Characterizing cognition in ADHD: beyond executive dysfunction

The hypothesis that Attention-Deficit/Hyperactivity Disorder (ADHD) reflects a primary inhibitory executive function deficit has spurred a substantial literature. However, empirical findings and methodological issues challenge the etiologic primacy of inhibitory and executive deficits in ADHD. Based...

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Veröffentlicht in:Trends in cognitive sciences 2006-03, Vol.10 (3), p.117-123
Hauptverfasser: Castellanos, F. Xavier, Sonuga-Barke, Edmund J.S., Milham, Michael P., Tannock, Rosemary
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container_issue 3
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container_title Trends in cognitive sciences
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creator Castellanos, F. Xavier
Sonuga-Barke, Edmund J.S.
Milham, Michael P.
Tannock, Rosemary
description The hypothesis that Attention-Deficit/Hyperactivity Disorder (ADHD) reflects a primary inhibitory executive function deficit has spurred a substantial literature. However, empirical findings and methodological issues challenge the etiologic primacy of inhibitory and executive deficits in ADHD. Based on accumulating evidence of increased intra-individual variability in ADHD, we reconsider executive dysfunction in light of distinctions between ‘hot’ and ‘cool’ executive function measures. We propose an integrative model that incorporates new neuroanatomical findings and emphasizes the interactions between parallel processing pathways as potential loci for dysfunction. Such a reconceptualization provides a means to transcend the limits of current models of executive dysfunction in ADHD and suggests a plan for future research on cognition grounded in neurophysiological and developmental considerations.
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subjects Attention Deficit Disorder with Hyperactivity - complications
Attention Deficit Disorder with Hyperactivity - physiopathology
Attention deficit disorders. Hyperactivity
Biological and medical sciences
Child clinical studies
Cognition Disorders - etiology
Cognition Disorders - physiopathology
Humans
Medical sciences
Motor Cortex - physiopathology
Prefrontal Cortex - physiopathology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
title Characterizing cognition in ADHD: beyond executive dysfunction
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