Cited by 127Attention Deficit Hyperactivity DisorderNeural and Behavioral Psychology StudiesDevelopmental and Educational Neuropsychology

Decision making in children with ADHD only, ADHD-anxious/depressed, and control children using a child version of the iowa gambling task

Garon, Nancy, Moore, Chris, Waschbusch, Daniel A.·2006·Journal of Attention Disorders

Abstract

OBJECTIVE: The goal of this study is to investigate decision making in children with ADHD using a child version of the Iowa Gambling Task (IGT). The effect of internalizing symptoms is also of interest. METHOD: Twenty-one children with ADHD (high anxiety/depression and no anxiety/depression) are compared to an age- and sex-matched control group on the gambling task. Children in the ADHD-alone group demonstrate impaired performance on the IGT. In contrast, children in the control group and the ADHD-anxiety/depression group learn to choose more from the advantageous decks over time. RESULTS: These findings of impaired decision making in children with ADHD parallel findings of real-life decision-making problems in this population. CONCLUSION: Furthermore, the findings suggest that having a high number of internalizing symptoms leads to better performance for children with ADHD on this variant of the IGT.

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Crossref · 10.1177/1087054705284501

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  • In Garon et al., the NCs made more advantageous decisions as the task progressed, whereas the children with ADHD (without a comorbid ID) did not show this pattern, and did not choose the advantageous decks more often than predicted by chance.

    “The NCs also made more advantageous decisions as the task progressed, whereas the children with ADHD (without a comorbid ID) did not show this pattern, and did not choose the advantageous decks more often than predicted by chance.”
  • Garon et al. found that children with ADHD (without a comorbid ID) less often chose the advantageous decks than NCs (Cohen's d = 1.14).

    “Garon et al. [47] used a child version of the IGT and found that children with ADHD (without a comorbid ID) less often chose the advantageous decks than NCs (Cohen’s d = 1.14).”
  • Children with ADHD and a comorbid ID (anxiety/depression) performed in a less risky fashion than children with ADHD without comorbidity, who could not be differentiated from NCs.

    “However, children with ADHD and a comorbid ID (anxiety/depression) performed in a less risky fashion than the children with ADHD without comorbidity, who could not be differentiated from the NCs [47].”
  • Children with ADHD and anxiety/depression did not differ from NCs on the child IGT (Cohen's d < 0.38).

    “The children with ADHD and anxiety/depression also did not differ from the NCs (Cohen’s d<0.38)”
  • As the child IGT progressed, children with ADHD and anxiety/depression made more advantageous choices.

    “and as the task progressed they made more advantageous choices.”

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Authors
Garon, N., Moore, C., & Waschbusch, D. A.
Affiliations
  • Dalhousie University (CA)
  • University at Buffalo, State University of New York (US)
Corresponding author
Garon, Nancy
Venue
Journal of Attention Disorders
Published
2006-05
Volume
9
Issue
4
Pages
607-619
ISSN
  • 1087-0547 (ISSN-L)
  • 1557-1246
OpenAlex
W2040968114
Cited by
127
References
87
Citations by year
2026: 1 · 2025: 2 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 11 · 2020: 6 · 2019: 8 · 2018: 5 · 2017: 5 · 2016: 8 · 2015: 8 · 2014: 5 · 2013: 10 · 2012: 12
FWCI
3.61
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Attention Disorders (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 › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
Keywords
attention deficit hyperactivity disorder, decision-making, Iowa Gambling Task, internalizing problems, anxiety, depression, children, risk assessment, emotion regulation
MeSH terms
Anxiety, Attention Deficit Disorder with Hyperactivity, Child, Decision Making, Depression, Female, Gambling, Humans, Iowa, Male, Socioeconomic Factors, Mood Disorders

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