We examined the relationship between measures of sustained attention and impulsivity, as obtained by computerized continuous performance tasks of the Gordon Diagnostic System and a battery of intellectual, achievement, and neuropsychological tests. Subjects were 119 boys (between the ages of 6 yr., 0 mo. and 12 yr., 11 mo.), diagnosed with Attention-deficit Hyperactivity Disorder, using DSM-III or DSM-III—R criteria. Only two measures, the number of correct responses for Vigilance and Distractibility tasks, correlated consistently with other measures (e.g., intellectual measures, the WRAT—R Arithmetic subtest, Beery Test of Visual and Motor Integration, and various sensory-motor variables from the Halstead-Reitan Neuropsychological Battery). The results suggest a unique contribution of continuous performance tasks in the measurement of attention, in a population of children with ADHD, which is not assessed by more traditional tests.
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References
1.
American Psychiatric Association. (1987) Diagnostic and statistical manual of mental disorders-revised. (3rd ed.) Washington, DC: Author.
2.
BarkleyR. A. (1981) Hyperactive children: A handbook for diagnosis and treatment. New York: Guilford.
3.
BeeryK. E. (1982) Revised administration, scoring, and teaching manual for the Developmental Test of Visual-motor Integration. Cleveland, Oh: Modern Curriculum Press.
4.
BentonA. L. (1974) The Revised Visual Retention Test. (4th ed.) New York: Psychological Corp.
5.
CampwellS. B.WerryJ. S. (1986) Attention Deficit Disorder (Hyperactivity). In QuayG. C.WerryJ. S. (Eds.), Psychopathological disorders of childhood. (3rd ed.) New York: Wiley.
6.
ConnersC. K.WellsK. C. (1986) Hyperkinetic children: A neuropsychosocial approach. Beverly Hills, Ca: Sage.
7.
GordonM. (1983) The Gordon Diagnostic System. DeWitt, Ny: Gordon Systems.
8.
GordonM. (1987) Test-retest reliability. The Add/Hyperactivity Newsletter, 7, 2–3.
9.
GordonM.MettelmanB. B. (1985) Special tables for the Gordon Diagnostic System. DeWitt, Ny: Gordon Systems.
10.
GordonM.MettelmanB. B. (1988) The assessment of attention: 1. Standardization and reliability of a behavior-based measure. Journal of Clinical Psychology, 44, 682–690.
11.
HyndG. W.NeverN.ConnerR. T.StoneP.TownP.BeckerM. G.LakeyB.Lorys-VernonA. (1989) Attention Deficit Disorder with and without hyperactivity: Reaction time and speed of cognitive processing. Journal of Learning Disabilities, in press.
12.
JastakS.WilkinsonG. S. (1984) The Wide Range Achievement Test—Revised, administration manual. Wilmington, De: Jastak Assoc.
13.
KaufmanA. S. (1979) Intelligent testing with the Wisc—R. New York: Wiley.
14.
KaufmanA. S.KaufmanN. L. (1983) Kaufman Assessment Battery for Children: Interpretive manual. Circle Pines, Mn: American Guidance Service.
15.
KleeS. H.GarfinkelB. D. (1983) The Computerized Continuous Performance Task: A new measure of inattention. Journal of Abnormal Child Psychology, 11, 487–496.
16.
KnightsR. M.NorwoodJ. A. (1980) Revised smoothed normative data on the Neuropsychological Test Battery for Children. Ottawa, Canada: Robert M. Knights Psychological Consultants.
17.
McClureD. F.GordonM. (1984) Performance of disturbed hyperactive and nonhyperactive children on an objective measure of hyperactivity. Journal of Abnormal Child Psychology, 12, 561–572.
18.
MirskyA. F. (1989) The neuropsychology of attention: Elements of a complex behavior. In PerecmenE. (Ed.), Integrating theory and practice in clinical neuropsychology. Hillsdale, Nj: Erlbaum. Pp. 75–91.
19.
NiciJ.ReitanR. (1986) Patterns of neuropsychological ability in brain-disordered versus normal children. Journal of Consulting and Clinical Psychology, 54, 542–545.
20.
NussbaumN. L.GrantM. L.RomanM. J.PooleJ. H.BiglerE. D. (1990) Attention Deficit Disorder and the mediating effect of age on academic and behavioral variables. Journal of Developmental and Behavioral Pediatrics, in press.
21.
RavenJ. C. (1965) Guide to using the Coloured Progressive Matrices. London: H. K. Lewis.
22.
ReitanR. M.DavisonL. A. (1974) Clinical neuropsychology: Current status and applications. Washington, Dc: Winston.
23.
RosenbergerP. B. (1989) Perceptual-motor and attentional correlates of developmental dyscalculia. Annals of Neurology, 26, 216–220.
24.
RosvoldH. E.MirskyA. F.SakasonI.BransomeE. D.BeckL. H. (1956) A continuous performance test of brain damage. Journal of Consulting Psychology, 20, 343–350.
25.
SpreenO.GaddesW. (1969) Developmental norms for fifteen neuropsychological tests for ages 6 to 15. Cortex, 5, 171–191.
26.
TrommerB. L.LorberR.ArmstrongK.HoeppnerJ. (1987) Neuropsychologic correlates of the Vigilance Task. The Add/Hyperactivity Newsletter, 7, 3–5.
27.
WechslerD. (1974) Wechsler Intelligence Scale for Children—Revised. New York: Psychological Corp.
28.
WolfL. E.HalperinJ. M. (1987) Assessment of attention in psychiatrically disturbed children: What are we really measuring?Journal of Clinical and Experimental Neuropsychology, 9, 61. (Abstract).
