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Timing deficits in attention-deficit/hyperactivity disorder (ADHD): Evidence from neurocognitive and neuroimaging studies
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Relatively recently, neurocognitive and neuroimaging studies have indicated that individuals with attention-deficit/hyperactivity disorder (ADHD) may have deficits in a range of timing functions and their underlying neural networks. Despite this evidence, timing deficits in ADHD are still somewhat neglected in the literature and mostly omitted from reviews on ADHD. There is therefore a lack of integrative reviews on the up-to-date evidence on neurocognitive and neurofunctional deficits of timing in ADHD and their significance with respect to other behavioural and cognitive deficits. The present review provides a synthetic overview of the evidence for neurocognitive and neurofunctional deficits in ADHD in timing functions, and integrates this evidence with the cognitive neuroscience literature of the neural substrates of timing. The review demonstrates that ADHD patients are consistently impaired in three major timing domains, in motor timing, perceptual timing and temporal foresight, comprising several timeframes spanning milliseconds, seconds, minutes and longer intervals up to years. The most consistent impairments in ADHD are found in sensorimotor synchronisation, duration discrimination, reproduction and delay discounting. These neurocognitive findings of timing deficits in ADHD are furthermore supported by functional neuroimaging studies that show dysfunctions in the key inferior fronto-striato-cerebellar and fronto-parietal networks that mediate the timing functions. Although there is evidence that these timing functions are inter-correlated with other executive functions that are well established to be impaired in the disorder, in particular working memory, attention, and to a lesser degree inhibitory control, the key timing deficits appear to survive when these functions are controlled for, suggesting independent cognitive deficits in the temporal domain. There is furthermore strong evidence for an association between timing deficits and behavioural measures of impulsiveness and inattention, suggesting that timing problems are key to the clinical behavioural profile of ADHD. Emerging evidence shows that the most common treatment of ADHD with the dopamine agonist and psychostimulant Methylphenidate attenuates most timing deficits in ADHD and normalises the abnormally blunted recruitment of the underlying fronto-striato-cerebellar networks. Timing function deficits in ADHD, therefore, next to executive function deficits, form an independent impairment domain, and should receive more attention in neuropsychological, neuroimaging, and pharmacological basic research as well as in translational research aimed to develop pharmacological or non-pharmacological treatment of abnormal timing behaviour and cognition in ADHD.
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“as well as in temporal processing (i.e., motor timing, time estimation and temporal foresight), with most consistent deficits in time discrimination and estimation tasks (Rubia et al., 2009a; Noreika et al., 2013).”
From Cognitive Neuroscience of Attention Deficit Hyperactivity Disorder (ADHD) and Its Clinical Translation (2018) · cites this paper as Noreika et al., 2013
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“accumulating evidence indicates that timing functions are impaired in a variety of developmental disorders including ADHD [32,33], dyslexia [34], and autism [35,36].”
From The Conceptual and Methodological Mayhem of “Screen Time” (2020) · cites this paper as [33]
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“However, impairment has also been found in so-called “hot” EF functions of motivation control and reward-related decision making, as measured in temporal discounting and gambling tasks, with, however, more inconsistent findings (Willcutt et al., 2008; Noreika et al., 2013; Plichta and Scheres, 2014).”
From Cognitive Neuroscience of Attention Deficit Hyperactivity Disorder (ADHD) and Its Clinical Translation (2018) · cites this paper as Noreika et al., 2013
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“Few studies have measured brain response to delay discounting tasks, which are impaired in ADHD, with, however, also some negative findings (Noreika et al., 2013).”
From Cognitive Neuroscience of Attention Deficit Hyperactivity Disorder (ADHD) and Its Clinical Translation (2018) · cites this paper as Noreika et al., 2013
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“Attention-deficit/hyperactivity disorder is associated with inhibition, attention, working memory (WM), and timing deficits 2, 3, 4, 5”
From Effects of stimulants on brain function in attention-deficit/hyperactivity disorder: a systematic review and meta-analysis (2014) · cites this paper as [5]
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“…the BG including Parkinson’s disease, Huntington’s disease (Freeman et al., 1996), Tourette’s (Vicario et al., 2010), substance abuse (Wittmann et al., 2007), and attention deficit disorder (Noreika et al., 2013) have been associated with altered sensation of time or temporally patterned behavior.”
BackgroundPlichta, M. M., & Scheres, A. (2014) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.07.012 · Cited by 424
Rubia, K. (2018) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2018.00100 · Cited by 384
“Few studies have measured brain response to delay discounting tasks, which are impaired in ADHD, with, however, also some negative findings (Noreika et al., 2013).”
BackgroundResultInfluentialSelf-citationProperties of the Internal Clock: First- and Second-Order Principles of Subjective Time
Allman, M. J., Teki, S., Griffiths, T. D., & Meck, W. H. (2013) · Annual Review of Psychology · doi:10.1146/annurev-psych-010213-115117 · Cited by 388
“…heavily on external timekeepers and temporal organizers (clocks, calendars) to keep track of the temporal properties of events (i.e., when and for how long an event will occur), but we are also quite adept at keeping track of time on our own given the appropriate circumstances (Nobre & Coull 2010).”
Background
Metadata
- Authors
- Noreika, V., Falter, C. M., & Rubia, K.
- Affiliations
- University of Turku (FI)
- University of Groningen (NL)
- King's College London (GB)
- Corresponding author
- Noreika, Valdas
- Venue
- Neuropsychologia
- Publisher
- Elsevier BV
- Published
- 2013-01
- Volume
- 51
- Issue
- 2
- Pages
- 235-266
- ISSN
- 0028-3932 (ISSN-L)
- OpenAlex
- W2136109876
- Semantic Scholar
- 91baa62bc9566578be57372069278ef520b7ae43
- Cited by
- 339
- References
- 246
- Citations by year
- 2026: 23 · 2025: 19 · 2024: 21 · 2023: 24 · 2022: 26 · 2021: 33 · 2020: 27 · 2019: 23 · 2018: 30 · 2017: 24 · 2016: 28 · 2015: 22 · 2014: 21 · 2013: 16
- FWCI
- 13.93
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Neuropsychologia (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Research Portal (King's College London) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Funders
- European Cooperation in Science and Technology (COST) action on Time in Mental Activity (TIMELY, TD0904)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroscience and Music Perception
- Keywords
- attention deficit hyperactivity disorder, timing deficits, temporal processing, duration discrimination, delay discounting, frontoparietal network, executive function, working memory, impulsivity, inattention, methylphenidate, dopamine agonists
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Female, Humans, Male, Neuropsychological Tests, Perceptual Disorders, Time Perception, Neuroimaging
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