Increased intra-individual reaction time variability in attention-deficit/hyperactivity disorder across response inhibition tasks with different cognitive demands
Open accessAbstract
One of the most consistent findings in children with ADHD is increased moment-to-moment variability in reaction time (RT). The source of increased RT variability can be examined using ex-Gaussian analyses that divide variability into normal and exponential components and Fast Fourier transform (FFT) that allow for detailed examination of the frequency of responses in the exponential distribution. Prior studies of ADHD using these methods have produced variable results, potentially related to differences in task demand. The present study sought to examine the profile of RT variability in ADHD using two Go/No-go tasks with differing levels of cognitive demand. A total of 140 children (57 with ADHD and 83 typically developing controls), ages 8–13 years, completed both a “simple” Go/No-go task and a more “complex” Go/No-go task with increased working memory load. Repeated measures ANOVA of ex-Gaussian functions revealed for both tasks children with ADHD demonstrated increased variability in both the normal/Gaussian (significantly elevated sigma) and the exponential (significantly elevated tau) components. In contrast, FFT analysis of the exponential component revealed a significant task × diagnosis interaction, such that infrequent slow responses in ADHD differed depending on task demand (i.e., for the simple task, increased power in the 0.027–0.074 Hz frequency band; for the complex task, decreased power in the 0.074–0.202 Hz band). The ex-Gaussian findings revealing increased variability in both the normal (sigma) and exponential (tau) components for the ADHD group, suggest that both impaired response preparation and infrequent “lapses in attention” contribute to increased variability in ADHD. FFT analyses reveal that the periodicity of intermittent lapses of attention in ADHD varies with task demand. The findings provide further support for intra-individual variability as a candidate intermediate endophenotype of ADHD.
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- Findingown data
Under conditions requiring at least moderate degrees of response control, children with ADHD show increased variability in both the normal Gaussian (fast) and exponential (slow) components of the reaction time distribution.
“The results indicate that under conditions requiring at least moderate degrees of response control, children with ADHD show increased variability in both the normal Gaussian (fast”) and exponential (“slow”) components of the reaction time distribution.”
Quote in the paperSubstantial claim - Findingown data
Children with ADHD demonstrated significantly increased tau compared to controls (M=125.18 vs 102.29).
“There was also a significant main effect for diagnosis (F[1,138] = 6.98, p = 0.009) with children in the ADHD group demonstrating significantly increased variability in the exponential component (M= 125.18, SD= 50.35) compared to children in the control group (M= 102.29, SD = 50.35).”
Quote in the paperSubstantial claim - Findingown data
There was no significant task by diagnosis interaction for commission errors.
“There was no significant task × diagnosis interaction (F[1,138] = 0.93, p = 0.34) (Table 2).”
Quote in the paperNot a substantial claim - Findingown data
FFT analysis indicated that children with ADHD demonstrate greater spectra in the 0.027-0.074 frequency band on the simple Go/No-go task.
“The results of this analysis indicated that children with ADHD demonstrate greater spectra in the 0.027–0.074 frequency band on the simple Go/No-go task.”
Quote in the paperSubstantial claim - Findingown data
The interaction between diagnostic status and task was not significant for CV.
“Interaction between diagnostic status and task was not significant (F[1,138] = 0.18, p = 0.68).”
Quote in the paperNot a substantial claim
- Findingown data
Across both groups, children made significantly more commission errors on the complex task than on the simple task.
“Analysis of percent commission errors, indicated a significant main effect for task (F[1,138] = 22.13, p < 0.001) with children across both groups showing more commission errors on the complex task than on the simple task (simple M percentage = 0.33, SD = 0.20; complex M = 0.41, SD = 0.19).”
Quote in the paperNot a substantial claim - Findingown data
Follow-up analyses failed to reveal a difference in reaction time to odd green versus even green stimuli.
“However, follow-up analyses failed to reveal a difference RT to odd green and even green stimuli, so that we were unable to directly demonstrate that the pattern of responding in the TD group was directly related to increasing efficiency in responding.”
Quote in the paperSubstantial claim - Findingown data
The typically developing group demonstrated increased power in the 0.074-0.202 Hz band when completing the complex Go/No-go task, corresponding to variability in the 5-15 s range.
“Furthermore the TD group demonstrated increased power in the 0.074–0.202 Hz band when completing the complex Go/No-go task, corresponding to increases in variability in the 5–15 s (2–5 trials) range.”
Quote in the paperSubstantial claim - Findingown data
Children with ADHD had significantly higher coefficient of variation (CV) than controls across both tasks (M=0.37 vs 0.31).
“Analysis of CV indicated a significant main effect for diagnostic status (F[1,138] = 9.92, p = 0.002) with children in the ADHD group demonstrating higher CV (M = 0.37, SD = 0.11) compared to the control group (M = 0.31, SD = 0.11) across both tasks.”
Quote in the paperSubstantial claim - Findingown data
On the complex task, controls showed significantly increased power in the 0.074-0.202 Hz band compared to children with ADHD.
“In contrast, one-way ANOVA of the complex task indicated a significant group difference with children in the control group showing significantly increased power compared to children in the ADHD group in the 0.074–0.202 Hz band (F[1,138] = 5.31, p = 0.02) (Fig. 2).”
Quote in the paperNot a substantial claim - Findingown data
For the complex task, ADHD inattentive subtype children had significantly higher mu values than ADHD combined subtype children.
“For the complex task, ADHD inattentive subtype children had significantly higher values for mu compared to ADHD combined subtype children (t[1,55] = 2.440, p = 0.02).”
Quote in the paperNot a substantial claim - Findingown data
Across both groups, children had significantly higher CV on the complex Go/No-go task than on the simple task.
“There was also a significant main effect for task (F[1,138] = 13.49, p < 0.001), with children across both groups showing higher CV on the complex Go/No-go task (M = 0.362, SD = 0.142) compared to the simple task (M = 0.31, SD = 0.13).”
Quote in the paperSubstantial claim - Findingown data
Children with ADHD performed significantly slower on the complex Go/No-go task than on the simple task (M=422.73 vs 401.55).
“children in the ADHD group performing significantly slower on the complex task (M = 422.73, SD = 112.56) compared to the simple task (M = 401.55, SD = 85.02) (t =−2.092, p < 0.001)”
Quote in the paperNot a substantial claim - Findingown data
Across groups, tau (exponential component of the RT distribution) was significantly higher on the complex Go/No-go task than on the simple task.
“Analysis of tau, a measure of the mean and standard deviation of the exponential component of the distribution, revealed a significant main effect for task across groups of children (F[1,138] = 10.45, p = 0.002), with increased variability in the exponential component of the distribution for the complex Go/No-go task (M= 119.88, SD = 62.42) compared to the simple task (M= 103.34, SD = 56.52).”
Quote in the paperSubstantial claim - Findingown data
Children with ADHD made significantly more commission errors across both tasks than typically developing children.
“There was also a significant main effect for diagnosis with children from the ADHD group making significantly more errors of commission across both tasks compared to TD children (F[1,138] = 17.04, p < 0.001).”
Quote in the paperNot a substantial claim - Findingown data
There was no significant effect of ADHD subtype on CV for either Go/No-go task.
“There was no significant effect of ADHD subtype on CV for either Go/No-go task.”
Quote in the paperNot a substantial claim - Findingown data
There was no significant effect of ADHD subtype on mu in the simple task.
“There were no significant effect of ADHD subtype on mu in the simple task (t[1,55] = 0.40, p = 0.69).”
Quote in the paperNot a substantial claim - Findingown data
The current study demonstrated a differential pattern of variability in children with ADHD and typically developing controls in response to changes in task demands.
“In so doing we were able to demonstrate a differential pattern of variability in children with ADHD and TD controls in response to changes in task demands.”
Quote in the paperSubstantial claim - Findingown data
Across groups, sigma was significantly higher on the complex task than on the simple task.
“There was also a significant main effect for task (F[1,138] = 6.11, p = 0.02) with increased variability for the complex task across groups (M= 66.64, SD = 48.17) compared to the simple task (M= 56.60, SD = 37.56).”
Quote in the paperSubstantial claim - Findingown data
Children with ADHD showed significantly increased sigma (standard deviation of the normal distribution) compared to controls (M=69.17 vs 56.44).
“Analysis of sigma, a measure of the standard deviation of the normal distribution, revealed a similar pattern of results to those previously described for CV; there was a significant main effect for diagnosis (F[1,138] = 4.45, p = 0.04) with children in the ADHD group showing increased variability (M= 69.17, SD= 35.06) compared to controls (M= 56.44, SD = 35.07).”
Quote in the paperSubstantial claim - Findingown data
On the simple Go/No-go task, children with ADHD showed significantly increased power in the 0.027-0.074 Hz frequency band compared to controls.
“Follow-up one-way ANOVA indicated that for the simple Go/No-go task, there was a significant difference between the two groups in frequency band 0.027–0.074 Hz with children in the ADHD group showing significantly increased power compared to controls (F[1,138] = 6.45, p = 0.01).”
Quote in the paperSubstantial claim - Findingown data
Compared to typically developing controls, children with ADHD showed increased variability on both the simple and complex Go/No-go tasks.
“In this study we found that, compared to TD controls, children with ADHD showed increased variability on both the simple and complex Go/No-go tasks.”
Quote in the paperSubstantial claim - Findingown data
There was a significant two-way interaction between task and diagnosis on mean reaction time (F[1,138]=3.87, p=0.05).
“There was a significant two-way interaction between task and diagnosis (F[1,138] = 3.87, p = 0.05)”
Quote in the paperNot a substantial claim - Findingown data
There was a significant two-way interaction between task and diagnosis in the FFT analysis (F[1,136]=4.33, p=0.04).
“There was also a significant two-way interaction between task and diagnosis (F[1,136] = 4.33, p = 0.04).”
Quote in the paperSubstantial claim - Premisecitation
Comparing group means and standard deviations can hide infrequent long reaction times by treating them as outliers or noise.
“Statistical analyses utilizing comparison of group means and variability (i.e., standard deviation), may mask such responses by treating them as outliers or by treating them as “noise” that becomes averaged with other responses (Hervey et al., 2006).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hervey et al., 2006 source
Not checked in the free run.
- Premisecitation
In a Go/No-go task, ADHD was linked to increased sigma and tau.
“In a more recent study using a Go/No-go (“continuous performance”) task designed to assess response (including inhibitory) control, investigators found ADHD was associated with abnormalities in both the normal (increased sigma) and exponential (increased tau) components of reaction time distribution (Hervey et al., 2006).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hervey et al., 2006 source
Not checked in the free run.
- The authors state this as an assumption: Reaction time distributions can be modeled as the sum of a normal component and an independent exponential component.
- Premisecitation
Earlier FFT studies using choice response tasks found increased spectral power in specific frequency bands, such as 0.027-0.074 Hz, in ADHD compared with controls.
“In prior FFT studies of ADHD (Castellanos et al., 2005; Di Martino et al., 2008; Johnson et al., 2007b) variability has been evaluated using choice response tasks with relatively minimal demands for motor response control. These studies found increases in spectrum in specific frequency bands (e.g., 0.027–0.074 Hz) for children with ADHD compared to controls.”
Quote in the paperSubstantial claim0 of 3 sources checked - Interpretationreasoning
This familial pattern suggests a genetic mechanism underlying the phenotype.
“This pattern of results suggests a genetic mechanism for expression of the phenotype.”
Quote in the paperSubstantial claim - Interpretationcitation
Inhibitory control impairment in ADHD appears to be a stable cognitive feature independent of other cognitive or executive domains.
“Impairment in inhibitory control, then, appears to be a stable cognitive feature associated with ADHD that is independent of functioning in other cognitive/executive domains.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Wodka et al., 2007 source
Not checked in the free run.
- Interpretationreasoning
This masking probably explains why reaction time differences have not been consistently found across studies.
“This likely explains why reaction time differences have not been a consistent finding in all studies as their group mean is differentially affected by outliers.”
Quote in the paperSubstantial claim - Premisecitation
In ADHD, impaired inhibitory control (higher commission errors) on the simple Go/No-go task was as strong as on the more cognitively demanding complex task.
“Examination of children with ADHD using these simple and complex Go/No-go tasks revealed that, compared with typically developing children (TD) children, impaired inhibitory control (i.e., higher commission error rate) on the simple Go/No-go task was as robust as that seen in the more complex task with higher cognitive demand (Wodka et al., 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Wodka et al., 2007 source
Not checked in the free run.
- Premisecitation
Children with ADHD exhibit greater intra-individual variability in reaction time than typically developing children.
“One of the most consistent findings in children with ADHD is increased moment-to-moment variability in reaction time (RT).”
- Also stated in: § 1. Introduction · plain
“In particular, several studies find that children with ADHD show increased intra-subject variability (ISV) in their response time when compared to TD children (Castellanos et al., 2005; Johnson et al., 2007b; Klein, Wendling, Huettner, Ruder, & Peper, 2006; Williams, Strauss, Hultsch, Hunter, & Tannock, 2007; Wodka et al., 2007; Suskauer, Simmonds, Fotedar et al., 2008).”
Quote in the paperSubstantial claim0 of 3 sources checked - Also stated in: § 1. Introduction · plain
- Interpretationown data
The study's results support intra-individual variability as a candidate intermediate endophenotype for ADHD.
“The findings provide further support for intra-individual variability as a candidate intermediate endophenotype of ADHD.”
Quote in the paperSubstantial claim- The authors state this as an assumption: Reaction time distributions can be modeled as the sum of a normal component and an independent exponential component.
- Premisecitation
Relatives of people with ADHD, including siblings without the diagnosis, show greater response variability.
“Further, several studies have demonstrated that close family members of individuals with ADHD demonstrate increased variability in responding, including, siblings sharing an ADHD diagnosis, discordant dizygotic twins, and siblings who do not meet criteria for diagnosis of ADHD (Bidwell, Willcutt, DeFries, & Pennington, 2007; Rommelse et al., 2007).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Bidwell, Willcutt, DeFries, & Pennington, 2007 source
Not checked in the free run.
- cites Rommelse et al., 2007
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- Premisecitation
In both SART versions, ADHD children showed increased fast and slow variability.
“For both tasks, children with ADHD demonstrated both increased fast (i.e., moment-to-moment) and slower (i.e., over the course of the task) variability.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Johnson et al., 2007a
Not checked in the free run.
- Premisecitation
Increased intra-subject variability is a promising candidate intermediate endophenotype for ADHD.
“Several pieces of evidence suggest that increased ISV may be a good candidate as an intermediate endophenotype of ADHD (Castellanos & Tannock, 2002, Castellanos, Sonuga-Barke, Milham, & Tannock, 2006).”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
The ex-Gaussian distributional model is a more suitable framework for assessing intra-subject variability.
“Use of the ex-Gaussian distributional model provides a more appropriate framework in which to evaluate ISV.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Leth-Steensen et al., 2000 source
Not checked in the free run.
- The authors state this as an assumption: Reaction time distributions can be modeled as the sum of a normal component and an independent exponential component.
- Premisecitation
Dorsolateral prefrontal cortex activation occurred only in the complex Go/No-go task, where working memory guided inhibitory control.
“Dorsolateral prefrontal cortex activation was only observed in the complex Go/No-go task in which working memory was necessary to guide inhibitory control.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Mostofsky et al., 2003 source
Not checked in the free run.
- Interpretationreasoning
The difference between these ex-Gaussian studies may stem from task demands, with greater response control demands revealing ADHD-related increases in variable responding.
“The discrepancy in findings between these two studies may be related to differential task demands, with the increased need for response control in the Go/No-go task unmasking ADHD-associated increases in variable responding throughout the task.”
Quote in the paperSubstantial claim- The authors state this as an assumption: Reaction time distributions can be modeled as the sum of a normal component and an independent exponential component.
- Premisecitation
A meta-analysis of simple and complex GNG studies confirmed this task-demand-dependent activation pattern.
“This pattern of findings was confirmed in a recent meta-analysis of studies using simple and complex GNG tasks (Simmonds, Pekar, & Mostofsky, 2008).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Simmonds, Pekar, & Mostofsky, 2008 source
Not checked in the free run.
- Interpretationown data
The periodicity of intermittent attentional lapses in ADHD changes with task demand.
“FFT analyses reveal that the periodicity of intermittent lapses of attention in ADHD varies with task demand.”
Quote in the paperSubstantial claim - Study design and conductown data
The pattern of results was the same whether or not full-scale IQ was included as a covariate in the analyses.
“Nevertheless, all analyses were conducted both including and not including IQ as a covariate, with the pattern of results being the same for all analyses.”
Quote in the paperNot a substantial claim - Interpretationreasoning
WISC-IV VCI and PRI scores are more valid measures of intellectual reasoning in children with ADHD than FSIQ.
“WISC-IV VCI and PRI scores were therefore examined as more valid measures of intellectual reasoning in children with ADHD”
Quote in the paperSubstantial claim - Interpretationcitation
The findings of increased sigma and tau variability in ADHD are consistent with a prior study using a different Go/No-go task (Hervey et al., 2006).
“Our findings of increases in normal (i.e., sigma) as well as exponential (i.e., tau) variability are consistent with that seen in a prior study of ADHD in which ex-Gaussian analysis was applied to a different Go/No-go task (Hervey et al., 2006); in that study children with ADHD also showed increased variability in both the normal and exponential portions of the RT distribution.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hervey et al., 2006 source
Not checked in the free run.
- Interpretationcitation
The finding of greater low-frequency spectra in ADHD on the simple task is consistent with two prior studies using a flanker task (Castellanos et al., 2005; Di Martino et al., 2008).
“This is consistent with findings from two studies from the same group (Castellanos et al., 2005; Di Martino et al., 2008) using a flanker task.”
Quote in the paperNot a substantial claim0 of 2 sources checked - Interpretationcitation
Under conditions involving low degrees of response preparation and control, increased variability in ADHD is principally due to infrequent slow responses (lapses of attention).
“When looked at in totality, the ex-Gaussian findings generated from this and the two prior studies suggest that under conditions involving low degrees of response preparation and control (i.e., more automated responding), increased variability in ADHD is principally due to infrequent slow responses (so-called “lapses of attention”; Leth-Steensen et al., 2000).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Leth-Steensen et al., 2000 source
Not checked in the free run.
- Interpretationown data
Children with ADHD show a predictable pattern of increased variability in responding occurring approximately every 15-40 s when completing tasks with increased response control demands but otherwise reduced cognitive demands.
“It appears, then, that children with ADHD show a predictable pattern of increased variability in responding occurring approximately every 15–40 s when completing tasks with increased response control (i.e., inhibitory) demands, but otherwise reduced cognitive demands.”
Quote in the paperSubstantial claim - Interpretationreasoning
Given higher variability in ADHD, the slower reaction time on the complex task may not reflect a generalized pattern of slowing but rather occasional outlier slow responses.
“Given that children with ADHD show higher variability, the slower RT on the complex task may not reflect a generalized pattern of slowing but rather, occasional “outlier” slow responses.”
Quote in the paperSubstantial claim - Interpretationown data
The increase in variability associated with ADHD on the simple Go/No-go task was as robust as that seen on the more complex task with higher working memory demand.
“The results further revealed that ADHD-associated increased variability on the simple Go/No-go task was as robust as that seen in the more complex task with higher working memory demand.”
Quote in the paperSubstantial claim - Premisecitation
Children with ADHD show abnormalities in premotor regions, in particular the supplementary motor area, on anatomic and functional imaging studies.
“Consistent with this, children with ADHD show abnormalities in premotor regions, in particular the supplementary motor area on anatomic (Mostofsky, Cooper, Kates, Denckla, & Kaufmann, 2002; Shaw et al., 2006) and functional (Suskauer, Simmonds, Fotedar et al., 2008) imaging studies.”
Quote in the paperSubstantial claim0 of 3 sources checked - Interpretationown data
On the complex Go/No-go task, typically developing children may be better able to alter their responding to meet task demands than children with ADHD.
“It appears based on these findings that for the complex Go/No-go tasks TD children may be better able to alter their responding to meet task demands than are ADHD children.”
Quote in the paperSubstantial claim - Premisecitation
In a prior study using a simple choice response task with minimal inhibitory demands, children with ADHD showed elevation only in the exponential (tau) portion of the RT distribution (Leth-Steensen et al., 2000).
“These findings are in contrast to those from a study in which ex-Gaussian analysis was applied to a simple choice response task with minimal inhibitory demands (Leth-Steensen et al., 2000); in that case, children with ADHD showed elevation in only the exponential (tau) portion of the RT distribution.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Leth-Steensen et al., 2000 source
Not checked in the free run.
- May combine two claims. 32
- Classified as probably not a substantial claim. 9
May combine two claims.
Findingown dataOn both the simple and complex Go/No-go tasks, ADHD children had greater variability in the normal (sigma) and exponential (tau) components of the reaction time distribution.
“Repeated measures ANOVA of ex-Gaussian functions revealed for both tasks children with ADHD demonstrated increased variability in both the normal/Gaussian (significantly elevated sigma) and the exponential (significantly elevated tau) components.”
Quote in the paperSubstantial claim- The authors state this as an assumption: Reaction time distributions can be modeled as the sum of a normal component and an independent exponential component.
May combine two claims.
Findingown dataFFT analysis of the exponential component showed a task-by-diagnosis interaction: ADHD children had more power in the 0.027-0.074 Hz band on the simple task and less power in the 0.074-0.202 Hz band on the complex task.
“In contrast, FFT analysis of the exponential component revealed a significant task × diagnosis interaction, such that infrequent slow responses in ADHD differed depending on task demand (i.e., for the simple task, increased power in the 0.027–0.074 Hz frequency band; for the complex task, decreased power in the 0.074–0.202 Hz band).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere was no significant task by diagnosis interaction for tau, and no significant effect of ADHD subtype on tau for either task.
“Task×diagnosis interaction was not significant (F[1,138] = 0.03, p = 0.855). There were no significant effect of ADHD subtype for tau on either the simple (t[1,55] =−0.35, p = 0.73) or complex task (t[1,55] = 0.63, p = 0.53) Fig. 1.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere was a significant main effect of frequency band, with children in both groups showing increased power in the shortest wavelength bands and reduced power across longer wavelength bands.
“The results indicated significant main effects for band (F[1,138] = 1890.24, p < 0.001). Children in both groups demonstrated increased power in the shortest wavelength bands, and reduced power across longer wavelength bands.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataTypically developing children were slightly but not significantly faster on the complex task than on the simple task.
“while the children in the control group were slightly, but not significantly, faster on the complex task (M = 390.50, SD = 106.68) compared to the simple task (M = 395.62, SD = 109.47) (t = 0.594).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere were no statistically significant differences between ADHD and control groups on WISC-IV Perceptual Reasoning Index or Verbal Comprehension Index scores.
“WISC-IV VCI and PRI scores were therefore examined as more valid measures of intellectual reasoning in children with ADHD with findings revealing no statistically significant differences between groups for either PRI or VCI score (PRI: F = 3.33, p = 0.07; VCI: F = 2.55, p = 0.11).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere were no significant main effects of diagnostic category or task on mean reaction time.
“There were no main effects for reaction time (i.e., mean reaction time) for either diagnostic category or task (F[1,138] = 1.30, p = 0.26 and F[1,138] = 1.44, p = 0.23, respectively).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere was no significant task by diagnosis interaction for sigma, and no significant effect of ADHD subtype on sigma for either task.
“Task×diagnosis interaction was not significant (F[1,138] = 0.32, p = 0.57) and there were no significant effect of ADHD subtype on either the simple (t[1,55] = 0.49, p = 0.62) or the complex (t[1,55] = 1.19, p = 0.24).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere were no significant main effects of diagnosis or task on mu, the mean of the normal component of the RT distribution.
“Analysis of mu, a measure of the mean of the normal component of the normal portion of the distribution, yielded no significant main effect for diagnosis (F[1,138] = 0.07, p = 0.80) or task (F[1,138] = 1.65, p = 0.20).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere was a nearly significant interaction between diagnosis and task on mu (p=0.056), with controls showing decreased mu on the complex task and increased mu on the simple task, while ADHD children showed slightly increased mu on the complex task.
“There was a nearly significant interaction between diagnosis and task (F[1,138] = 3.71, p = 0.056), with controls demonstrating decreased values for mu for the complex task, and increased values for mu for the simple task, while children in the ADHD showed slightly increased mu for the complex task compared to the simple task.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere was no between-group difference in reaction time on the simple Go/No-go task, but children with ADHD showed significantly increased reaction time on the complex Go/No-go task.
“Specifically, there was no between-group difference in RT on the simple Go/No-go task; however, children with ADHD showed significantly increased RT on the complex Go/No-go task.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataFor both tasks, children with ADHD showed increased variability in both the fast (sigma) and slow (tau) portions of the RT distribution, despite changing working memory demands.
“In addition, evaluation of the ex-Gaussian distribution revealed that for both tasks, children with ADHD demonstrated a pattern of increased variability in both the fast (i.e., sigma) and slow (i.e., tau) portions of the distribution, despite changing working memory demands.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationADHD is a neurobiological disorder.
“Although the etiology of ADHD is not known, recent research clearly identifies ADHD as a neurobiological disorder (Buitelaar, Montgomery, & van Zwieten-Boot, 2003; Denckla, 2003; Durston, 2003; Tannock, 1998).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Buitelaar, Montgomery, & van Zwieten-Boot, 2003
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- cites Denckla, 2003
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- cites Durston, 2003 source
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Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataChildren with ADHD had a statistically significantly lower full-scale IQ than typically developing controls (F[1,138]=5.65, p=0.02).
“There was a statistically significant group difference in FSIQ, with ADHD children having lower FSIQ (M = 111.3, SD = 11.92) than children in the control group (M = 116.2, SD = 11.8) (F[1,138] = 5.65, p = 0.02).”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationGreater response variability is correlated with impulsive responding and self-reported inattention, which suggests it contributes to ADHD diagnostic features.
“First, increased variability in responding has been demonstrated to correlate with impulsive responding and self-report of inattention to tasks (Rommelse et al., 2007; Simmonds et al., 2007; Strandburg et al., 1996), suggesting that variability in responding is a contributing factor to expression of diagnostic characteristics of ADHD.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Rommelse et al., 2007
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- cites Simmonds et al., 2007 source
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- cites Strandburg et al., 1996
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May combine two claims.
PremisecitationIn the simple GNG task, ADHD children show reduced pre-SMA activation and an anomalous link between pre-SMA activation and intra-subject variability.
“Consistent with this, fMRI analysis using the simple GNG task reveals that, compared to TD children, children with ADHD show decreased pre-SMA activation (Suskauer, Simmonds, Fotedar et al., 2008) as well as anomalous association between pre-SMA activation and ISV (Suskauer, Simmonds, Caffo et al., 2008).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Suskauer, Simmonds, Fotedar et al., 2008 source
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- cites Suskauer, Simmonds, Caffo et al., 2008
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May combine two claims.
PremisecitationResponse inhibition deficits occur in children with other developmental disabilities as well, so they may not be specific to ADHD.
“In addition, children with other developmental disabilities have been shown to demonstrate deficits in response inhibition on some tasks, indicating that this may not be a characteristic specific to children with ADHD (e.g., Johnson et al., 2007a).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Johnson et al., 2007a
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Classified as probably not a substantial claim.
PremisecitationThe neural substrates of response control depend partly on task demand.
“Functional imaging findings using these two tasks indicate that the neural substrates of response control are, in some respects, dependent on task demand (Mostofsky et al., 2003).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Mostofsky et al., 2003 source
Not checked in the free run.
May combine two claims.
PremisecitationBoth simple and complex Go/No-go tasks produce no-go-related activation in the rostral supplementary motor area (pre-SMA).
“For both the simple and the complex Go/No-go tasks, no-go-associated activation was observed in the rostral supplementary motor area (“pre-SMA”), a region important for response selection and control (Isoda & Hikosaka, 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Isoda & Hikosaka, 2007
Not checked in the free run.
May combine two claims.
Premisenone givenEarlier ADHD studies using ex-Gaussian and FFT methods have yielded inconsistent findings, possibly because of differing task demands.
“Prior studies of ADHD using these methods have produced variable results, potentially related to differences in task demand.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationEvidence on inhibitory control deficits as an ADHD endophenotype is mixed: some studies report more commission errors in ADHD, while others find no group difference.
“In practice, however, the evidence supporting deficits in inhibitory control as an endophenotype of ADHD have been mixed; some studies find that children with ADHD show high rates of inhibitory failures (commission errors) compared to typically developing (TD) children (e.g., Johnson et al., 2007b; Wodka et al., 2007) while others find no differences in errors between groups (Schulz et al., 2004).”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
PremisecitationIn a simple choice reaction time task, ADHD children showed increased tau but not increased sigma.
“In the first, subjects performed a simple choice response task with minimal demands on response control; children with ADHD showed increased variability in the exponential component (increased tau), but not the normal portion of the distribution.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Leth-Steensen et al., 2000
Not checked in the free run.
- The authors state this as an assumption: Reaction time distributions can be modeled as the sum of a normal component and an independent exponential component.
May combine two claims.
PremisecitationIn ADHD, intra-subject variability consists of occasional very long reaction times, while most responses are similar to those of comparison groups.
“Analyses characterizing ISV in ADHD has revealed a pattern of occasional responses with unusually long reaction time, with the majority of responses being comparable to comparison groups (Castellanos et al., 2005; Hervey et al., 2006; Leth-Steensen, King Elbaz, & Douglas, 2000).”
Quote in the paperNot a substantial claim0 of 3 sources checkedMay combine two claims.
Interpretationown dataThe elevated sigma and tau in ADHD suggest that both impaired response preparation and infrequent attentional lapses contribute to the greater reaction time variability.
“The ex-Gaussian findings revealing increased variability in both the normal (sigma) and exponential (tau) components for the ADHD group, suggest that both impaired response preparation and infrequent “lapses in attention” contribute to increased variability in ADHD.”
Quote in the paperSubstantial claim- The authors state this as an assumption: Reaction time distributions can be modeled as the sum of a normal component and an independent exponential component.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe ADHD and control groups did not differ significantly in gender, handedness, race, or age.
“Groups did not differ significantly in gender distribution (χ2 = 1.78, p = 0.18), handedness (χ2 = 0.178, p = 0.67), racial distribution (χ2 = 2.54, p = 0.47) or age (F = 0.01, p = 0.91).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationFull-scale IQ includes measures of working memory and processing speed, domains typically impaired in ADHD, and this is believed to selectively lower FSIQ scores in children with ADHD.
“FSIQ scores include measures of working memory and processing speed. These domains are typically impaired in individuals with ADHD and it is believed that this selectively lowers FSIQ scores in children with ADHD (Mayes & Calhoun, 2006; Wilcutt, Doyle, Nigg, Faraone, & Pennington, 2005).”
Quote in the paperNot a substantial claim0 of 2 sources checkedClassified as probably not a substantial claim.
Study design and conductnone givenA strength of the study was the use of two methods, ex-Gaussian and FFT analysis, to evaluate intra-individual variability in children with ADHD compared with typically developing controls during two separate tasks requiring controlled responding.
“A strength of the present study was the use of two methods, ex-Gaussian and FFT analysis, to evaluate intra-individual variability in children with ADHD compared with TD controls during two separate tasks that required controlled responding.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
InterpretationreasoningTypically developing children appeared to speed or slow their responding more frequently in order to maximize efficiency and accuracy on the task.
“In other words, it appeared that the TD children were speeding or slowing their responding more frequently in order to maximize their efficiency and accuracy in the task.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationStudies of mean reaction time in ADHD have shown mixed results, with some finding slower RT and others finding no differences depending on diagnostic subtype.
“Examination of mean RT in ADHD have demonstrated mixed results, with some showing children with ADHD have significantly slower RT (e.g., Tamm, Menon, Ringel, & Reiss, 2004) while others show no differences depending on ADHD diagnostic subtype (e.g., Derefinko et al., 2008).”
Quote in the paperSubstantial claim0 of 2 sources checkedMay combine two claims.
Interpretationown dataThis pattern was observed regardless of working memory demand, suggesting that abnormalities in systems critical to engaging a state of preparedness to respond may be central to the neural basis of ADHD.
“This pattern was observed regardless of working memory demand, suggesting that abnormalities in systems critical engaging a state of preparedness to respond may be central to the neural basis of ADHD.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataSome task-specific changes in variability in the slow portion of the distribution for children with ADHD were revealed by finer-grained FFT analysis, suggesting that neural contributions to infrequent lapses of attention in ADHD may be more task-dependent.
“Some task-specific changes in variability in the slow portion of the distribution for children with ADHD were revealed using finer grained FFT analysis of the periodicity of reaction time, suggesting that neural contributions to infrequent lapses of attention in ADHD may be more task-dependent.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataIncreased variability in ADHD, like impaired inhibitory control, appears to be a stable feature that is independent of the effect of other cognitive/executive domains.
“The pattern of findings, which is consistent with that seen for commission rate (Wodka et al., 2007), suggest that increased variability in ADHD, like impaired inhibitory control, appears to be a stable feature that is independent of the effect of other cognitive/executive domains.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Wodka et al., 2007 source
Not checked in the free run.
May combine two claims.
InterpretationreasoningTaken together, intra-individual variability appears to be a stable trait directly related to inefficient response preparation mechanisms.
“Taken together, it appears that ISV is a stable trait directly related to inefficient response preparation mechanisms.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductreasoningThe frequencies that can be evaluated using FFT are limited by the intervals at which stimuli are presented; in this study the shortest band was 0.074-0.202 Hz (5-15 s), so FFT can evaluate slower variability (tau) but not more rapid variability.
“It is important to note, however, that the frequencies that can be evaluated using this method are limited by the intervals at which stimuli are presented. In this study, the shortest frequency band was 0.074–0.202 Hz, a duration of 5–15 s. As such, FFT is useful in evaluating variability in the slower portion of the RT distribution (i.e., tau), but cannot provide analysis of more rapid variabilit”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningAbnormalities in pre-SMA circuits important for response selection and preparation may contribute to ADHD-associated difficulties with response control, reflected as impaired response inhibition and increased variability in responding.
“It may be that abnormalities in pre-SMA circuits, important for response selection and preparation, contribute to ADHD-associated difficulties with response control, reflected as impaired response inhibition and increased variability in responding.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThis pattern of increased variability does not appear to correlate directly to any demand of the task and therefore likely represents inefficiency in meeting task demands.
“This does not appear to correlate directly to any demand of the task, and therefore likely represents inefficiency in meeting task demands.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningIntra-individual variability is a good candidate for an intermediate endophenotypic trait that can be used in future studies to refine understanding of genetic and physiological mechanisms associated with response preparation and ADHD.
“As such, it is a good candidate for an intermediate endophenotypic trait that can be used in future studies to further refine our understanding of the relationship between genetic and physiological mechanisms associated with response preparation and ADHD.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThe rostral pre-SMA is critical to response selection, and activation in this region predicts lower intra-individual variability in typically developing children but not in children with ADHD.
“The SMA, in particular the rostral “pre-SMA”, has been shown to be critical to response selection (Isoda and Hikosaka, 2007) and recent fMRI findings reveal that activation in this region is predictive of lower ISV for TD children (Suskauer, Simmonds, Fotedar et al., 2008), but not children with ADHD (Suskauer, Simmonds, Caffo et al., 2008).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Isoda and Hikosaka, 2007
Not checked in the free run.
- cites Suskauer, Simmonds, Fotedar et al., 2008 source
Not checked in the free run.
- cites Suskauer, Simmonds, Caffo et al., 2008
Not checked in the free run.
May combine two claims.
InterpretationcitationUnder conditions requiring higher degrees of response control, increased variability in ADHD is present throughout the RT distribution, regardless of ADHD subtype, reflecting inefficiency in neural mechanisms critical to engaging a state of preparedness to respond.
“However, our findings and those generated by Hervey et al. (2006) indicate that under conditions requiring higher degrees of response control, increased variability in ADHD is present throughout the RT distribution, regardless of ADHD subtype, reflecting inefficiency in neural mechanisms critical to engaging a state of preparedness to respond.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hervey et al., 2006 source
Not checked in the free run.
The authors state this as an assumption.
Reaction time distributions can be modeled as the sum of a normal component and an independent exponential component.
“This model posits that the distribution of reaction times can be represented as the sum of a normal (Gaussian) distribution of response times and an independent exponentially distributed variable (Leth-Steensen et al., 2000).”
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?
Research using ex-Gaussian parameters has shown that ADHD-related reaction time variability is largely due to an elevation in tau.
“Research using ex-Gaussian parameters has shown that ADHD-related RTV is largely the result of an elevation in tau [10,13,32].”
From Reaction Time Variability in ADHD: A Review (2012) · cites this paper as [13]
Very few studies have examined the periodicity of long reaction times, and their results are mixed regarding the frequency at which long reaction times occur.
“Unfortunately, there have been very few studies that have examined the periodicity of long RTs, and results from these studies have been mixed in regard to the frequency at which long RTs occur [9,13,35,46].”
From Reaction Time Variability in ADHD: A Review (2012) · cites this paper as [13]
In general, FFT analyses of ADHD studies found that the ADHD group differed from controls because of increased power in the frequency band reflecting periodic cycles about every 10-20 seconds, which increases variance of the reaction-time distribution.
“In general, FFT analyses of these studies revealed that the ADHD group differed from the controls owing to an increase in power in the frequency band reflecting periodic cycles about every 10-20 s (as hypothesized by Castellanos) that increase variance of the RT distribution.”
From Understanding the Effects of Stimulant Medications on Cognition in Individuals with Attention-Deficit Hyperactivity Disorder: A Decade of Progress (2011) · cites this paper as Vaurio et al (2009)
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Simple-task cue counts do not match the stated ratio
MinorThe reported 173 go cues and 44 no-go cues give a go-to-no-go ratio of about 3.93:1, not 3:1.
Reported 3 · recomputed 3.931818
“Cues were weighted toward green spaceships at a ratio of 3:1 (173 go cues; 44 no-go cues)”
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Reaction time variability in ADHD: A meta-analytic review of 319 studies
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- Authors
- Vaurio, R. G., Simmonds, D. J., & Mostofsky, S. H.
- Affiliations
- Kennedy Krieger Institute (US)
- University of Pittsburgh (US)
- Corresponding author
- Vaurio, Rebecca G.
- Venue
- Neuropsychologia
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 47
- Issue
- 12
- Pages
- 2389-2396
- ISSN
- 0028-3932 (ISSN-L)
- PMC
- PMC4766847
- OpenAlex
- W1991798518
- Semantic Scholar
- 234b0b2b0abca5a0d5dc9dfb0fa4a34049db9974
- Cited by
- 240
- References
- 47
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 6 · 2023: 20 · 2022: 13 · 2021: 13 · 2020: 15 · 2019: 13 · 2018: 13 · 2017: 8 · 2016: 20 · 2015: 15 · 2014: 19 · 2013: 25 · 2012: 23
- FWCI
- 10.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neuropsychologia (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Johns Hopkins University
- National Institutes of Health
- Institute for Clinical and Translational Research, University of Wisconsin, Madison
- National Institute of Mental Health (R01MH085328)
- National Institute of Neurological Disorders and Stroke (K02NS044850, R01NS048527)
- National Center for Research Resources (UL1RR025005)
- 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, reaction time variability, response inhibition, go/no-go task, working memory load, task demands, attentional lapses, response preparation, slow response, endophenotypes, children
- MeSH terms
- Analysis of Variance, Attention, Attention Deficit Disorder with Hyperactivity, Child, Cognition Disorders, Decision Making, Female, Humans, Inhibition, Psychological, Male, Neuropsychological Tests, Reaction Time, Spectrum Analysis, Normal Distribution
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