Restraint and Cancellation: Multiple Inhibition Deficits in Attention Deficit Hyperactivity Disorder (original) (raw)
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The Japanese Journal of Special Education
is knewn well as a developmental disorder characterized by behavioral inhibition. The present study aimed to investigate developmental changes and characteristics of inhibitory control in children with ADHD. For this purpose, we used a stop-signal task, modifying the procedure in order to determine the timing of the stop delay so that the timing was related to individual response speed, Participants, elementary-school-age children with ADHD (jV == 18) and without ADHD (controls; N=64), were divided into 2 groups, younger and older. The children with ADHD had variable reaction time; the rate of their errors was high compared to the control children. Their reactions to go signals were ineficient; there were no differences between the 2 ADHD groups on the inhibition. Some children with ADHD were able to inhibit the response to go signals and used waiting strategies, as did the control children. However, the change in their inhibitory control with increasing age was slow in comparison with the control children. We found that how the strategies were used was related to inhibitory control.
ADHD and Behavioral Inhibition: A Re-examination of the Stop-signal Task
Journal of Abnormal Child Psychology, 2008
The current study investigates two recently identified threats to the construct validity of behavioral inhibition as a core deficit of attention-deficit/hyperactivity disorder (ADHD) based on the stop-signal task: calculation of mean reaction time from go-trials presented adjacent to intermittent stop-trials, and non-reporting of the stop-signal delay metric. Children with ADHD (n=12) and typically developing (TD) children (n=11) were administered the standard stop-signal task and three variant stop-signal conditions. These included a no-tone condition administered without the presentation of an auditory tone; an ignore-tone condition that presented a neutral (i.e., not associated with stopping) auditory tone; and a second ignore-tone condition that presented a neutral auditory tone after the tone had been previously paired with stopping. Children with ADHD exhibited significantly slower and more variable reaction times to go-stimuli, and slower stopsignal reaction times relative to TD controls. Stop-signal delay was not significantly different between groups, and both groups' go-trial reaction times slowed following meaningful tones. Collectively, these findings corroborate recent meta-analyses and indicate that previous findings of stop-signal performance deficits in ADHD reflect slower and more variable responding to visually presented stimuli and concurrent processing of a second stimulus, rather than deficits of motor behavioral inhibition.
Psychiatry Research: Neuroimaging, 2015
The stop-signal task has been used extensively to investigate the neural correlates of inhibition deficits in children with ADHD. However, previous findings of atypical brain activation during the stop-signal task in children with ADHD may be confounded with attentional processes, precluding strong conclusions on the nature of these deficits. In addition, there are recent concerns on the construct validity of the SSRT metric. The aim of this study was to control for confounding factors and improve the specificity of the stop-signal task to investigate inhibition mechanisms in children with ADHD. FMRI was used to measure inhibition related brain activation in 17 typically developing children (TD) and 21 children with ADHD, using a highly controlled version of the stop-signal task. Successful inhibition trials were contrasted with control trials that were comparable in frequency, visual presentation and absence of motor response. We found reduced brain activation in children with ADHD in key inhibition areas, including the right inferior frontal gyrus/insula, and anterior cingulate/dorsal medial prefrontal cortex. Using a more stringent controlled design, this study replicated and specified previous findings of atypical brain activation in ADHD during motor response inhibition.
Response inhibition of children with ADHD in the stop-signal task: An event-related potential study
International Journal of Psychophysiology, 2000
The Stop-Signal Task (SST) is a procedure that can provide a measure of inhibitory control of an ongoing motor response. We used the stop-signal paradigm to determine whether deficient inhibitory control distinguishes children with a diagnosis of attention deficit hyperactivity disorder combined type (ADHD-Com) from normally developing children, matched on age and sex. Participants performed a standard visual two-choice task
Examining Manual and Visual Response Inhibition Among ADHD Subtypes
Journal of Abnormal Child Psychology, 2010
This study compared inhibitory functioning among ADHD subtype groups on manual and visual versions of the stop task. Seventy-six children, identified as ADHD/I (n = 17), ADHD/C (n =43), and comparison (n = 20) completed both tasks. Results indicated that both ADHD groups were slower to inhibit responses than the comparison group on both tasks. Comparison children were faster to inhibit than activate responses on both tasks. Children in the ADHD groups also demonstrated this robust pattern on the manual task. However, on the visual task, the ADHD groups evidenced slowed inhibition comparable to the time required to activate responding. This implies that the visual task is more sensitive than the manual task to inhibitory deficits associated with ADHD. The ADHD/I and the ADHD/C groups did not differ on most measures, suggesting that neither stop task is effective in differentiating the subtypes. These findings extend work highlighting the role of disinhibition in ADHD, and contrast recent work suggesting divergence between ADHD subtypes.
Biological Psychiatry, 2003
The aim of the study was to investigate the inhibitory control of an ongoing motor response and to identify underlying neural deficiencies, manifested in event-related potentials, that cause poorer inhibitory performance in children with attention-deficit/hyperactivity disorder. A stop-signal paradigm with a primary visual task and auditory stop signal was used to compare performance in 13 children with attention-deficit/hyperactivity disorder and 13 control children, while event-related potentials were recorded simultaneously. Children with attention-deficit/hyperactivity disorder showed poorer inhibitory performance through a slower inhibitory process. Inhibitory processing of auditory stop signals was marked by a frontal N2 component that was reduced in the attention-deficit/hyperactivity disorder group relative to controls. A central positive component (P3) was associated with the success of inhibiting a response, but there were no group differences in its amplitude or latency. Findings support the hypothesis of deficient inhibitory control in children with attention-deficit/hyperactivity disorder. Slower inhibitory processing appears to be due to a specific neural deficiency that manifests in the processing of the stop signal as attenuated negativity in the N2 latency range.