Title

Hyperactivity in Boys with Attention-Deficit/Hyperactivity Disorder (ADHD): A Ubiquitous Core Symptom or Manifestation of Working Memory Deficits?

Authors

Authors

M. D. Rapport; J. Bolden; M. J. Kofler; D. E. Sarver; J. S. Raiker;R. M. Alderson

Abbreviated Journal Title

J. Abnorm. Child Psychol.

Keywords

ADHD; Working memory; Hyperactivity; Activity level; Attention-deficit/hyperactivity disorder; CONTINUOUS PERFORMANCE TASK; ACTIVITY LEVEL; SUSTAINED ATTENTION; NORMAL-CHILDREN; MOTOR-ACTIVITY; SHORT-TERM; VALIDITY; MODEL; AGE; METHYLPHENIDATE; Psychology, Clinical; Psychology, Developmental

Abstract

Hyperactivity is currently considered a core and ubiquitous feature of attention-deficit/hyperactivity disorder (ADHD); however, an alternative model challenges this premise and hypothesizes a functional relationship between working memory (WM) and activity level. The current study investigated whether children's activity level is functionally related to WM demands associated with the domain-general central executive and subsidiary storage/rehearsal components using tasks based on Baddeley's (Working memory, thought, and action. New York: Oxford University Press 2007) WM model. Activity level was objectively measured 16 times per second using wrist- and ankle-worn actigraphs while 23 boys between 8 and 12 years of age completed control tasks and visuospatial/phonological WM tasks of increasing memory demands. All children exhibited significantly higher activity rates under all WM relative to control conditions, and children with ADHD (n = 12) moved significantly more than typically developing children (n = 11) under all conditions. Activity level in all children was associated with central executive but not storage/rehearsal functioning, and higher activity rates exhibited by children with ADHD under control conditions were fully attenuated by removing variance directly related to central executive processes.

Journal Title

Journal of Abnormal Child Psychology

Volume

37

Issue/Number

4

Publication Date

1-1-2009

Document Type

Article

Language

English

First Page

521

Last Page

534

WOS Identifier

WOS:000264879800006

ISSN

0091-0627

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