Attention, problem solving and decision making in adult subjects with ADHD

Tindara Caprì, Gabriella Martino, Samantha Giannatiempo, Martina Semino, Rosa Angela Fabio


Although attention-deficit/hyperactivity disorder (ADHD) is clearly associated with executive dysfunctions, the neuropsychological profile of adults with ADHD is unclear. The present study aimed at examining neuropsychological performance on tasks measuring attention, problem solving and decision making, comparing adults with ADHD (N= 12, mean age 18.33; SD= 11.48) and healthy adults (N= 12, mean age 18.41; SD= 18.70) matched for age and gender. Results showed that adults with ADHD exhibit deficits in attention, problem solving and decision making. These findings warrant further examination of neuropsychological profile in adults with ADHD to improve the understanding of underlying neurocognitive mechanisms.

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Adler, L. A., Spencer, T., Faraone, S. V., Kessler, R. C., Howes, M. J., Biederman, J., & Secnik, K. (2006). Validity of pilot Adult ADHD Self- Report Scale (ASRS) to Rate Adult ADHD symptoms. Ann Clin Psychiatry,18, 145-8.
Alderson, R. M., Kasper, L. J., Hudec, K. L., Patros, C. H. (2013). Attention deficit/hyperactivity disorder (ADHD) and working memory in adults: a meta-analytic review. Neuropsychology, 27, 287–302.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. DC.
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. Psicologia Clinica dello Sviluppo , 14(2), 359-378.
Biederman, J. et al. (2006). Young adult outcome of attention deficit hyperactivity disorder: a controlled 10-year follow-up study. Psychological Medicine, 6, 167–179. doi:10.1017/S0033291705006410
Boonstra, A. M., Kooij, J. J. S., Oosterlaan, J., Sergeant, J. A., & Buitelaar, J. K. (2010). To act or not to act, that’s the problem: Primarily inhibition difficulties in adult ADHD. Neuropsychology, 24, 209-221.
Boonstra, A. M., Oosterlaan, J., Sergeant, J. A., & Buitelaar, J. K. (2005). Executive functioning in adult ADHD: A meta-analytic review. Psychological Medicine, 35, 1097-1108.
Brown, T. E. (2013). A New Understanding of ADHD in Children and Adults. Executive Function Impairments. Routledge: New York and London.
Dobson-Patterson, R., O’Gorman, J. G., Chan, R. C. K., & Shum, D. K. (2016). ADHD subtypes and neuropsychological performance in an adult sample. Research in Developmental Disabilities, 55, 55–6.
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, 1-33.
Fabio, R.A., & Antonietti, A. (2012). Effects of hypermedia instruction on declarative, conditional and procedural knowledge in ADHD students. Research in Developmental Disabilities, 33, 2028–2039.
Fabio, R.A., & Caprì, T. (2015). Autobiographical Memory in ADHD Subtypes. Journal of Developmental and Intellectual Disability, 40, 1-11. DOI: 10.3109/13668250.2014.983057.
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(3), 1-17.
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, 97-116.
Fabio, R.A., Castriciano, C., & Rondanini, A. (2015). ADHD: Auditory and Visual Stimuli in Automatic and Controlled Processes. Journal of Attention Disorder, 19, 771-778, ISSN: 1087-0547, doi: 10.1177/1087054712459562
Fabio, R.A., Piran, S.G., & Antonietti, A. (2005). Vigilanza uditiva nei soggetti normali e con deficit di attenzione. Psicologia Clinica dello Sviluppo, 9(1), 151-157.
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), 199-221.
Feige, B., Biscaldi, M., Saville, C. W., Kluckert, C., Bender, S., Ebner Priemer, U., Hennighausen, K., Rauh, R., Fleischhaker, C., & Klein, C. (2013). On the temporal characteristics of performance variability in attention deficit hyperactivity disorder (ADHD). PLoSOne, 8(10), 696-674.
Fuermaier, A. B. M., Tucha, L., Koerts, J., Aschenbrenner, S., Weisbrod, M., Lange, K. W., & Tucha, O. (2014). Cognitive complains of adults with attention deficit hyperactivity. The Clinical Neuropsychologist, 28, 1104-1122.
Fuermaier, A. B.,Tucha, L., Koerts, J., Aschenbrenner, S., Kaun-zinger, I., Hauser, J., Weisbrod, M., Lange, K.W., & Tucha,O. (2015). Cognitive impairment in adult ADHD perspective matters. Neuropsychology, 29, 45–58.
Gmehlin, D., Fuermaier, A. B.,Walther, S., Debelak, R., Rentrop, M., Westermann, C., Sharma, A., Tucha, L., Koerts, J., Tucha, O., Weisbrod, M., & Aschenbrenner, S. (2014). Intraindividual variability in inhibitory function in adults with ADHD an ex Gaussian approach. PLoSOne, 9,112-298.
Grane, V. A., Endestad, T., Pinto, A. F., & Solbakk, A. K. (2014). Attentional control and subjective executive function in treatment- naive adults with attention deficit hyperactivity disorder. PLoSOne, 9,115-227.
Greenhill, L.L., Posner, K., Vaughan, B.S., Kratochvil, C.J. (2008). Attention deficit hyperactivity disorder in preschool children. Child Adolescent Psychiatry Clinics of North America,17, 347–366.
Halleland, H. B., Haavik, J., & Lundervold, A. J. (2012). Set shifting in adults with ADHD. Journal of the International Neuropsychological Society, 18, 728-737.
Hervey, A. S., Epstein, J. N., & Curry, J. F. (2004). Neuropsychology of adults with attention-deficit/hyperactivity disorder: a meta-analytic review. Neuropsychology,18, 485–503.
Holst, Y., & Thorell, L. (2017). Neuropsychological Functioning in Adults With ADHD and Adults With Other Psychiatric Disorders. Journal of Attention Disorders, 21(2), 137-148.
Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., et al. (2005). The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychological Medicine, 35, 245-56.
Liverta Sempio, 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, 29, 57-77.
Lozano, Ó. M., Carmona, J., Muñoz-Silva, A., Fernández-Calderón, F., Díaz-Batanero, C., & Sanchez-Garcia, M. (2016). Adult ADHD Self-Report Scale: Comprehensive Psychometric Study in a Spanish SUD Sample. Journal of Attention Disorders, 1-11.
Lundervold, A. J., Halleland, H. B., Brevik, E. J., Haavik, J., & Søren-sen, L. (2015). Verbal memory function in intellectually well-functioning adults with ADHD: relations to working memory and response inhibition. Journal of Attention Disorders.
Marx, I., Hubner, T., Herpertz, S. C., Berger, C., Reuter, E., Kircher, T., Herpertz Dahlmann, B., & Konrad, K. (2010). Cross-sectional evaluation of cognitive functioning in children, adolescents and young adults with ADHD. Journal of Neural Transmission, 117, 403–419.
Mäntylä, T., Still, J., Gullberg, S., & Missier, F. D. (2012). Decision Making in Adults With ADHD. Journal of Attention Disorders, 16(2), 164–173.
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), 89-102
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), 2299-2308.
Mowinckel, A. M., Pedersen, M. L., Eilertsen, E., & Biele, G. (2015). A Meta-Analysis of Decision-Making and Attention in Adults With ADHD. Journal of Attention Disorders, 19(5), 355–367.
Mostert, J. C., et al. (2015). Cognitive heterogeneity in adult attention deficit/hyperactivity disorder: A systematic analysis of neuropsychological measurements. European Neuropsychopharmacology, 1-13.
Mugnaini, D., Masi, G., Brovedani, P., Chelazzi, C., Matas, M., Romagnoli, C., et al. (2006). Teacher reports of ADHD symptoms in Italian children at the end of first grade. European Psychiatry, 21, 419–426.
Rohlf, H., Jucksch, V., Gawrilow, C., Huss M., Hein, J., Lehmkuh, U., & Salbach-Andrae, H. (2012). Set shifting and working memory in adults with attention-deficit/hyperactivity disorder. Journal of Neural Transmission, 119, 95-106.
Salomone, S., Fleming, G. R., Bramham, J., O’Connell, R. G., & Robertson, I. H. (2016). Neuropsychological Deficits in Adult ADHD: Evidence for Differential Attentional Impairments, Deficient Executive Functions, and High Self-Reported Functional Impairments. Journal of Attention Disorders, 1-12.
Schoechlin, C., & Engel, R. R. (2005). Neuropsychological performance in adult attention-deficit hyperactivity disorder: meta-analysis of empirical data the official journal of the National Academy of Neuropsychologists. Archivies Clinical Neuropsychology, 20, 727–744.
Stark, R. et al. (2001). ADHD related behaviors are associated with brain activation in the reward system. Neuropsychologia, 49(3), 426–434.
Skodzik, T., Holling, H., & Pedersen, A. (2017). Long-term memory performance in adult ADHD. Journal of Attention Disorders, 2, 267-283.



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