Semin Speech Lang 2004; 25(3): 241-254
DOI: 10.1055/s-2004-833672
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Perspectives on Attention Deficit Hyperactivity Disorder: Executive Functions, Working Memory, and Language Disabilities

Carol Westby1 , Silvana Watson2
  • 1University of New Mexico, Albuquerque, New Mexico
  • 2Old Dominion University, Norfolk, Virginia
Further Information

Publication History

Publication Date:
10 September 2004 (online)

The conceptualization of the nature of attention deficit hyperactivity disorder (ADHD) has changed in the last decade. ADHD is now viewed as a neurologically based condition with primary deficits in executive functions and working memory (WM). Students with ADHD have deficits in discourse organization, inferring, and monitoring that are related to their executive function and WM deficits. A large number of students with ADHD also have comorbid reading and language disabilities that exist in addition to the deficits directly associated with the ADHD. Comprehensive evaluation of students with ADHD is essential to address their specific learning needs.

REFERENCES

  • 1 Barkley R A. Attention-Deficit Hyperactivity Disorder. New York; Guilford Press 1998
  • 2 American Psychiatric Association .Diagnostic and Statistical Manual of Mental Disorders, 3rd ed. Washington, DC; APA 1980
  • 3 American Psychiatric Association .Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC; APA 1980
  • 4 Carte E T, Nigg J T, Hinshaw S P. Neuropsychological functioning, motor speed, and language processing in boys with and without ADHD.  J Abnorm Child Psychol. 1996;  24 481-498
  • 5 Mahone E M, Cirino P T, Cutting L E et al.. Validity of the behavior rating inventory of executive function in children with ADHD and/or Tourette syndrome.  Arch Clin Neuropsychol. 2002;  17 643-662
  • 6 Pineda D, Ardila A, Rosselli M et al.. Executive dysfunctions in children with attention deficit hyperactivity disorder.  Int J Neurosci. 1998;  96 177-196
  • 7 Barkley R A. ADHD and the Nature of Self-Control. New York; Guilford Press 1997
  • 8 McInnes A, Humphries T, Hogg-Johnson S, Tannock R. Listening comprehension and working memory are impaired in attention-deficit hyperactivity disorder.  J Abnorm Child Psychol. 2003;  31 427-443
  • 9 Quay H C. Inhibition and attention deficit hyperactivity disorder.  J Abnorm Child Psychol. 1997;  25 7-13
  • 10 Schachar R, Tannock R, Logan G. Inhibitory control, impulsiveness, and attention deficit hyperactivity disorder.  Clin Psychol Rev. 1993;  13 721-739
  • 11 Barkley R A. Attention Deficit and Hyperactivity Disorder: a Handbook for Diagnosis and Treatment. New York; Guilford Press 1990
  • 12 Trennery M R, Crosson B, DeBoe J, Leber W R. Stroop Neurological Screening Test Manual. Odessa, FL; Psychological Assessment Resources 1988
  • 13 Golden C J, Freshwater S M. Stroop Color and Word Test: Revised Examiner's Manual. Chicago, IL; Stoelting 2002
  • 14 Gerstadt C L, Hong Y J, Diamond A. The relationship between cognition and action: Performance of children 3œ to 7 years on a Stroop-like day-night test.  Cognition. 1994;  53 129-153
  • 15 Grant D A, Berg E A. Wisconsin Card Sorting Test (WCST). San Antonio, TX; Psychological Corporation 1993
  • 16 Reitan R M. Trail Making Tests: Manual for Administration and Scoring. Tucson, AZ; Neuropsychology Press 1992
  • 17 D'Elia L, Satz P. Color Trails 1 and 2. Odessa, FL; Psychological Corporation 1989
  • 18 Benton A L, Hamster K de S, Varney N, Spreen O. Contributions to Neuropsychological Assessment, 2nd ed. New York; Oxford Press 1998
  • 19 Lovejoy D W, Ball J D, Keats M et al.. Neuropsychological performance of adults with attention deficit hyperactivity disorder (ADHD): diagnostic classification estimates for measures of frontal lobe/executive functioning.  J Int Neuropsychol Soc. 1999;  5 222-233
  • 20 Schneider W, Pressley M. Memory Development Between Two and Twenty. Mahwah, NJ; Erlbaum 1997
  • 21 Baddeley A. Working Memory. New York; Oxford University Press 1986
  • 22 Case R. Intellectual Development. Orlando, FL; Academic Press 1985
  • 23 Pascual-Leone J. Reflections on working memory: Are the two models complementary.  J Exp Child Psychol. 2000;  77 138-154
  • 24 Kemps E, De Rammelaere S, Desmet T. The development of working memory: exploring the complementarity of two models.  J Exp Child Psychol. 2000;  77 89-109
  • 25 de Ribaupierre A, Bailleau C. The development of working memory: further note on the comparability of two models of working memory.  J Exp Child Psychol. 1999;  7 110-127
  • 26 Goldman-Rakic P. Working memory and the mind.  Scientific American. 1992;  267 111-117
  • 27 Linderholm T. Predictive inference generation as a function of working memory capacity and causal text constraints.  Discourse Processes. 2002;  34 259-280
  • 28 Johnson J, Fabian V, Pascual-Leone J. Quantitative hardware stages that constrain language development.  Hum Dev. 1989;  32 245-271
  • 29 Lahey M, Bloom L. Variability and language learning disabilities. In: Wallach G, Butler K Language Learning Disabilities in School-Age Children and Adolescents New York; Merrill 1994: 354-392
  • 30 Zwann R, Radvansky G A. Situation models in language comprehension and memory.  Psychol Bull. 1998;  123 162-185
  • 31 Daneman M, Carpenter P A. Individual difference in working memory and reading.  J Verbal Learning Verbal Behavior. 1980;  19 450-466
  • 32 Gaulin C, Campbell T. Procedure for assessing verbal working memory in normal school-age children: some preliminary data.  Percept Mot Skills. 1984;  79 55-64
  • 33 Baddely A, Logie R, Nimmo-Smith I, Brereton N. Components of fluent reading.  J Mem Lang. 1985;  24 119-131
  • 34 Cohen M. Children's Memory Scale. Lutz, FL; Psychological Assessment Resources 2003
  • 35 Wechsler D. Wechsler Intelligence Scale for Children, 4th ed. San Antonio, TX; Psychological Corporation 2003
  • 36 Marton K, Schwartz R G. Working memory capacity and language processes in children with specific language impairment.  J Speech Lang Hear Res. 2003;  46 1138-1153
  • 37 Montgomery J W. Understanding the language difficulties of children with specific language impairments: does verbal working memory matter?.  Am J Speech Lang Pathol. 2000;  11 77-91
  • 38 Weismer S E. Capacity limitation in working memory: the impact of lexical and morphological learning by children with language impairment.  Topics in Language Disorders. 1996;  17 33-44
  • 39 Karatekin C, Asarnow R F. Working memory in childhood-onset schizophrenia and attention deficit/hyperactivity disorder.  Psychiatry Res. 1998;  80 165-176
  • 40 Schweitzer J B, Faber T L, Grafton S T et al.. Alterations in the functional anatomy of working memory in adult attention deficit hyperactivity disorder.  Am J Psychiatry. 2000;  157 278-280
  • 41 Denckla M D. History and significance of rapid automatized naming.  Annals of Dyslexia. 1999;  49 29-42
  • 42 Denckla M D, Rudel R G. Rapid automatized naming (RAN): dyslexia differentiated from other learning disabilities.  Neuropsychologia. 1976;  14 471-479
  • 43 Jensen P S, Martin B A, Cantwell D P. Comorbidity in ADHD: implications for research, practice, and DSM-IV.  J Am Acad Child Adolesc Psychiatry. 1997;  36 1065-1079
  • 44 Gaub M, Carlson C L. Behavioral characteristics of DSM-IV ADHD subtypes in a school-based population.  J Abnorm Child Psychol. 1996;  25 103-111
  • 45 Shaywitz S E, Fletcher J M, Shaywitz B A. Issues in the definition and classification of attention deficit disorder.  Topics in Language Disorders. 1994;  14 1-25
  • 46 Hinshaw S P, Heller T, McHale J P. Covert antisocial behavior in boys with attention-deficit disorder: external validation and effects of methylphenidate.  J Consult Clin Psychol. 1992;  60 274-281
  • 47 Conte R, Regehr S M. Learning and transfer for inductive reasoning rules in overactive children.  Cognit Ther Res. 1991;  15 129-139
  • 48 Grenell M M, Glass C R, Katz K S. Hyperactive children and peer interaction: knowledge and performance of social skills.  J Abnorm Child Psychol. 1987;  15 1-13
  • 49 Whalen C K, Henker B. The social worlds of hyperactive children.  Clin Psychol Rev. 1985;  5 1-32
  • 50 Berk L E. Children's private speech: an overview of theory and the status of research. In: Diaz RM, Berk LE Private Speech: From Social Interaction to Self-Regulation Mahwah, NJ; Erlbaum 1992: 17-54
  • 51 Berk L E, Potts M K. Development and functional significance of private speech among attention-deficit hyperactivity disorder and normal boys.  J Abnorm Child Psychol. 1991;  19 357-377
  • 52 Beitchman J, Tuckett M, Bath S. Language delay and hyperactivity in preschoolers: evidence for a distinct group of hyperactives.  Can J Psychiatry. 1987;  32 683-687
  • 53 Baker L, Cantwell D P. Attention deficit disorder and speech/language disorders.  Comprehensive Mental Health Care. 1992;  2 3-16
  • 54 Tannock R, Schachar R. Executive dysfunction as an underlying mechanism of behavior and language problems in attention deficit hyperactivity disorder. In: Beitchman JH, Cohen NJ, Konstantareas MM, Tannock R Language, Learning, and Behavior Disorders: Developmental, Biological, and Clinical Perspectives New York; Cambridge University Press 1996
  • 55 Ludlow C, Rapoport J, Brown G, Mikkelson E. The differential effects of dextroamphetamine on the language and communication skills of hyperactive and normal children. In: Knights R, Bakker D Treatment of Hyperactive and Learning Disordered Children: Current Research Baltimore, MD; University Park Press 1979
  • 56 Whalen C K, Henker B, Collins B E, McAuliffe S, Vaux A. Peer interaction in structured communication task: comparisons of normal and hyperactive boys and of methylphenidate (Ritalin) and placebo effects.  Child Dev. 1979;  50 388-401
  • 57 Tannock R, Purvis K L, Schachar R J. Narrative abilities in children with attention deficit hyperactivity disorder and normal peers.  J Abnorm Child Psychol. 1992;  21 103-117
  • 58 Zentall S S. Production deficiencies in elicited language but not in spontaneous verbalizations of hyperactive children.  J Abnorm Child Psychol. 1988;  16 657-673
  • 59 Hamlett K W, Pellegrini D S, Conners C K. An investigation of executive processes in the problem-solving of attention deficit disorder-hyperactive children.  J Pediatr Psychol. 1987;  12 227-240
  • 60 Landau S, Milch R. Social communication patterns of attention deficit-disordered boys.  J Abnorm Child Psychol. 1988;  16 69-81
  • 61 Purvis K L, Tannock R. Language abilities in children with attention deficit hyperactivity disorder, reading disabilities, and normal controls.  J Abnorm Child Psychol. 1997;  25 133-144
  • 62 Pennington B F, Bennetto L, McAleer O, Roberts R J. Executive functions and working memory: theoretical and measurement issues. In: Lyon GR, Krasnegor NA Attention, Memory and Executive Function Baltimore, MD; Brookes 1996
  • 63 Brock S W, Knapp P K. Reading comprehension abilities of children with attention-deficit/hyperactivity disorder.  J Attention Disorders. 1996;  1 173-186
  • 64 Cherkes-Julkowski M, Stolzenberg J. Reading Comprehension, Extended Processing and Attention Dysfunction. ERIC EJ427050 1991
  • 65 Cantwell D, Baker L. Psychiatric and Developmental Disorders in Children With Communication Disorder. Washington, DC; American Psychiatric Press 1991
  • 66 Trautman R C, Giddan J J, Jurs S G. Language risk factor in emotionally disturbed children within a school and day treatment program.  J Child Commun Dis. 1990;  13 123-133
  • 67 Love A J, Thompson M GG. Language disorders and attention deficit disorders in young children referred for psychiatric services.  Am J Orthopsychiatry. 1988;  58 52-63
  • 68 Hartsough C S, Lambert N M. Medical factors in hyperactive and normal children: Prenatal, developmental, and health history findings.  Am J Orthopsychiatry. 1985;  55 190-210
  • 69 Szatmari P, Offord D R, Boyle M H. Correlates, associated impairments, and patterns of service utilization of children with attention deficit disorder: findings from the Ontario child health study.  J Child Psychol Psychiatry. 1989;  30 205-217
  • 70 Elbert J C. Occurrence and pattern of impaired reading and written language in children with attention deficit disorders.  Annals of Dyslexia. 1993;  43 26-41
  • 71 Wagner R K, Torgesen J K, Rashotte C A. Comprehensive Test of Phonological Processing. Austin, TX; Pro-Ed 1999
  • 72 Robertson C, Salter W. The Phonological Awareness Test. East Moline, IL; Linguisystems 1997
  • 73 Salter W, Robertson C. The Phonological Awareness and Reading Profile-Intermediate. East Moline, IL; Linguisystems 2001
  • 74 Semel E, Wiig E H, Secord W A. Clinical Evaluation of Language Fundamentals-4. San Antonio, TX; Psychological Corporation 2003
  • 75 Carrow-Woolfolk E. Comprehension Assessment of Spoken Language. Circle Pines, MN; American Guidance Service 1998
  • 76 Montgomery J W. Comprehension and working memory in children with SLI.  Topics in Language Disorders. 1996;  17 19-32
  • 77 Leslie L, Caldwell J. Qualitative Reading Inventory-3. New York; Longman 2001
  • 78 Kreitler S, Kreiter H. Conceptions and process of planning: the developmental perspective. In: Friedman SL, Scholnick SK, Cocking CC Blueprints for Thinking Cambridge; Cambridge University Press 1987
  • 79 Spivack G, Platt J J, Shure M. The Problem-Solving Approach to Adjustment. San Francisco, CA; Jossey-Bass 1976
  • 80 Pea R D. What is planning developing the development of?.  New Dir Child Dev. 1982;  18 5-27

Carol WestbyPh.D. 

1808 Princeton NE

Albuquerque, NM 87106

Email: mocha@unm.edu

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