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Updated: May 11, 2026

Using Brain Activation (nir-HEG/Q-EEG) and Execution Measures (CPTs) in a ADHD Assessment Protocol
Published on: April 1, 2018
A longitudinal examination of the developmental executive function hierarchy in children with externalizing behavior
Carin Tillman1, Karin C Brocki2, Lin Sørensen3
1Uppsala University, Sweden Carin.Tillman@psyk.uu.se.
Inhibition in childhood predicts later working memory in children with externalizing problems. Executive functions (EFs) develop hierarchically, with deficits most prominent in developing EFs, supporting ADHD as a developmental disorder.
Area of Science:
- Developmental psychology
- Neuroscience
- Child psychiatry
Background:
- Externalizing problems in children are often associated with executive function (EF) deficits.
- Understanding the developmental trajectory of EFs is crucial for identifying and intervening in developmental disorders like ADHD.
- Hierarchical models of EF development propose a structured progression of cognitive control abilities.
Purpose of the Study:
- To test hypotheses derived from developmental EF hierarchy accounts.
- To examine the longitudinal relationship between different EFs in children with externalizing problems over a 4-year period.
- To investigate the developmental timing of EF deficits in relation to childhood and adolescence.
Main Methods:
- A 4-year longitudinal study design was employed.
- Participants (children with externalizing problems) completed EF tasks at two time points: ages 8–12 and 12–15 years.
- Key EFs assessed included inhibition, sustained attention, and working memory (WM).
Main Results:
- Early childhood inhibition ability significantly predicted later working memory capacity.
- Deficits in inhibition and sustained attention were more pronounced in middle childhood compared to late childhood.
- Working memory deficits were consistently observed across both developmental periods.
Conclusions:
- Findings support the hierarchical development of executive functions.
- EF deficits in Attention-Deficit/Hyperactivity Disorder (ADHD) are more evident in EFs that are actively developing.
- The results underscore the importance of viewing ADHD as a developmental disorder with evolving cognitive challenges.
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