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Neuropsychological functioning in stimulant-naive boys with hyperkinetic disorder
Abstract
BACKGROUND: Although children with hyperkinetic disorder and/or attention deficit hyperactivity disorder (ADHD) show disordered executive neuropsychological functioning, the nature of these changes remains controversial. Additionally, impairments in non-executive neuropsychological functioning have been relatively unexplored. Here, the authors describe the neuropsychological functioning of a sample of stimulant drug-naive boys with hyperkinetic disorder on a battery of neuropsychological tasks sensitive to impairments of both executive and non-executive functions. METHOD: Seventy-five stimulant drug-naive boys meeting diagnostic criteria for ICD-10 hyperkinetic disorder were compared with 70 healthy developing controls matched for age but not IQ on computerized tests of neuropsychological functioning from the Cambridge Neuropsychological Test Automated Battery (CANTAB) and a Go/No-Go inhibition task. RESULTS: Boys with hyperkinetic disorder exhibited impairments on tasks with a prominent executive component--working memory, planning, strategy formation, attentional set-shifting and on a reaction time task. However, they were also impaired on tasks without prominent executive components--pattern and spatial recognition, spatial span, delayed matching to sample and paired associates learning. Contrary to predictions, no impairment was observed on the Go/No-Go inhibition task. CONCLUSIONS: Medication-naive boys with hyperkinetic disorder displayed a broad range of neuropsychological impairments. Deficits were demonstrated on tasks with and without prominent executive components. Impairments were not confined to tasks dependent upon frontostriatal functioning, cannot wholly be explained by deficits in inhibitory control, nor can they be attributed to intelligence or previous exposure to stimulant medication.
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“Children and adults suffering from ADHD are known to display long-term memory deficits [9,45] which are often ascribed to deviant encoding rather than to problems during consolidation or retrieval [6].”
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“, 2004) and non-executive tasks (Rhodes et al., 2005).”
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“A recent large study showed no difference in the number of impulsive “no-go” errors between children with ADHD and controls on a “go–nogo” task.(40) On any given measure of executive function, only 16–50% of children with ADHD are found to be impaired.”
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“, (Kempton et al., 1999; Rhodes et al., 2005)), planning (e.”
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“First, ADHD is a pathophysiologically heterogeneous condition with different patients being affected to different degrees by different types of underlying deficits (Rhodes, Riby, Matthews, & Coghill, 2011b; Rhodes et al., 2005; Sonuga-Barke, 2002, 2005; Sonuga-Barke & Halperin, 2010).”
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“In addition, we found that ADHD and control groups also differed in restraint inhibition even though many previous studies have not revealed a deficit using a go no-go task (McLean et al., 2004; Rhodes et al., 2005; Westerberg et al., 2004).”
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“…mechanisms (Willcutt et al., 2005), altered reward or motivational pathways (Luman et al., 2005), abnormal processing of time-related cues (Toplak and Tannock, in submission), non-working memory (Rhodes et al., 2004, 2005) and diffuse abnormalities in energetics (Seargant, 2005).”
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Molecular genetics of attention-deficit/hyperactivity disorder: an overview
Banaschewski, T., Becker, K., Scherag, S., Franke, B., & Coghill, D. (2010) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-010-0090-z · Cited by 252
“ADHD is associated with various neuropsychological alterations, such as deficits in vigilance-attention, cognitive control, namely executive function deficits, non-executive memory deficits, and motivation, namely delay aversion, as well as millisecond timing deficits, state regulation failures, intraindividual fluctu…”
BackgroundSelf-citationCoghill, D. R., Seth, S., & Matthews, K. (2014) · Psychological Medicine · doi:10.1017/s0033291713002547 · Cited by 242
“Accordingly, we included measures covering those domains: memory (Rhodes et al. 2005, 2006; Coghill et al. 2007), inhibitory control (Solanto et al. 2001; Bedard et al. 2003; Crosbie et al. 2008), delay aversion (Sonuga-Barke et al. 1992a,b), decision making (Garon et al. 2006; DeVito et al. 2008),…”
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“Although working memory is not always found to be impaired in ADHD (Willcutt et al, 2005; Rhodes et al, 2005), our models predict a more specific impairment in the gating (rather than maintenance per se) of working memory representations.”
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“Children and adults suffering from ADHD are known to display long-term memory deficits [9,45] which are often ascribed to deviant encoding rather than to problems during consolidation or retrieval [6].”
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“We predicted that ADHD patients would perform normally on memory tests when the form of the self-referential encoding task employed in the Rogers et al. (1977) was used.”
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“Dyslexia was associated with deficits in phonological skills (phonological awareness, phonological memory and decoding) whereas AS was associated with increased response variability, deficits in attention and in visuo-spatial short-term memory (STM) (see also, Raberger & Wimmer, 2003; Rhodes et al., 2005; Willcutt et…”
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“…task most improved by both acute and chronic methylphenidate challenge, and was the strongest predictor of clinical changes with methylphenidate (Rhodes et al. 2004, 2005, 2006; Coghill et al. 2007), emphasizing that low as well as high executive demand cognitive functions are likely to play an…”
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Whither causal models in the neuroscience of ADHD?
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Self-citationRhodes, S. M., Coghill, D. R., & Matthews, K. (2006) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01633.x · Cited by 112
“We have previously described the wide range of executive and non-executive deficits at baseline (summarised in Table 2) (Rhodes et al., 2004, 2005).”
BackgroundSelf-citationOrigins of altered reinforcement effects in ADHD
Johansen, E., Killeen, P. R., Russell, V. A., Tripp, G., Wickens, J. R., Tannock, R., Williams, J., & Sagvolden, T. (2009) · Behavioral and Brain Functions · doi:10.1186/1744-9081-5-7 · Cited by 108
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“…working memory, self-regulation of affect–motivation–arousal, internalization of speech, and reconstitution (behavioral analysis and synthesis) (Barkley 1997b), although others have argued that impaired behavioral inhibition and executive function are independent of each other (Rhodes et al. 2005).”
BackgroundAutistic traits in children with ADHD index clinical and cognitive problems
Cooper, M., Martin, J., Langley, K., Hamshere, M. L., & Thapar, A. (2013) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-013-0398-6 · Cited by 119
“The measure used was whether the child had successfully completed stage 8, the crucial stage at which the extra-dimensional shift first occurs; this variable measures ability to shift attention to a previously irrelevant feature (known as set-shifting), akin to a change in category in the Wisconsin Card Sorting Task (…”
MethodExecutive neuropsychological functioning in individuals with Williams syndrome
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“…range of executive function deficits, including inhibition (Barkley, 1997), working memory (Kempton et al., 1999; Rhodes, Coghill, & Matthews, 2004; Rhodes et al., 2005) attentional set shifting and planning (Kempton et al., 1999; Rhodes et al., 2005; Willcutt, Sonuga-Barke, Nigg, & Sergeant,…”
BackgroundSelf-citationAre Motor Inhibition and Cognitive Flexibility Dead Ends in ADHD?
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Children with low working memory and children with ADHD: same or different?
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“…consistent with previous findings that when differences in basic processing skills are controlled, apparent executive impairments disappear both in ADHD and in children with reading difficulties (Rhodes et al., 2005; van Mourik et al., 2005; Willcutt et al., 2005b; Marzocchi et al., 2008).”
ResultGau, S. S.-F., & Shang, C.-Y. (2010) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145709990836 · Cited by 91
Executive functions predict conceptual learning of science
Rhodes, S., Booth, J. N., Palmer, L. E., Blythe, R. A., Delibegović, M., & Wheate, N. (2016) · British Journal of Developmental Psychology · doi:10.1111/bjdp.12129 · Cited by 98
“These four outcome measures have been described as key measures within a wealth of research studies including those with child samples (e.g. Curtis et al., 2002; Luciana & Nelson, 1998; Rhodes et al., 2005).”
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“…Park, Seth, and Coghill, 2012), and some evidence indicates these memory deficits in ADHD cannot be entirely attributed to the frontal lobe dysfunction or executive impairments commonly observed in this disorder (Rhodes, Coghill, and Matthews, 2004, 2005, 2006; Coghill, Rhodes, and Matthews, 2007).”
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Self-citationUtility of capromab pendetide (ProstaScint) imaging in the management of prostate cancer.
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“As it is increasingly recognized that children with ADHD show deficits in visuo-spatial WM (McInnes et al., 2003; Martinussen & Tannock, 2006; Rapport et al., 2008; Rhodes et al., 2005; Westerberg et al., 2004), these studies have not consistently investigated both verbal and visuo-spatial WM within the same populatio…”
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“Rhodes et al. (2005) documented that a sample of boys with International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) “hyperkinetic disorder” (ADHD) exhibited deficits on the CANTAB in working memory, planning, strategy formation, attention…”
BackgroundAttention-Deficit Hyperactivity Disorder (ADHD): Does New Research Support Old Concepts?
Furman, L. (2008) · Journal of Child Neurology · doi:10.1177/0883073808318059 · Cited by 59
“A recent study comparing 75 boys with “severe” ADHD with 70 matched controls, however, found no group differences on executive function inhibitory control tests.(42) Meta-analyses have demonstrated that executive function dysfunction is “neither necessary nor sufficient to have a causal role in ADHD.”
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Self-citationCoghill, D., & Seth, S. (2011) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-010-0142-4 · Cited by 53
“[5], that ADHD is associated with substantial cognitive impairments [ 7 ].”
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“Although we believe the executive disorder hypothesis is too constrained to fit the varied cognitive deficits in ADHD [Rhodes et al., 2005], it also finds some support in our data.”
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“In that study (Rhodes et al. 2005), reaction time (RT) on Go/No-Go tasks for these boys was similar to that for matched controls, suggesting that there is not a general deficit in inhibition in EF tasks in ADHD.”
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“Moreover, impairments with greater reductions in visual processing than in verbal processing are noted in ADHD (Rhodes et al. 2005).”
BackgroundInfluentialVisual memory as a potential cognitive endophenotype of attention deficit hyperactivity disorder
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“Several studies on the integrity of memory in ADHD have found impairments in visual memory (Rhodes et al. 2005).”
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“Beneficial effects of stimulant medication on memory functions have also been observed in children with ADHD (e.g., Bedard et al., 2004; Rhodes et al., 2005); however, there are also clear indications that drug treatment does not necessarily normalize memory functioning of children with ADHD…”
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“Researchers have used the CANTAB specifically to evaluate EF (Goldberg et al., 2005; Rhodes et al., 2005; Coghill et al., 2007; Gau and Shang, 2010b).”
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“…regulation, and delay aversion in ADHD (Castellanos et al. 2002), there is growing evidence of visual memory deficits in ADHD (Kempton et al. 1999; Rhodes et al. 2004, 2005), including impairment in spatial recognition memory (Kempton et al. 1999) and pattern recognition memory (Rhodes et al.…”
Puppets, robots, critics, and actors within a taxonomy of attention for developmental disorders
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“Children with P-ADHD often have response inhibition deficits (Barkley, 1997; McLean et al., 2004; Nigg, 2003; Pennington & Ozonoff, 1996; Rhodes et al., 2005; Schachar et al., 1995; Westerberg et al., 2004), especially on the stop signal task (Figure 3; Willcutt et al.”
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“The CANTAB system is a standard method of assessing individual differences in cognition, behavior and emotion in school-age children (Luciana 2003; Rhodes et al. 2005).”
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Self-citationInhibitory control after traumatic brain injury in children
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“…combined subtype, exhibit poorer inhibitory control relative to those with the inattentive subtype and healthy controls (e.g., Desman et al., 2008; Rhodes et al., 2005), other studies have shown similar inhibition deficits between subtypes (e.g., Bedard et al., 2003; Huang-Pollock et al., 2007;…”
BackgroundSemantic conflicts are resolved differently by adults with and without ADHD
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“The association found between DAT1 and SWM increases our understanding of how this gene contributes to ADHD susceptibility, because SWM is not only one of the main deficits in ADHD (Kempton et al., 1999; Rhodes et al., 2005), but also one of the important endophenotypes of ADHD (Gau and Shang, 2010).”
BackgroundEvidence for a Role of Executive Functions in Learning Biology
Rhodes, S., Booth, J. N., Campbell, L. E., Blythe, R. A., Wheate, N., & Delibegović, M. (2013) · Infant and Child Development · doi:10.1002/icd.1823 · Cited by 25
“Tasks are performed on a touch-screen computer and are highly suitable for use with children and adolescents (Rhodes, Riby, Matthews, & Coghill, 2011; Rhodes et al., 2005).”
MethodSelf-citationMatsuura, N., Ishitobi, M., Arai, S., Kawamura, K., Asano, M., Inohara, K., Fujioka, T., Narimoto, T., Wada, Y., Hiratani, M., et al. (2014) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-014-0032-5 · Cited by 25
“The computerized Cambridge Neuropsychological Test Automated Battery (CANTAB®) is one of the most widely used methods to assess EF in pediatric clinical populations [19-22].”
MethodRhodes, S. M., Murphy, D., & Hancock, P. J. B. (2011) · British Journal of Developmental Psychology · doi:10.1111/j.2044-835x.2010.02014.x · Cited by 23
“…in both child and adult populations (Curtis, Lindeke, Georgieff, & Nelson, 2002; Luciana & Nelson, 1998; Rhodes, Coghill, & Matthews, 2004; Rhodes et al., 2005, 2006; Robbins et al., 1994) and typical developmental trajectories of performance have been reported (Curtis et al., 2002;…”
BackgroundMethodSelf-citationTucha, L., Simpson, W. A., Evans, L., Birrel, L., Sontag, T. A., Lange, K. W., & Tucha, O. M. (2010) · Appetite · doi:10.1016/j.appet.2010.10.001 · Cited by 23
Memory and Self-knowledge in Young Adults with ADHD
Klein, S. B., Gangi, C. E., & Lax, M. L. (2010) · Self and Identity · doi:10.1080/15298861003741604 · Cited by 25
“Other studies, by contrast, suggest that episodic memory is impaired in ADHD (eg, Quinlan & Brown, 2003 ; Rashid, Morris, & Morris, 2001 ; Rhodes, Coghill, & Matthews, 2005 ).”
Lin, Y., Chen, W. J., & Gau, S. S. (2013) · Psychological Medicine · doi:10.1017/s0033291713002390 · Cited by 22
“Thus, our findings are in line with the hypothesis of broad and independent contributions of target sensitivity, alerting, verbal working memory, spatial span, visual short-term memory, spatial working memory and spatial planning to ADHD (Rhodes et al. 2005; Wahlstedt et al. 2009).”
BackgroundMethodResultInfluentialVallejo-Valdivielso, M., de Castro‐Manglano, P., Díez‐Suárez, A., Marín-Méndez, J. J., & Soutullo, C. A. (2019) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/1745017901915010160 · Cited by 21
Shang, C., Lin, H., & Gau, S. S. (2020) · Psychological Medicine · doi:10.1017/s0033291719003830 · Cited by 18
Lee, S., Hill, T. R., Johnson, B. P., Testa, R., Priya, V., Spencer‐Smith, M. M., & Coghill, D. (2022) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2022.0028 · Cited by 19
Self-citationThe Cambridge Neuropsychological Test Automated Battery in the Assessment of Executive Functioning
Wild, K. V., & Musser, E. D. (2013) · Springer eBooks · doi:10.1007/978-1-4614-8106-5_11 · Cited by 21
Kanevski, M., Booth, J. N., Oldridge, J., McDougal, E., Stewart, T. M., McGeown, S. P., & Rhodes, S. (2021) · Child Neuropsychology · doi:10.1080/09297049.2021.1985444 · Cited by 17
“Indeed, short-term memory, impaired in many children with ADHD (Rapport et al., 2008; Rhodes et al., 2005, 2012), is crucial for establishing networks for learned facts and retrieving these from long-term memory via linguistic and spatial codes (Dehaene & Cohen, 1995; Holmes & Adams, 2006).…”
BackgroundSelf-citationEaton, C. B., Yong, K., Walter, V., Mbizvo, G. K., Rhodes, S., & Chin, R. (2022) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013136.pub2 · Cited by 20
Self-citationThe interplay between executive control and motor functioning in Williams syndrome
Hocking, D. R., Thomas, D., Menant, J. C., Porter, M. A., Smith, S., Lord, S. R., & Cornish, K. M. (2013) · Developmental Science · doi:10.1111/desc.12042 · Cited by 16
Coghill, D. (2014) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12284 · Cited by 17
Self-citationFerrin, M., & Vance, A. (2014) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-013-0509-4 · Cited by 13
“During recent years, the CANTAB has been used to non-verbally evaluate memory, attention and executive function in different neuropsychiatric conditions, including ADHD [32, 60].”
Comparison of Neuropsychological Functioning Between Adults With Early- and Late-Onset DSM-5 ADHD
Lin, Y., & Gau, S. S. (2017) · Journal of Attention Disorders · doi:10.1177/1087054717730609 · Cited by 13
“Six CANTAB tasks were selected in this study and classified into low-executive function (low-EF) tasks and executive function (EF) tasks according to the EF demands (Lin, Chen, & Gau, 2013), as described by Rhodes et al. (2005).”
MethodShang, C., Chiang, H., & Gau, S. S. (2014) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2014.12.010 · Cited by 11
Self-Regulation of Visual Attention and Facial Expression of Emotions in ADHD Children
Kühle, H.-J., Kinkelbur, J., Andes, K., Heidorn, F. M., Zeyer, S., Rautzenberg, P., & Jansen, F. (2007) · Journal of Attention Disorders · doi:10.1177/1087054706289944 · Cited by 10
Nejati, V., & Ghayerin, E. (2024) · Basic and Clinical Neuroscience Journal · doi:10.32598/bcn.2022.2843.1 · Cited by 8
The Development of Associate Learning in School Age Children
Harel, B. T., Pietrzak, R. H., Snyder, P. J., Thomas, E. H. X., Mayes, L. C., & Maruff, P. T. (2014) · PLoS ONE · doi:10.1371/journal.pone.0101750 · Cited by 7
“diagnosis of brain disorders [15–18].”
Kanevski, M., Booth, J. N., Stewart, T. M., & Rhodes, S. (2023) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2023.104471 · Cited by 6
Self-citationNeurobehavioral Follow-Up of Children Exposed to Selective Serotonin Reuptake Inhibitors in Utero
Cohen, L. S., Rhodes, S., Claypoole, L. D., Góez-Mogollón, L. M., Sosinsky, A. Z., Moustafa, D., Noe, O. B., McElheny, S. A., Cheng, L. J., Bick, J. R., et al. (2022) · Annals of Clinical Psychiatry · doi:10.12788/acp.0074 · Cited by 4
Self-citationCesur, E., & Akyol, A. K. (2022) · Cukurova University Faculty of Education Journal · doi:10.14812/cuefd.1019686 · Cited by 5
Neuropsychological Profile of Children with Hyperkinetic Disorder
Kohli, A., Malhotra, S., & Khehra, N. (2014) · Journal of Indian Association for Child and Adolescent Mental Health · doi:10.1177/0973134220140303 · Cited by 5
Metadata
- Authors
- RHODES, S. M., COGHILL, D. R., & MATTHEWS, K.
- Affiliations
- University of Dundee (GB)
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2005-04-01
- Volume
- 35
- Issue
- 8
- Pages
- 1109-1120
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2063756651
- Cited by
- 126
- References
- 0
- Citations by year
- 2026: 5 · 2025: 1 · 2024: 7 · 2023: 1 · 2022: 5 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 5 · 2015: 2 · 2014: 12 · 2013: 16 · 2012: 4
- FWCI
- 4.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Strathprints: The University of Strathclyde institutional repository (University of Strathclyde) (acceptedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- Funders
- Tenovus
- 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 › Neural and Behavioral Psychology Studies
- Keywords
- hyperkinetic disorder, attention deficit hyperactivity disorder, executive function, neuropsychological deficits, boys, working memory, planning, strategy formulation, set-shifting, spatial recognition, paired-associate learning, inhibitory control, CANTAB
- MeSH terms
- Adolescent, Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Child, Cognition Disorders, Humans, Hyperkinesis, Male, Neuropsychological Tests, Severity of Illness Index, Diagnostic and Statistical Manual of Mental Disorders
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