We aimed to identify unique patterns of eye-movements measures reflecting inattentive reading among adults with and without ADHD.
Method & Results:
We recorded eye-movements during uninterrupted text reading of typically developed (TD) and ADHD adults. First, we found significantly longer reading time for the ADHD group than the TD group. Further, we detected cases in which words were reread more than twice and found that such occasions were much more frequent in participants with ADHD than in TD participants. Moreover, we discovered that the first reading pass of these words was less sensitive to the length of the word than the first pass of words read only once, indicating a less meaningful reading.
Conclusion:
We propose that high rate of words that were reread is a correlate of inattentive reading which is more pronounced among ADHD readers. Implications of the findings in the context of reading comprehension are discussed.
AbleS. L.JohnstonJ. A.AdlerL. A.SwindleR. W. (2007). Functional and psychosocial impairment in adults with undiagnosed ADHD. Psychological Medicine, 37(1), 97–107.
2.
AdlerL. A.SpencerT.FaraoneS. V.KesslerR. C.HowesM. J.BiedermanJ.SecnikK. (2006). Validity of pilot adult ADHD self- report scale (ASRS) to rate adult ADHD symptoms. Annals of Clinical Psychiatry, 18(3), 145–148.
3.
ArabacıG.ParrisB. A. (2018). Probe-caught spontaneous and deliberate mind wandering in relation to self-reported inattentive, hyperactive and impulsive traits in adults. Scientific Reports, 8(1), 4113.
4.
ArnoldL. E.HodgkinsP.KahleJ.MadhooM.KewleyG. (2020). Long-term outcomes of ADHD: Academic achievement and performance. Journal of Attention Disorders, 24(1), 73–85.
5.
BarkleyR. A.FischerM.SmallishL.FletcherK. (2006). Young adult outcome of hyperactive children: Adaptive functioning in major life activities. Journal of the American Academy of Child & Adolescent Psychiatry, 45(2), 192–202. https://doi.org/10.1097/01.chi.0000189134.97436.e2
6.
BastianM.SackurJ. (2013). Mind wandering at the fingertips: Automatic parsing of subjective states based on response time variability. Frontiers in Psychology, 4, 573.
7.
BeckA. T.WardC. H.MendelsonM.MockJ.ErbaughJ. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
8.
BiedermanJ.FitzgeraldM.UchidaM.SpencerT. J.FriedR.WicksJ.SaundersA.FaraoneS. V. (2017). Towards operationalising internal distractibility (Mind Wandering) in adults with ADHD. Acta Neuropsychiatrica, 29(6), 330–336.
9.
BiedermanJ.MonuteauxC.MickE.SpencerT.WilensE.SilvaM.SnyderL. E.FaraoneV. (2006). Young adult outcome of attention deficit hyperactivity disorder: A controlled 10-year follow-up study. Psychological Medicine, 36(2), 167. https://doi.org/10.1017/S0033291705006410
10.
BiedermanJ.PettyC. R.WoodworthK. YLomedicoA.HyderL. L.FaraoneS. V. (2012). Adult outcome of attention-deficit/hyperactivity disorder: A controlled 16-year follow-up study. Journal of Clinical Psychiatry, 73(7), 941–950.
11.
BonifacciP.ViroliC.VassuraC.ColombiniE.DesideriL. (2023). The relationship between mind wandering and reading comprehension: A meta-analysis. Psychonomic Bulletin & Review, 30(1), 40–59.
12.
BrockS. E.KnappP. K. (1996). Reading comprehension abilities of children with attention-deficit/hyperactivity disorder. Journal of Attention Disorders, 1(3), 173–185.
13.
ChristakouA.MurphyC. M.ChantilukeK.CubilloA. I.SmithA. B.GiampietroV.DalyE.EckerC.RobertsonD.RubiaK. (2013). Disorder-specific functional abnormalities during sustained attention in youth with attention deficit hyperactivity disorder (ADHD) and with autism. Molecular Psychiatry, 18(2), 236–244.
14.
CliftonC.Jr.FerreiraF.HendersonJ. M.InhoffA. W.LiversedgeS. P.ReichleE. D.SchotterE. R. (2016). Eye movements in reading and information processing: Keith Rayner’s 40 year legacy. Journal of Memory and Language, 86, 1–19.
15.
DeansP.O’LaughlinL.BrubakerB.GayN.KrugD. (2010). Use of eye movement tracking in the differential diagnosis of attention deficit hyperactivity disorder (ADHD) and reading disability. Psychology, 1(4), 238.
16.
DozoisD. J. A.DobsonK. S.AhnbergJ. L. (1998). A psychometric evaluation of the Beck Depression Inventory-II. Psychological Assessment, 10, 83–89. https://doi.org/10.1037%2F1040-3590.10.2.83
17.
EpsteinJ. N.JohnsonD. E.VariaI. M.ConnersC. K. (2010) Neuropsychological assessment of response inhibition in adults with ADHD. Journal of Clinical and Experimental Neuropsychology, 23(3), 362–371. https://doi.org/10.1076/jcen.23.3.362.1186
18.
FoulshamT.FarleyJ.KingstoneA. (2013). Mind wandering in sentence reading: Decoupling the link between mind and eye. Canadian Journal of Experimental Psychology, 67(1), 51.
19.
FranklinM.SmallwoodJ.SchoolerJ. (2011). Catching the mind in flight: Using behavioral indices to detect mindless reading in real time. Psychonomic Bulletin & Review, 18(5), 992–997.
20.
FranklinM. S.MrazekM. D.AndersonC. L.JohnstonC.SmallwoodJ.KingstoneA.SchoolerJ. W. (2017). Tracking distraction: The relationship between mind-wandering, meta-awareness, and ADHD symptomatology. Journal of Attention Disorders, 21(6), 475–486.
21.
FrazierT. W.YoungstromE. A.GluttingJ. J.WatkinsM. W. (2007). ADHD and achievement: Meta-analysis of the child, adolescent, and adult literatures and a concomitant study with college students. Journal of Learning Disabilities, 40(1), 49–65.
22.
GhelaniK.SidhuR.JainU.TannockR. (2004). Reading comprehension and reading related abilities in adolescents with reading disabilities and attention-deficit/hyperactivity disorder. Dyslexia, 10(4), 364–384.
23.
GmehlinD.FuermaierA. B.WaltherS.DebelakR.RentropM.WestermannC.SharmaA.TuchaL.KoertsJ.TuchaO.WeisbrodM.AschenbrennerS. (2014). Intraindividual variability in inhibitory function in adults with ADHD–an ex-Gaussian approach. PLoS One, 9(12), e112298.
24.
GoldshmidtG . (2011). All about children and numbers: How the standardized test and achievement policy ruins our schools / על ילדים ומספרים: כיצד הורסת מדיניות ההישגים והמבחנים הסטנדרטים 42-58 ,את בתי-הספר שלנו. עיונים בחינוך.
25.
KaralunasS. L.Huang-PollockC. L.NiggJ. T. (2012). Decomposing attention-deficit/hyperactivity disorder (ADHD)-related effects in response speed and variability. Neuropsychology, 26(6), 684.
26.
KlieglR.GrabnerE.RolfsM.EngbertR. (2004). Length, frequency, and predictability effects of words on eye movements in reading. European Journal of Cognitive Psychology, 16, 262–284.
27.
KoflerM. J.RapportM. D.SarverD. E.RaikerJ. S.OrbanS. A.FriedmanL. M.KolomeyerE. G. (2013). Reaction time variability in ADHD: A meta-analytic review of 319 studies. Clinical Psychology Review, 33(6), 795–811.
28.
MartinussenR.MackenzieG. (2015). Reading comprehension in adolescents with ADHD: Exploring the poor comprehender profile and individual differences in vocabulary and executive functions. Research in Developmental Disabilities, 38, 329–337.
29.
MirandaA.MercaderJ.FernándezM. I.ColomerC. (2017). Reading performance of young adults with ADHD diagnosed in childhood: Relations with executive functioning. Journal of Attention Disorders, 21(4), 294–304.
30.
MolinaR.RedondoB.VeraJ.GarcíaJ. A.Muñoz-HoyosA.JiménezR. (2020). Children with attention-deficit/hyperactivity disorder show an altered eye movement pattern during reading. Optometry and Vision Science, 97(4), 265–274.
31.
MowlemF. D.SkirrowC.ReidP.MaltezosS.NijjarS. K.MerwoodA.BarkerE.CooperR.KuntsiJ.AshersonP. (2019). Validation of the mind excessively wandering scale and the relationship of mind wandering to impairment in adult ADHD. Journal of Attention Disorders, 23(6), 624–634.
32.
MurphyK.BarkleyR. A.BushT. (2001). Executive functioning and olfactory identification in young adults with attention-deficit/hyperactivity disorder. Neuropsychology, 15, 211–220.
33.
RaynerK. (2009). The 35th Sir Frederick Bartlett Lecture: Eye movements and attention in reading, scene perception, and visual search. Quarterly Journal of Experimental Psychology, 62(8), 1457-1506.
34.
RaynerK.DuffyS. A. (1986). Lexical complexity and fixation times in reading: Effects of word frequency, verb complexity, and lexical ambiguity. Memory & Cognition, 14(3), 191–201.
35.
ReichleE.D.RaynerK.PollatsekA. (2003). The E-Z Reader model of eye movement control in reading: Comparisons to other models. Behavioral & Brain Sciences, 26, 445–476.
36.
ReichleE. D.ReinebergA. E.SchoolerJ. W. (2010). Eye movements during mindless reading. Psychological Science, 21(9), 1300–1310.
37.
RobinA. (1998). ADHD in adolescents: Diagnosis and treatment. Guilford Press
38.
RubiaK.HalariR.CubilloA.MohammadA. M.BrammerM.TaylorE. (2009). Methylphenidate normalises activation and functional connectivity deficits in attention and motivation networks in medication-naive children with ADHD during a rewarded continuous performance task. Neuropharmacology, 57(7–8), 640–652.
39.
SayetteM. A.ReichleE. D.SchoolerJ. W. (2009). Lost in the sauce: The effects of alcohol on mind wandering. Psychological Science, 20(6), 747–752.
40.
SchadD. J.NuthmannA.EngbertR. (2012). Your mind wanders weakly, your mind wanders deeply: Objective measures reveal mindless reading at different levels. Cognition, 125(2), 179–194.
41.
SedgwickJ. A. (2018). University students with attention deficit hyperactivity disorder (ADHD): A literature review. Irish Journal of Psychological Medicine, 35(3), 221–235.
42.
SegalD.MashalN.ShalevL. (2015). Semantic conflicts are resolved differently by adults with and without ADHD. Research in Developmental Disabilities, 47, 416–429.
43.
SeliP.CheyneJ. A.SmilekD. (2013). Wandering minds and wavering rhythms: Linking mind wandering and behavioral variability. Journal of Experimental Psychology: Human Perception and Performance, 39(1), 1.
44.
SeliP.SmallwoodJ.CheyneJ. A.SmilekD. (2015). On the relation of mind wandering and ADHD symptomatology. Psychonomic Bulletin & Review, 22, 629–636.
45.
SmallwoodJ. (2011). Mind-wandering while reading: Attentional decoupling, mindless reading and the cascade model of inattention. Language and Linguistics Compass, 5(2), 63–77.
46.
SmallwoodJ.FishmanD. J.SchoolerJ. W. (2007). Counting the cost of an absent mind: Mind wandering as an under recognized influence on educational performance. Psychonomic Bulletin & Review, 14, 230–236.
47.
SpielbergerC. D.GorsuchR. L.LusheneR.VaggP. R.JacobsG. A. (1983). Manual for the State-trait anxiety inventory. Consulting Psychologists Press.
48.
SteindorfL.RummelJ. (2020). Do your eyes give you away? A validation study of eye-movement measures used as indicators for mindless reading. Behavior Research Methods, 52, 162–176.
49.
SternP.ShalevL. (2013). The role of sustained attention and display medium in reading comprehension among adolescents with ADHD and without it. Research in Developmental Disabilities, 34(1), 431–439.
50.
TammL.NaradM. E.AntoniniT. N.O’BrienK. M.HawkL. W.EpsteinJ. N. (2012). Reaction time variability in ADHD: A review. Neurotherapeutics, 9, 500-508.
51.
ThomsonP.VijayakumarN.JohnsonK. A.MalpasC. B.SciberrasE.EfronD.HazellP.SilkT. J. (2020). Longitudinal trajectories of sustained attention development in children and adolescents with ADHD. Journal of Abnormal Child Psychology, 48(12), 1529–1542.
52.
TuchaL.TuchaO.LaufkötterR.WalitzaS.KleinH. E.LangeK. W. (2008). Neuropsychological assessment of attention in adults with different subtypes of attention-deficit/hyperactivity disorder. Journal of Neural Transmission, 115, 269–278.
53.
UzzamanS.JoordensS. (2011). The eyes know what you are thinking. Eye movements as an objective measure of mind wandering. Consciousness and Cognition, 20(4), 1882–1886.
54.
Van den DriesscheC.BastianM.PeyreH.StordeurC.AcquavivaÉ.BahadoriS.DelormeR.SackurJ. (2017). Attentional lapses in attention-deficit/hyperactivity disorder: Blank rather than wandering thoughts. Psychological Science, 28(10), 1375–1386.
55.
WenderP. H.WolfL. E.WassersteinJ. (2001). Adults with ADHD: An overview. Annals of the New York Academy of Sciences, 931(1), 1–16.
56.
ZoharA. H.KonfortesH. (2010). Diagnosing ADHD in Israeli adults: The psychometric properties of the adult ADHD Self Report Scale (ASRS) in Hebrew. Israel Journal of Psychiatry, 47(4), 308.
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