Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-16T17:04:54.172Z Has data issue: false hasContentIssue false

Attention and Response Control in ADHD. Evaluation through Integrated Visual and Auditory Continuous Performance Test.

Published online by Cambridge University Press:  03 March 2015

Inmaculada Moreno-García*
Affiliation:
Universidad de Sevilla (Spain)
Gracia Delgado-Pardo
Affiliation:
Universidad de Sevilla (Spain)
Carmen Roldán-Blasco
Affiliation:
Universidad de Sevilla (Spain)
*
*Correspondence concerning this article should be addressed to Inmaculada Moreno García. Dpto. Personalidad, Evaluación y Tratamiento Psicológicos. Facultad de Psicología. Universidad de Sevilla. C/Camilo José Cela, s/n. CP.41018.Sevilla (Spain). E-mail: [email protected]

Abstract

This study assesses attention and response control through visual and auditory stimuli in a primary care pediatric sample. The sample consisted of 191 participants aged between 7 and 13 years old. It was divided into 2 groups: (a) 90 children with ADHD, according to diagnostic (DSM-IV-TR) (APA, 2002) and clinical (ADHD Rating Scale-IV) (DuPaul, Power, Anastopoulos, & Reid, 1998) criteria, and (b) 101 children without a history of ADHD. The aims were: (a) to determine and compare the performance of both groups in attention and response control, (b) to identify attention and response control deficits in the ADHD group. Assessments were carried out using the Integrated Visual and Auditory Continuous Performance Test (IVA/CPT, Sandford & Turner, 2002). Results showed that the ADHD group had visual and auditory attention deficits, F(3, 170) = 14.38; p < .01, deficits in fine motor regulation (Welch´s t-test = 44.768; p < .001) and sensory/motor activity (Welch’st-test = 95.683, p < .001; Welch’s t-test = 79.537, p < .001). Both groups exhibited a similar performance in response control, F(3, 170) = .93, p = .43.Children with ADHD showed inattention, mental processing speed deficits, and loss of concentration with visual stimuli. Both groups yielded a better performance in attention with auditory stimuli.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 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

Advokat, C., Martino, L., Hill, B. D., & Gouvier, W. (2007). Continuous Performance Test (CPT) of college students with ADHD, psychiatric disorders, cognitive deficits, or no diagnosis. Journal of Attention Disorders, 10, 253256. http://dx.doi.org/10.1177/1087054706292106 CrossRefGoogle ScholarPubMed
American Psychiatric Association (2002). Manual diagnóstico y estadístico de los trastornos mentales. Cuarta edición texto revisado (DSM-IV-TR). [Diagnostic and Statistical Manual of Mental Disorders. Fourth edition revised text (DSM-IV-TR)] Barcelona, Spain: Masson.Google Scholar
Barkley, R. A. (1998). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (2 nd Ed.). New York, NY: Guilford Press.Google Scholar
Cardo, E., Servera, M., & Llobera, J. (2007). Estimación de la prevalencia del trastorno por déficit de atención e hiperactividad en población normal de la isla de Mallorca [Estimation of the prevalence of the attention deficit hyperactivity disorder in a normal population of the island of Mallorca] Revista de Neurología, 44, 1014.Google Scholar
Chinese Society of Psychiatry (2001). The Chinese classification and diagnostic criteria of Mental Disorders Version 3 (CCMD-3). Jinan, China: Chinese Society of Psychiatry.Google Scholar
Coben, R., & Myers, T. E. (2009). Sensitivity and specificity of long wave infrared imaging for attention-deficit/hyperactivity disorder. Journal of Attention Disorders, 13, 5665. http://dx.doi.org/10.1177/1087054708329778 Google Scholar
Collings, R. D. (2003). Differences between ADHD inattentive and combined types on the CPT. Journal of Psychopathology and Behavioral Assessment, 25, 177189.Google Scholar
Corbett, B. A., & Constantine, L. J. (2006). Autism and attention deficit hyperactivity disorder: Assessing attention and response control with the integrated visual and auditory continuous performance test. Child Neuropsychology, 12, 335348. http://dx.doi.org/10.1080/09297040500350938 Google Scholar
Corbett, B. A., Constantine, L. J., Hendren, R., Rocke, D., & Ozonoff, S. (2009). Examining executive functioning in children with autism spectrum disorder, attention deficit hyperactivity disorder and typical development. Psychiatry Research, 166, 210222. http://dx.doi.org/10.1016/j.psychres.2008.02.005 Google Scholar
DuPaul, G., Power, T. J., Anastopoulos, A. D., & Reid, R. (1998). ADHD-Rating Scales DSM-IV for parents and teachers. New York, NY: Guilford.Google Scholar
Epstein, J. N., Erkanli, A., Keith, C. K., Klaric, J., Costello, J., & Angold, A. (2003). Relations between continuous Performance Test Performance Measures and ADHD behaviors. Journal of Abnormal Child Psychology, 31, 543554.CrossRefGoogle ScholarPubMed
Graetz, B. W., Sawyer, M. G., & Baghurst, P. (2005). Gender differences among children with DSM-IVADHD in Australia. Journal of the American Academy of Child & Adolescent Psychiatry.44, 159168. http://dx.doi.org/10.1097/00004583-200502000-00008 Google Scholar
Greimel, E., Herpertz-Dahlmann, B., Günther, T., Vitt, C., & Konrad, K. (2008). Attentional functions in children and adolescents with attention-deficit/hyperactivity disorder with and without comorbid tic disorder. Journal of Neural Transmission, 115, 191200. http://dx.doi.org/10.1007/s00702-007-0815-4 CrossRefGoogle ScholarPubMed
Gualtieri, T., & Johnson, L. (2005). ADHD: Is objective diagnosis possible? Psychiatry, 4, 110.Google Scholar
Gutiérrez-Maldonado, J., Letosa-Porta, A., Rus-Calafell, M., & Peñaloza-Salazar, C. (2009). The assessment of Attention Deficit Hyperactivity Disorder in children using continuous performance tasks in virtual environments. Anuario de Psicología, 40, 211222.Google Scholar
Harding, K., Judah, R, D., & Gant, C. E. (2003). Outcome-based comparison of Ritalin versus food-supplement treated children with ADHD. Alternative Medicine Review, 8, 319330.Google Scholar
Heinrich, H., Gevensleben, H., Freisleder, F. J., Moll, G. H., & Rothenberger, A. (2004). Training of slow cortical potentials in attention-deficit/hyperactivity disorder: Evidence for positive behavioral and neurophysiological effects. Biological Psychiatry, 55, 772775. http://dx.doi.org/10.1016/j.biopsych.2003.11.013 Google Scholar
Huang-Pollock, C. L., Karalunas, S. L., Tam, H., & Moore, A. N. (2012). Evaluating vigilance deficits in ADHD: A meta-analysis of CPT performance. The Journal of Abnormal Psychology, 121, 360371. http://dx.doi.org/10.1037/a0027205 CrossRefGoogle ScholarPubMed
Lehman, E. B., Olson, V. A., Aquilino, S. A., & Hall, L. C. (2006). Auditory and Visual Continuous Performance Tests: Relationships with age, gender, cognitive functioning and classroom behavior. Journal of Psychoeducational Assessment, 24, 3651. http://dx.doi.org/10.1177/0734282905285238 Google Scholar
Levesque, J., Beauregard, M., & Mensour, B. (2006). Effect of neurofeedback training on the neural substrates of selective attention in children with attention-deficit/hyperactivity disorder: A functional magnetic resonance imaging study. Neuroscience Letters, 394, 216221. http://dx.doi.org/10.1016/j.neulet.2005.10.100 Google Scholar
Lora, J. A., & Moreno, I. (2010). Prevalencia del trastorno por déficit de atención en escolares: Comparación entre criterios diagnósticos y criterios clínicos [Estimation of the prevalence of the attention deficit hyperactivity disorder in school children: Comparison between diagnostic criteria and clinical criteria]. Psicología Conductual, 18, 365384.Google Scholar
Millichap, J. G. (2011). Attention deficit hyperactivity disorder handbook. A Physician's Guide to ADHD. New York, NY: Springer Science+Business Media.Google Scholar
Monastra, V. J., Monastra, D. M., & George, S. (2002). The effects of stimulant therapy. EEG biofeedback and parenting style on the primary symptoms of attention-deficit /hyperactivity disorder. Applied Psychophysiology and Biofeedback, 27, 231249.http://dx.doi.org/10.1023/A:1021018700609 Google Scholar
Moreno, I., Delgado, G., Aires, M. M., & Meneres, S. S. (2013). Administering the CPT/IVA to evaluate the effects of neurofeedback in ADHD. Annuary of Clinical and HealthPsychology, 9, 4952.Google Scholar
Naglieri, J. A., Goldstein, S., Delauder, B. Y., & Schwebach, A. (2005). Relationships between the WISC-III and the cognitive assessment system with Conners’ rating scales and continuous performance tests. Archives of Clinical Neuropsychology, 20, 385401.Google Scholar
Navarro-Pardo, E., Meléndez, J. C., Sales, A., & Sancerni, M. D. (2012). Desarrollo infantil y adolescente: Trastornos mentales más frecuentes en función de la edad y el género [Child and adolescent development: Common mental disorders according to age and gender]. Psicothema, 24, 377383.Google Scholar
Nichols, S. L., & Waschbusch, D. A. (2004). A review of the validity of laboratory cognitive tasks used to assess symptoms of ADHD. Child Psychiatry and Human Development, 34, 297315. http://dx.doi.org/10.1023/B:CHUD.0000020681.06865.97 Google Scholar
Oades, R. D., Myint, A. M., Dauvermann, M. R., Schimmelmann, B. G., & Schwarz, M. J. (2010). Attention-deficit hyperactivity disorder (ADHD) and glial integrity: An exploration of associations of cytokines and kynurenine metabolites with symptoms and attention. Behavioral and Brain Functions, 6, 119. http://dx.doi.org/10.1186/1744-9081-6-32 Google ScholarPubMed
Ogrim, G., Kropotov, J., & Hestad, K. (2012). The QEEG theta/beta ratio in ADHD and normal controls: Sensitivity, specificity and behavioral correlates. Psychiatry Research, 198, 482488. http://dx.doi.org/10.1016/j.psychres.2011.12.041 CrossRefGoogle Scholar
Padolsky, I. (2008). The neuropsychological and neurobehavioral consequences of ADHD comorbid with LD and otitis media. Journal of Developmental and Physical Disabilities, 20, 1120. http://dx.doi.org/10.1007/s10882-007-9075-3 CrossRefGoogle Scholar
Pan, X. X., Ma, H. W., & Dai, X. M. (2007). Value of integrated visual and auditory continuous performance test in the diagnosis of childhood attention deficit hyperactivity disorder. Chinese Journal of Contemporary Pediatrics, 9, 210212.Google Scholar
Park, M-H., Kweon, Y. S., Lee, S. J., Park, E-J., Lee, C., & Lee, C-U. (2011). Differences in performance of ADHD children on a Visual and Auditory Continuous Performance Test according to IQ. Psychiatry Investigation. 8, 227233. http://dx.doi.org/10.4306/pi.2011.8.3.227 Google Scholar
Pliszka, S. R. (2009). Treating ADHD and comorbid disorders. Psychosocial and Psychopharmacological Interventions. New York, NY: The Guilford Press.Google Scholar
Pollak, Y., Weiss, P. L., Rizzo, A. A., Weizer, M., Shriki, L., Shalev, R. S., & Gross Tsur, V. (2009). The utility of a continuous performance test embedded in virtual reality in measuring ADHD-related deficits. Journal of Developmental and Behavioral Pediatrics, 30, 26. http://dx.doi.org/10.1097/DBP.0b013e3181969b22 CrossRefGoogle ScholarPubMed
Quinn, C. A. (2003). Detection of malingering in assessment of adult ADHD. Archives of Clinical Neuropsychology, 18, 379395. http://dx.doi.org/10.1016/S0887-6177(02)00150-6 Google Scholar
Roldán, C. (2013). Estudio comparativo de la atención y el control de la respuesta mediante el Test de ejecución continua IVA: diferencias entre población infantil con Trastorno por Déficit de Atención con Hiperactividad (TDAH) y sin historia del trastorno [Comparative study of attention and response control with the Integrated Visual and Auditory Continuous Performance Test: differences between children with Attention Deficit Hyperactivity Disorder (ADHD) and without a history of the disorder]. Unpublished manuscript, Universidad de Sevilla. Spain.Google Scholar
Rubia, K., Halari, R., Cubillo, A., Mohammad, A. M., Brammer, M., & Taylor, E. (2009). Methylphenidate normalizes activation and functional connectivity deficits in attention and motivation networks in medication-naïve children with ADHD during a rewarded continuous performance task. Neuropharmacology, 57, 640652. http://dx.doi.org/10.1016/j.neuropharm.2009.08.013 Google Scholar
Sandford, J. A., & Turner, A. (2000). Integrated visual and auditory continuous performance test manual. Richmond, VA: Brain Train.Google Scholar
Shi, T., Ki, X., Song, J., Zhao, N., Sun, C., Xia, W., Wu, L., & Tomoda, A. (2012). AEEG characteristics and visual cognitive function of children with attention deficit hyperactivity disorder (ADHD). Brain and Development, 34, 806811.CrossRefGoogle Scholar
Skounti, M., Philalithis, A., & Galanakis, E. (2007). Variations in prevalence of attention-deficit–hyperactivity disorder worldwide. European Journal of Pediatrics, 166, 117123. http://dx.doi.org/10.1007/s00431-006-0299-5 Google Scholar
Smith, P. N., & Sams, M. W. (2006). Neurofeedback with juvenile offenders: A pilot study in the use of QEEG-based and Analog-based remedial neurofeedback training. Journal of Neurotherapy: Investigations in Neuromodulation, Neurofeedback and Applied Neuroscience, 9, 8799. http://dx.doi.org/10.1300/J184v09n03_06 Google Scholar
Swanson, J. M. (2003). The SNAP-IV. Teacher and Parent Rating Scale. In Fine, A. & Kotkin, R. (Eds.), Therapist´s guide to learning and attention disorders (pp. 487495). San Diego. CA: Academic Press.CrossRefGoogle Scholar
Tinius, T. P., & Tinius, K. A. (2000). Changes after EEG biofeedback and cognitive retraining in adults with mild traumatic brain injury and attention deficit hyperactivity disorder. Journal of Neurotherapy: Investigations in Neuromodulation, Neurofeedback and Applied Neuroscience, 4, 2744. http://dx.doi.org/10.1300/J184v04n02_05 Google Scholar
Tinius, T. P. (2003). The Integrated Visual and Auditory Continuous Performance Test as a neuropsychological measure. Archives of Clinical Neuropsychology, 18, 439454. http://dx.doi.org/10.1016/S0887-6177(02)00144-0 Google Scholar
Tucha, L., Tucha, O., Walitza, S., Sontag, T. A., Laufkötter, R., Linder, M., & Lange, K. W. (2009).Vigilance and sustained attention in children and adults with ADHD. Journal of Attention Disorders, 12, 410421. http://dx.doi.org/10.1177/1087054708315065 CrossRefGoogle ScholarPubMed
White, J. N., Hutchens, T. A., & Lubar, J. F. (2005). Quantitative EEG assessment during neuropsychological task performance in adults with attention deficit hyperactivity disorder. Journal of Adult Development, 12, 113121. http://dx.doi.org/10.1007/s10804-005-7027-7 CrossRefGoogle 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. http://dx.doi.org/10.1016/j.biopsych.2005.02.006 Google Scholar
Willcutt, E. G., Pennington, B. F., Boada, R., Ogline, J. S., Tunick, R. A., Chhabildas, N. A., … Olson, R. K. (2001). A comparison of the cognitive deficits in reading disability and attention-deficit/hyperactivity disorder. Journal of Abnormal Psychology, 110, 157172. http://dx.doi.org/10.1037//0021-843X.110.1.157 Google Scholar
Xiong, Z., Shi, S., & Xu, H. (2005). A controlled study of the effectiveness of EEG biofeedback training on-children with attention deficit hyperactivity disorder. Journal of Huazhong University of Science and Technology Medical Science, 25, 368370.Google Scholar
Yan, N., Wang, J., Liu, M., Zong, L., Jiao, Y., & Yue, J. (2008). Designing a brain-computer interface device for neurofeedback using virtual environments. Journal of Medical and Biological Engineering, 28, 167172.Google Scholar