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Published on: April 1, 2018
Executive functions in attention-deficit/hyperactivity disorder.
1Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA. doylea@helix.mgh.harvard.edu
Attention-deficit/hyperactivity disorder (ADHD) is linked to executive function deficits, including response inhibition and working memory issues. However, ADHD presents significant neuropsychological variability, suggesting a heterogeneous condition.
Area of Science:
- Neuroscience
- Psychology
- Child Development
Background:
- Executive functions are crucial cognitive processes involved in planning, problem-solving, and self-control.
- Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterized by inattention and/or hyperactivity-impulsivity.
- Executive function deficits are frequently reported in individuals with ADHD, but the nature and extent of these deficits require further clarification.
Purpose of the Study:
- To investigate the relationship between executive function impairments and attention-deficit/hyperactivity disorder (ADHD).
- To synthesize findings from empirical studies and meta-analyses on executive functions in ADHD samples.
Main Methods:
- Systematic review of empirical studies focusing on executive functions in individuals diagnosed with ADHD.
- Emphasis on the analysis of results from recent meta-analyses to identify consistent patterns and variability.
Main Results:
- Individuals with ADHD demonstrate impaired performance in key executive functions, notably response inhibition and working memory.
- Significant variability in neuropsychological functioning was observed both within individual ADHD samples and across different ADHD populations.
- Evidence suggests that executive function deficits in ADHD are not uniform, highlighting a complex cognitive profile.
Conclusions:
- Attention-deficit/hyperactivity disorder (ADHD) should be understood as a condition with considerable neuropsychological heterogeneity.
- Further research is essential to delineate the specific characteristics of this heterogeneity.
- Understanding ADHD's neuropsychological variability is critical for addressing its clinical manifestations and underlying pathophysiology.
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