the performances of children with attention deficit hyperactivity disorder in dynamic measures of intelligence. Cyberpsychology, Behavior, and Social Networking, 22(9), 588596.CrossRefGoogle Scholar
Fabio, R.A., Caprì, T., Mohammadhasani, N., Gangemi, A., Gagliano, A., & Martino, G. (2018). Frequency bands in seeing and remembering: Comparing ADHD and typically developing children. Neuropsychological Trends, 24, 97116.CrossRefGoogle ScholarPubMed
Fabio, R.A., Castriciano, C., & Rondanini, A. (2015). ADHD: Auditory and visual stimuli in automatic and controlled processes. Journal of Attention Disorder, 19, 771778.CrossRefGoogle Scholar
Fabio, R.A., Iannizzotto, G., Nucita, A., & Caprì, T. (2019). Adult listening behaviour, music preferences and emotions in the mobile context. Does mobile context affect elicited emotions? Cogent Engineering, 6, 117.Google Scholar
Fabio, R.A., Martinazzoli, C., & Antonietti, A. (2005). Costruzione e standardizzazione dello strumento R.A.R.S. (Construction and standardization of Rett Assessment Rating Scale). Ciclo Evoltivo & Disabilità, 8, 257381.Google Scholar
Fabio, R.A. & Urso, M.F. (2014). The analysis of attention network in ADHD, attention problems and typically developing subjects. Life Span and Disability, 17(2), 199221.CrossRefGoogle Scholar
Findlay, J. M. & Gilchrist, I. D. (2003). Active vision: The psychology of looking and seeing. Oxford: Oxford University Press.Google Scholar
Fougnie, D. (2008). The relationship between attention and working memory. In Johansen, N.B. (Eds.), New research on short-term memory (pp. 145). Hauppauge, NY:Nova Science Publishers.CrossRefGoogle Scholar
Frick, P.J., Barry, C.T., & Kamphaus, R.W. (2010). Clinical assessment of child and adolescent personality and behavior (3rd ed.). New York, NY: Springer.CrossRefGoogle ScholarPubMed
Friedman, L.M., Rapport, M.D., Raiker, J.S., Orban, S.A., & Eckrich, S.J. (2017). Reading comprehension in boys with ADHD: The mediating roles of working memory and orthographic conversion. Journal of Abnormal Child Psychology, 45(2), 273287.Google Scholar
Gallego-Martínez, A., García-Sevilla, J., & Fenollar-Cortés, J. (2018). Implication of visuospatial and phonological working memory in the clinical heterogeneity of attention-deficit/hyperactivity disorder (ADHD). Anales de Psicología, 34(1), 1622.CrossRefGoogle ScholarPubMed
Geurts, H.M., Verte, S., Oosterlaan, J., Roeyers, H., & Sergeant, J.A. (2005). ADHD subtypes: Do they differ in their executive functioning profile? Archives of Clinical Neuropsychology, 20, 457477.CrossRefGoogle Scholar
Gould, T.D., Bastain, T.M., Israel, M.E., Hommer, D.W., & Castellanos, F.X. (2001). Altered performance on an ocular fixation task in attention deficit/hyperactivity disorder. Society of Biological Psychiatry, 50, 633635.Google Scholar
Green, P., Allen, L.M., & Astner, K. (1996) The word memory test: A user’s guide to the oral and computer-administered forms (US Version 1.1). Durham, NC: CogniSyst, Inc.CrossRefGoogle Scholar
Green, P., Lees-Haley, P.R., & Allen, L.M. (2002). The word memory test and the validity of neuropsychological test scores. Forensic Neuropsychology, 2, 97124.CrossRefGoogle ScholarPubMed
Halleland, H., Haavik, J., & Lundervold, A. (2012). Set-shifting in adults with ADHD. Journal of the International Neuropsychological Society, 18(4), 728737. doi:10.1017/S1355617712000355CrossRefGoogle ScholarPubMed
Hinshaw, S.P., Carte, E.T., Sami, N., Treuting, J.J., & Zupan, B.A. (2002). Preadolescent girls with attention-deficit/hyperactivity disorder: II. Neuropsychological performance in relation to subtypes and individual classification. Journal of Consulting and Clinical Psychology, 70, 1099–111.Google Scholar
Karatekin, C. & Asarnow, R.F. (1999). Exploratory eye movements to pictures in childhood-onset schizophrenia and attention deficit/hyperactivity disorder (ADHD). Journal of Abnormal Psychology, 27, 3549.CrossRefGoogle ScholarPubMed
Kasper, L.J., Alderson, R.M., & Hudec, K.L. (2012). Moderators of working memory deficits in children with ADHD: A meta-analytic review. Clinical Psychology Review, 32, 605617.CrossRefGoogle ScholarPubMed
Kennedy, A. & Pynte, J. (2005). Parafoveal-on-foveal effects in normal reading. Vision Research, 45, 153168.CrossRefGoogle ScholarPubMed
Kofler, M.J.Spiegel, J.A., Soto, E.F., Irwin, L.N., Wells, E.L., & Austin, E.K. (2019). Do working memory deficits underlie reading problems in attention-deficit/hyperactivity disorder (ADHD)? Journal of Abnormal Child Psychology, 47(3), 433446.CrossRefGoogle Scholar
Kuntsi, J., Wood, A., Van Ded Meere, J., & Asherson, P. (2009). Why cognitive performance in ADHD may not reveal true potential: Findings from a large population-based sample. Journal of the International Neuropsychological Society, 15(4), 570579.CrossRefGoogle ScholarPubMed
Lee, Y.J., Lee, S., Chang, M., & Kwa, H.W. (2015). Saccadic movement deficiencies in adults with ADHD tendencies. ADHD Attention Deficit and Hyperactivity Disorders, 7, 271280.CrossRefGoogle Scholar
Li, X., Liu, P., & Rayner, K. (2011). Eye movements guidance in Chinese reading: Is there a preferred viewing location?. Vision Research, 5, 11461156.CrossRefGoogle ScholarPubMed
Liebel, S.W. & Nelson, J.M. (2017). Auditory and visual working memory functioning in college students with attention-deficit/hyperactivity disorder and/or learning disabilities. Archives of Clinical Neuropsychology, 32(8), 980991.Google Scholar
Liverta, S.O., Fabio, R.A., Tiezzi, P., & Cedro, C. (2016). Parental and teachers attachment in children at risk of ADHD and with ADHD. Life Span and Disability, 19, 5777.Google Scholar
Lonigan, C.J. (2015). Literacy development. In Lerner, R.M., Liben, L.S., & Müeller, U. (Eds.), Handbook of child psychology and developmental science. Volume 2: Cognitive processes (pp. 763805). Hoboken, NJ: Wiley & Sons.CrossRefGoogle Scholar
Maehler, C. & Schuchardt, K. (2016). Working memory in children with specific learning disorders and/or attention deficits. Learning and Individual Differences, 49, 341347.Google Scholar
Martino, G., Caprì, T., Castriciano, C., & Fabio, R. A. (2017). Automatic deficits can lead to executive deficits in ADHD. Mediterranean Journal of Clinical Psychology, 5, 234.CrossRefGoogle ScholarPubMed
Martinussen, R. & Tannock, R. (2006). Working memory impairments in children with attention-deficit hyperactivity disorder with and without comorbid language learning disorders. Journal Clinical and Experimental Neuropsychology, 28, 10731094.Google Scholar
Marzocchi, G. M., & Cornoldi, C. (2000). Una scala di facile uso per la rilevazione dei comportamenti problematici dei bambini con Deficit di Attenzione e Iperattività [A scale to identify behavioural problems in ADHD children]. Psicologia Clinica dello Sviluppo, 4, 4362.Google Scholar
Marzocchi, G.M., Oosterlaan, J., De Meo, T., Di Pietro, M., Pezzica, S., Cavolina, P., & Zuddas, A. (2001). Disruptive behaviour disorder rating scale for teacher (Italian version). Giornale di Neuropsichiatria dell’Età Evolutiva, 21,378393.Google Scholar
Marzocchi, G.M. & Cornoldi, C. (2000). Una scala di facile uso per la rilevazione dei comportamenti problematici dei bambini con Deficit di Attenzione e Iperattività [A scale to identify behavioural problems in ADHD children]. Psicologia Clinica dello Sviluppo, 4, 4362.CrossRefGoogle Scholar
Marzocchi, G.M., Re, A.M., & Cornoldi, C. (2010). BIA: Batteria Italiana per l’ADHD [Italian battery for ADHD]. Trento, Italy: Erickson.CrossRefGoogle Scholar
Mayes, S.D. & Calhoun, S.L. (2006). Frequency of reading, math, and writing disabilities in children with clinical disorders. Learning and Individual Differences, 16(2), 145157.CrossRefGoogle ScholarPubMed
Melby-Lervåg, M., Redick, T.S., & Hulme, C. (2016). Working memory training does not improve performance on measures of intelligence or other measures of Bfar transfer: Evidence from a meta-analytic review. Perspectives on Psychological Science, 11(4), 512534.Google Scholar
Michaelis, J.R., McConnell, D.S., & Smither, J.A. (2012). Attention deficit/hyperactivity disorder’s effects on individuals’ scan paths during a simulated drive. Work, 41, 58335835.CrossRefGoogle Scholar
Mohammadhasani, N., Fabio, R.A., Fardanesh, H., & Hatami, J. (2015). The link between visual attention and memory in ADHD and normally developing students: seeing is remembering? Reti, Saperi e Linguaggi-Italian Journal of Cognitive Science, 1(2), 89102CrossRefGoogle ScholarPubMed
Mohammadhasani, N., Fardanesh, H., Hatami, J., Mozayani, N., & Fabio, R.A. (2018). The pedagogical agent enhances mathematics learning in ADHD students. Education and Information Technologies, 23(6), 22992308.CrossRefGoogle ScholarPubMed
Munoz, D.P., Armstrong, I.T., Hampton, K.A., & Moore, K.D. (2003). Altered control of visual fixation and saccadic eye movements in attention-deficit hyperactivity disorder. Journal of Neurophysiology, 90, 503515.CrossRefGoogle Scholar
Nada-Raja, S., Langley, J.D., McGee, R., Williams, S.M., Begg, D.J., & Reeder, A.I. (1997). Inattentive and hyperactive behaviors and driving offenses in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 515522.CrossRefGoogle Scholar
Nee, D.E., Brown, J.W., Askren, M.K., Berman, M.G., Demiralp, E., Krawitz, A., & Jonides, J. (2013). A metaanalysis of executive components of working memory. Cerebral Cotrex, 23, 264282.CrossRefGoogle Scholar
Pazvantoğlu, O., Aker, A., Karabekiroğlu, K., Akbaş, S., Sarısoy, G., Baykal, S., & Şahin, A. (2012). Neuropsychological weaknesses in adult ADHD: Cognitive functions as core deficit and roles of them in persistence to adulthood. Journal of the International Neuropsychological Society, 18(5), 819826.CrossRefGoogle Scholar
Peng, P., Barnes, M., Wang, C., Wang, W., Li, S., Swanson, H.L., … Tao, S. (2018). A Meta-analysis on the relation between reading and working memory. Psychological Bulletin, 144, 4876.CrossRefGoogle ScholarPubMed
Privitera, C.M., Azzariti, M., & Stark, L.W. (2000). Locating regions-of-interest for the Mars rover. Journal IEEE Transactions on Pattern Analysis and Machine Intelligence, 9, 970982.CrossRefGoogle ScholarPubMed
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. Clinical Psychology Review, 33, 12371252.CrossRefGoogle ScholarPubMed
Rayner, K. (1998). Eye movements in reading and information processing: 20 years of research. Psychological Bulletin, 124(3), 372422.CrossRefGoogle Scholar
Re, A.M., Mirandola, C., Esposito, S.S., & Capodieci, A. (2014). Spelling errors among children with ADHD symptoms: The role of working memory. Research in Developmental Disabilities, 35(9), 21992204.CrossRefGoogle ScholarPubMed
Ross, R.G., Harris, J.G., Olincy, A., & Radant, A. (2000). Eye movement task measures inhibition and spatial working memory in adults with schizophrenia, ADHD, and a normal comparison group. Psychiatry Research, 95, 3542.CrossRefGoogle ScholarPubMed
Rubia, K., Smith, A.B., Brammer, M.J., Toone, B., & Taylor, E. (2005). Abnormal brain activation during inhibition and error detection in medication-naive adolescents with ADHD. American Journal of Psychiatry, 162, 10671075.CrossRefGoogle Scholar
Rutman, A.M., Clapp, W.C., Chadick, J.Z., & Gazzaley, A. (2010). Early top-down control of visual processing predicts working memory performance. Journal of Cognitive Neuroscience, 22(6), 12241234.CrossRefGoogle ScholarPubMed
Sarver, D.E., Rapport, M.D., Kofler, M.J., Scanlan, S.B., Raiker, J.S., Altro, T.A., & Bolden, J. (2012). Attention problems, phonological short-term memory, and visuospatial short-term memory: Differential effects on near-and longterm scholastic achievement. Learning & Individual Differences, 22(1), 819.CrossRefGoogle ScholarPubMed
Schuett, S., Heywood, C.A., Kentridge, R.W., & Zihl, J. (2008). The significance of visual information processing in reading: Insights from hemianopic dyslexia. Neuropsychologia, 46, 24412458.CrossRefGoogle Scholar
Sesma, H.W., Mahone, E.M., Levine, T., Eason, S.H., & Cutting, L.E. (2009). The contribution of executive skills to reading comprehension. Child Neuropsychology, 15, 232246.Google ScholarPubMed
Shannon, C.E. (1948). A mathematical theory of communication. The Bell System Technical Journal, 27, 623656.CrossRefGoogle ScholarPubMed
Sun, L., Wang, Y., Han, Y., & Zhu, R. (2003). Exploratory eye movement in children with ADHD. Beijing Da Xue Xue Bao, 35, 284287.CrossRefGoogle ScholarPubMed
Thorell, L.B. (2007). Do delay aversion and executive function deficitsmake distinct contributions to the functional impact of ADHD symptoms? A study of early academic skill deficits. Journal of Child Psychology and Psychiatry, 48, 10611070.CrossRefGoogle ScholarPubMed
Türkan, B.N., Amado, S., Ercan, E.S., & Perçinel, I. (2016). Comparison of change detection performance and visual search patterns among children with/without ADHD: Evidence from eye movements. Research in Developmental Disabilities, 49–50, 205215.CrossRefGoogle ScholarPubMed
Valera, E.M., Faraone, S.V., Biederman, J., Poldrack, R.A., & Seidman, L.J. (2005). Functional neuroanatomy of working memory in adults with attention-deficit/hyperactivity disorder. Biological Psychiatry, 57, 439447.CrossRefGoogle ScholarPubMed
Wager, T.D. & Smith, E.E. (2003). Neuroimaging studies of working memory. Cognitive, Affective, & Behavioral Neuroscience, 3(4), 255274.Google Scholar
Wåhlstedt, C., Thorell, L.B., & Bohlin, G. (2009). Heterogeneity in ADHD: Neuropsychological pathways, comorbidity and symptom domains. Journal of Abnormal Child Psychology, 37, 551564.Google Scholar