Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESDichotic Listening and Response Inhibition in Children With Comorbid Anxiety Disorders and ADHD
Section snippets
Cognitive Features of ADHD
There is growing evidence that ADHD is associated with an impairment in inhibitory control (Barkley, 1994, Schachar and Logan, 1990, Schachar et al., 1993, Pennington and Ozonoff, 1996). Inhibitory control refers to the ability to quickly stop an ongoing action and thought in accordance with sudden changes in the immediate environment (Logan, 1985). It is one of the “executive” functions or higher-order cognitive processes that are involved in the planning and regulation of action and thought (
Subjects
Sixty-four children aged 8 to 12 years participated in the study: 15 meeting diagnostic criteria for at least one anxiety disorder (ANX), 15 meeting a diagnosis of ADHD, 18 with both disorders (ANX+ADHD), and 16 who were free of psychiatric or learning problems and constituted a normal control group. Clinical subjects were selected from children with either ADHD or ANX or both, diagnosed by semistructured interview in 2 specialty clinics in the outpatient department of psychiatry of an urban
Dichotic Listening Task
All data were analyzed using the Statistical Package for the Social Sciences (SPSS) software. Group means and standard deviations were determined for correct responses for each target word and each target emotion for each ear on the dichotic listening task (the words bower and tower and the emotions happy and sad). To account for variable rates of false alarms among groups, we then calculated a sensitivity index (MacMillan and Creelman, 1991). All subsequent analyses were done using the
DISCUSSION
Expected differences were found on the dichotic listening task for ear, task, target, and overall lateralization (i.e., words preferentially perceived in right ear; emotions in left ear), confirming that it is a valid instrument to use in this population.
Group differences on this task were clearly significant, but not identical with those reported previously. Anxious subjects' performance on the task did not differ significantly from that of normal controls, either on words or emotions, whereas
REFERENCES (54)
- et al.
Anxiety disorders in children and adolescents: a review of the past 10 years
J Am Acad Child Adolesc Psychiatry
(1996) - et al.
Gender differences in children with ADHD, ODD, and co-occurring ADHD/ODD identified in a school population
J Am Acad Child Adolesc Psychiatry
(1997) Childhood anxiety and memory functioning: a comparison of systemic and processing accounts
J Exp Child Psychol
(1998)- et al.
Comorbidity in ADHD: implications for research, practice, and DSM-V
J Am Acad Child Adolesc Psychiatry
(1997) - et al.
Cognitive processing bias of children in a real life stress situation and a neutral situation
J Exp Child Psychol
(1997) Executive control of thought and action
Acta Psychol
(1985)- et al.
Cognitive behavioral group treatments in childhood anxiety disorders: the role of parental involvement
J Am Acad Child Adolesc Psychiatry
(1999) - et al.
Response inhibition and response re-engagement in attention-deficit/hyperactivity disorder, disruptive, anxious and normal children
Behav Brain Res
(1998) Effect of anxiety on cognition, behavior, and stimulant response in ADHD
J Am Acad Child Adolesc Psychiatry
(1989)- et al.
Comorbidity of childhood anxiety and externalizing disorder: prevalence, associated characteristics, and validation issues
Clin Psychol Rev
(1994)
Inhibitory control, impulsiveness and attention deficit hyperactivity disorder
Clin Psychol Rev
Differential effects of methylphenidate on working memory in ADHD children with and without anxiety
J Am Acad Child Adolesc Psychiatry
Impaired delayed responding: a unified theory of attention deficit hyperactivity disorder
A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders
Arch Gen Psychiatry
Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders
Am J Psychiatry
An overview of the dichotic listening procedure and its relation to cerebral organization
Dichotic laterality effects obtained with emotional words
Neuropsychiatry Neuropsychol Behav Neurol
Manual for Conners' Rating Scales
Anxiety and performance: the processing efficiency theory
Cogn Emotion
The assessment of impulsivity and mediating behaviors in hyperactive and nonhyperactive boys
J Abnorm Child Psychol
Cognitive processing and trait anxiety in typically developing children: evidence for an interpretation bias
J Abnorm Psychol
Dichotic listening in children
Therapy for youths with anxiety disorders: a second randomized clinical trial
J Consult Clin Psychol
The frequency and significance of additional self-reported psychiatric diagnoses in children with attention deficit hyperactivity disorder
J Abnorm Child Psychol
On the ability to inhibit thought and action: a users' guide to the stop-signal paradigm
On the ability to inhibit responses in simple and choice reaction time tasks: a model and a method
J Exp Psychol Hum Percept Perform
Higher Cortical Functions in Man
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The authors gratefully acknowledge the financial support of the Ontario Mental Health Foundation.