Abstract
The present study, including children at risk for developing Attention Deficit Hyperactivity Disorder (ADHD), examined the idea that complex executive functions (EFs) build upon more simple ones. This notion was applied in the study of longitudinal interrelations between core EF components — simple and complex inhibition, selective attention, and working memory (WM) — at age 5 and 6 as well as their predictive relations to ADHD symptoms at age 7. The results showed that simple inhibition and selective attention at age 5 independently predicted complex inhibition and WM at age 6. In addition, EFs primarily predicted symptoms of inattention rather than hyperactivity/impulsivity even at this young age. Finally, age 6 complex inhibition was shown to act as a mediator in the relations between simple inhibition and selective attention at age 5 and symptoms of inattention at age 7. These findings provide novel longitudinal support for the theory that fundamental EF components show a progression with age toward more complex executive control (see Garon et al. Psychological Bulletin 134(1):31–60 2008). Further, complex inhibition, implicating both inhibition and WM, seems to be a particularly strong correlate of ADHD symptoms in young children and should as such be the focus of future studies examining the relation between cognitive function and ADHD symptoms from a developmental perspective.
Similar content being viewed by others
References
AmericanPsychiatricAssociation. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: Author.
Barkley, R. A. (1997). Attention-deficit/hyperactivity disorder, self-regulation, and time: toward a more comprehensive theory. Journal of Developmental and Behavioral Pediatrics, 18(4), 271–279.
Baron, M. R. & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.
Berlin, L. & Bohlin, G. (2002). Response inhibition, hyperactivity, and conduct problems among preschool children. Journal of Clinical Child and Adolescent Psychology, 31(2), 242–251.
Berlin, L. Bohlin, G. & Rydell, A. M. (2003). Relations between inhibition, executive functioning, and ADHD symptoms: a longitudinal study from age 5 to 8(1/2) years. Child Neuropsychology, 9(4), 255–266.
Bjorklund, D. F. & Harnishfeger, K. K. (1990). The resources construct in cognitive-development — diverse sources of evidence and a theory of inefficient inhibition. Developmental Review, 10(1), 48–71.
Brocki, K. C. & Bohlin, G. (2004). Executive functions in children aged 6 to 13: a dimensional and developmental study. Developmental Neuropsychology, 26(2), 571–593.
Brocki, K. C. & Bohlin, G. (2006). Developmental change in the relation between executive functions and symptoms of ADHD and co-occurring behaviour problems. Infant and Child Development, 15(1), 19–40.
Brocki, K. C. Nyberg, L. Thorell, L. B. & Bohlin, G. (2007). Early concurrent and longitudinal symptoms of ADHD and ODD: relations to different types of inhibitory control and working memory. Journal of Child Psychology and Psychiatry, 48(10), 1033–1041.
Brocki, K. C., Randall, K. D., Bohlin, G., & Kerns, K. A. (2008). Working memory in school-aged children with attention-deficit/hyperactivity disorder combined type: Are deficits modality specific and are they independent of impaired inhibitory control? J Clin Exp Neuropsychol, 1–11.
Carlson, S. M. (2005). Developmentally sensitive measures of executive function in preschool children. Developmental Neuropsychology, 28(2), 595–616.
Casey, B. J. & Durston, S. (2006). From behavior to cognition to the brain and back: What have we learned from functional imaging studies of attention deficit hyperactivity disorder? American Journal of Psychiatry, 163(6), 957–960.
Castellanos, F. X. Sonuga-Barke, E. J. Milham, M. P. & Tannock, R. (2006). Characterizing cognition in ADHD: beyond executive dysfunction. Trends in Cognitive Sciences, 10(3), 117–123.
Chhabildas, N. Pennington, B. F. & Willcutt, E. G. (2001). A comparison of the neuropsychological profiles of the DSM-IV subtypes of ADHD. Journal of Abnormal Child Psychology, 29(6), 529–540.
Davidson, M. C. Amso, D. Anderson, L. C. & Diamond, A. (2006). Development of cognitive control and executive functions from 4 to 13 years: evidence from manipulations of memory, inhibition, and task switching. Neuropsychologia, 44(11), 2037–2078.
Dempster, F. (1992). The rise and fall of the inhibitory mechanism: toward a unified theory of cognitive development and aging. Developmental Review, 12, 45–75.
Diamond, A. Barnett, W. S. Thomas, J. & Munro, S. (2007). Preschool program improves cognitive control. Science, 318(5855), 1387–1388.
DuPaul, G. J. Power, T. J. Anastopoulos, A. D. & Reid, R. T. (1998). ADHD Rating Scale IV. Checklists, norms, and clinical interpretation. New York: Guilford.
Espy, K. A. & Bull, R. (2005). Inhibitory processes in young children and individual variation in short-term memory. Developmental Neuropsychology, 28(2), 669–688.
Garon, N. Bryson, S. E. & Smith, I. M. (2008). Executive function in preschoolers: a review using an integrative framework. Psychological Bulletin, 134(1), 31–60.
Gerstadt, C. L. Hong, Y. J. & Diamond, A. (1994). The relationship between cognition and action: performance of children 3 1/2–7 years old on a Stroop-like \-night test. Cognition, 53(2), 129–153.
Hughes, C. Dunn, J. & White, A. (1998). Trick or treat?: uneven understanding of mind and emotion and executive dysfunction in "hard-to-manage" preschoolers. Journal of Child Psychology and Psychiatry, 39(7), 981–994.
Kipp, K. (2005). A developmental perspective on the measurement of cognitive deficits in attention-deficit/hyperactivity disorder. Biological Psychiatry, 57(11), 1256–1260.
Korkman, M., Kemp, S. L., & Kirk, U. (1998/2000). NEPSY — A Developmental Neuropsychological Assessment Manual. San Antonio, TX: Psychological Corporation(Psykologiforlaget AB, Stockholm).
Mariani, M. A. & Barkley, R. A. (1997). Neuropsychological and academic functioning in preschool boys with attention deficit hyperactivity disorder. Developmental Neuropsychology, 13(1), 111–129.
Martell, M. Nikolas, M. & Nigg, J. T. (2007). Executive Function in Adolescents with ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1437–1444.
Martinussen, R. Hayden, J. Hogg-Johnson, S. & Tannock, R. (2005). A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 44(4), 377–384.
McInerney, R. J. Hrabok, M. & Kerns, K. A. (2005). The children's size-ordering task: a new measure of nonverbal working memory. Journal of Clinical and Experimental Neuropsychology, 27(6), 735–745.
Mostofsky, S. H. Schafer, J. G. Abrams, M. T. Goldberg, M. C. Flower, A. A. Boyce, A. et al. (2003). fMRI evidence that the neural basis of response inhibition is task-dependent. Brain Research. Cognitive Brain Research, 17(2), 419–430.
Murray, K. T. & Kochanska, G. (2002). Effortful control: factor structure and relation to externalizing and internalizing behaviors. Journal of Abnormal Child Psychology, 30(5), 503–514.
Nigg, J. T. & Casey, B. J. (2005). An integrative theory of attention-deficit/ hyperactivity disorder based on the cognitive and affective neurosciences. Development and Psychopathology, 17(3), 785–806.
Nigg, J. T. Willcutt, E. G. Doyle, A. E. & Sonuga-Barke, E. J. (2005). Causal heterogeneity in attention-deficit/hyperactivity disorder: do we need neuropsychologically impaired subtypes? Biological Psychiatry, 57(11), 1224–1230.
Posner, M. & Rothbart, M. (1998). Attention, self-regulation and consciousness. Philosophical Transactions of the Royal Society of London, Series B, 353, 1915–1927.
Preacher, K. J. & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717–731.
Rapport, M. D. Alderson, R. M. Kofler, M. J. Sarver, D. E. Bolden, J. & Sims, V. (2008). Working memory deficits in boys with attention-deficit/hyperactivity disorder (ADHD): the contribution of central executive and subsystem processes. Journal of Abnormal Child Psychology, 36(6), 825–837.
Rothbart, M. & Posner, M. (2001). Mechanism and variation in the development of attentional networks. In C. Nelson & M. Luciana (Eds.), Handbook of developmental cognitive neuroscience (pp. 353–363). Cambridge: MIT.
Sonuga-Barke, E. J. Dalen, L. Daley, D. & Remington, B. (2002). Are planning, working memory, and inhibition associated with individual differences in preschool ADHD symptoms? Developmental Neuropsychology, 21(3), 255–272.
Sonuga-Barke, E. J. Dalen, L. & Remington, B. (2003). Do executive deficits and delay aversion make independent contributions to preschool attention-deficit/hyperactivity disorder symptoms? Journal of the American Academy of Child and Adolescent Psychiatry, 42(11), 1335–1342.
Stavro, G. M. Ettenhofer, M. L. & Nigg, J. T. (2007). Executive functions and adaptive functioning in young adult attention-deficit/hyperactivity disorder. Journal of the International Neuropsychological Society, 13(2), 324–334.
Thorell, L. B. (2007). Do delay aversion and executive function deficits make distinct contributions to the functional impact of ADHD symptoms? A study of early academic skill deficits. The Journal of Child Psychology and Psychiatry, 48(11), 1061–1070.
Thorell, L. B. & Wahlstedt, C. (2006). Executive functioning deficits in relation to symptoms of ADHD and/or ODD in preschool children. Infant and Child Development, 15(5), 503–518.
Wahlstedt, C., Thorell, L. B., & Bohlin, G. (2008). Heterogeneity in ADHD: Neuropsychological Pathways, Comorbidity and Symptom Domains. J Abnorm Child Psychol,
Wechsler, D. (1991). Manual. San Antonio: The Psychological Corporation.
Wechsler, D. (1992/1994). Wechsler Intelligence Scale for Children (3rd edn; Psykologiförlaget AB, Stockholm, Trans.). London: Psychological Corporation.
Willcutt, E. G. Pennington, B. F. Boada, R. Ogline, J. S. Tunick, R. A. Chhabildas, N. A. et al. (2001). A comparison of the cognitive deficits in reading disability and attention-deficit/hyperactivity disorder. Journal of Abnormal Psychology, 110(1), 157–172.
Willcutt, E. G. Doyle, A. E. Nigg, J. T. Faraone, S. V. & Pennington, B. F. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biological Psychiatry, 57(11), 1336–1346.
Author information
Authors and Affiliations
Corresponding author
Additional information
Author note
The current study is based on the same data set as the previously published paper (Brocki et al. 2007).
This study was supported by a grant from The Bank of Sweden Tercentenary Foundation.
Rights and permissions
About this article
Cite this article
Brocki, K.C., Eninger, L., Thorell, L.B. et al. Interrelations Between Executive Function and Symptoms of Hyperactivity/Impulsivity and Inattention in Preschoolers: A Two Year Longitudinal Study. J Abnorm Child Psychol 38, 163–171 (2010). https://doi.org/10.1007/s10802-009-9354-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10802-009-9354-9