Working memory and behavioral inhibition in children with attention-deficit/hyperactivity disorder (ADHD): an examination of varied central executive demands,construct overlap,and task impurity

The stop-signal paradigm is the premier metric of behavioral inhibition in contemporary attention-deficit/hyperactivity disorder (ADHD) research. The stop-signal paradigm’s choice-reaction time component, however, arguably places greater demands on working memory processes (e.g., controlled-focused attention) relative to alternative inhibition metrics (i.e., go/no-go (GNG) tasks), and consequently obscures conclusions about inhibition and working memory deficits in affected children. The current study, therefore, aimed to determine whether shared variance between stop-signal behavioral inhibition and working memory performance in children with ADHD reflects overlap between the working memory and inhibition constructs or insufficient specificity of the stop-signal paradigm. Fifty-five children (8–12 years) with and without ADHD were administered established phonological (PH) and visuospatial (VS) working memory measures, as well as stop-signal and GNG tasks that vary with respect to demands on controlled-focused attention. Although working memory and GNG performance each uniquely predicted children’s inattention, stop-signal task performance was not a significant predictor of unique variance in inattention, above and beyond variance associated with working memory. Collectively, these findings suggest that performance on the stop-signal task, compared to the GNG task, is confounded by greater demands associated with working memory and consequently reflects an impure estimate of the inhibition construct.     

6-9岁儿童工作记忆的发展研究

以Baddeley工作记忆模型为基础考察儿童语音环路、视觉空间模板、中央执行的发展及其与复杂广度的关系。225名6-9岁被试完成9个任务,分别测量听力广度及工作记忆三个子系统的功能。发现工作记忆各个子成分的功能在6-9岁期间发展速度不同;中央执行与语音环路和视觉空间模板的联系随年龄增长加强;结构方程模型分析发现中央执行和语音环路功能对儿童听力广度都有显著的直接影响,表明言语复杂广度任务既涉及中央执行功能也涉及语音环路的存贮功能。     

The role of visuospatial and verbal working memory in perceptual category learning

The role of verbal and visuospatial working memory in rule-based and information-integration category learning was examined. Previously, Maddox, Ashby, Ing, and Pickering found that a sequentially presented verbal working memory task did not affect information-integration learning, but disrupted rule-based learning when the rule was on the spatial frequency of a Gabor stimulus. This pattern was replicated in Experiment 1, in which the same category structures were used, but in which the verbal working memory task was replaced with a visuospatial analog. Experiment 2A examined rule-based learning on an oblique orientation and also found both verbal and visuospatial working memory tasks disrupting learning. Experiment 2B examined rule-based learning on a cardinal orientation and found a minimal effect of the verbal working memory task, but a large effect of the visuospatial working memory task. The conceptual significance of cardinal orientations and the role of visuospatial and verbal working memory in category learning are discussed.     

Sex differences in visuospatial working memory: components of cognitive processing

Numerous studies have shown that sex differences in visuospatial tasks vary in size and direction depending on the nature of the task, with large differences favoring males on tasks that require transformations in visuospatial working memory. The cognitive processes underlying these differences were investigated using laboratory tasks developed by Dror and Kosslyn (1994). Four cognitive components of visuospatial working memory were assessed—image generation, maintenance, scanning, and transformation—in an attempt to identify the components that would show differential effects for females and males. The image generation task required retrieval of shape information from long-term memory, generation of a visual image in working memory, and utilization of the information about the shape in a decision task. The image maintenance task required only the latter two processes. The information processing demands required by scanning and rotation tasks came from the need to transform the visual image so that it could be used in decision making. Males responded more quickly on all four tasks (ds between .63 and .77), with no between-sex differences in accuracy. We concluded that speed of processing is central to understanding sex differences in visuospatial working memory. We discuss implications of these findings for performance on real-world visuospatial tasks.     

Book Reviews

There is long-standing evidence for verbal working memory impairments in both children and adults with dyslexia. By contrast, spatial memory appears largely to be unimpaired. In an attempt to distinguish between phonological and central executive accounts of the impairments in working memory, a set of phonological and spatial working memory tasks was designed to investigate the key issues in working memory, task type, task demands (static, dynamic, and updating), and task complexity. Significant differences emerged between the dyslexic and nondyslexic participants on the verbal working memory tasks employed in Experiment 1, thereby providing further evidence for continuing dyslexic impairments of working memory into adulthood. The nature of the deficits suggested a problem with the phonological loop, with there being little evidence to implicate an impairment of the central executive. Due to the difficulties associated with separating verbal working memory and phonological processing, however, performance was investigated in Experiment 2 using visuospatial measures of working memory. The results of the visuospatial tasks indicated no between-group differences in static spatial memory, which requires the short-term storage of simultaneously presented information. In almost all conditions there were no between-group differences in dynamic spatial memory that demands the recall of both location and order of stimuli presented sequentially. However, a significant impairment occurred on the dynamic task under high memory updating load, on which dyslexic adults showed nonphonological working memory deficits. In the absence of an explanation involving verbal recoding, this finding is interpreted in terms of a central executive or automaticity impairment in dyslexia.     

Effects of Domain,Retention Interval,and Information Load on Young and Older Adults’ Visuospatial Working Memory

Age-related differences in visuospatial working memory were examined in 69 young adults and 49 older adults exposed to three pairs of tasks. Each pair consisted of one task involving information about the form or appearance of items and another task involving information about item locations. The first pair of tasks manipulated retention interval and required maintaining information about one item. The second pair also manipulated retention interval and required maintaining information about multiple items presented simultaneously. The third pair manipulated the number of sequentially presented items. Analyses of the first two pairs of tasks revealed significant age deficits in working memory for spatial locations but not in working memory for visual features. Notably, there were no age differences in the effect of retention interval on any of the four tasks, suggesting that visuospatial information is lost at similar rates in older and young adults. Analyses of the third pair of tasks revealed that, regardless of domain, increasing the amount of information impaired older adults’ memory performance to a greater extent than young adults’ performance. Thus, the present results suggest differences in basic working memory capacity in both domains, but a lack of age differences in rates of forgetting from working memory, and greater age-related deficits in the spatial domain than in the object domain.     

Oculomotor delayed response abnormalities in young offspring and siblings at risk for schizophrenia

Individuals with schizophrenia are know to demonstrate cognitive and behavioral difficulties, particularly alterations in executive functions, including working memory. It is unclear whether these deficits reflect trait-related vulnerability to schizophrenia indicators and can be assessed by studying nonpsychotic relatives of patients with schizophrenia. In this study, we used an oculomotor delayed response (ODR) paradigm to examine spatial working memory in 37 "high-risk" child and adolescent offspring and siblings (age range=6-25 years) of patients with schizophrenia or schizoaffective disorder. Compared with 37 age- and sex-matched healthy controls (age range=6-23 years), high-risk subjects showed nonsignificantly greater errors in the ODR task at longer delay intervals. Statistical analyses suggested that performance improved with age in healthy control subjects, whereas it worsened with age in high-risk subjects. In both groups, the ODR errors were generally associated with poorer sustained attention (Continuous Performance Test: visuospatial d prime), somewhat poorer executive function (Wisconsin Card Sorting Test), and elevated Heinrichs-Buchanan neurological soft signs scores. These findings indicate the presence of spatial working memory abnormalities in individuals at risk for schizophrenia. Furthermore, these abnormalities may be progressive in nature. The ODR task is a valuable indicator of prefrontal cortical function and spatial working memory and may be a potentially valuable marker for familial risk of schizophrenia.     

Working memory deficits in boys with attention deficit/hyperactivity disorder (ADHD): An examination of orthographic coding and episodic buffer processes

The episodic buffer component of working memory was examined in children with attention deficit/hyperactivity disorder (ADHD) and typically developing peers (TD). Thirty-two children (ADHD = 16, TD = 16) completed three versions of a phonological working memory task that varied with regard to stimulus presentation modality (auditory, visual, or dual auditory and visual), as well as a visuospatial task. Children with ADHD experienced the largest magnitude working memory deficits when phonological stimuli were presented via a unimodal, auditory format. Their performance improved during visual and dual modality conditions but remained significantly below the performance of children in the TD group. In contrast, the TD group did not exhibit performance differences between the auditory- and visual-phonological conditions but recalled significantly more stimuli during the dual-phonological condition. Furthermore, relative to TD children, children with ADHD recalled disproportionately fewer phonological stimuli as set sizes increased, regardless of presentation modality. Finally, an examination of working memory components indicated that the largest magnitude between-group difference was associated with the central executive. Collectively, these findings suggest that ADHD-related working memory deficits reflect a combination of impaired central executive and phonological storage/rehearsal processes, as well as an impaired ability to benefit from bound multimodal information processed by the episodic buffer.     

Working memory, reading, and mathematical skills in children with developmental coordination disorder

The aim of the present study was investigate the relationship between working memory and reading and mathematical skills in 55 children diagnosed with developmental coordination disorder (DCD). The findings indicate a pervasive memory deficit in all memory measures. In particular, deficits observed in visuospatial short-term and working memory tasks were significantly worse than in the verbal short-term memory ones. On the basis of these deficits, the sample was divided into high and low visuospatial memory ability groups. The low visuospatial memory group performed significantly worse on the attainment measures compared to the high visuospatial memory group, even when the contribution of IQ was taken into account. When the sample was divided into high and low verbal working memory ability groups, verbal working memory skills made a unique contribution to attainment only when verbal IQ was taken into account, but not when performance IQ was statistically controlled. It is possible that the processing demands of the working memory tasks together with the active motor component reflected in the visuospatial memory tasks and performance IQ subtest both play a crucial role in learning in children with DCD.     

Cognitive processes in children's reading and attention: The role of working memory,divided attention,and response inhibition

Children experiencing attention difficulties have documented cognitive deficits in working memory (WM), response inhibition and dual tasks. Recent evidence suggests however that these same cognitive processes are also closely associated with reading acquisition. This paper therefore explores whether these variables predicted attention difficulties or reading among 123 children with and without significant attention problems sampled from the school population. Children were screened using current WM and attention task measures. Three factors explained variance in WM and attention tasks. Response inhibition tasks loaded mainly with central executive measures, but a dual processing task loaded with the visual‐spatial WM measures. Phonological loop measures loaded independently of attention measures. After controls for age, IQ and attention‐group membership, phonological loop and ‘central processing’ measures both predicted reading ability. A ‘visual memory/dual‐task’ factor predicted attention group membership after controls for age, IQ and reading ability. Results thus suggest that some of the processes previously assumed to be predictive of attention problems may reflect processes involved in reading acquisition. Visual memory and dual‐task functioning are, however, purer indices of cognitive difficulty in children experiencing attention problems.     

Spatial and visual working memory ability in children with difficulties in arithmetic word problem solving

Although various studies support the multicomponent nature of visuospatial working memory, to date there is no general consensus on the distinction of its components. A difference is usually proposed between visual and spatial components of working memory, but the individual roles of these components in mathematical learning disabilities remains unclear. The present study aimed to examine the involvement of visual and spatial working memory in poor problem-solvers compared with children with normal level of achievement. Fourth-grade participants were presented with tasks measuring phonological loop, central executive, and visual versus spatial memory. In two separate experiments, both designed to distinguish visual and spatial component involvement, poor problem-solvers specifically failed on spatial—but not visual or phonological—working memory tasks. Results are discussed in the light of possible working memory models, and specifically demonstrate that problem-solving ability can benefit from analysis of spatial processes, which involves ability to manipulate and transform relevant information; instead, no benefit is gained from the analysis of visual pictorial detail.     

Evidence for different components in children's visuospatial working memory

There are a large number of studies demonstrating that visuospatial working memory (VSWM) involves different subcomponents, but there is no agreement on the identity of these dimensions. The present study attempts to combine different theoretical accounts by measuring VSWM. A battery composed of 13 tests was used to assess working memory and, in particular, the hypothesized mechanisms involved in the tasks, that is, active processing and passive recall of visual versus sequential‐spatial versus simultaneous‐spatial versus verbal tasks. The battery consisted of a number of tests already used in previous studies and new tests developed to examine specific components of working memory. We analysed the psychometric characteristics of the tests, the correlations amongst measured variables and estimated the measured variables with structural equation modelling in children attending third and fourth grades. Results revealed that the best model was composed of a specific verbal factor, three visuospatial passive factors (sequential‐spatial, simultaneous‐spatial, and visual) and one visuospatial active factor.     

Audiospatial and visuospatial working memory in 6-13 year old school children

The neural processes subserving working memory, and brain structures underlying this system, continue to develop during childhood. We investigated the effects of age and gender on audiospatial and visuospatial working memory in a nonclinical sample of school-aged children using n-back tasks. The results showed that auditory and visual working memory performance improves with age, suggesting functional maturation of underlying cognitive processes and brain areas. The gender differences found in the performance of working memory tasks suggest a larger degree of immaturity in boys than girls at the age period of 6–10 yr. The differences observed between the mastering of auditory and visual working memory tasks may indicate that visual working memory reaches functional maturity earlier than the corresponding auditory system.     

Working Memory Control Deficit in Kindergarten ADHD Children

The present study tests the hypothesis that a working memory deficit is also found in children with attention deficit/hyperactivity disorder (ADHD) symptoms as young as 5 and is related to the control of interfering information. One group of 23 kindergarten children identified by the presence of ADHD symptoms and one group of 23 children matched for gender, age, and socioeconomic status were administered a visuospatial working memory task that required the selective recall of information. Children with ADHD symptoms performed more poorly than controls and were affected to a particularly high extent by intrusion errors (i.e., recalling of information initially encoded but that needed to be consequently suppressed during the task).     

Aging and the role of working memory resources in visuospatial attention

Visuospatial attention has been shown to be robust to the effects of increasing age. Nonetheless, models linking individual differences in working memory capacity to attentional performance suggest that older adults may experience disruptions in visuospatial attention under conditions of resource load. Two experiments were conducted to investigate the effects of age and concurrent working memory load on two tasks that have been proposed to require posterior attentional processes. The findings suggest that loading working memory resources selectively disrupts performance on a nonintegrated Stroop task, whereas cue utilization remains intact. In addition, imposing a working memory load delays the deployment of visuospatial attention in both experiments. Regarding the effects of age, findings suggest that older adults can effectively perform both attentional tasks despite working memory load. Age differences did emerge in the time course of cue utilization. Findings point to the resilience of visuospatial attention in aging, even under conditions of significant cognitive load. We discuss these results and their implications for models postulating a role for working memory capacity in attentional behaviors.     

Gender differences in episodic memory and visual working memory including the effects of age

Analysing the relationship between gender and memory, and examining the effects of age on the overall memory-related functioning, are the ongoing goals of psychological research. The present study examined gender and age group differences in episodic memory with respect to the type of task. In addition, these subgroup differences were also analysed in visual working memory. A sample of 366 women and 330 men, aged between 16 and 69 years of age, participated in the current study. Results indicate that women outperformed men on auditory memory tasks, whereas male adolescents and older male adults showed higher level performances on visual episodic and visual working memory measures. However, the size of gender-linked effects varied somewhat across age groups. Furthermore, results partly support a declining performance on episodic memory and visual working memory measures with increasing age. Although age-related losses in episodic memory could not be explained by a decreasing verbal and visuospatial ability with age, women's advantage in auditory episodic memory could be explained by their advantage in verbal ability. Men's higher level visual episodic memory performance was found to result from their advantage in visuospatial ability. Finally, possible methodological, biological, and cognitive explanations for the current findings are discussed.     

Age,working memory,and the Tower of London task

The current study explores the role of three components of working memory in age differences in an executive task, the Tower of London (TOL). The TOL task is sensitive to frontal lobe damage, and is widely used to measure planning ability. Dual tasks were used to test the involvement of the phonological loop (articulatory suppression), visuospatial buffer (pattern tapping), and central executive (random generation) in age effects on the TOL. Older adults showed greater reliance than young on domain-specific verbal and spatial memory components in performing the TOL. In terms of executive function, qualitatively different interference patterns were seen in young and old participants. However, the validity of using random generation tasks to assess executive function in older populations can be questioned. For older participants, performing the TOL loads all components of working memory, whereas for the younger participants the TOL more specifically loads executive functioning.     

The roles of the central executive and visuospatial storage in mental arithmetic: A comparison across strategies

Previous research has demonstrated that working memory plays an important role in arithmetic. Different arithmetical strategies rely on working memory to different extents—for example, verbal working memory has been found to be more important for procedural strategies, such as counting and decomposition, than for retrieval strategies. Surprisingly, given the close connection between spatial and mathematical skills, the role of visuospatial working memory has received less attention and is poorly understood. This study used a dual-task methodology to investigate the impact of a dynamic spatial n-back task (Experiment 1) and tasks loading the visuospatial sketchpad and central executive (Experiment 2) on adults' use of counting, decomposition, and direct retrieval strategies for addition. While Experiment 1 suggested that visuospatial working memory plays an important role in arithmetic, especially when counting, the results of Experiment 2 suggested this was primarily due to the domain-general executive demands of the n-back task. Taken together, these results suggest that maintaining visuospatial information in mind is required when adults solve addition arithmetic problems by any strategy but the role of domain-general executive resources is much greater than that of the visuospatial sketchpad.     

Contextual cueing under working memory load: Selective interference of visuospatial load with expression of learning

In a series of experiments, we investigated the dependence of contextual cueing on working memory resources. A visual search task with 50 % repeated displays was run in order to elicit the implicit learning of contextual cues. The search task was combined with a concurrent visual working memory task either during an initial learning phase or a later test phase. The visual working memory load was either spatial or nonspatial. Articulatory suppression was used to prevent verbalization. We found that nonspatial working memory load had no effect, independent of presentation in the learning or test phase. In contrast, visuospatial load diminished search facilitation in the test phase, but not during learning. We concluded that visuospatial working memory resources are needed for the expression of previously learned spatial contexts, whereas the learning of contextual cues does not depend on visuospatial working memory.     

Visuospatial working memory in Turner's syndrome

Turner's syndrome is a genetic disorder, specific to women, in which one of the X chromosomes is partially or completely deleted. This syndrome is associated with physical features such as short stature or failure in primary and secondary sexual development, together with a specific pattern of cognitive functions. It has been suggested that women affected by Turner's syndrome perform poorly in tasks measuring visuospatial abilities and have a verbal IQ significantly higher than performance IQ. Although this result has received strong empirical support, the nature of the visuospatial deficit is still unclear. Recent studies on visuospatial processes have highlighted that the underlying cognitive structure is more complex than previously suggested and several dissociations have been reported (e.g., visual vs spatial, sequential vs simultaneous, or passive vs active processes). In the present study we analyze in detail the characteristics of the visuospatial deficit associated with Turner's syndrome by presenting four young women with a comprehensive battery of tasks designed to tap all aspects of visuospatial working memory. Results confirm that Turner's syndrome is associated with a general visuospatial working memory deficit, but the pattern of performance of different cases can be different, with a greater emphasis on active visuospatial processes. and on either sequential or simultaneous spatial processes.