Executive functioning in children: a comparison of hospitalised ODD and ODD/ADHD children and normal controls.

نویسندگان

  • Stephanie H M van Goozen
  • Peggy T Cohen-Kettenis
  • Heddeke Snoek
  • Walter Matthys
  • Hanna Swaab-Barneveld
  • Herman van Engeland
چکیده

BACKGROUND Deficits in executive functioning are supposed to have a predisposing influence on impulsive or aggressive behaviour. We tested the hypothesis that oppositional-defiant disorder (ODD) children with or without attention deficit hyperactivity disorder (ADHD) have problems in executive functioning. METHOD Seventy-seven 7- to 12-year-old children (15 ODD, 26 ODD/ADHD, and 36 normal controls), all with normal IQ, completed 7 neuropsychological measures of executive functioning, assessing the abilities of set shifting, planning, working memory, inhibition/attention, and impulsivity. Some of these tasks involved the possibility of monetary rewards with a view to testing the prediction of a specific motivational inhibitory deficit. RESULTS We found no evidence of deficits in working memory, planning, inhibition, or impulsivity. However, the ODD/ADHD group was worse than the normal control (NC) group in set shifting, and both the ODD and ODD/ADHD groups performed worse on a response perseveration task. Moreover, on the basis of one variable derived from a motivational inhibition task, 77% of the children could be correctly classified as ODD or NC. CONCLUSIONS The findings do not support the hypothesis that ODD and ODD/ADHD children have a deficit in executive inhibitory control; rather, they emphasise that they have problems in regulating their behaviour under motivational inhibitory conditions.

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عنوان ژورنال:
  • Journal of child psychology and psychiatry, and allied disciplines

دوره 45 2  شماره 

صفحات  -

تاریخ انتشار 2004