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Updated: Jul 25, 2026

An Electrophysiology Protocol to Measure Reward Anticipation and Processing in Children
Published on: October 4, 2018
Sensitivity to reward delay in children with attention deficit hyperactivity disorder (ADHD)
1Department of Psychology, University of Otago, Dunedin, New Zealand. gtripp@psy.otago.ac.nz
Insights
Children with Attention-Deficit/Hyperactivity Disorder (ADHD) show a stronger preference for immediate rewards compared to controls. This heightened sensitivity to delayed gratification impacts their decision-making processes.
Area of Science:
- Neuroscience
- Developmental Psychology
- Child Psychiatry
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder.
- Understanding reward processing is crucial for ADHD research.
- Previous studies suggest altered reward sensitivity in ADHD.
Purpose of the Study:
- To compare sensitivity to pre-reward delays between children with and without ADHD.
- To investigate how immediate versus delayed rewards influence behavior in children with ADHD.
Main Methods:
- A signal-detection task was administered to 36 children with ADHD and 36 controls.
- Participants responded to stimuli associated with either immediate or delayed rewards.
- Response bias and discriminability were measured.
Main Results:
- Children with ADHD exhibited a greater bias towards immediate rewards.
- Control children showed reduced discriminability and increased response bias after delayed rewards.
- Both groups responded more slowly following delayed rewards.
Conclusions:
- Findings support the hypothesis that children with ADHD are more sensitive to pre-reward delays.
- This heightened sensitivity may underlie impulsivity and decision-making deficits in ADHD.
- Reward timing significantly affects cognitive performance in children with and without ADHD.
Abstract:
The present study compared the sensitivity to pre- and post-reward delays of children with and without DSM-IV combined type ADHD. Thirty-six children with DSM-IV combined type ADHD and 36 controls completed a signal-detection task. Correct identification of one stimulus produced an immediate reward and then a 3.5 s delay before the next trial (immediate reward). Correct identification of the other stimulus was associated with a 3.5 s delay before reward was delivered (delayed reward). Group differences emerged in response bias toward the immediately rewarded alternative. Children in the ADHD group showed a greater bias toward immediate reward than the controls. Children in the control group showed different patterns of response bias and discriminability following immediate and delayed rewards. For these children discriminability was lower and response bias was greater on trials following delayed reward. Both groups responded more slowly on trials following delayed reward. These findings support the hypothesis that children with ADHD are unusually sensitive to pre-reward delays.
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