Earlier versus later cognitive event-related potentials (ERPs) in attention-deficit/hyperactivity disorder (ADHD): A meta-analysis
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The current meta-analysis summarizes relevant literature on earlier (P100, N100, P200, N200, ERN/Ne) versus later (P300, Pe, CNV) cognitive Event-Related Potential (ERP) differences between children, adolescents, and adults with Attention-Deficit/Hyperactivity Disorder (ADHD) and without ADHD (non-ADHD). Furthermore, the heterogeneity in previous research is addressed by analyzing potentially relevant demographic and methodological moderators (age group, IQ, medication, comorbidity, task, cognitive function, modality, inter-stimulus-interval, number of electrodes). Via database search 52 relevant articles were identified including n = 1576 ADHD and n = 1794 non-ADHD. Using multilevel-models, pooled effect sizes were calculated. For earlier components, individuals with ADHD showed shorter Go-P100-latencies than non-ADHD. For later ERPs, individuals with ADHD showed smaller Cue-P300-amplitudes, longer Go-P300-latencies, smaller NoGo-P300-amplitudes, longer NoGo-P300-latencies, smaller CNV-amplitudes, and smaller Pe-amplitudes. The substantial heterogeneity identified for most of the ERP components could be explained by the demographic and methodological moderators of interest. This meta-analysis identified relevant moderate group differences (-0.32<d<-0.57), mainly regarding later cognitive ERPs. Nevertheless, results are characterized by substantial heterogeneity and the moderate effect sizes (d<0.6) limit the use for clinical application.
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ADHD and OCD may be differentiated by neurocognitive measures and neural indices of error monitoring.
“ADHD and OCD are common psychiatric disorders that may be differentiated by neurocognitive measures and neural indices of error monitoring (Figuracion et al. 2024; Hanna et al. 2026; Kaiser et al. 2020; Kofler et al. 2013; Lamothe et al. 2025; Liu et al. 2020; Lutz et al. 2021; Tamm et al. 2012).”
From Reaction Time Variability and Electrophysiological Indices of Performance Monitoring in Youths With Attention-Deficit/Hyperactivity Disorder and Obsessive-Compulsive Disorder (2026) · cites this paper as Kaiser et al. 2020
Section 3.2.5 (page unavailable) reports a significant difference in the error-processing Pe amplitude between ADHD and non-ADHD groups, supporting the relevance of a neural error-monitoring index to ADHD. The paper compares ADHD with non-ADHD groups, not specifically with OCD, and does not establish that these measures differentiate ADHD from OCD. (LLM, conf=0.86)
Experimental — accuracy not yet measuredOne meta-analysis noted a blunted Pe was associated more consistently with ADHD than a blunted ERN.
“However, one meta‐analysis noted a blunted Pe was associated more consistently with ADHD than a blunted ERN (Kaiser et al. 2020).”
From Reaction Time Variability and Electrophysiological Indices of Performance Monitoring in Youths With Attention-Deficit/Hyperactivity Disorder and Obsessive-Compulsive Disorder (2026) · cites this paper as Kaiser et al. 2020
The Pe results are consistent with a meta-analysis that concluded a reduced Pe is associated more reliably with ADHD than a reduced ERN.
“Our Pe results are consistent with a meta‐analysis that concluded a reduced Pe is associated more reliably with ADHD than a reduced ERN (Kaiser et al. 2020) and with the recent finding of a blunted Pe in a large study of adolescents with ADHD (Figuracion et al. 2024).”
From Reaction Time Variability and Electrophysiological Indices of Performance Monitoring in Youths With Attention-Deficit/Hyperactivity Disorder and Obsessive-Compulsive Disorder (2026) · cites this paper as Kaiser et al. 2020
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Selective attention and sensitivity to auditory disturbances in a virtually real classroomPreprint
Levy, O., Hackmon, S. L., Zvilichovsky, Y., Korisky, A., Bidet-Caulet, A., Schweitzer, J. B., & Golumbic, E. Z. (2025) · eLife · doi:10.7554/elife.103235 · Cited by 1 · see citing works
- Authors
- Kaiser, A., Aggensteiner, P.-M., Baumeister, S., Holz, N. E., Banaschewski, T., & Brandeis, D.
- Affiliations
- Heidelberg University (DE)
- University of Zurich (CH)
- Corresponding author
- Kaiser, Anna
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2020-05
- Volume
- 112
- Pages
- 117-134
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W3002747956
- Cited by
- 171
- References
- 112
- Citations by year
- 2026: 24 · 2025: 37 · 2024: 29 · 2023: 27 · 2022: 21 · 2021: 28 · 2020: 5
- FWCI
- 3.36
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by-nc-nd)
- Repository for Publications and Research Data (ETH Zurich) (submittedVersion, cc-by-nc-nd)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by-nc-nd)
- ETH Zürich Research Collection
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Bundesministerium für Bildung und Forschung (FKZ 01EE1408E)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- attention deficit hyperactivity disorder, event-related potentials, P300, P100, N2 component, P200, contingent negative variation, P300 latency, P300 amplitude, error-related negativity, ERP components, children and adolescents
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Child, Cognition, Evoked Potentials, Humans, Psychomotor Performance, Executive Function
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