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Updated: Aug 8, 2026

Using Brain Activation (nir-HEG/Q-EEG) and Execution Measures (CPTs) in a ADHD Assessment Protocol
Published on: April 1, 2018
Visual behaviour of ADHD children during an attention test: an almost forgotten variable. Attention-Deficit
1University of Groningen, The Netherlands.
Children with Attention Deficit Hyperactivity Disorder (ADHD) may miss fewer stimuli when tests have predictable timing. However, their test accuracy suffers when stimuli are unpredictable due to looking away behavior.
Area of Science:
- Neuroscience
- Developmental Psychology
- Cognitive Psychology
Background:
- Attention Deficit Hyperactivity Disorder (ADHD) is associated with various cognitive and behavioral challenges.
- Previous research suggests that individuals with ADHD may exhibit differences in visual attention and task engagement.
Purpose of the Study:
- To investigate the impact of "looking away" behavior in children with ADHD on their performance in Continuous Performance Tests (CPTs).
- To determine if the predictability of stimuli influences the relationship between looking away behavior and task accuracy in ADHD.
Main Methods:
- Children diagnosed with ADHD and typically developing children completed two CPTs: one with a regular interstimulus interval (ISI) and one with an irregular ISI.
- Participants were instructed to respond to target stimuli presented on a monitor.
- Visual behavior was meticulously recorded and analyzed offline to assess "looking away" patterns.
Main Results:
- ADHD children strategically timed "looking away" during regular ISI CPTs, successfully avoiding missed stimuli.
- In irregular ISI CPTs, "looking away" significantly impaired task accuracy for children with ADHD.
- The "looking away" behavior was not correlated with the slower reaction times observed in ADHD children.
Conclusions:
- "Looking away" behavior negatively affects the test performance accuracy of children with ADHD, particularly when stimuli are unpredictable.
- The observed slowness in ADHD children's reaction times is unlikely to be explained by their visual attention patterns during CPTs.
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