Objective: The goal of this study is to investigate decision making in children with ADHD using a child version of the Iowa Gambling Task (IGT). The effect of internalizing symptoms is also of interest. Method: Twenty-one children with ADHD (high anxiety/depression and no anxiety/depression) are compared to an age- and sex-matched control group on the gambling task. Children in the ADHD-alone group demonstrate impaired performance on the IGT. In contrast, children in the control group and the ADHD-anxiety/depression group learn to choose more from the advantageous decks over time. Results: These findings of impaired decision making in children with ADHD parallel findings of real-life decision-making problems in this population. Conclusion: Furthermore, the findings suggest that having a high number of internalizing symptoms leads to better performance for children with ADHD on this variant of the IGT.
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for ASEBA school-age forms & profiles. Burlington: University of Vermont Research Center for Children, Youth and Families.
2.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
3.
Angold, A., Costello, J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57-87.
4.
Barkley, R. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65-94.
5.
Barkley, R. (1998). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (2nd ed.). New York: Guilford.
6.
Beauchaine, T. (2001). Vagal tone, development, and Gray’s motivational theory: Toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13, 183-214.
7.
Bechara, A., & Damasio, H. (2002). Decision-making and addiction (part I): Impaired activation of somatic states in substance dependent individuals when pondering decisions with negative future consequences. Neuropsychologia, 40, 1675-1689.
8.
Bechara, A., Damasio, A., Damasio, H., & Anderson, S. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50, 7-15.
9.
Bechara, A., Damasio, H., Tranel, D., & Anderson, S. (1998). Dissociation of working memory from decision making within the human prefrontal cortex. Journal of Neuroscience, 18(1), 428-437.
10.
Bechara, A., Damasio, H., Tranel, D., & Damasio, A. (1997). Deciding advantageously before knowing the advantageous strategy. Science, 275, 1293-1295.
11.
Bechara, A., Dolan, S., Denburg, N., Hindes, A., Anderson, S., & Nathan, P. (2001). Decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in alcohol and stimulant abusers. Neuropsychologia, 39, 376-389.
12.
Bechara, A., Dolan, S., & Hindes, A. (2002). Decision-making and addiction (part II): Myopia for the future or hypersensitivity to reward?Neuropsychologia, 40, 1690-1705.
13.
Bechara, A., Tranel, D., & Damasio, H. (2000). Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions. Brain, 123, 2189-2202.
14.
Berry, D., & Broadbent, D. (1987). The combination of explicit and implicit learning processes in task control. Psychological Research, 49, 7-15.
15.
Berry, D., & Broadbent, D. (1988). Interactive tasks and the implicit-explicit distinction. British Journal of Psychology, 79, 251-272.
16.
Berry, D., & Broadbent, D. (1995). Implicit learning in the control of complex systems. In P. Frensch & J. Funke (Eds.), Complex problem solving: The european perspective (pp. 131-150). Mahwah, NJ: Lawrence Erlbaum.
17.
Biederman, J., Hirshfeld-Becker, D., Rosenbaum, J., Herot, C., Firedman, D., Snidman, N., et al. (2001). Further evidence of association between behavioral inhibition and social anxiety in children. The American Journal of Psychiatry, 158, 1673-1679.
18.
Boyce, W., Quas, J., Alkon, A., Smider, N., Essex, M., & Kupper, D. (2001). Autonomic reactivity and psychopathology in middle childhood. British Journal of Psychiatry, 179, 144-150.
19.
Bradshaw, J. (2001). Developmental disorders of the frontostriatal system: Neuropsychological, neuropsychiatry and evolutionary perspectives. Brain damage, behaviour and cognition series. Philadelphia: Psychology Press.
20.
Brennan, P., Raine, A., Schulsinger, F., Kirkegaard-Sorensen, L., Knop, J., Hutchings, B., et al. (1997). Psychophysiological protective factors for male subjects at high risk for criminal behavior. American Journal of Psychiatry, 154, 853-855.
21.
Casey, B., Durston, S., & Fossella, J. (2001). Evidence for a mechanistic model of cognitive control. Clinical Neuroscience Research, 1, 267-282.
22.
Cavedini, P., Bassi, T., Zorzi, C., & Bellodi, L. (2004). The advantages of choosing anti-obsessive therapy according to decision-making functioning. Journal of Clinical Psychopharmacology, 24, 628-631.
23.
Cavedini, P., Riboldi, G., D’Annucci, A., Belotti, P., Cisima, M., & Bellodi, L. (2002). Decision-making heterogeneity in obsessive-compulsive disorder: Ventromedial prefrontal cortex function predicts different treatment outcomes. Neuropsychologia, 40, 205-211.
24.
Corr, P. (2002). J. A. Gray’s reinforcement sensitivity theory: Tests of the joint subsystems hypothesis of anxiety and impulsivity. Personality and Individual Differences, 33, 511-532.
25.
Crone, E., Somsen, R., van Beek, B., & van der Molen, M. (2004). Heart rate and skin conductance analysis of antecedents and consequences of decision making. Psychophysiology, 41, 531-540.
26.
Crone, E., & van der Molen, M. (2004). Developmental changes in real life decision making: Performance on a gambling task previously shown to depend on the ventromedial prefrontal cortex. Developmental Neuropsychology, 25, 251-279.
27.
Crone, E., Vendel, I., & van der Molen, M. (2003). Decision-making in disinhibited adolescents and adults: Insensitivity to future consequences or driven by immediate reward?Personality and Individual Differences, 35, 1625-1641.
28.
Damasio, A. (1994). Descartes’ error. New York: G.P. Putnam’s Sons.
29.
Damasio, A. (2003). Looking for spinoza: Joy, sorrow, and the feeling brain. New York: Harcourt.
30.
Diamond, I., Tannock, R., & Schachar, R. (1999). Response to methylphenidate in children with ADHD and comorbid anxiety. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 402-409.
31.
Douglas, V., & Parry, P. (1994). Effects of reward and nonreward on frustration and attention in attention deficit disorder. Journal of Abnormal Child Psychology, 22, 281-302.
32.
Ernst, M., Grant, S., London, E., Contoreggi, C., Kimes, A., & Spurgeon, L. (2003). Decision making in adolescents with behavior disorders and adults with substance abuse. American Journal of Psychiatry, 160, 33-40.
33.
Ernst, M., Kimes, A., London, E., Matochik, J., Eldreth, D., Tata, S., et al. (2003). Neural substrates of decision making in adults with attention deficit hyperactivity disorder. American Journal of Psychiatry, 160, 1061-1070.
34.
Fellows, L., & Farah, M. (2003). Ventromedial frontal cortex mediates affective shifting in humans: Evidence from a reversal learning paradigm. Brain, 126, 1830-1837.
35.
Fellows, L., & Farah, M. (2005). Different underlying impairments in decision-making following ventromedial and dorsolateral frontal lobe damage in humans. Cerebral Cortex, 15, 58-63.
36.
Frick, P. (1998). Callous-unemotional traits and conduct problems: Applying the two-factor model of psychopathy to children. In D. J. Cooke (Ed.), Psychopathy: Theory, research and implications for society (pp. 161-187). New York: Kluwer Academic.
37.
Garon, M., & Moore, C. (2004). Complex decision-making in early childhood. Brain and Cognition, 55, 158-170.
38.
Geurts, H., Verté, S., Oosterlaan, J., Roeyers, H., & Sergeant, J. (2004). How specific are executive functioning deficits in attention deficit hyperactivity disorder and autism?Journal of Child Psychology & Psychiatry, 45, 836-854.
39.
Gray, J. (1987). The psychology of fear and stress (2nd ed.). New York: Cambridge University Press.
40.
Gray, J., & McNaughton, N. (2000). The neuropsychology of anxiety: An enquiry into the functions of the septo-hipocampal system. New York: Oxford University Press.
41.
Hornak, J., O’Doherty, J., Bramham, J., Rolls, E., Morris, R., Bullock, P., et al. (2004). Reward-related reversal learning after surgical excisions in orbito-frontal or dorsolateral prefrontal cortex in humans. Journal of Cognitive Neuroscience, 16, 463-478.
42.
Hughes, C., & Graham, A. (2002). Measuring executive functions in childhood: Problems and solutions?Child & Adolescent Mental Health, 7, 131-142.
43.
Itami, S., & Uno, H. (2002). Orbitofrontal cortex dysfunction in attention-deficit hyperactivity disorder revealed by reversal and extinction tasks. Neuroreport, 13, 2453-2457.
44.
Jensen, P., Hinshaw, S., Kraemer, H., Lenora, N., Newcorn, J., Abikoff, H., et al. (2001). ADHD comorbidity findings from the MTA study: Comparing comorbid subgroups. Journal of American Academy of Child and Adolescent Psychiatry, 40, 147-158.
45.
Jensen, P., Martin, D., & Cantwell, D. (1997). Comorbidity in ADHD: Implications for research, practice, and DSM-IV. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1065-1079.
46.
Johansen, E. B., Aase, H., Meyer, A., & Sagvolden, T. (2002). Attention-deficit/hyperactivity disorder (ADHD) behaviour explained by dysfunctioning reinforcement and extinction processes. Behavioral Brain Science, 130, 37-45.
47.
Kempton, S., Vance, A., Maruff, P., Luk, E., Costin, J., & Pantelis, C. (1999). Executive function and attention deficit hyperactivity disorder: Stimulant medication and better executive function performance in children. Psychological Medicine, 29, 527-538.
48.
Kerr, A., & Zelazo, P. (2004). Development of “hot” executive function: The children’s gambling task. Brain and Cognition, 55, 148-157.
49.
Krawczyk, D. (2002). Contributions of the prefrontal cortex to the neural basis of human decision-making. Neuroscience and Biobehaivoral Reviews, 26, 631-664.
50.
Lahey, B., Miller, T., Gordon, R., & Riley, A. (1999). Developmental epidemiology of the disruptive behaviour disorders. In H. Quay & A. Horgan (Eds.), Handbook of the disruptive behaviour disorders (pp. 23-48). New York: Plenum.
51.
Luman, M., Oosterlaan, J., & Sergeant, J. (2005). The impact of reinforcement contingencies on AD/HD: A review and theoretical appraisal. Clinical Psychology Review, 25, 183-213.
52.
Manes, F., Sahakian, B., Clark, L., Rogers, R., Antoun, N., Aitken, M., et al. (2002). Decision-making processes following damage to the prefrontal cortex. Brain, 125, 624-639.
53.
March, J., Swanson, J., Arnold, E., Hoza, B., Conners, K., Hinshaw, S., et al. (2000). Anxiety as a predictor and outcome variable in the multimodal treatment study of children with ADHD. Journal of Abnormal Child Psychology, 28, 527-541.
54.
Matthys, W., Coperus, J., & Van Engeland, H. (1999). Deficient social problem-solving in boys with ODD/CD, with ADHD, and with both disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 311-321.
55.
Multimodal Treatment Study of Children With ADHD Cooperative Group. (1999). Moderators and mediators of treatment response for children with attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56, 1088-1096.
56.
Nigg, J. (2001). Is ADHD a disinhibitory disorder?Psychological Bulletin, 127, 571-598.
57.
NIMH-DISC Editorial Board. (1999). The National Institute of Mental Health Diagnostic Interview Schedule for Children. New York: Columbia University.
58.
Overman, W. (2004). Sex differences in early childhood, adolescence and adulthood on cognitive tasks that rely on orbital prefrontal cortex. Brain & Cognition, 55, 134-147.
59.
Pelham, W., Gnagy, E., Geenslade, K., & Milich, R. (1992). Teacher ratings of DSM-II-R symptoms for the disruptive behavior disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 210-218.
60.
Pennington, B. (1997). Dimensions of executive functions in normal and abnormal development. In N. Krasnegor, G. Lyon, & P. Goldman-Rakic (Eds.), Development of the prefrontal cortex: Evolution, neurobiology, and behaviour (pp. 265-282). Toronto, Ontario, Canada: Paul. H. Brooks.
61.
Peters, E., & Slovic, P. (2000). The springs of action: Affective and analytical information processing in choice. Personality and Social Psychology Bulletin, 26(12), 1465-1475.
62.
Pliszka, S. (1992). Comorbidity of attention-deficit hyperactivity disorder and overanxious disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 31, 197-203.
63.
Pliszka, S., Hatch, J., Borcherding, S., & Rogeness, G. (1993). Classical conditioning in children with attention deficit hyperactivity disorder (ADHD) and anxiety disorders: A test of quay’s model. Journal of Abnormal Child Psychology, 21, 411-423.
64.
Rolls, E. (1999). The brain and emotion. New York: Oxford University Press.
65.
Rolls, E., Hornak, J., Wade, D., & McGrath, J. (1994). Emotion-related learning in patients with social and emotional changes associated with frontal lobe damage. Journal of Neurology, Neurosurgery, and Psychiatry, 57, 1518-1524.
Sattler, J. M. (1992). Assessment of children (3rd rev. ed.). San Diego, CA: Author.
68.
Sergeant, J., Geurts, H., & Oosterlan, J. (2002). How specific is a deficit of executive functioning for attention-deficit/hyperactivity disorder?Behavioural Brain Research, 130, 3-28.
69.
Solanto, M., Abikoff, H., Sonuga-Barke, E., Schachar, R., Logan, G., Wigal, T., et al. (2001). The ecological validity of delay aversion and response inhibition as measures of impulsivity in AD/HD: A supplement to the NIMH multimodal treatment study of AD/HD. Journal of Abnormal Child Psychology, 29, 215-228.
70.
Sonuga-Barke, E. (2001). Psychological heterogeneity in AD/HD—A dual path model of behaviour and cognition. Behavioural Brain Research, 130, 29-36.
71.
Sonuga-Barke, E. (2003). The dual path model of AD/HD: An elaboration of neuro-developmental characteristics. Neuroscience & Biobehavioral Reviews, 27, 593-604.
72.
Sonuga-Barke, E., Taylor, E., Sembi, S., & Smith, J. (1992). Hyperactivity and delay aversion: I. The effect of delay on choices. Journal of Child Psychology & Psychiatry, 33, 387-398.
73.
Stout, J., Busemeyer, J., Lin, A., Grant, S., & Bonson, K. (2004). Cognitive modeling analysis of decision-making processes in cocaine abusers. Psychonomic Bulletin & Review, 11, 742-747.
74.
Tannock, R., Ickowicz, A., & Schachar, R. (1995). Differential effects of mehylphenidate on working memory in ADHD children with and without comorbid anxiety. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 886-896.
75.
Tripp, G., & Alsop, B. (1999). Sensitivity to reward frequency in boys with attention deficit hyperactivity disorder. Journal of Clinical Child Psychology, 28, 366-375.
76.
Tripp, G., & Alsop, B. (2001). Sensitivity to reward delay in children with attention deficit hyperactivity disorder (ADHD). Journal of Child Psychiatry, 42, 691-698.
77.
Vance, A., Costin, J., & Maruff, P. (2002). Attention deficit hyperactivity disorder, combined type (ADHD-CT): Differences in blood pressure (BP) due to posture and the child report of anxiety. European Child & Adolescent Psychiatry, 11, 24-30.
78.
Van Honk, J., Hermans, E., Putman, P., Montagne, B., & Schutter, D. (2002). Defective somatic markers in sub-clinical psychopathy. NeuroReport, 13, 1025-1027.
79.
Wechsler, D. (1991). Wechsler Intelligence Scale for Children-Third edition. New York: Psychological Corporation.
80.
Wigal, T., Swanson, J., Douglas, V., & Wigal, S. (1998). Effect of reinforcement on facial responsitivity and persistence in children with attention-deficit hyperactivity disorder. Behavior Modification, 22, 143-166.
81.
Williams, D., Stott, C., Goodyer, I., & Sahakian, B. (2000). Specific language impairment with or without hyperactivity: Neuropsychological evidence for frontostriatal dysfunction. Developmental Medicine & Child Neurology, 42, 368-375.
