Do Executive Function Deficits Differentiate Between Adolescents with ADHD and Oppositional Defiant/Conduct Disorder? A Neuropsychological Study Using the Six Elements Test and Hayling Sentence Completion Test
Abstract
Two neuropsychological measures of executive functions--Six Elements Tests (SET) and Hayling Sentence Completion Test (HSCT)--were administered to 110 adolescents, aged 12-15 years. Participants comprised four groups: Attention Deficit Hyperactivity Disorder (ADHD) only (n = 35). ADHD and Oppositional Defiant Disorder/Conduct Disorder (ODD/CD) (n = 38), ODD/CD only (n = 11), and a normal community control group (n = 26). Results indicated that adolescents with ADHD performed significantly worse on both the SET and HSCT than those without ADHD, whether or not they also had ODD/CD. The adolescents with ADHD and with comorbid ADHD and ODD/CD were significantly more impaired in their ability to generate strategies and to monitor their ongoing behavior compared with age-matched controls and adolescents with ODD/CD only. It is argued that among adolescents with clinically significant levels of externalizing behavior problems, executive function deficits are specific to those with ADHD. The findings support the sensitivity of these two relatively new tests of executive functions and their ecological validity in tapping into everyday situations, which are potentially problematic for individuals with ADHD.
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Children with ADHD tend to show impaired planning abilities that can be restored with MPH.
“This observation is in line with previous research demonstrating that children with ADHD tend to show impaired planning abilities (e.g., Clarke, Prior, & Kinsella, 2000) that can be restored with MPH (e.g., Arnsten & Dudley, 2005).”
From Implementation Intentions Facilitate Response Inhibition in Children with ADHD (2008) · cites this paper as Clarke, Prior, & Kinsella, 2000
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- Authors
- Clark, C., Prior, M., & Kinsella, G. J.
- Affiliations
- La Trobe University (AU)
- Royal Children's Hospital (AU)
- ORCID
- Kinsella, Glynda J.
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2000-10
- Volume
- 28
- Issue
- 5
- Pages
- 403-414
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- OpenAlex
- W82962252
- Cited by
- 211
- References
- 12
- Citations by year
- 2025: 2 · 2024: 6 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 4 · 2018: 9 · 2017: 8 · 2016: 14 · 2015: 4 · 2014: 16 · 2013: 14 · 2012: 10
- FWCI
- 3.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Australian Research Council
- 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
- executive dysfunction, attention deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder, comorbidities, adolescents, strategy generation, self-monitoring, externalizing problems, neuropsychological assessment
- MeSH terms
- Adolescent, Analysis of Variance, Attention Deficit Disorder with Hyperactivity, Cognition, Diagnosis, Differential, Female, Humans, Male, Neuropsychological Tests, Psychiatric Status Rating Scales, Sensitivity and Specificity, Reproducibility of Results, Case-Control Studies, Conduct Disorder, Attention Deficit and Disruptive Behavior Disorders
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