Working memory and organizational skills problems in ADHD
Open accessAbstract
Background: This study tested model‐driven predictions regarding working memory's role in the organizational problems associated with ADHD . Method: Children aged 8–13 ( M = 10.33, SD = 1.42) with and without ADHD ( N = 103; 39 girls; 73% Caucasian/Non‐Hispanic) were assessed on multiple, counterbalanced working memory tasks. Parents and teachers completed norm‐referenced measures of organizational problems ( Children's Organizational Skills Scale; COSS ). Results: Results confirmed large magnitude working memory deficits ( d = 1.24) and organizational problems in ADHD ( d = 0.85). Bias‐corrected, bootstrapped conditional effects models linked impaired working memory with greater parent‐ and teacher‐reported inattention, hyperactivity/impulsivity, and organizational problems. Working memory predicted organization problems across all parent and teacher COSS subscales ( R 2 = .19–.23). Approximately 38%–57% of working memory's effect on organization problems was conveyed by working memory's association with inattentive behavior. Unique effects of working memory remained significant for both parent‐ and teacher‐reported task planning, as well as for teacher‐reported memory/materials management and overall organization problems. Attention problems uniquely predicted worse organizational skills. Hyperactivity was unrelated to parent‐reported organizational skills, but predicted better teacher‐reported task planning. Conclusions: Children with ADHD exhibit multisetting, broad‐based organizational impairment. These impaired organizational skills are attributable in part to performance deficits secondary to working memory dysfunction, both directly and indirectly via working memory's role in regulating attention. Impaired working memory in ADHD renders it extraordinarily difficult for these children to consistently anticipate, plan, enact, and maintain goal‐directed actions.
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- Findingown data
Attention problems predict parent- and teacher-reported organizational problems after accounting for working memory.
“Attention problems uniquely predicted worse organizational skills.”
- Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
“After accounting for working memory, attention problems (b1 pathway) predicted parent- and teacher-reported organizational problems (p<.01).”
Quote in the paperSubstantial claim - Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
- Findingown data
Hyperactivity/impulsivity does not predict organizational problems.
“Hyperactivity was unrelated to parent-reported organizational skills, but predicted better teacher-reported task planning.”
- Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
“Hyperactivity/impulsivity (b2 pathway) failed to predict organizational problems (p≥.22).”
Quote in the paperSubstantial claim - Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
- Findingown data
Less-developed working memory predicts greater hyperactivity/impulsivity in both parent and teacher models.
“Bias-corrected, bootstrapped conditional effects models linked impaired working memory with greater parent- and teacher-reported inattention, hyperactivity/impulsivity, and organizational problems.”
- Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
“Less-developed working memory predicted greater attention problems (a1 pathway), hyperactivity/impulsivity (a2 pathway), and organizational problems (c pathway) for both parent and teacher models (p≤.01; Table 2).”
Quote in the paperSubstantial claim - Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
- Findingown data
Children with ADHD show large organizational problems, with a reported effect size of d=0.85.
“Results confirmed large magnitude working memory deficits (d=1.24) and organizational problems in ADHD (d=0.85).”
- Also stated in: § Tier 1 Between-Group Differences · plain
“The ADHD group showed large working memory deficits (d=−1.24) and Total Organizational Problems (d=0.85; Table 1).”
- Also stated in: § Discussion · plain
“As expected, ADHD predicted large-magnitude organizational problems (d=0.85).”
Quote in the paperSubstantial claim - Also stated in: § Tier 1 Between-Group Differences · plain
- Findingown data
Working memory and other-informant ADHD symptoms explain 19%-23% of variance in children's organizational problems.
“Working memory predicted organization problems across all parent and teacher COSS subscales (R2=.19–.23).”
- Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
“Working memory and other-informant ADHD symptoms explained 19%–23% of children’s organizational problems (R2=.19–.23, p<.05).”
Quote in the paperSubstantial claim - Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
- Findingown data
Working memory indirectly affects organizational problems via inattention in both parent and teacher models.
“Approximately 38%-57% of working memory’s effect on organization problems was conveyed by working memory’s association with inattentive behavior.”
- Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
“Working memory indirectly affected organizational problems via inattention (ab1 pathway) in both models (95% CIs exclude 0.0, indicating p<.05).”
Quote in the paperSubstantial claim - Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
- Findingown data
38%-57% of working memory's association with organizational problems is conveyed via its influence on ADHD-related attention problems.
“Approximately 38%-57% of working memory’s effect on organization problems was conveyed by working memory’s association with inattentive behavior.”
- Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
“Effect ratios indicated that 38%–57% of working memory’s association with organizational problems is conveyed via working memory’s influence on ADHD-related attention problems.”
Quote in the paperSubstantial claim - Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
- Findingown data
Working memory shows strong convergence with parent- and teacher-reported task planning, organized actions, memory/materials management, inattention, and hyperactivity/impulsivity.
“Working memory showed strong convergence with parent- and teacher-reported task planning, organized actions, memory/materials management, inattention, and hyperactivity/impulsivity (p<.05).”
Quote in the paperSubstantial claim - Findingown data
Indirect effects of working memory via hyperactivity/impulsivity are significant only for teacher-reported task planning, in the opposite direction of the working memory→attention problems→task planning relation.
“Indirect effects of working memory via hyperactivity/impulsivity were significant only for teacher-reported task planning, in the opposite direction of the working memory→attention problems→task planning relation.”
Quote in the paperNot a substantial claim - Findingown data
Accounting for indirect effects via ADHD symptoms, working memory continues to directly predict parent- and teacher-reported task planning and teacher-reported memory/materials management.
“Unique effects of working memory remained significant for both parent- and teacher-reported task planning, as well as for teacher-reported memory/materials management and overall organization problems.”
- Also stated in: § Tier 3 Exploratory Conditional Effects Models: COSS Subscales · plain
“Accounting for its indirect effects via ADHD symptoms, working memory continued to directly predict parent- and teacher-reported task planning and teacher-reported memory/materials management (pall<.05).”
Quote in the paperSubstantial claim - Also stated in: § Tier 3 Exploratory Conditional Effects Models: COSS Subscales · plain
- Findingown data
Children with ADHD show large working memory deficits, with a reported effect size of d=1.24.
“Results confirmed large magnitude working memory deficits (d=1.24) and organizational problems in ADHD (d=0.85).”
- Also stated in: § Tier 1 Between-Group Differences · plain
“The ADHD group showed large working memory deficits (d=−1.24) and Total Organizational Problems (d=0.85; Table 1).”
- Also stated in: § Discussion · boosted
“Further, children with ADHD exhibited very large working memory deficits (d=1.24), which was expected based on meta-analysis (Kasper et al., 2012) and extends this literature by demonstrating that ADHD-related working memory deficits persist when controlling for comorbidity.”
Quote in the paperSubstantial claim - Also stated in: § Tier 1 Between-Group Differences · plain
- Findingown data
Hyperactivity/impulsivity independently predicts task planning in the opposite direction of inattention's association.
“Hyperactivity/impulsivity independently predicted task planning in this model, again in the opposite direction of inattention’s association.”
Quote in the paperNot a substantial claim - Findingown data
Less-developed working memory predicts greater organizational problems in both parent and teacher models.
“Bias-corrected, bootstrapped conditional effects models linked impaired working memory with greater parent- and teacher-reported inattention, hyperactivity/impulsivity, and organizational problems.”
- Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
“Less-developed working memory predicted greater attention problems (a1 pathway), hyperactivity/impulsivity (a2 pathway), and organizational problems (c pathway) for both parent and teacher models (p≤.01; Table 2).”
Quote in the paperSubstantial claim - Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
- Findingown data
Less-developed working memory predicts greater attention problems in both parent and teacher models.
“Bias-corrected, bootstrapped conditional effects models linked impaired working memory with greater parent- and teacher-reported inattention, hyperactivity/impulsivity, and organizational problems.”
- Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
“Less-developed working memory predicted greater attention problems (a1 pathway), hyperactivity/impulsivity (a2 pathway), and organizational problems (c pathway) for both parent and teacher models (p≤.01; Table 2).”
Quote in the paperSubstantial claim - Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
- Findingown data
The 8 working memory performance variables were reduced to a single working memory indicator explaining 62.40% of variance with loadings .76-.82.
“Thus, the 8 working memory performance variables (4 blocks each for PHWM, VSWM) were reduced to a single working memory indicator (62.40% of variance explained; loadings=.76–.82).”
Quote in the paperSubstantial claim - Findingown data
The ADHD group differed significantly from the non-ADHD group on all COSS parent/teacher subscales with d=0.58-0.87.
“Between-group differences were significant for all COSS parent/teacher subscales (d=0.58–0.87).”
Quote in the paperSubstantial claim - Findingown data
In this study, working memory in children was associated with how adults rated the children's ability to meet deadlines, plan tasks, use planners, and track assignment due dates.
“The current study adds to this growing body of evidence, and indicates that children’s working memory covaries with adult perceptions of children’s skill at meeting deadlines and planning tasks, using planners, and tracking assignment due dates.”
Quote in the paperSubstantial claim - Findingown data
Attention difficulties were seen as harmful to task planning.
“Whereas attention problems were perceived as detrimental to task planning, hyperactivity appears to be viewed as facilitative, both directly and within the context of better-developed working memory.”
Quote in the paperSubstantial claim - Findingown data
More hyperactivity reported by parents was linked to better task planning as rated by teachers.
“Interestingly, children showed better teacher-reported task planning given greater parent-reported hyperactivity symptoms.”
Quote in the paperSubstantial claim - Premisecitation
Explicit instruction is less effective when working memory is underdeveloped because it constrains encoding, processing, and integration of skill-based instruction with existing knowledge.
“In addition, explicit instruction would be less effective in the context of underdeveloped working memory that constrains the encoding, processing, and integration of skill-based instruction with existing knowledge (Baddeley, 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Baddeley, 2007
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- Interpretationown data
Children with ADHD exhibit multi-setting, broad-based organizational impairment.
“Children with ADHD exhibit multi-setting, broad-based organizational impairment.”
- Also stated in: § Discussion · boosted
“This finding is consistent with conceptual models that highlight organizational skills deficits (Abikoff et al., 2013), and provides additional data confirming broad-based organizational problems in ADHD (Langberg et al., 2012).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Abikoff et al., 2013
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- cites Langberg et al., 2012
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- Also stated in: § Discussion · boosted
- Interpretationown data
Better working memory portends better task planning given greater hyperactivity symptoms but fewer attention problems.
“The indirect effect indicated that better working memory portended better task planning given greater hyperactivity symptoms but fewer attention problems.”
Quote in the paperSubstantial claim - Premisecitation
Children with ADHD frequently show organizational impairments related to planning tasks, tracking assignments, recalling due dates, and managing supplies.
“Organization is a multifaceted construct, and children with ADHD frequently show organizational impairments related to planning tasks, tracking assignments, recalling due dates, and managing supplies (Abikoff & Gallagher, 2009; Langberg, Epstein et al., 2011).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Abikoff & Gallagher, 2009
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- cites Langberg, Epstein et al., 2011
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- Interpretationreasoning
Teachers rated children as better task planners when they displayed fewer attention problems but greater hyperactivity/impulsivity.
“In other words, teachers rated children as better task planners when they displayed fewer attention problems, but greater hyperactivity/impulsivity.”
Quote in the paperSubstantial claim - Premisecitation
Core ADHD behavioral symptoms may limit exposure to appropriate scaffolding of organizational skills.
“Alternatively, core ADHD behavioral symptoms may limit exposure to appropriate scaffolding of organizational skills, either independently or in their role as a phenotypic sequelae of executive dysfunction (Rapport et al., 2008).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rapport et al., 2008
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- Interpretationreasoning
Impaired working memory in ADHD renders it extraordinarily difficult for these children to consistently anticipate, plan, enact, and maintain goal-directed actions.
“Impaired working memory in ADHD renders it extraordinarily difficult for these children to consistently anticipate, plan, enact, and maintain goal-directed actions.”
Quote in the paperSubstantial claim - Premisecitation
Children with ADHD do not report organizational difficulties.
“Interestingly, children with ADHD do not report organizational difficulties (Langberg et al., 2013), but parents, teachers, and objective observers are highly consistent in documenting large-magnitude impairments in this important area of functioning (Langberg et al., 2012).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Langberg et al., 2013
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- Premisecitation
Parents, teachers, and objective observers consistently document large-magnitude organizational impairments in children with ADHD.
“Interestingly, children with ADHD do not report organizational difficulties (Langberg et al., 2013), but parents, teachers, and objective observers are highly consistent in documenting large-magnitude impairments in this important area of functioning (Langberg et al., 2012).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Langberg et al., 2012
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- Study design and conductcitation
The BASC-2 Attention Problems and Hyperactivity subscales do not contain any items that explicitly assess organizational skills.
“Importantly, the BASC-2 Attention Problems and Hyperactivity subscales were considered appropriate predictors because they do not contain any items that explicitly assess organizational skills (Reynolds & Kamphaus, 2004).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Reynolds & Kamphaus, 2004
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- Study design and conductcitation
The sample size N=103 exceeds the N=54 required for bias-corrected bootstrapping to detect expected effects at α=.05, power=.80.
“Our N=103 exceeds the N=54 required for bias-corrected bootstrapping to detect expected effects of this magnitude for α=.05, power=.80 (Fritz & MacKinnon, 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Fritz & MacKinnon, 2007
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- Premisecitation
Working memory abilities support behavioral outcomes affected by ADHD, including impulse control, cooperating with others, dynamic social decoding, and delay tolerance.
“Working memory abilities also support behavioral outcomes affected by ADHD, including impulse control (Raiker et al., 2012), cooperating with others (Milinski & Wedekind, 1998), dynamic social decoding (Phillips et al., 2007), and delay tolerance (Patros et al., 2015).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Raiker et al., 2012
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- cites Milinski & Wedekind, 1998
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- cites Phillips et al., 2007
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- Premisecitation
Experimental studies suggest a potential causal role of working memory dysfunction for evoking ADHD-related inattentive and hyperactive behavior.
“Experimental studies suggest a potential causal role of working memory dysfunction for evoking ADHD-related inattentive and hyperactive behavior (Kofler et al., 2010; Rapport et al., 2009).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Kofler et al., 2010
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- cites Rapport et al., 2009
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- Interpretationown data
ADHD-related working memory deficits persist when controlling for comorbidity.
“Further, children with ADHD exhibited very large working memory deficits (d=1.24), which was expected based on meta-analysis (Kasper et al., 2012) and extends this literature by demonstrating that ADHD-related working memory deficits persist when controlling for comorbidity.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Kasper et al., 2012
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- Study design and conductcitation
The data reduction process improves construct specificity by removing variance from non-executive task demands, time-on-task effects, short-term memory modality, and other non-shared task parameters.
“Conceptually, this process improves construct specificity by removing variance from non-executive task demands, time-on-task effects (via inclusion of 4 blocks/task), short-term memory modality, and other non-shared task parameters (e.g., orthographic-to-phonological conversion; Alderson et al., 2016).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Alderson et al., 2016
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- Premisecitation
ADHD-related working memory impairments are linked with peer and parent-child relational problems.
“Converging evidence also links ADHD-related working memory impairments with ecologically valid, functional outcomes including peer (Bunford et al., 2014; Tseng & Gau, 2013) and parent-child relational problems (Kofler et al., 2016).”
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- cites Tseng & Gau, 2013
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- cites Kofler et al., 2016
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- Study design and conductcitation
The cross-sectional design precluded testing competing models regarding directional effects of working memory and ADHD symptoms.
“Notably, the cross-sectional design precluded testing competing models regarding directional effects of working memory and ADHD symptoms (i.e., reversing arrows does not distinguish plausible models; Thoemmes, 2015).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Thoemmes, 2015
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- Study design and conductown data
Tier 3 results must be considered exploratory due to strong intercorrelations among some COSS subscales that question the findings' statistical independence.
“Results were highly consistent with Tier 2 (Supplementary Tables S2–S3), but must be considered exploratory in light of strong intercorrelations among some COSS subscales that question the findings’ statistical independence (Table S1).”
Quote in the paperNot a substantial claim - Study design and conductcitation
Working memory was modeled to predict ADHD symptoms rather than vice versa based on prior theoretical work and experimental evidence.
“We modeled working memory to predict ADHD symptoms, rather than vice versa, based on prior theoretical work and experimental evidence that increasing working memory demands evokes inattentive and hyperactive behavior (Kofler et al., 2010; Rapport et al., 2009), whereas working memory deficits remain large when covarying attentive behavior during testing (Kofler et al., 2010).”
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- cites Rapport et al., 2009
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- Premisecitation
Better measures of executive function and working memory are strongly linked to ADHD symptoms and functional difficulties.
“This line of research has shown promise in recent years as refined tests of executive functioning (Snyder et al., 2015) and working memory (Rapport et al., 2013) have shown robust associations with ADHD behavioral symptoms and functional impairments.”
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- cites Rapport et al., 2013
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- Study design and conductcitation
The weighted average provides a more accurate estimate of construct stability than confirmatory approaches.
“This weighted average provides a more accurate estimate of construct stability than confirmatory approaches (Willoughby et al., 2015).”
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- Study design and conductcitation
Inattention and hyperactivity/impulsivity were included separately based on evidence that they differentially predict relations between working memory and other ADHD-related impairments.
“Inattention and hyperactivity/impulsivity were included separately based on evidence that they differentially predict relations between working memory and other ADHD-related impairments (Bunford et al., 2014).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bunford et al., 2014
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- Premisecitation
Organizational difficulties are a key contributor to functional impairment in ADHD.
“Organization problems are a major source of functional impairment in ADHD (Langberg et al., 2012).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Langberg et al., 2012
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- Premisecitation
Programs that reward organizational behavior without teaching skills produce benefits comparable to those that directly teach organizational skills.
“This finding may explain why behavioral interventions that reinforce organizational performance (e.g., turning in completed homework) without explicit skills training show similar, positive effects relative to programs that explicitly train organizational skills (Abikoff et al., 2013).”
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- Premisecitation
Tools like written lists, simplified multi-step directions, and reminders or redirection can lower the dual-processing load of holding information in working memory while also using it.
“For example, using written lists, breaking down multi-step instructions, and explicit reminders/redirection all inadvertently reduce the dual-processing demands involved in retaining relevant information in working memory while concurrently processing that and related information (Gathercole & Alloway, 2008).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gathercole & Alloway, 2008
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- Interpretationreasoning
Working memory weaknesses would severely hinder the planning and forethought required to arrange materials, foresee deadlines, block out distractions, and integrate current information with goals and existing knowledge.
“Working memory deficits would make it extraordinarily difficult to engage in the forethought and planning necessary to organize materials, anticipate deadlines, inhibit irrelevant internal and external stimuli, and simultaneously coordinate relevant, in vivo data with project goals and prior knowledge.”
Quote in the paperSubstantial claim - Premisecitation
Hyperactive behavior tends to rise when executive function demands are higher.
“However, this finding is consistent with meta-analytic evidence that hyperactive behavior increases as executive function demands increase (Kofler et al., 2016), as well as studies showing positive relations between hyperactivity and cognitive test performance in children with ADHD (Hartanto et al., 2016; Sarver et al., 2015).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Kofler et al., 2016
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- Interpretationown data
Hyperactive behavior might serve a useful purpose in some situations.
“The current study adds to this literature, and suggests that hyperactive behavior – despite being characterized as intrusive and detrimental (APA, 2013) – may be functional in at least some cases.”
Quote in the paperSubstantial claim - Premisecitation
Changes in ADHD symptoms from treatment, though not reaching normal levels, are strongly linked to organizational behavior.
“This hypothesis is consistent with the strong covariation between treatment-related improvements (but not normalization) in ADHD symptoms and organizational behavior (Abikoff et al., 2009)”
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- Premisecitation
The evidence so far indicates that behavioral treatments do not produce meaningful working memory gains in children with ADHD.
“Notably, this hypothesis remains highly speculative, and the limited available evidence suggests that behavioral interventions do not significantly improve working memory for children with ADHD (Hannesdottir et al., 2014; Steeger et al., 2016).”
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- cites Steeger et al., 2016
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In children with ADHD, hyperactivity is linked to better performance on cognitive tests.
“However, this finding is consistent with meta-analytic evidence that hyperactive behavior increases as executive function demands increase (Kofler et al., 2016), as well as studies showing positive relations between hyperactivity and cognitive test performance in children with ADHD (Hartanto et al., 2016; Sarver et al., 2015).”
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- cites Sarver et al., 2015
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At least four of the nine DSM-5 hyperactivity items refer to verbally intrusive behavior.
“Alternatively, at least 4 of 9 DSM-5 ‘hyperactivity’ items refer to verbally intrusive behavior (APA, 2013).”
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Working memory weaknesses are strongly continuous with inattentive, hyperactive, and impulsive ADHD symptoms, whether assessed objectively or via parent/teacher ratings.
“For example, working memory deficits show strong continuity with ADHD inattentive, hyperactive, and impulsive symptoms measured objectively (Kofler et al., 2010; Raiker et al., 2012; Rapport et al., 2009) and by parent/teacher report (Kofler et al., 2011).”
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- cites Raiker et al., 2012
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- cites Rapport et al., 2009
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- Interpretationcitation
Organizational problems reflect performance failures in the moment that stem from working memory lapses.
“Our finding support conceptualizations of organization problems as in situ performance deficits that are secondary to working memory ‘glitches’ (Abikoff et al., 2013).”
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- Interpretationcitation
ADHD organization problems are performance-based rather than knowledge-based.
“These findings support conceptualizations of ADHD organization problems as performance- rather than knowledge-based, which is consistent with clinical trials showing that skills training and performance-based reinforcement produced highly similar organizational outcomes (Abikoff et al., 2013).”
- Also stated in: § Discussion · hedged
“In other words, organizational and social problems in ADHD may not reflect a lack of knowledge, but rather difficulty implementing their knowledge in the moment.”
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- Also stated in: § Discussion · hedged
- Premisecitation
Teachers might provide more accurate reports of functional impairments than parents do.
“Alternatively, these findings may suggest different expectations for organizational behavior at home vs. school, but should be interpreted in light of evidence that teachers may be better reporters of functional impairments than parents (Langberg et al., 2013).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Langberg et al., 2013
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- Premisenone given
This study is the first to examine working memory, ADHD symptoms, and organizational problems together in a large, well-characterized sample.
“The current study was the first to investigate working memory processes, ADHD behavioral symptoms, and organizational problems in a large, well-defined sample.”
Quote in the paperNot a substantial claim - Interpretationcitation
When working memory is impaired, children with ADHD may need to act rapidly and impulsively to offset a stream of new thoughts that disrupt their focus on the task at hand.
“Impaired working memory would create a world in which children with ADHD must act quickly and without forethought to compensate for the inception of new and rapidly accumulating thoughts that interfere with the maintenance of task-oriented thoughts (Oberauer et al., 2016).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Oberauer et al., 2016
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- Interpretationown data
How parents and teachers judge a child's organizational problems depends mostly on how well the child processes information in real time.
“Parent and teacher perceptions of children’s organizational problems are predicated, to a large extent, on children’s ability to efficiently process information in the moment.”
Quote in the paperSubstantial claim - Interpretationcitation
When working memory is stronger, hyperactivity might act as a compensation that helps with planning and organization.
“In the context of better-developed working memory, this behavior may serve a compensatory function to aid in task planning and organizational behavior (Rapport et al., 2009).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rapport et al., 2009
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- Premisecitation
Speaking aloud can lower working memory load by putting thoughts outside the mind and reactivating sensory encoding and storage.
“That is, overt vocalizations decrease working memory demands by externalizing thoughts and re-engaging sensory encoding and storage buffers (Baddeley, 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Baddeley, 2007
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- Interpretationown data
Working memory problems appear to be involved in nearly every core symptom and functional difficulty linked to ADHD.
“Nonetheless, these results add to a growing body of literature implicating working memory dysfunction in most if not all of the key behavioral symptoms and functional impairments associated with ADHD.”
Quote in the paperSubstantial claim - Premisecitation
Sounds automatically enter the phonological loop.
“At the same time, auditory information gains automatic access to the phonological loop (Baddeley, 2007)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Baddeley, 2007
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- May combine two claims. 31
- Classified as probably not a substantial claim. 15
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Findingown dataAfter accounting for indirect effects, working memory continues to predict teacher-reported but not parent-reported organizational problems.
“Unique effects of working memory remained significant for both parent- and teacher-reported task planning, as well as for teacher-reported memory/materials management and overall organization problems.”
- Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
“After accounting for these effects, working memory continued to predict teacher-reported (p<.01) but not parent-reported (p=.26) organizational problems.”
Quote in the paperSubstantial claim- Also stated in: § Tier 2 Conditional Effects Models: Parent- and Teacher-Reported Organizational Problems · plain
May combine two claims.
Findingown dataWorking memory indirectly predicts task planning and organized actions (both informants), and memory/materials management (parent model only), via its influence on attention.
“In addition, working memory indirectly predicted task planning and organized actions (both informants), and memory/materials management (parent model only), via its influence on attention.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataEven after accounting for ADHD symptoms, working memory remained a predictor of task planning as rated by parents and teachers, and of teacher-rated memory/materials management and overall organizational problems.
“After accounting for working memory’s association with ADHD symptoms, working memory continued to predict parent- and teacher-reported task planning, as well as teacher-reported memory/materials management and overall organizational problems.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataHyperactivity was viewed as helpful for task planning, both on its own and when working memory was stronger.
“Whereas attention problems were perceived as detrimental to task planning, hyperactivity appears to be viewed as facilitative, both directly and within the context of better-developed working memory.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationExecutive dysfunction contributes to organizational problems by interfering with opportunities to learn and practice age-expected task planning and materials/project management.
“In this view, executive dysfunction contributes to organizational problems by interfering with opportunities to learn and practice age-expected task planning and materials/project management (Abikoff et al., 2013).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Abikoff et al., 2013
Not checked in the free run.
May combine two claims.
PremisecitationOrganizational problems are a critical yet understudied area of impairment for children with ADHD.
“Organizational problems are a critical yet understudied area of impairment for children with ADHD (Abikoff et al., 2013).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Abikoff et al., 2013
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationRecent conceptualizations highlight the role of executive dysfunction in ADHD-related organizational problems.
“Recent conceptualizations highlight the role of executive dysfunction in ADHD-related organizational problems (Bikic et al., 2017); however, to our knowledge no study has examined this link directly.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bikic et al., 2017
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PremisecitationOrganizational problems begin in elementary school for many children with ADHD and increase in severity as they progress in school.
“Organizational problems begin in elementary school for many children with ADHD, and increase in severity as they progress in school (Booster et al., 2012; Langberg, Molina et al., 2011), experience higher workloads (Evans et al., 2005), and experience increased expectations for personal responsibility from teachers and parents (Meyer et al., 2004).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Booster et al., 2012
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- cites Langberg, Molina et al., 2011
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May combine two claims.
Interpretationown dataImpaired organizational skills in ADHD are attributable in part to performance deficits secondary to working memory dysfunction, both directly and indirectly via working memory's role in regulating attention.
“These impaired organizational skills are attributable in part to performance deficits secondary to working memory dysfunction, both directly and indirectly via working memory’s role in regulating attention.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationDSM-5 diagnostic criteria for ADHD include several symptoms related to disorganization.
“The centrality of organization problems to ADHD is reflected in DSM-5 diagnostic criteria, which includes several symptoms related to disorganization (e.g., difficulty organizing tasks, failing to finish things; APA, 2013).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites APA, 2013
Not checked in the free run.
May combine two claims.
PremisecitationOrganizational problems continue into adulthood and portend academic underachievement and lower school grades concurrently and longitudinally into high school.
“These organization problems continue into adulthood (Bikic et al., 2017), and portend academic underachievement (Kent et al., 2011) and lower school grades both concurrently (Langberg, Epstein et al., 2011) and longitudinally into high school (Langberg, Molina et al., 2011) – even for intellectually gifted children with ADHD (Leroux & Levitt-Perlman, 2000).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Bikic et al., 2017
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- cites Kent et al., 2011
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- cites Langberg, Epstein et al., 2011
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May combine two claims.
PremisecitationChildren with ADHD frequently misplace materials, come to class unprepared, and have messy and disorganized lockers, backpacks, and desks.
“As a result, these children frequently misplace materials, come to class unprepared (Pelham et al., 2005), and have messy and disorganized lockers, backpacks, and desks (Atkins et al., 1989; Zentall et al., 1993).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Pelham et al., 2005
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- cites Atkins et al., 1989
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- cites Zentall et al., 1993
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May combine two claims.
PremisecitationPsychostimulant medication improves but does not normalize organizational impairments in ADHD.
“Psychostimulant medication appears to improve but not normalize these impairments (Abikoff et al., 2009).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Abikoff et al., 2009
Not checked in the free run.
Probably not a substantial claim: may not pass S1 (asserted).
PremisecitationWorking memory glitches have been proposed as causal mechanisms expressed phenotypically as problems with task planning, managing deadlines, and misplacing materials.
“In particular, ‘glitches’ in executive functions such as working memory have been proposed as causal mechanisms that are expressed phenotypically as problems with task planning, managing deadlines, and misplacing materials (Abikoff et al., 2013).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Abikoff et al., 2013
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Interpretationown dataWorking memory's impact on teacher-reported organizational problems is both direct and indirect, whereas its impact on parent-reported organizational problems is primarily indirect through inattentive symptoms.
“In other words, working memory’s impact on teacher-reported organizational problems is both direct and indirect, whereas its impact on parent-reported organizational problems is primarily indirect through its influence on inattentive symptoms.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisereasoningOrganizational skills have become a frequent target of behavioral interventions.
“Thus, it is not surprising that organizational skills have become a frequent target of behavioral interventions (Abikoff et al., 2013; Langberg et al., 2012).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Abikoff et al., 2013
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- cites Langberg et al., 2012
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Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe participant-to-factor ratio was acceptable.
“The participant (103) to factor (1) ratio was acceptable (Hogarty et al., 2005).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hogarty et al., 2005
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PremisecitationThe computerized working memory tests differentiate ADHD and non-ADHD groups and predict hyperactivity, inattention, and impulsivity.
“The Rapport et al. (2009) computerized working memory tests differentiate ADHD and non-ADHD groups (Kasper et al., 2012), and predict hyperactivity (Rapport et al., 2009), inattention (Kofler et al., 2010), and impulsivity (Raiker et al., 2012).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Kasper et al., 2012
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- cites Rapport et al., 2009
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- cites Kofler et al., 2010
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Study design and conductcitationThe study controlled for task impurity by selecting tasks differing on short-term memory modality, administering them on different days, and computing a weighted average based on intercorrelations.
“We controlled for task impurity (Conway et al., 2005) by selecting tasks that differed on short-term memory modality (phonological vs. visuospatial), administering them on different days, and computing a weighted average based on the intercorrelations among scores at each set size (i.e., factor score).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Conway et al., 2005
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductnone givenTo remove mono-informant bias, parent-reported ADHD symptoms were modeled to predict teacher-reported organizational problems, and vice versa.
“To remove mono-informant bias, parent-reported ADHD symptoms were modeled to predict teacher-reported organizational problems, and vice versa.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
PremisecitationPinpointing the brain mechanisms behind ADHD-related functional impairments might lead to better long-term results via treatments and accommodations informed by neuropsychology.
“Identifying the neurocognitive mechanisms that underlie ADHD-related functional impairments has the potential to improve long-term outcomes in ADHD via neuropsychologically-informed intervention and accommodation development (Chacko et al., 2013).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Chacko et al., 2013
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InterpretationcitationThe finding of large organizational problems in ADHD is consistent with conceptual models and provides additional data confirming broad-based organizational problems in ADHD.
“This finding is consistent with conceptual models that highlight organizational skills deficits (Abikoff et al., 2013), and provides additional data confirming broad-based organizational problems in ADHD (Langberg et al., 2012).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Abikoff et al., 2013
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- cites Langberg et al., 2012
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Study design and conductcitationThe working memory tasks have internal consistency α=.82-.97, 1-3-week test-retest reliability .76-.90, and expected relations with criterion working memory complex span (r=.69) and updating tasks (r=.61).
“Reliability and validity evidence includes internal consistency (α=.82–.97), 1–3-week test-retest reliability (.76–.90; Sarver et al., 2015), and expected relations with criterion working memory complex span (r=.69) and updating tasks (r=.61)(MASKED FOR REVIEW).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Sarver et al., 2015
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PremisecitationWorking memory strongly predicts math and ADHD-related reading deficits.
“In addition, working memory strongly predicts math (Swanson & Kim, 2007) and ADHD-related reading deficits (Friedman et al., 2016).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Swanson & Kim, 2007
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- cites Friedman et al., 2016
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Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataNo univariate or multivariate outliers were identified.
“No univariate/multivariate outliers were identified.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataParent COSS data were missing for N=7 due to experimenter error, leaving N=96 for parent-COSS models.
“Parent COSS data were missing for N=7 due to experimenter error (N=96 for parent-COSS models).”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataThe ADHD and Non-ADHD groups did not differ proportionally in clinical disorders other than ADHD overall or across diagnostic categories.
“Importantly, the ADHD and Non-ADHD groups did not differ proportionally in clinical disorders other than ADHD overall (χ2[1]=0.29, p=.59, ns), or across diagnostic categories (χ2[5]=5.11, p=.40, ns).”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationWorking memory serves as an interface between the environment and long-term memory and underlies learning skills including note-taking, listening comprehension, and following directions.
“Relevant to pediatric ADHD, working memory serves as an interface between the environment and long-term memory (Baddeley, 2007) and underlies myriad learning skills, including note-taking (McIntyre, 1992), listening comprehension (McInnes et al., 2003), and following directions (Jaroslawska et al., 2016).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Baddeley, 2007
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- cites McIntyre, 1992
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- cites McInnes et al., 2003
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Study design and conductcitationThe COSS has 2-3-week test-retest reliability .88-.99 and internal consistency α=.89-.98.
“The Children’s Organization Skills Scale (COSS; Abikoff & Gallagher, 2009) contains 66 (parent) and 42 (teacher) items that assess organizational problems in children ages 8–13 (2–3-week test-retest=.88–.99; α=.89–.98).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Abikoff & Gallagher, 2009
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PremisecitationWorking memory deficits are present in a substantial portion of children with ADHD and cannot be attributed to low motivation, visual inattention during testing, disinhibition, or inconsistent responding.
“Working memory deficits are present in a substantial portion of children with ADHD (Kasper et al., 2012), and importantly cannot be attributable to low motivation (Dovis et al., 2012, 2013), visual inattention during testing (Kofler et al., 2010), disinhibition (Alderson et al., 2010), or inconsistent responding (Kofler et al., 2014).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Kasper et al., 2012
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- cites Dovis et al., 2012, 2013
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- cites Kofler et al., 2010
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Study design and conductreasoningBias-corrected, bootstrapped conditional effects modeling allows shared variance among predictors to be parsed according to theory and previous research.
“Bias-corrected, bootstrapped conditional effects modeling was preferred because it allows shared variance among predictors to be parsed according to theory and previous research.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationWorking memory serves a critical role in guiding everyday behavior, shows strong convergence with laboratory-based planning tests, and regulates forethought and planning necessary to coordinate in vivo data and metadata.
“It serves a critical role in guiding everyday behavior, shows strong convergence with laboratory-based planning tests, and regulates the forethought and planning necessary to coordinate in vivo data and metadata (e.g., integrating the current step into the bigger picture/end goal; Baddeley, 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Baddeley, 2007
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Study design and conductown dataThe ADHD and non-ADHD groups did not differ in age, FSIQ, or SES, so no covariates were included in Tiers 2-3.
“In contrast, the ADHD/Non-ADHD groups did not differ in age (d=−0.14), FSIQ (d=−0.25), or SES (d= −0.02)(pall>.24); therefore, no covariates were included in Tiers 2–3.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationExpected effects were large-medium based on prior meta-analysis and medium organizational problems/ADHD symptom relations.
“Large-medium effects were predicted based on large working memory/ADHD symptom (d≥2.0; Kasper et al., 2012) and medium organizational problems/ADHD symptom relations (r=.21–.30; McBurnett et al., 2014).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Kasper et al., 2012
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- cites McBurnett et al., 2014
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Study design and conductcitationAbout 42% of the ADHD group was taking stimulant medication, which matches population estimates, but this could have weakened the observed associations since cognitive testing occurred off medication while parent and teacher ratings might be affected by medication.
“Approximately 42% of our ADHD sample was prescribed stimulant medication, which was broadly consistent with epidemiological estimates (39% to 69%; Froelich et al., 2007; Visser et al., 2014) but may have dampened association magnitudes when juxtaposing neurocognitive performance obtained off medication with parent/teacher perceptions that may be influenced by medication.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Froelich et al., 2007
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- cites Visser et al., 2014
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InterpretationcitationADHD organizational difficulties are mostly a consequence of working memory impairments, which then harm the ability to sustain attention and stay engaged with tasks.
“Overall, the current findings are consistent with model-driven predictions (Rapport et al., 2008), and suggest that organizational problems reflect, to a large extent, an outcome of impaired working memory processes that in turn negatively impact children’s ability to sustain attention and maintain consistent task engagement (McBurnett et al., 2014).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Rapport et al., 2008
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- cites McBurnett et al., 2014
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PremisecitationChildren with ADHD frequently arrive at class without needed materials, keep messy desks or lockers, lose items, and need help to meet deadlines and turn in homework.
“they often come to class unprepared, have disorganized desks/lockers, misplace materials, and require accommodations to manage deadlines and submit completed homework (Abikoff et al., 2012; Langberg et al., 2011; Power et al., 2006).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Abikoff et al., 2012
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- cites Langberg et al., 2011
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- cites Power et al., 2006 source
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Study design and conductreasoningBecause the ratings were cross-sectional and subjective, causal conclusions cannot be drawn, and the associations may be weakened by assessing cognition and organization in separate contexts.
“Nevertheless, cross-sectional, subjective ratings disallow causal attributions, and effect sizes may be blunted by measuring cognitive abilities and organizational skills in different settings.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductcitationThe working memory tasks used here also align strongly with real-world ADHD-related difficulties in peer relationships, reading comprehension, parent-child relationship quality, academic productivity, and organizational skills.
“The current study’s working memory tests also show strong convergence with ecologically-valid, ADHD-related impairments in peer functioning (Kofler et al., 2011), reading comprehension (Friedman et al., 2017), parent-child relationship quality, academic success/productivity (Kofler et al., 2016), and organizational skills (current study).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Kofler et al., 2011
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- cites Friedman et al., 2017
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- cites Kofler et al., 2016
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Study design and conductreasoningUsing subjective ratings of organization added error, such as halo effects or rater expectations, yet it also made the assessment more ecologically valid than analog tasks.
“Our reliance on subjective organizational ratings introduced error (e.g., negative halo, rater expectation), but also improved ecological validity relative to analog measures.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSocial problems in ADHD reflect performance rather than knowledge deficits.
“This interpretation also parallels recent conceptualizations of social problems in ADHD as reflecting performance rather knowledge deficits (de Boo & Prins, 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Boo & Prins, 2007
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Study design and conductreasoningOrganizational knowledge was not measured, and explicit memory processes could not be excluded since the working memory tasks demanded shorter retention than long-term goals typically require.
“Importantly, however, we did not assess organizational knowledge, and the role of explicit memory-related processes cannot be ruled out because our tests required children to retain information for a briefer duration than typically required for long-term goals and actions.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationOrganizational skills were still better than before after active treatment stopped.
“At first glance, this hypothesis appears incongruent with Abikoff et al.’s (2013) report that organizational skills remained improved after the end of active treatment”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Abikoff et al., 2013
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The paper relies on this without support.
Little is known about the mechanisms responsible for organizational deficits in ADHD.
“Despite clear evidence of organizational deficits and promising efficacy of organizational interventions in ADHD, little is known about the underlying mechanisms responsible for these deficits.”
The paper relies on this without support.
No prior study has directly examined the link between executive dysfunction and organizational problems in ADHD.
“Recent conceptualizations highlight the role of executive dysfunction in ADHD-related organizational problems (Bikic et al., 2017); however, to our knowledge no study has examined this link directly.”
The paper relies on this without support.
No prior study has investigated neurocognitive mechanisms associated with organizational problems in ADHD.
“To our knowledge, no study has investigated neurocognitive mechanisms associated with organizational problems in ADHD.”
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?
High levels of cognitive heterogeneity are present in children with ADHD.
“High levels of cognitive heterogeneity are present in children with ADHD (11, 12).”
From Executive functioning in children with ADHD: Investigating the cross-method correlations between performance tests and rating scales (2024) · cites this paper as [11]
The passage labeled Abstract > Conclusions says working-memory deficits occur in a substantial portion of children with ADHD, which supports variation in one cognitive ability. The paper does not establish high levels of heterogeneity across cognitive abilities more broadly. (LLM, conf=0.76)
Experimental — accuracy not yet measuredThe lack of ecological validity involved in EF cognitive tests may partly explain the lack of expected cross-methodological correlation.
“As argued by Toplak et al. (13), Ledochowski, Andrade & Toplak (16), and Kofler et al. (11), the lack of ecological validity involved in EF cognitive tests may partly explain the lack of expected cross-methodological correlation.”
From Executive functioning in children with ADHD: Investigating the cross-method correlations between performance tests and rating scales (2024) · cites this paper as Kofler et al. (11)
The Discussion’s Limitations section says measuring cognitive abilities and organizational skills in different settings may blunt effect sizes, which partly supports a cross-method explanation. But the Discussion reports strong convergence between brief laboratory working-memory tests and ecologically valid impairments; it does not argue that the tests’ limited ecological validity explains a lack of correlation. Page numbers are unavailable in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
ADHD subgroup girl percentages do not match the group total
MinorThe reported 37% girls among 68 children implies 25 girls. The inattentive and hyperactive/impulsive subgroups imply 12 and 1 girls, leaving 12 of 37 in the combined subgroup-about 32%, not the reported 34%.
“The ADHD group (N=68, 37% girls)”
“ADHD Combined (n=37, 34% girls), Inattentive (n=27, 44% girls), or Hyperactive/Impulsive Presentation (n=4, 25% girls)”
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“In the context of better-developed working memory, this behavior may serve a compensatory function to aid in task planning and organizational behavior (Rapport et al., 2009).”
InfluentialSelf-citationEmotion dysregulation is associated with social impairment among young adolescents with ADHD
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“For example, working memory deficits show strong continuity with ADHD inattentive, hyperactive, and impulsive symptoms measured objectively (Kofler et al., 2010; Raiker et al., 2012; Rapport et al., 2009) and by parent/teacher report (Kofler et al., 2011).”
InfluentialSelf-citationWorking Memory Deficits and Social Problems in Children with ADHD
Kofler, M. J., Rapport, M. D., Bolden, J., Sarver, D. E., Raiker, J. S., & Alderson, R. M. (2011) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-011-9492-8 · Cited by 227 · cited 5× · see citing works
“The current study’s working memory tests also show strong convergence with ecologically-valid, ADHD-related impairments in peer functioning (Kofler et al., 2011), reading comprehension (Friedman et al., 2017), parent-child relationship quality, academic success/productivity (Kofler et al., 2016),…”
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Working memory constrains human cooperation in the Prisoner’s Dilemma
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“…deficits are present in a substantial portion of children with ADHD (Kasper et al., 2012), and importantly cannot be attributable to low motivation (Dovis et al., 2012, 2013), visual inattention during testing (Kofler et al., 2010), disinhibition (Alderson et al., 2010), or inconsistent responding…”
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“Reliability and validity evidence includes internal consistency (α=.82–.97), 1–3-week test-retest reliability (.76–.90; Sarver et al., 2015), and expected relations with criterion working memory complex span (r=.69) and updating tasks (r=.61)(MASKED FOR REVIEW).”
Self-citationFunctional Impairments in Children With ADHD
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Self-citationPatterns of parent-reported homework problems among ADHD-referred and non-referred children.
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“…a substantial portion of children with ADHD (Kasper et al., 2012), and importantly cannot be attributable to low motivation (Dovis et al., 2012, 2013), visual inattention during testing (Kofler et al., 2010), disinhibition (Alderson et al., 2010), or inconsistent responding (Kofler et al., 2014).”
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“…a substantial portion of children with ADHD (Kasper et al., 2012), and importantly cannot be attributable to low motivation (Dovis et al., 2012, 2013), visual inattention during testing (Kofler et al., 2010), disinhibition (Alderson et al., 2010), or inconsistent responding (Kofler et al., 2014).”
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Executive Functioning Heterogeneity in Pediatric ADHD
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Self-citationA meta-analysis on verbal working memory in children and adolescents with ADHD
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Executive functioning rating scales: Ecologically valid or construct invalid?
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“…deficits negatively impact areas of social/peer and family relations (Clark et al., 2002; Gewirtz et al., 2009; Kofler et al., 2016), organizational skills (Kofler et al., 2018), occupational functioning (Barkley et al., 2008; Miller et al., 2012), and academic achievement (Best et al., 2009).”
BackgroundMethodInfluentialSelf-citationCulture and psychopathology: An attempt at reconsidering the role of social learning
Fonagy, P., Campbell, C., Constantinou, M., Higgitt, A., Allison, E., & Luyten, P. (2021) · Development and Psychopathology · doi:10.1017/s0954579421000092 · Cited by 109 · see citing works
Working memory and short-term memory deficits in ADHD: A bifactor modeling approach
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“The Rapport et al. (2009) computerized working memory tests and their administration instructions are identical to those described in Kofler et al. (2018).”
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An Examination of Relations Among Working Memory, ADHD Symptoms, and Emotion Regulation
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What cognitive processes are “sluggish” in sluggish cognitive tempo?
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Self-citationExecutive functions and writing skills in children with and without ADHD.
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Executive function deficits in attention-deficit/hyperactivity disorder and autism spectrum disorder
Kofler, M. J., Soto, E. F., Singh, L. J., Harmon, S. L., Jaisle, E. M., Smith, J. N., Feeney, K. E., & Musser, E. D. (2024) · Nature Reviews Psychology · doi:10.1038/s44159-024-00350-9 · Cited by 51 · see citing works
“…executive function components, as well as tests of additional neurocognitive and behavioural processes that are, at least in part, considered to be outcomes of the three core executive functions in the ‘unity and diversity’ framework (such as planning, organizing and attentional focus) 39,44,46 .”
InfluentialSelf-citationKofler, M. J., Sarver, D. E., Austin, K. E., Schaefer, H. S., Holland, E., Aduen, P. A., Wells, E. L., Soto, E. F., Irwin, L. N., Schatschneider, C., et al. (2018) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000308 · Cited by 46 · see citing works
Self-citationThe relationship between executive functions and writing in children: a systematic review
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“…skill-sets (e.g. social skills training) in children with ADHD may be due to the fact that these children possess the ageexpected skills but instead have difficulty implementing these skills consistently due to working memory and/or attention difficulties (Aduen et al., 2018; Kofler et al., 2018).”
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Alsaad, M. S., Al-Jabri, B., & Almarzouki, A. (2021) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2021.686873 · Cited by 32 · see citing works
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Mindfulness Meditation Improves Visual Short-Term Memory
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Cognitive characteristics of intellectually gifted children with a diagnosis of ADHD
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Attention Deficit and Hyperactivity Disorder
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Are Reading Interventions Effective for At-Risk Readers with ADHD? A Meta-Analysis
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Self-citationSustained attention plays a critical role in reading comprehension of adults with and without ADHD
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- Authors
- Kofler, M. J., Sarver, D. E., Harmon, S. L., Moltisanti, A., Aduen, P. A., Soto, E. F., & Ferretti, N.
- Affiliations
- Florida State University (US)
- University of Mississippi Medical Center (US)
- University of Virginia (US)
- Corresponding author
- Kofler, Michael J.
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2017-07-17
- Volume
- 59
- Issue
- 1
- Pages
- 57-67
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- PMC
- PMC5729117
- OpenAlex
- W2735684501
- Semantic Scholar
- 590842bd6b1d311f755e5b69ae3e3a03dfe6c20d
- Cited by
- 125
- References
- 82
- Citations by year
- 2026: 14 · 2025: 23 · 2024: 16 · 2023: 21 · 2022: 12 · 2021: 16 · 2020: 11 · 2019: 3 · 2018: 8 · 2017: 1
- FWCI
- 5.17
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R34 MH102499‐01)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Keywords
- attention deficit hyperactivity disorder, working memory deficits, organizational skills, inattention, hyperactivity/impulsivity, task planning, parent and teacher ratings, children, attentional control
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Female, Humans, Male, Memory Disorders, Memory, Short-Term
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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