Attention Deficits in Children With Combined Autism and ADHD: A CPT Study
Abstract
Objective: To investigate characteristics of attention in children with the combination of autism spectrum disorder (ASD) and ADHD. Method: Four groups of 8- to 10-year-old children were compared on the Conners’ Continuous Performance Test–Second Edition (CCPT-II): (a) ASD + ADHD ( n = 11), (b) ASD only ( n = 9), (c) ADHD only ( n = 38), and (d) no diagnosis ( n = 134). Results: There was an overall effect of group on the Continuous Performance Test (CPT) index and measures of hit reaction time, accuracy, response style, variability, and consistency. The ASD + ADHD group, much like the ADHD only group, had a more risky response style, a higher variability, and a lower consistency than the ASD only group. The impact of intellectual function on CCPT-II performance was considerable in children within the ASD subgroups. Conclusion: The findings underscore the importance of including measures of attention and intellectual function when assessing children with the combination of ASD and ADHD.
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On sustained attention tasks, children with ASD+ADHD perform worse and resemble the ADHD group in response time variability and attentional orientation impairments.
“Specifically, on sustained attention tasks, various studies show worse performance in children with ASD+ADHD, who were similar to the ADHD group in response time variability (Adamo et al., 2014;Lundervold et al., 2016) and attentional orientation impairments (Tye et al., 2014).”
From Children with autism and attention deficit hyperactivity disorder. Relationships between symptoms and executive function, theory of mind, and behavioral problems (2018) · cites this paper as Lundervold et al., 2016
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“Consistent with previous studies (Lundervold et al., 2012; Murphy et al., 2014), ASD+ADHD, ASD-only, and ADHDonly youths had more impairment in CPT response accuracy (i.e., omission and commission errors), relative to TD youths.”
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“The CPT is used to assess attention and control ability [7, 8, 19].”
MethodBiscaldi, M., Bednorz, N., Weissbrodt, K., Saville, C. W. N., Feige, B., Bender, S., & Klein, C. (2016) · Biological Psychology · doi:10.1016/j.biopsycho.2016.04.064 · Cited by 17 · see citing works
Effects of auditory white noise stimulation on sustained attention and response time variability
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“…be performing less impaired in the high-intensive condition with one-second ISI’s, while persons with inattention due to other disorders such as schizophrenia typically perform best under low-intensive stimulation, i.e., 4-s ISI (Egeland, 2012; López-Luengo et al., 2016; Lundervold et al., 2016).”
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“The Ethics Committee of the University of Fukui approved the study protocol (25-109).”
MethodEEG Source Imaging Indices of Cognitive Control Show Associations with Dopamine System Genes
McLoughlin, G., Palmer, J., Makeig, S., Bigdely-Shamlo, N., Banaschewski, T., Laucht, M., & Brandeis, D. (2017) · Brain Topography · doi:10.1007/s10548-017-0601-z · Cited by 9 · see citing works
“2004), ASD (Lundervold et al.”
BackgroundExecutive Function in ADHD and ASD: A Scoping Review
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“Lastly, Lundervold et al. (2016) did not identify any group difference in attention.”
Watkins, D. J., Meeker, J. D., Tamayo‐Ortiz, M., Sánchez, B. N., Schnaas, L., Peterson, K. E., & Téllez‐Rojo, M. M. (2021) · Environmental Research · doi:10.1016/j.envres.2021.110911 · Cited by 10 · see citing works
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Sustained attention and vigilance of children treated for sagittal and metopic craniosynostosis
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“, [20, 22, 23]), omission errors could be a possible QbTest marker to differentiate ASD with attentional deficits from ASD alone.”
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“Lundervold et al. (2016) 38 ADHD MA=10.0 9 ASD MA=10.3 11 ADHD+ASD MA=10.6 134 TD MA=9.7 78.1 92.2 87.1 93.8 The Conners’ Continuous Performance Test–”
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Adult ADHD in Other Neurodevelopmental Disorders
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Adaptive Behavior Function in Autism: Association with ADHD and ASD Symptoms
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Adult Attention Deficit Hyperactivity Disorder (ADHD) in ASD
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“They are diagnosed through structured interviews [7], screening scales [8] and continuous performance tests (CPT) [9].”
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“Individuals with ASD and ADHD showed worse performance on the attention test, such as the continuous performance test (CPT) [16].”
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Measuring Psychotropic Drug Effects and Side Effects
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- Authors
- Lundervold, A. J., Stickert, M., Hysing, M., Sørensen, L., Gillberg, C., & Posserud, M.-B.
- Affiliations
- Uni Research (Norway) (NO)
- University of Bergen (NO)
- Haukeland University Hospital (NO)
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2012-08-31
- Volume
- 20
- Issue
- 7
- Pages
- 599-609
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- OpenAlex
- W2143779198
- Cited by
- 55
- References
- 61
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 7 · 2021: 5 · 2020: 3 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 7 · 2015: 2 · 2014: 4 · 2013: 1
- FWCI
- 1.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Attention Disorders (publishedVersion)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- Funders
- University of Glasgow
- Helsedirektoratet
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- autism spectrum disorder, attention deficit hyperactivity disorder, attention, children, response styles, response variability, response consistency, intellectual functioning, executive function
- MeSH terms
- Autism Spectrum Disorder, Analysis of Variance, Attention, Attention Deficit Disorder with Hyperactivity, Child, Female, Humans, Inhibition, Psychological, Intelligence, Male, Neuropsychological Tests, Reaction Time
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