The relation between attention deficit hyperactivity disorder and substance abuse: what role does conduct disorder play?

This paper presents a comprehensive review of the literature examining the relation between childhood attention deficit hyperactivity disorder (ADHD) and substance abuse. A number of researchers have statistically controlled for conduct disorder (CD) when examining the ADHD—substance-abuse relation. These studies have generally found that the ADHD—substance-abuse relation disappears when the high overlap between ADHD and CD is taken into account. On this basis, one may conclude that ADHD is unimportant to substance abuse. However, there is some evidence from both empirical studies and related fields that ADHD and CD may interact to afford a higher risk for substance abuse than may either disorder alone. Thus, ADHD appears to be important to substance abuse in that it interacts with CD to increase the risk. This paper calls for more research that directly examines the joint effects of ADHD and CD on risk for substance abuse. There is also a need for more research that examines gender differences, and mechanisms of the relations among ADHD, CD, and substance abuse.     

Alertness and cognitive control: Is there a spatial attention constraint?

Congruency effects in arrow flanker tasks are often larger when subjects are more alert, suggesting an unusual connection between alertness and cognitive control. Theoretical accounts of the alerting–congruency interaction differ with respect to whether and how spatial attention is involved. In the present study, the author conducted eight experiments to determine whether there is a spatial attention constraint linking alertness to cognitive control. Alertness was manipulated in color-word Stroop tasks involving stimuli that were spatially integrated (Experiments 1–3) or separated (Experiments 4 and 5), as well as in Stroop-like tasks involving spatially separated stimuli for which the irrelevant stimulus features were spatial words (Experiments 6 and 7) or arrows (Experiment 8). All experiments yielded effects of alerting and congruency, but none produced the alerting–congruency interaction typically found with arrow flanker tasks. The results suggest that there is a spatial attention constraint on the relationship between alertness and cognitive control, part of which might involve having a task goal associated with spatial information processing.     

Aging and visual search: Generalized cognitive slowing or selective deficit in attention?

Abstract

Selective attention in normal aging was investigated using simple and conjoined feature visual search tasks. the effects of varying the location of the target (central vs. peripheral, left vs. right hemifield) and the complement of distractors, together with variability in task performance across subject groups, were also examined. the findings indicated that the feature extraction stage of visual search was preserved in older aged subjects. However, there was a differential age-related impairment in the feature integration stage of visual processing in the two older groups (66-75 years, 76-85 years). This was greater than the magnitude of decline predicted on the basis of generalized cognitive slowing. There was no evidence of a speed-accuracy trade-off in the performance of either search task. the findings of this study contribute towards the delineation of age-dependent and -independent processes subserving visual selective attention. the performance of older individuals may be relatively well preserved on more automatic, less demanding tasks such as simple feature search. By contrast, there may be differential age-related impairments on visual search tasks such as conjoined feature search, which may require more effortful or controlled attentional processing.     

the conceptual history of attention deficit hyperactivity disorder: idiocy,imbecility, encephalitis and the child deviant, 1877?1929

This article examines the medical discourse that formed the foundations of what mental health professionals today call Attention Deficit Hyperactivity Disorder (ADHD). The article examines literature from two medical discussions: 1) the discussion of "imbecility" and "idiocy" in the late 19th and early 20th centuries in Western Europe and in the United States; and 2) the diagnosis of encephalitis lethargica in children during the 1920s. The diagnosis of encephalitis lethargica was heavily influenced by the previous discussion of imbecility and occupied a seminal place in the history of medicalizing child behavior. It served as a specific disease category for kids who demonstrated unconventional behavior in a variety of social contexts. It will be argued that the discussion of encephalitis lethargica began a research modality in psychiatry which sought to find neurological bases for childhood deviance, typified by the contemporary discussion of ADHD.     

How effective are cognitive and behavioral treatments for obsessive-compulsive disorder? A clinical significance analysis

Controlled outcome studies investigating the efficacy of psychological treatments for obsessive-compulsive disorder (OCD) have employed different methods of determining the clinical significance of treatment effects. This makes it difficult to draw conclusions regarding the absolute and relative efficacy of psychological treatments for OCD. To address this issue, standardized Jacobson methodology for defining clinically significant change was applied to recent psychological outcome trials for OCD. The proportion of asymptomatic patients following treatment was also calculated. When recovery is defined by Jacobson methodology, exposure and response prevention (ERP) appears the most effective treatment currently available (50-60% recovered). However, when the asymptomatic criterion is used as the index of outcome, ERP and cognitive therapy have low and equivalent recovery rates (approximately 25%).     

The lay distinction between primary and secondary emotions: A spontaneous categorization?

In line with the psychological essentialism perspective, Leyens et al. ( 13 2000) have hypothesized that people attribute different essences to groups and that they attribute more uniquely human characteristics to their own group than to out‐groups. Leyens et al. have focused on two types of emotions, which in Roman languages have specific labels, such as sentimientos and emociones in Spanish. A cross‐cultural study showed that sentimientos (or secondary emotions) are considered uniquely human emotions whereas emociones (or primary emotions) are perceived as nonuniquely human emotions. The present study focuses on whether this categorization into primary and secondary emotions is a spontaneous distinction that people use in their everyday lives, or whether, on the contrary, it is the result of experimental demands. The paradigm “Who says what to whom” was used to test this question. Geometrical shapes of different colours were systematically associated with different stimuli that varied in meaningfulness. In a first condition, shapes were associated with small or large items of furniture (meaningful categories) and with primary and secondary emotions. In a second condition, the items of furniture were replaced by words ending with a vowel or a consonant (meaningless categories). Subsequently, participants had to recognize which shape was associated with each stimulus. Intra‐category errors were significantly more numerous than inter‐category errors, except for the words ending with a vowel or a consonant. Stated otherwise, types of emotions were recognized like the meaningful difference between items of furniture. These results show that the distinction between primary and secondary emotions is an implicit one that people use spontaneously, and not as a result of task demands. The findings are discussed from the perspective of psychological essentialism and inter‐group relations.     

Motor sequence learning and reading ability: is poor reading associated with sequencing deficits?

Although it is widely assumed that children with learning disabilities have "sequencing problems," these have not been well specified. A non-verbal serial reaction time (SRT) paradigm was used to evaluate motor sequence learning in 422 children between ages 7 and 11 in relation to reading, cognitive ability level, and attention problems. The children demonstrated the response profile typically associated with motor sequence learning, but the component of the profile indicative of implicit sequence learning was not reliably associated with any of the predictors. Cognitive ability predicted overall response time; cognitive ability, reading, and attention problems each predicted overall accuracy. Explicit learning was predicted by cognitive ability, but not by reading or attention problems. Thus, we found no evidence that poor reading is preferentially associated with a domain general deficit in sequential learning.     

Inhibitory deficits and symptoms of attention-deficit hyperactivity disorder: How are they related to effortful control?

Separate studies with clinical and community-based samples have identified an association between symptoms of attention-deficit hyperactivity disorder (ADHD) and inhibitory control deficits and ADHD and weak effortful control. We tested whether differences in effortful control explained the associations between ADHD symptoms and inhibitory control deficits, controlling for conduct problems. In a community sample, parents rated ADHD symptoms, conduct problems, effortful control, surgency and negative affect in 77 4-7-year-olds (47 girls), who performed an inhibitory control task. ADHD symptoms, deficient inhibitory control and low effortful control were correlated. Controlling for conduct problems, path analysis showed the ADHD symptoms – inhibitory control link was mediated statistically by effortful control. This focuses attention on cognitive-energetic factors associated with ADHD-related executive deficits.     

Are there qualitative differences in reading behavior between dyslexics and normal readers?

This study asked whether the reading behavior of dyslexics differs qualitatively from that of normal children. Thirty-seven children who had been identified is dyslexic (mean age 11 years, 9 months) were matched with 37 normal readers (mean age 8,6) on ability to read regular words. The dyslexics' and normals' levels of performance on nonsense words and exception words were strikingly close. Also, patterns of individual differences were similar for the two groups. The results suggest that these dyslexics are delayed in the development of both spelling-sound rules and word specific associations. They do not support the view that dyslexics have a specific deficit in the use of spelling-sound rules, or that dyslexics show more extreme individual differences than do normal readers.     

A note on the relation between coefficient alpha and guttman's “split-half” lower bounds

Use of the same term split-half for division of ann-item test into two subtests containing equal [Cronbach], and possibly unequal [Guttman], numbers of items sometimes leads to a misunderstanding about the relation between Guttman's maximum split-half bound and Cronbach's coefficient alpha.Coefficient alpha is the average of split-half bounds in the Cronbach sense and so is not larger than the maximum split-half bound in either sense whenn is even. Whenn is odd, however, splithalf bounds exist only in the Guttman sense and the largest of these may be smaller than coefficient alpha.     

Is the Cogmed program effective for youths with attention deficit/hyperactivity disorder under pharmacological treatment?

The primary objective of this study was to examine the effects of the Cogmed training program on working memory among youths 7 to 13 years old, with attention deficit/hyperactivity disorder (ADHD) type and comorbidity controlled for. A secondary objective was to examine the generalization of effects to ADHD symptoms, nonverbal reasoning, attentional and executive functions, inhibition, reading comprehension, and mathematical reasoning. Participants were under pharmacological treatment for ADHD combined type and a comorbidity. They were randomized into an experimental group that received the Cogmed program and an active control group that received a low-intensity comparison version of the training. They were evaluated at three time points: 6 weeks prior to intervention onset (T1), immediately prior to onset (T2), and 1 week following intervention completion (T3). Results indicate no significant effect attributable to the Cogmed program. The fact that participants were on medication at the time of training and evaluation normalized their performances and limited the detection of effects. Moreover, cognitive training did not lead to a reduction in ADHD symptoms or to an improvement in the other cognitive functions measured or in academic performance. The results of this study do not demonstrate the effectiveness of the Cogmed program for youths with ADHD combined type and a comorbidity when they receive the training while under pharmacological treatment.     

Assumptions of infantile amnesia: are there differences between early and later memories?

Most adults are able to provide few, if any, reports of autobiographical memories from the first years of life. Early memories that do exist have been characterised as highly emotional, containing an abundance of perceptual as opposed to propositional information, and more often in the third than the first person perspective. These qualities figure prominently in theories of the source of the phenomenon of infantile amnesia. However, early and later memories have not been directly compared with regard to these features. In the present research, we compared early and later memories in the same individuals, with the same methodology. Results indicated few objective differences between the early and later memories of women (Experiment 1) and men (Experiment 2). The findings are discussed in light of their implications for theories as to the source of infantile amnesia.     

Rapid automatized naming in children referred for evaluation of heterogeneous learning problems: how specific are naming speed deficits to reading disability?

Because the Rapid Automatized Naming (RAN) test reliably predicts reading skill, it is typically viewed as a diagnostic indicator of risk for reading disability (RD). Since most of the work on naming speed has been undertaken within the framework of reading research, however, the extent to which poor RAN is specifically associated with RD or with learning impairment (LI) in general is uncertain. We tested the hypothesis that slow naming speed is specific to RD. Participants were 188 children (ages 7 to 11) referred for evaluation of learning problems. Receiver operating characteristic (ROC) analysis was used to evaluate the utility of the RAN task for classifying children in diagnostic groups. RAN was an excellent tool for detecting risk for learning problems in general, but it was much less effective at distinguishing LI children with and without RD from each other.     

How shared are age-related influences on cognitive and noncognitive variables?

Several theories have suggested that age-related declines in cognitive processing are due to a pervasive unitary mechanism, such as a decline in processing speed. Structural equation model tests have shown some support for such common factor explanations. These results, however, may not be as conclusive as previously claimed. A further analysis of 4 cross-sectional data sets described in Salthouse, Hambrick, and McGuthry (1998) and Salthouse and Czaja (2000) found that although the best fitting model included a common factor in 3 of the data sets, additional direct age paths were significant, indicating the presence of specific age effects. For the remaining data set, a factor-specific model fit at least as well as the best fitting common factor model. Three simulated data sets with known structure were then tested with a sequence of structural equation models. Common factor models could not always be falsified--even when they were false. In contrast, factor-specific models were more easily falsified when the true model included a unitary common factor. These results suggest that it is premature to conclude that all age-related cognitive declines are due to a single mechanism. Common factor models may be particularly difficult to falsify with current analytic procedures.     

Does the distinction between causal and moral responsibility really salvage the defensive attribution hypothesis?: A critique of Nogami and Streufert's thesis

Nogami and Streufert's (1983) thesis, that the distinction between causal and moral responsibility accounts for contradictory data in the defensive attribution literature, is criticized on empirical and conceptual grounds. It is argued that the results reported may be idiosyncratic to their study given the procedures they used. Moreover, close examination reveals several problems in using their results to account for previous contradictory research findings.     

How general are the effects of trait anxiety and depressive symptoms on cognitive functioning?

A total of 3,781 healthy adults between 18 and 97 years of age completed trait anxiety and depressive symptoms inventories and also performed a battery of cognitive tests. Consistent with recent research on cognitive abilities, the cognitive variables could be organized into a hierarchical structure, with 5 first-order abilities and a single g-factor representing the variance common to the first-order abilities at the top of the hierarchy. Analyses were conducted to determine where in this hierarchy effects associated with trait anxiety and depressive symptoms were operating. The results indicated that trait anxiety and depressive symptoms had significant relations at the highest level in the hierarchy of cognitive abilities, but few relations of either characteristic were evident on the cognitive abilities, or on measures of working memory, after controlling influences at the g-factor level. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Reciprocal relations between cognitive neuroscience and formal cognitive models: opposites attract?

Cognitive neuroscientists study how the brain implements particular cognitive processes such as perception, learning, and decision-making. Traditional approaches in which experiments are designed to target a specific cognitive process have been supplemented by two recent innovations. First, formal cognitive models can decompose observed behavioral data into multiple latent cognitive processes, allowing brain measurements to be associated with a particular cognitive process more precisely and more confidently. Second, cognitive neuroscience can provide additional data to inform the development of formal cognitive models, providing greater constraint than behavioral data alone. We argue that these fields are mutually dependent; not only can models guide neuroscientific endeavors, but understanding neural mechanisms can provide key insights into formal models of cognition.