Impact of time on task on ADHD patient’s performances in a virtual classroom
Abstract
Background Use of virtual reality tool is interesting for the evaluation of Attention Deficit/Hyperactivity Disorder (ADHD) patients. The virtual environment offers the opportunity to administer controlled task like the typical neuropsychological tools, but in an environment much more like standard classroom. Previous studies showed that a virtual classroom was able to distinguish performances of children with and without ADHD, but the evolution of performances over time has not been explored. The aim of this work was to study time on task effects on performances of ADHD children compared to controls in a virtual classroom (VC).Methods 36 boys aged from 7 to 10 years completed the virtual classroom task. We compared the performance of the children diagnosed with ADHD with those of the control children. We also compared attentional performances recorded in the virtual classroom with measures of the Continuous Performance Test (CPT II).Results Our results showed that patients differ from control subjects in term of time effect on performances. If controls sustained performances over time in the virtual reality task, ADHD patients showed a significant performance decrement over time. Performances at the VC correlated with CPT II measures.Conclusion ADHD children are vulnerable to a time on task effect on performances which could explain part of their difficulties. Virtual reality is a reliable method to test ADHD children ability to sustain performances over time.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Bioulac, Lallemand et al. proposed a virtual development that implied the first steps in the evolution of face-to-face therapies to more innovative interventions.
“Bioulac, Lallemand et al. proposed a virtual development that implied the first steps in the evolution of face-to-face therapies to more innovative interventions.”
From Adaptive Tele-Therapies Based on Serious Games for Health for People with Time-Management and Organisational Problems: Preliminary Results (2014) · cites this paper as [52]
After analysing the literature, there is an agreement about the efficiency of targeted face-to-face therapies focused on the enhancement of time management skills.
“After analysing the literature, it can be determined that there is an agreement about the efficiency of targeted face-to-face therapies focused on the enhancement of time management skills [46,47,48,49,50,51,52,53,54].”
From Adaptive Tele-Therapies Based on Serious Games for Health for People with Time-Management and Organisational Problems: Preliminary Results (2014) · cites this paper as [52]
These new therapies included the use of new technologies such as virtual environments and computer-based therapies, thus providing users with a greater autonomy.
“These new therapies included the use of new technologies such as virtual environments and computer-based therapies, thus providing users with a greater autonomy [52].”
From Adaptive Tele-Therapies Based on Serious Games for Health for People with Time-Management and Organisational Problems: Preliminary Results (2014) · cites this paper as [52]
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)
Hu, R. J. (2003) · Elsevier eBooks · doi:10.1016/b0-12-226870-9/01070-4 · Cited by 9,167 · see citing works
The Experience of Presence: Factor Analytic Insights
Schubert, T., Friedmann, F., & Regenbrecht, H. (2001) · Presence: Teleoperators and Virtual Environments · doi:10.1162/105474601300343603 · Cited by 2,303 · see citing works
Neuroscience of attention-deficit/hyperactivity disorder: the search for endophenotypes
Castellanos, F. X., & Tannock, R. (2002) · Nature Reviews Neuroscience · doi:10.1038/nrn896 · Cited by 1,827 · see citing works
Attention-deficit hyperactivity disorder
Biederman, J., & Faraone, S. V. (2005) · The Lancet · doi:10.1016/s0140-6736(05)66915-2 · Cited by 1,463 · see citing works
The application of virtual reality technology in rehabilitation.
Schultheis, M. T., & Rizzo, A. (2001) · Rehabilitation Psychology · doi:10.1037/0090-5550.46.3.296 · Cited by 744 · see citing works
Self-citationHandbook of Virtual Environments
(2002) · CRC Press eBooks · doi:10.1201/9780585399102 · Cited by 631 · see citing works
Relations Between Continuous Performance Test Performance Measures and ADHD Behaviors
Epstein, J. N., Erkanli, A., Conners, C. K., Klaric, J., Costello, J. E., & Angold, A. (2003) · Journal of Abnormal Child Psychology · doi:10.1023/a:1025405216339 · Cited by 520 · see citing works
Nigg, J. T. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.11.011 · Cited by 513 · see citing works
Intra-Subject Variability in Attention-Deficit Hyperactivity Disorder
Klein, C., Wendling, K., Huettner, P., Ruder, H., & Peper, M. (2006) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.04.003 · Cited by 410 · see citing works
Conners, C. K., Staff, M. J., Conners, C., & Conners, K. C. (2000) · Cited by 358 · see citing works
Psychometric properties of the STAI: A reply to Ramanaiah, Franzen, and Schill
Speilberger, C. D., & Vagg, P. R. (1984) · Journal of Personality Assessment · doi:10.1207/s15327752jpa4801_16 · Cited by 355 · see citing works
A Virtual Reality Scenario for All Seasons:The Virtual Classroom
Rizzo, A., Bowerly, T., Buckwalter, J. G., Klimchuk, D., Mitura, R., & Parsons, T. D. (2009) · CNS Spectrums · doi:10.1017/s1092852900024196 · Cited by 303 · see citing works
Self-citationParsons, T. D., Bowerly, T., Buckwalter, J. G., & Rizzo, A. A. (2007) · Child Neuropsychology · doi:10.1080/13825580600943473 · Cited by 291 · see citing works
Self-citationAntidepressants in panic disorder: clinical and preclinical mechanisms.
Conners, C. K. (1998) · PubMed · Cited by 277 · see citing works
Barkley, R. A., Anastopoulos, A. D., Guevremont, D. C., & Fletcher, K. E. (1991) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/s0890-8567(10)80010-3 · Cited by 252 · see citing works
Kushniruk, A. W., Viitanen, J., Nieminen, M., Nøhr, C. G., & Borycki, E. M. (2013) · Studies in health technology and informatics · doi:10.3233/978-1-61499-289-9-367 · Cited by 247 · see citing works
Bioulac, S., Arfi, L., & Bouvard, M. P. (2008) · European Psychiatry · doi:10.1016/j.eurpsy.2007.11.002 · Cited by 211 · see citing works
Self-citationDistractibility in Attention/Deficit/ Hyperactivity Disorder (ADHD): The Virtual Reality Classroom
Adams, R., Finn, P., Moes, E. J., Flannery, K. A., & Rizzo, A. (2008) · Child Neuropsychology · doi:10.1080/09297040802169077 · Cited by 200 · see citing works
Self-citationVirtual reality in paediatric rehabilitation: a review
Parsons, T. D., Rizzo, A. A., Rogers, S., & York, P. (2009) · Developmental Neurorehabilitation · doi:10.1080/17518420902991719 · Cited by 192 · see citing works
Self-citationReaction time performance in ADHD: improvement under fast-incentive condition and familial effects
ANDREOU, P., NEALE, B. M., CHEN, W., CHRISTIANSEN, H., GABRIELS, I., HEISE, A., MEIDAD, S., MULLER, U. C., UEBEL, H., BANASCHEWSKI, T., et al. (2007) · Psychological Medicine · doi:10.1017/s0033291707000815 · Cited by 182 · see citing works
Rosvold, H. E., & Delgado, J. M. R. (1956) · Journal of Comparative and Physiological Psychology · doi:10.1037/h0087991 · Cited by 177 · see citing works
Sandberg, S. T. (2002) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544767.007 · Cited by 177 · see citing works
Virtual Reality and Cognitive Assessment and Rehabilitation: The State of the Art
Rizzo, A. A., & Galen, B. J. (1997) · Studies in health technology and informatics · doi:10.3233/978-1-60750-888-5-123 · Cited by 168 · see citing works
Self-citationPollak, Y., Weiss, P. L., Rizzo, A., Weizer, M., Shriki-Tal, L., Shalev, R. S., & Gross‐Tsur, V. (2009) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e3181969b22 · Cited by 133 · see citing works
Self-citationVirtual reality as a leisure activity for young adults with physical and intellectual disabilities
Yalon‐Chamovitz, S., & Weiss, P. L. (2007) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2007.05.004 · Cited by 124 · see citing works
Hyperactivity and Attention Disorders of Childhood
(2002) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544767 · Cited by 116 · see citing works
Sustained and selective attention in boys with attention deficit hyperactivity disorder
Hooks, K., Milich, R., & Pugzles Lorch, E. (1994) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp2301_9 · Cited by 101 · see citing works
The neural basis of sustained and transient attentional control in young adults with ADHD
Banich, M. T., Burgess, G. C., Depue, B. E., Ruzic, L., Bidwell, L. C., Hitt-Laustsen, S., Du, Y. P., & Willcutt, E. G. (2009) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2009.07.005 · Cited by 100 · see citing works
Virtual environment applications in clinical neuropsychology
Rizzo, A., Buckwalter, J. G., van der Zaag, C., Neumann, U., Thiébaux, M., Chua, C., van Rooyen, A., Humphrey, L., & Larson, P. (2002) · IEEE Conference on Virtual Reality and 3D User Interfaces (VR) · doi:10.1109/vr.2000.840364 · Cited by 92 · see citing works
Self-citationSustained Attention, Activation and MPH in ADHD: A Research Note
van der Meere, J., Shalev, R. S., Börger, N. A., & Gross‐Tsur, V. (1995) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1995.tb02323.x · Cited by 91 · see citing works
Variability of Attention Processes in ADHD
Rapport, M. D., Kofler, M. J., Alderson, R. M., Timko, T. M., & DuPaul, G. J. (2009) · Journal of Attention Disorders · doi:10.1177/1087054708322990 · Cited by 84 · see citing works
Pollak, Y., Shomaly, H. B., Weiss, P. L., Rizzo, A., & Gross‐Tsur, V. (2010) · CNS Spectrums · doi:10.1017/s109285290002736x · Cited by 71 · see citing works
Self-citationLe Child Behavior Checklist : un instrument pour la recherche en psychiatrie de l’enfant
Fombonne, E. J., Chehdan, F., Carradec, A. M., Achard, S., Navarro, N. I. R., & Reis, S. (1988) · Psychiatry and Psychobiology · doi:10.1017/s0767399x00002297 · Cited by 56 · see citing works
Observations of Hyperactive Behaviour During Vigilance
Alberts, E., & van der Meere, J. (1992) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1992.tb00955.x · Cited by 44 · see citing works
High sensitivity to multisensory conflicts in agoraphobia exhibited by virtual reality
Viaud‐Delmon, I., Warusfel, O., Seguelas, A., Rio, E., & Jouvent, R. (2005) · European Psychiatry · doi:10.1016/j.eurpsy.2004.10.004 · Cited by 42 · see citing works
Attention-deficit/hyperactivity disorder: a neuropsychiatric disorder with childhood onset
Zuddas, A., Ancilletta, B., Muglia, P., & Cianchetti, C. (2000) · European Journal of Paediatric Neurology · doi:10.1053/ejpn.1999.0263 · Cited by 36 · see citing works
Interactions of task and subject variables among continuous performance tests
Denney, C. B., Rapport, M. D., & Chung, K. (2005) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00362.x · Cited by 28 · see citing works
Aa, R., & Jg, B. (1997) · PubMed · Cited by 27 · see citing works
RIZZO, A. A., Buckwalter, J. G., Neumann, U., Chua, C., ROOYEN, A. V., LARSON, P., Kratz, K., Kesselman, C., Thiébaux, M., & Humphrey, L. (1999) · CyberPsychology & Behavior · doi:10.1089/cpb.1999.2.89 · Cited by 24 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Virtual reality in the diagnostic and therapy for mental disorders: A systematic review
Wiebe, A., Kannen, K., Selaskowski, B., Mehren, A., Thöne, A.-K., Pramme, L., Blumenthal, N., Li, M., Asché, L., Jonas, S., et al. (2022) · Clinical Psychology Review · doi:10.1016/j.cpr.2022.102213 · Cited by 223 · see citing works
Díaz-Orueta, U., Garcia-López, C., Crespo-Eguílaz, N., Sánchez-Carpintero, R., Climent, G., & Narbona, J. (2014) · Child Neuropsychology · doi:10.1080/09297049.2013.792332 · Cited by 159 · see citing works
Micoulaud-Franchi, J.-A., McGonigal, A., Lopez, R., Daudet, C., Kotwas, I., & Bartolomei, F. (2015) · Neurophysiologie Clinique/Clinical Neurophysiology · doi:10.1016/j.neucli.2015.10.077 · Cited by 111 · see citing works
Could a virtual human be used to explore excessive daytime sleepiness in patients?
Philip, P., Bioulac, S., Sauteraud, A., Chaufton, C., & Olive, J. (2014) · Presence: Teleoperators and Virtual Environments · doi:10.1162/pres_a_00197 · Cited by 25 · see citing works
Self-citationFrutos-Pascual, M., Zapirain, B., & Zorrilla, A. (2014) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph110100749 · Cited by 27 · see citing works
“These new therapies included the use of new technologies such as virtual environments and computer-based therapies, thus providing users with a greater autonomy [52].”
BackgroundMethodInfluential
- Authors
- Bioulac, S., Lallemand, S., Rizzo, A., Philip, P., Fabrigoule, C., & Bouvard, M. P.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- University of California, Los Angeles (US)
- Centre Hospitalier Charles Perrens (FR)
- Corresponding author
- Bioulac, Stéphanie
- Venue
- European Journal of Paediatric Neurology
- Publisher
- Elsevier BV
- Published
- 2012-09
- Volume
- 16
- Issue
- 5
- Pages
- 514-521
- ISSN
- 1090-3798 (ISSN-L)
- OpenAlex
- W2156087012
- Cited by
- 100
- References
- 40
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 3 · 2023: 9 · 2022: 10 · 2021: 6 · 2020: 4 · 2019: 11 · 2018: 11 · 2017: 10 · 2016: 7 · 2015: 10 · 2014: 6 · 2013: 2 · 2012: 2
- FWCI
- 4.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Paediatric Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- attention deficit hyperactivity disorder, virtual learning environments, virtual reality, time on task, sustained attention, children, neuropsychological assessment, attentional performance
- MeSH terms
- Attention, Attention Deficit Disorder with Hyperactivity, Child, Computer Simulation, Humans, Male, Neuropsychological Tests, Psychomotor Performance, Schools, Time Factors, User-Computer Interface
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review