A Context for Normalizing Impulsiveness at Work for Adults with Attention Deficit/Hyperactivity Disorder (Combined Type)
Abstract
Impaired executive function and impulsiveness or intolerance to boredom in adult attention deficit/hyperactivity disorder (ADHD) are thought to compromise performance at work. Several task parameters help people with ADHD to perform better on computerized cognitive tasks, namely reduced response-to-stimulus interval, discriminative feedback, or a format resembling a videogame. However, still very little is known about how these contexts might be helpful in a real work environment. We developed a computerized task resembling a fast-paced videogame with no response-to-stimulus interval and constant and diverse discriminative error feedback. The task included several measurements of high-order executive function (planning, working memory, and prospective memory) formatted as a single multitask simulating occupational activities (SOA). We also administered the Continuous Performance Test-II (CPT-II), a very simple vigilance task without discriminative feedback and with long response-to-stimulus intervals. We tested 30 adults answering to DSM-IV criteria of ADHD (combined type) and 30 IQ-matched adults without ADHD. As has been reported many times, the ADHD participants made significantly more errors of commission than the control participants on the CPT-II, whereas the two groups made the same number of errors of commission on the SOA. The ADHD group also sought discriminative feedback significantly more actively on the SOA than the control group and performed at par with the control group in all respects. There was no speed/accuracy trade-off, nor was there any evidence of other costs of normalization on the SOA. Impulsiveness in adult ADHD is compensable on a task simulating the work environment.
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It is commonly reported that ADHD patients are compulsive computer game players.
“It is commonly reported that ADHD patients are compulsive computer game players [23].”
From Gamification of Cognitive Assessment and Cognitive Training: A Systematic Review of Applications and Efficacy (2016) · cites this paper as [23]
Cites
Wechsler Abbreviated Scale of Intelligence
Dumont, R., Willis, J. O., Veizel, K., & Zibulsky, J. (2014) · Wiley eBooks · doi:10.1002/9781118660584.ese2519 · Cited by 5,547 · see citing works
Castellanos, F. X. (2002) · JAMA · doi:10.1001/jama.288.14.1740 · Cited by 1,646 · see citing works
Wechsler Individual Achievement Test
Smith, D. R. (2001) · Elsevier eBooks · doi:10.1016/b978-012058570-0/50008-2 · Cited by 1,416 · see citing works
Mannuzza, S. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820190067007 · Cited by 1,368 · see citing works
Increased prefrontal and parietal activity after training of working memory
Olesen, P. J., Westerberg, H., & Klingberg, T. (2004) · Nature Neuroscience · doi:10.1038/nn1165 · Cited by 1,317 · see citing works
Klivenyi, P., Andreassen, O. A., Ferrante, R. J., Dedeoglu, A., Mueller, G., Lancelot, E., Bogdanov, M., Andersen, J. K., Jiang, D., & Beal, M. F. (2000) · The Journal of Neuroscience · doi:10.1523/jneurosci.20-01-00001.2000 · Cited by 1,111 · see citing works
A developmental functional MRI study of prefrontal activation during performance of a go-no-go task
Casey, B. J., Trainor, R. J., Orendi, J. L., Schubert, A. B., Nystrom, L. E., Giedd, J. N., Castellanos, F. X., Haxby, J. V., Noll, D. C., Cohen, J. D., et al. (1997) · Journal of Cognitive Neuroscience · doi:10.1162/jocn.1997.9.6.835 · Cited by 1,106 · see citing works
Sonuga-Barke, E. J. S. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.09.008 · Cited by 962 · see citing works
Is ADHD a disinhibitory disorder?
Nigg, J. T. (2001) · Psychological Bulletin · doi:10.1037/0033-2909.127.5.571 · Cited by 893 · see citing works
Filipek, P. A., Semrud-Clikeman, M., Steingard, R. J., Renshaw, P. F., Kennedy, D. N., & Biederman, J. (1997) · Neurology · doi:10.1212/wnl.48.3.589 · Cited by 732 · see citing works
Attention-deficit/hyperactivity disorder in adults: an overview
Faraone, S. V., Biederman, J., Spencer, T. J., Wilens, T., Seidman, L. J., Mick, E. O., & Doyle, A. E. (2000) · Biological Psychiatry · doi:10.1016/s0006-3223(00)00889-1 · Cited by 676 · see citing works
Barkley, R. A., Edwards, G., Laneri, M., Fletcher, K., & Metevia, L. (2001) · Journal of Abnormal Child Psychology · doi:10.1023/a:1012233310098 · Cited by 638 · see citing works
Mehta, M. A., Owen, A. M., Sahakian, B. J., Mavaddat, N., Pickard, J. D., & Robbins, T. W. (2000) · The Journal of Neuroscience · doi:10.1523/jneurosci.20-06-j0004.2000 · Cited by 608 · see citing works
Hyperactive Children Grown Up: ADHD in Children, Adolescents, and Adults
Weiss, G., & Hechtman, L. T. (1993) · Medical Entomology and Zoology · Cited by 589 · see citing works
Barkley, R. A. (1997) · Psychological Bulletin · doi:10.1037//0033-2909.121.1.65 · Cited by 580 · see citing works
The impact of reinforcement contingencies on AD/HD: A review and theoretical appraisal
Luman, M., Oosterlaan, J., & Sergeant, J. A. (2005) · Clinical Psychology Review · doi:10.1016/j.cpr.2004.11.001 · Cited by 541 · see citing works
Krause, K.-H., Dresel, S. H., Krause, J., Kung, H. F., & Tatsch, K. (2000) · Neuroscience Letters · doi:10.1016/s0304-3940(00)01040-5 · Cited by 521 · see citing works
Schott, B. H., Minuzzi, L., Krebs, R. M., Elmenhorst, D., Lang, M., Winz, O. H., Seidenbecher, C. I., Coenen, H. H., Heinze, H.-J., Zilles, K., et al. (2008) · The Journal of Neuroscience · doi:10.1523/jneurosci.2058-08.2008 · Cited by 496 · see citing works
Altered reinforcement mechanisms in attention-deficit/hyperactivity disorder.
Sagvolden, T., Aase, H., Zeiner, P., & Berger, D. (1998) · PubMed · Cited by 491 · see citing works
A Comparison of the Neuropsychological Profiles of the DSM-IV Subtypes of ADHD
Chhabildas, N., Pennington, B. F., & Willcutt, E. G. (2001) · Journal of Abnormal Child Psychology · doi:10.1023/a:1012281226028 · Cited by 461 · see citing works
Dual-task performance in dysexecutive and nondysexecutive patients with a frontal lesion.
Baddeley, A., Sala, S. D., Papagno, C., & Spinnler, H. R. (1997) · Neuropsychology · doi:10.1037//0894-4105.11.2.187 · Cited by 406 · see citing works
A review of the biological bases of ADHD: What have we learned from imaging studies?
Durston, S. (2003) · Mental Retardation and Developmental Disabilities Research Reviews · doi:10.1002/mrdd.10079 · Cited by 388 · see citing works
Volkow, N. D., Wang, G.-J., Fowler, J. S., & Ding, Y.-S. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.11.006 · Cited by 368 · see citing works
The d2 Test of Attention: Construct validity and extensions in scoring techniques
Bates, M. E., & Lemay, E. P. (2004) · Journal of the International Neuropsychological Society · doi:10.1017/s135561770410307x · Cited by 356 · see citing works
Chan, P. A., & Rabinowitz, T. (2006) · Annals of General Psychiatry · doi:10.1186/1744-859x-5-16 · Cited by 351 · see citing works
Tripp, G., & Wickens, J. R. (2008) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2007.01851.x · Cited by 346 · see citing works
Altered reinforcement mechanisms in attention-deficit/hyperactivity disorder
Sagvolden, T., Aase, H., Zeiner, P., & Berger, D. (1998) · Behavioural Brain Research · doi:10.1016/s0166-4328(97)00170-8 · Cited by 345 · see citing works
Han, D. H., Lee, Y. S., Na, C., Ahn, J. Y., Chung, U., Daniels, M. A., Haws, C. A., & Renshaw, P. F. (2008) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2008.08.011 · Cited by 344 · see citing works
Scheres, A., Dijkstra, M., Ainslie, E., Balkan, J., Reynolds, B., Sonuga-Barke, E., & Castellanos, F. X. (2006) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2005.10.012 · Cited by 327 · see citing works
Reward anticipation and outcomes in adult males with attention-deficit/hyperactivity disorder
Ströhle, A., Stoy, M., Wrase, J., Schwarzer, S., Schlagenhauf, F., Huss, M., Hein, J., Nedderhut, A., Neumann, B., Gregor, A., et al. (2008) · NeuroImage · doi:10.1016/j.neuroimage.2007.09.044 · Cited by 323 · see citing works
Dual-task performance in dysexecutive and nondysexecutive patients with a frontal lesion.
Baddeley, A., Sala, S. D., Papagno, C., et al. (1997) · Neuropsychology · doi:10.1037/0894-4105.11.2.187 · Cited by 313 · see citing works
MALLOY-DINIZ, L., FUENTES, D., LEITE, W. B., CORREA, H., & BECHARA, A. (2007) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617707070889 · Cited by 306 · see citing works
Parsons, T. D., Bowerly, T., Buckwalter, J. G., & Rizzo, A. A. (2007) · Child Neuropsychology · doi:10.1080/13825580600943473 · Cited by 291 · see citing works
Plichta, M. M., Vasic, N., Wolf, R. C., Lesch, K.-P., Brummer, D., Jacob, C., Fallgatter, A. J., & Grön, G. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2008.07.008 · Cited by 272 · see citing works
Daytime sleepiness and insomnia as correlates of depression.
Fava, M. (2004) · PubMed · Cited by 243 · see citing works
Phillips, A. G., Ahn, S., & Floresco, S. (2004) · Journal of Neuroscience · doi:10.1523/jneurosci.4653-03.2004 · Cited by 230 · see citing works
How localized are age-related effects on neuropsychological measures?
Salthouse, T. A., Fristoe, N. M., & Rhee, S. H. (1996) · Neuropsychology · doi:10.1037/0894-4105.10.2.272 · Cited by 220 · see citing works
Clark, C., Prior, M., & Kinsella, G. J. (2000) · Journal of Abnormal Child Psychology · doi:10.1023/a:1005176320912 · Cited by 211 · see citing works
Frontoorbital volume reductions in adult patients with attention deficit hyperactivity disorder
Heßlinger, B., van Elst, L. T., Thiel, T., Haegele, K., Hennig, J., & Ebert, D. (2002) · Neuroscience Letters · doi:10.1016/s0304-3940(02)00554-2 · Cited by 202 · see citing works
Durston, S., Mulder, M., Casey, B. J., Ziermans, T. B., & van Engeland, H. (2006) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.12.020 · Cited by 198 · see citing works
Effects of reward and response costs on inhibition in ADHD children.
Iaboni, F., Douglas, V. I., & Baker, A. G. (1995) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.104.1.232 · Cited by 196 · see citing works
Konrad, A., Dielentheis, T. F., El Masri, D., Bayerl, M., Fehr, C., Gesierich, T., Vucurevic, G., Stoeter, P., & Winterer, G. (2010) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.2010.07110.x · Cited by 191 · see citing works
Sensitivity to Reward Delay in Children with Attention Deficit Hyperactivity Disorder (ADHD)
Tripp, G., & Alsop, B. (2001) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00764 · Cited by 170 · see citing works
Boonstra, A. M., Kooij, J. J. S., Oosterlaan, J., Sergeant, J. A., & Buitelaar, J. K. (2005) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803390490515757 · Cited by 157 · see citing works
(1994) · PubMed · Cited by 149 · see citing works
A guide to the treatment of adults with ADHD.
Weiss, M. D., & Weiss, J. (2004) · PubMed · Cited by 138 · see citing works
Event rate and event‐related potentials in ADHD
Wiersema, R., Van Der Meere, J., Roeyers, H., Van, C., & Baeyens, D. (2006) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2005.01592.x · Cited by 129 · see citing works
Continuous Performance Tests Are Sensitive to ADHD in Adults but Lack Specificity
Riccio, C. A., & Reynolds, C. R. (2001) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2001.tb05776.x · Cited by 125 · see citing works
GALLAGHER, R., & BLADER, J. (2001) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2001.tb05778.x · Cited by 119 · see citing works
Rubia, K. (2002) · Behavioural Brain Research · doi:10.1016/s0166-4328(01)00437-5 · Cited by 114 · see citing works
Boredom proneness and sleep disorders as predictors of adult attention deficit scores
Kass, S. J., Wallace, J. C., & Vodanovich, S. J. (2003) · Journal of Attention Disorders · doi:10.1177/108705470300700202 · Cited by 110 · see citing works
Shaw, R., Grayson, A., & Lewis, V. (2005) · Journal of Attention Disorders · doi:10.1177/1087054705278771 · Cited by 109 · see citing works
Vigilance and Sustained Attention in Children and Adults With ADHD
Tucha, L., Tucha, O. M., Walitza, S., Sontag, T. A., Laufkötter, R., Linder, M., & Lange, K. W. (2008) · Journal of Attention Disorders · doi:10.1177/1087054708315065 · Cited by 108 · see citing works
Itami, S., & Uno, H. (2002) · Neuroreport · doi:10.1097/00001756-200212200-00016 · Cited by 106 · see citing works
An Investigation of Prospective Memory in Children With ADHD
Kerns, K. A., & Price, K. J. (2001) · Child Neuropsychology · doi:10.1076/chin.7.3.162.8744 · Cited by 77 · see citing works
Target Detection Deficits in Frontal Lobectomy
Richer, F., Décary, A., Lapierre, M. F., Rouleau, I., Bouvier, G., & Saint-Hilaire, J. M. (1993) · Brain and Cognition · doi:10.1006/brcg.1993.1016 · Cited by 75 · see citing works
Kohls, G., Herpertz-Dahlmann, B., & Konrad, K. (2009) · Behavioral and Brain Functions · doi:10.1186/1744-9081-5-20 · Cited by 73 · see citing works
Assessing multitasking in children with ADHD using a modified Six Elements Test
Siklos, S. (2003) · Archives of Clinical Neuropsychology · doi:10.1016/s0887-6177(03)00071-4 · Cited by 70 · see citing works
Differences in feedback- and inhibition-related neural activity in adult ADHD
Dibbets, P., Evers, E. A. T., Hurks, P. P. M., Marchetta, N. D. J., & Jolles, J. (2009) · Brain and Cognition · doi:10.1016/j.bandc.2009.01.001 · Cited by 58 · see citing works
Drechsler, R., Rizzo, P., & Steinhausen, H.-C. (2010) · Child Neuropsychology · doi:10.1080/09297040903190774 · Cited by 56 · see citing works
Effects of Methylphenidate on Reward Strength in Boys with Attention-Deficit Hyperactivity Disorder
WILKISON, P. C., Kircher, J. C., McMahon, W. M., & Sloane, H. N. (1995) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199507000-00013 · Cited by 55 · see citing works
Neuropsychological Testing in Adult Attention Deficit Hyperactivity Disorder: A Pilot Study
Kovner, R., Budman, C. L., Frank, Y., Sison, C. P., LESSER, M. L., & Halperin, J. M. (1998) · International Journal of Neuroscience · doi:10.3109/00207459808986470 · Cited by 55 · see citing works
Laterality, Implicit Memory and Attention Disorder
Shaw, G. A., & Brown, G. (1991) · Educational Studies · doi:10.1080/0305569910170102 · Cited by 55 · see citing works
Jenkins, M., Cohen, R., Malloy, P., Salloway, S., GILLARD, E. T., Penn, J. V., & Marcotte, A. C. (1998) · The Clinical Neuropsychologist · doi:10.1076/clin.12.1.74.1725 · Cited by 54 · see citing works
Complex Prospective Memory in Children with ADHD
Kliegel, M., Ropeter, A., & Mackinlay, R. J. (2006) · Child Neuropsychology · doi:10.1080/09297040600696040 · Cited by 53 · see citing works
Hyperactivity and Incidental Memory: Evidence for Attentional Diffusion
Ceci, S. J., & Tishman, J. (1984) · Child Development · doi:10.1111/j.1467-8624.1984.tb03914.x · Cited by 53 · see citing works
Hyperactivity and Incidental Memory: Evidence for Attentional Diffusion
Ceci, S. J., & Tishman, J. (1984) · Child Development · doi:10.2307/1129791 · Cited by 46 · see citing works
Aylward, G. P., Brager, P., & Harper, D. C. (2002) · Developmental Neuropsychology · doi:10.1207/s15326942dn2103_5 · Cited by 45 · see citing works
A Simulated Workplace Experience for Nonmedicated Adults With and Without ADHD
Biederman, J., Mick, E. O., Fried, R. S., Aleardi, M., Potter, A., & Herzig, K. A. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.12.1617 · Cited by 42 · see citing works
Characterizing operant hyperactivity in the Spontaneously Hypertensive Rat.
Hill, J. C., Herbst, K., & Sanabria, F. (2012) · Behavioral and Brain Functions · doi:10.1186/1744-9081-8-5 · Cited by 41 · see citing works
Guimond, A., Braun, C. M. J., Rouleau, I., et al. (2006) · Experimental Aging Research · doi:10.1080/03610730600699100 · Cited by 19 · see citing works
Self-citationA Verbal Planning Impairment in Adult ADHD Indexed by Script Generation Tasks
Desjardins, C., Scherzer, P. B., Braun, C. M. J., Godbout, L., & Poissant, H. (2009) · Journal of Attention Disorders · doi:10.1177/1087054709347167 · Cited by 10 · see citing works
Self-citationThe Relative Importance of Suboperations of Prospective Memory
Guimond, A., Braun, C. M. J., Rouleau, I., & Godbout, L. (2008) · Applied Neuropsychology · doi:10.1080/09084280802324333 · Cited by 6 · see citing works
Self-citationMental Genesis of Scripts in Adolescents With Attention Deficit/Hyperactivity Disorder
Braun, C. M. J., Godbout, L., Desbiens, C., et al. (2004) · Child Neuropsychology · doi:10.1080/09297040490909332 · Cited by 4 · see citing works
Self-citationLong-term neuropsychological sequelae of fever associated with amnesia
Varney, N. R., Campbell, D. G., & Roberts, R. J. (1994) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/9.4.347 · Cited by 2 · see citing works
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Lumsden, J., Edwards, E. A., Lawrence, N. S., Coyle, D., & Munafò, M. R. (2016) · JMIR Serious Games · doi:10.2196/games.5888 · Cited by 555 · see citing works
“Nevertheless, as Delisle and Braun discuss [23], we must be cautious that liberal use of game mechanics does not reverse the very deficit we are hoping to measure.”
BackgroundInfluentialNeuropsychological Performance Patterns of Adult ADHD Subtypes
LeRoy, A., Jacova, C., & Young, C. (2019) · Journal of Attention Disorders · doi:10.1177/1087054718773927 · Cited by 45 · see citing works
- Authors
- Delisle, J., & Braun, C. M. J.
- Affiliations
- Université du Québec à Montréal (CA)
- Corresponding author
- Braun, C. M. J.
- Venue
- Archives of Clinical Neuropsychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-06-08
- Volume
- 26
- Issue
- 7
- Pages
- 602-613
- ISSN
- 0887-6177 (ISSN-L)
- 1873-5843
- OpenAlex
- W2312438894
- Cited by
- 49
- References
- 75
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 6 · 2022: 1 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 2 · 2013: 4 · 2012: 2
- FWCI
- 1.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Clinical Neuropsychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Decision Sciences › Information Systems and Management › Personal Information Management and User Behavior
- Keywords
- adult ADHD, combined type ADHD, impulsivity, executive function, commission errors, speed-accuracy trade-off, working memory, prospective memory, planning, sustained attention, employee performance
- MeSH terms
- Adult, Attention Deficit Disorder with Hyperactivity, Computer Simulation, Female, Humans, Impulsive Behavior, Male, Models, Psychological, Neuropsychological Tests, Psychomotor Performance, Work, Executive Function
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