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ADHD and Self-Control
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Visual Abstract

Attention-deficit/hyperactivity disorder and behavioral inhibition: a meta-analytic review of the stop-signal paradigm

ADHD and behavioral inhibition: a meta-analytic review

Alderson RM, Rapport MD, Kofler MJ
Summarized by:
Charles Li, MD
January 4, 2024
study source
J Abnorm Child Psychol
2007 Oct
ADHD and Reaction Times in Children
ADHD and Reaction Times in Children
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What they studied
This study aimed to explore how children with ADHD compare to typical children in stopping their actions and attention.
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What they found
Children with ADHD had slower reactions and more variation, suggesting issues with attention, not just stopping actions.
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Why it matters
For readers, this means ADHD may involve broader attention issues, not just problems with stopping actions quickly.

Objectives

The main goal of the study was to understand a certain behavior known as "behavioral inhibition" (BI), which is often not as strong in people with attention deficit/hyperactivity disorder (ADHD). In simpler terms, this means looking at how well children with ADHD can stop themselves from doing something they are not supposed to do. This study is important because it tries to figure out if children with ADHD struggle with stopping actions and how this might be different from children who don't have ADHD.

Study Quote
Alderson et al, 2007

Deficient behavioral inhibition (BI) processes are considered a core feature of attention deficit/hyperactivity disorder (ADHD).

Methods

The researchers used the "stop-signal paradigm" to see how children with and without ADHD react when they need to stop an action. This involved looking at lots of studies to see if there were patterns in how children with ADHD behaved compared to those without ADHD. The team was also interested in whether different factors, like the child's age or the type of task, would change how children with ADHD performed.

Study Quote
Alderson et al, 2007

This meta-analytic review is the first to examine the potential influence of a wide range of subject and task variable moderator effects on BI processes--assessed by the stop-signal paradigm--in children with ADHD relative to typically developing children.

Results

The findings of the study were quite revealing. Children with ADHD were found to have, on average, slower reaction times. This means it took them longer to respond to things happening around them. They also had more variability in their reaction times, which means their responses were less consistent. However, when it came to stopping their actions in response to a signal (stop-signal reaction time), both groups of children, with and without ADHD, did not show much difference. This suggests that the slower and less consistent reaction times in children with ADHD might be due to broader issues with paying attention, rather than just problems with stopping their actions.

Study Quote
Alderson et al, 2007

Results revealed significantly slower mean reaction time (MRT), greater reaction time variability (SDRT), and slower stop-signal reaction time (SSRT) in children with ADHD relative to controls. The non-significant between-group stop-signal delay (SSD) metric, however, suggests that stop-...

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Conclusions

The study concludes that children with ADHD do not just have issues with behavioral inhibition or stopping themselves from doing something. Instead, their slower and more varied reaction times point to a more general problem with attention and processing information. This is an important distinction because it helps us understand that ADHD affects children's ability to pay attention in broader ways, not just in stopping actions. These findings align with other research, showing that difficulties with attention might be a more significant factor in ADHD than previously thought.

Study Quote
Alderson et al, 2007

The findings suggest that children with ADHD exhibit slower reaction times and greater variability, indicating deficits in attention/cognitive processing, but not necessarily in behavioral inhibition.

Key Takeaways

Broader Attention Issues
The study reveals that ADHD might involve more than just problems in stopping actions, pointing to broader attention-related challenges.
Reaction Time Variability
Children with ADHD show slower and more varied reaction times, highlighting the complexity of attention issues in ADHD.
Beyond Behavioral Inhibition
The findings suggest that ADHD-related reaction time issues are more about overall attention, not just behavioral inhibition.

Context

The context of this study is important because it connects with other research on ADHD. One study by de S Costa et al. in 2014 found that children's performance in school, particularly in math, was more influenced by their attention levels and ADHD symptoms than their intelligence. This suggests that struggles in school might be more about attention issues rather than just being smart or not.

Another study by Rogers et al in 2011 found that inattention and working memory (the ability to hold and work with information in your mind) were key to academic success in teenagers with ADHD. These studies highlight the importance of understanding and addressing attention issues in children and adolescents with ADHD for their academic success and overall well-being.