OBJECTIVE: Many adult ADHD patients with a convincing history of real-life executive deficits perform entirely within normal limits or with minimally impaired performance in classical executive tests. The authors assessed a group of high cognitive functioning adult ADHD participants on "ecological" and "highly demanding" executive tasks. METHOD: A total of 117 adult ADHD participants were classified as showing either a high-functioning (Hi-ADHD) or a low-functioning (Lo-ADHD) neuropsychological profile based on standard assessment. Their performance was compared with healthy controls (n = 21) on an ecological task of executive function (the hotel task) and computerized tasks of high cognitive demand. RESULTS: Lo-ADHD significantly differed from controls on multiple standard neuropsychological variables as well as on the experimental tasks. Hi-ADHD and healthy controls did not differ significantly on any of the standard neuropsychological variables, but a significant difference was found between the groups on measures of the experimental tasks. CONCLUSION: Real-life executive dysfunction of patients with ADHD who perform within normal range on standard assessment can be detected with the use of more ecological and highly demanding tasks.
OBJECTIVE: Many adult ADHDpatients with a convincing history of real-life executive deficits perform entirely within normal limits or with minimally impaired performance in classical executive tests. The authors assessed a group of high cognitive functioning adult ADHDparticipants on "ecological" and "highly demanding" executive tasks. METHOD: A total of 117 adult ADHDparticipants were classified as showing either a high-functioning (Hi-ADHD) or a low-functioning (Lo-ADHD) neuropsychological profile based on standard assessment. Their performance was compared with healthy controls (n = 21) on an ecological task of executive function (the hotel task) and computerized tasks of high cognitive demand. RESULTS: Lo-ADHD significantly differed from controls on multiple standard neuropsychological variables as well as on the experimental tasks. Hi-ADHD and healthy controls did not differ significantly on any of the standard neuropsychological variables, but a significant difference was found between the groups on measures of the experimental tasks. CONCLUSION: Real-life executive dysfunction of patients with ADHD who perform within normal range on standard assessment can be detected with the use of more ecological and highly demanding tasks.
Authors: Edmund Keogh; David J Moore; Geoffrey B Duggan; Stephen J Payne; Christopher Eccleston Journal: PLoS One Date: 2013-12-30 Impact factor: 3.240
Authors: Rogier A Kievit; Simon W Davis; Daniel J Mitchell; Jason R Taylor; John Duncan; Richard N A Henson Journal: Nat Commun Date: 2014-12-18 Impact factor: 14.919
Authors: Marcos F Rosetti; Rosa E Ulloa; Ilse L Vargas-Vargas; Ernesto Reyes-Zamorano; Lino Palacios-Cruz; Francisco de la Peña; Hernán Larralde; Robyn Hudson Journal: Sci Rep Date: 2016-01-25 Impact factor: 4.379