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Published on: April 1, 2018
Speed of performance of children with developmental right hemisphere syndrome and with attention-deficit
Yael E Landau1, Judith G Auerbach, Varda Gross-Tsur
1Neuropediatric Unit, Shaare Zedek Medical Center, Jerusalem, Israel. landauy@bgumail.bgu.ac.il
Insights
Children with developmental right hemisphere syndrome exhibit significant slowness in performance speed compared to those with attention-deficit hyperactivity disorder (ADHD) and controls. This indicates slowness is a core feature of right hemisphere conditions, not solely ADHD symptoms.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Slowness is frequently observed in children diagnosed with attention-deficit hyperactivity disorder (ADHD) and developmental right hemisphere syndrome.
- Clinical observations suggested a more pronounced slowness in children with developmental right hemisphere syndrome compared to those with ADHD.
Purpose of the Study:
- To quantitatively assess and compare the speed of performance in children with developmental right hemisphere syndrome, ADHD, and typically developing controls.
- To determine if slowness in developmental right hemisphere syndrome is distinct from or attributable to co-occurring ADHD symptomatology.
Main Methods:
- A cohort of 19 children in each group (developmental right hemisphere syndrome, ADHD, controls) was recruited.
- Participants were matched for age, gender, socioeconomic status, IQ, and handedness.
- A reaction time battery was administered to measure performance speed across tasks.
Main Results:
- Significant differences in average performance speed were found among the three groups (F(2,53) = 2.40, P < .01).
- Children with developmental right hemisphere syndrome were significantly slower than both ADHD peers (t(35) = 1.99, P < .05) and controls (t(35) = 4.55, P < .001).
- Children with ADHD were slower than controls, though this difference was not significant for most tasks.
Conclusions:
- Slowness is an intrinsic and consistent characteristic of developmental right hemisphere syndrome.
- The observed slowness in developmental right hemisphere syndrome is not solely a consequence of ADHD symptoms.
Abstract:
Slowness is a common complaint in children with attention-deficit hyperactivity disorder (ADHD) and with developmental right hemisphere syndrome. However, it was our clinical impression that slowness in developmental right hemisphere syndrome was more prominent than in ADHD. Our objective was to assess slowness as operationalized by speed of performance in children with developmental right hemisphere syndrome, children with ADHD, and controls. The research sample comprised 19 children in each group, matched for age, gender, socioeconomic status, IQ, and handedness. The subjects were administered a reaction time battery assessing speed of performance. Overall, the average performance differed among the three study groups (F(2,53) = 2.40, P < .01). Children with developmental right hemisphere syndrome were slower than their peers with ADHD (t(35) = 1.99, P < .05) and slower than controls (t(35) = 4.55, P < .001). Children with ADHD performed more slowly than controls, although for the majority of tasks, this was nonsignificant. We conclude that slowness is an integral and consistent component of developmental right hemisphere syndrome and cannot be attributed only to the ADHD symptomatology.
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