Reaction time variability associated with reading skills in poor readers with ADHD
Leanne Tamm1, Jeffery N Epstein1, Carolyn A Denton2
1Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Journal of the International Neuropsychological Society : JINS
|February 18, 2014
Summary
Reaction time variability in children with ADHD impacts word reading, reading fluency, and comprehension. This suggests variability affects higher-level reading skills primarily through decoding deficits.
Area of Science:
- Neuroscience
- Developmental Psychology
- Educational Psychology
Background:
- Neuropsychological deficits, including response inhibition and processing speed, are linked to reading difficulties in children with ADHD and Reading Disorder.
- The relationship between neuropsychological functioning and higher-order reading skills (fluency, comprehension) in comorbid ADHD and Reading Disorder is less understood.
Purpose of the Study:
- To investigate the association between specific neuropsychological functioning measures and various reading skills in children with ADHD and poor word reading.
- To determine if reaction time variability predicts word reading, reading fluency, and reading comprehension.
Main Methods:
- Children with ADHD and below-average word reading (<25th percentile) participated.
- Participants completed the stop signal task (SST) measuring mean reaction time (MRT), reaction time standard deviation (SDRT), and stop signal reaction time (SSRT).
- Multivariate multiple regression analyses predicted reading skills (word reading, fluency, comprehension) from SST variables.
Main Results:
- Reaction time standard deviation (SDRT) significantly predicted word reading, reading fluency, and reading comprehension.
- Mean reaction time (MRT) and stop signal reaction time (SSRT) were not associated with any reading skill.
- The predictive effect of SDRT on reading fluency and comprehension was reduced when word reading was included in the models.
Conclusions:
- Reaction time variability (SDRT) is a significant predictor of reading skills in children with ADHD and poor word reading.
- These findings suggest that reaction time variability impacts reading fluency and comprehension indirectly, primarily through its effect on word decoding.
- Deficits in information processing and executive control, as indicated by SDRT, may underlie broader reading impairments.
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