Differences in Ex-Gaussian Parameters from Response Time Distributions Between Individuals with and Without Attention Deficit/Hyperactivity Disorder: A Meta-analysis
Abstract:Attention Deficit Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental disorders in childhood and adolescence. Differences in reaction times (RT) in cognitive tasks have been consistently observed between ADHD and typical participants. Instead of estimating means and standard deviations, fitting non-symmetrical distributions like the ex-Gaussian, characterized by three parameters (µ, σ, and τ), account for the whole RT distributions. A meta-analysis is performed with all the available … Show more
“…Although individuals with ADHD and typical controls exhibit noticeable differences in performance in numerous tests, there is still considerable controversy surrounding the outcomes of these tests [ 11 , 16 , 17 , 18 , 19 , 20 , 21 ]. Some studies suggest that inhibition and variation in reaction times are core features of ADHD, although others question this view [ 16 , 17 , 19 ].…”
Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder known for its significant heterogeneity and varied symptom presentation. Describing the different subtypes as predominantly inattentive (ADHD–I), combined (ADHD–C), and hyperactive–impulsive (ADHD–H) relies primarily on clinical observations, which can be subjective. To address the need for more objective diagnostic methods, this pilot study implemented a Microsoft Kinect-based Stroop Color–Word Test (KSWCT) with the objective of investigating the potential differences in executive function and motor control between different subtypes in a group of children and adolescents with ADHD. A series of linear mixture modeling were used to encompass the performance accuracy, reaction times, and extraneous movements during the tests. Our findings suggested that age plays a critical role, and older subjects showed improvements in KSWCT performance; however, no significant divergence in activity level between the subtypes (ADHD–I and ADHD–H/C) was established. Patients with ADHD–H/C showed tendencies toward deficits in motor planning and executive control, exhibited by shorter reaction times for incorrect responses and more difficulty suppressing erroneous responses. This study provides preliminary evidence of unique executive characteristics among ADHD subtypes, advances our understanding of the heterogeneity of the disorder, and lays the foundation for the development of refined and objective diagnostic tools for ADHD.
“…Intraindividual variability can be manifested as inconsistent or erratic RTs, where an individual may respond quickly on some trials and much more slowly on others, even when the stimuli and task demands remain constant. This measurement has been correlated to cognitive control deficits in people with ADHD (Bella-Fernández et al, 2023; Einziger et al, 2023; Kofler et al, 2013). On the other hand, we define that the interindividual variability in RT highlights the differences in RT performance between different individuals with ADHD, thus illustrating the heterogeneity of the disorder in a group of individuals with ADHD.…”
Section: Introductionmentioning
confidence: 99%
“…The intraindividual variability in individuals with ADHD has been widely analyzed with or without the ex-Gaussian distributions of RT (Hohle, 1965; Ratcliff, 1979), which has proven to be a valuable tool in characterizing differences in RT between individuals with ADHD and controls (Bella-Fernández et al, 2023; Bluschke et al, 2021; Buzy et al, 2009; Castellanos et al, 2009; Flehmig et al, 2007; Fredriksen et al, 2021; Galloway-Long et al, 2022; Gmehlin et al, 2014; Gu et al, 2013; Guo et al, 2022; Hervey et al, 2006; Horowitz et al, 2020; Kofler et al, 2013; Kuntsi & Klein, 2012; Lin et al, 2015; Leth-Steensen et al, 2000; Schmid et al, 2020; Schulz-Zhecheva et al, 2023; Vainieri et al, 2022; Vaurio et al, 2009). Computational models using ex-Gaussian distributions used in conjunction with clinical assessments refine our understanding of cognitive concepts as: slow processing speed, and inhibition failures, which are commonly found in Individuals with ADHD (Ging-Jehli et al, 2021; Nikolas et al, 2019).…”
Section: Introductionmentioning
confidence: 99%
“…Computational models using ex-Gaussian distributions used in conjunction with clinical assessments refine our understanding of cognitive concepts as: slow processing speed, and inhibition failures, which are commonly found in Individuals with ADHD (Ging-Jehli et al, 2021; Nikolas et al, 2019). In addition, many studies suggest that the tau parameter of these ex-Gaussian distributions is greater in ADHD than in control patients, thus meaning that a larger tau in individuals with ADHD reflects lapses of attention (Bella-Fernández et al, 2023; Gmehlin et al, 2016; Gu et al, 2013; Hwang-Gu et al, 2019; Kóbor et al, 2015; Leth-Steensen et al, 2000; Machida et al, 2022; Thomson et al, 2020).…”
Objective: Interindividual similarity refers to how similarly individuals respond when receiving the same stimulus or intervention. In this study, we aimed to examine interindividual similarity in adults with ADHD. Method: We used the cosine similarity index of ex-Gaussian reaction time (RT) vectors of mu, sigma, and tau parameters during a Stroop task. Results: Our results demonstrate that the ADHD group exhibits a reduced interindividual similarity index in their ex-Gaussian RT vectors for congruent stimuli compared to the healthy control group. Importantly, we did not find significant differences in the interindividual similarity index to incongruent stimuli between both groups, thus suggesting that this reduced index was selective for congruent stimuli. Conclusion: Our findings highlight that ADHD adults exhibit more significant interindividual differences in cognitive functioning when processing congruent stimuli than healthy controls. These results provide new insights into the selective mechanisms underlying ADHD and may contribute to developing new targeted interventions for this disorder.
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