A Comparison of Neuropsychological Indices Associated with Executive Functions in Children with AHDH, Conduct Disorder and Normal Children

Document Type : Research Paper

Authors

1 Department of Psychology, Faculty of Humanity and Social Sciences, University of Kurdistan, Sanandaj, Iran.

2 Professor, Department of Psychology, Faculty of Humanity and Social Sciences, University of Kurdistan, Sanandaj, Iran

Abstract

Objective: The aim of current study was to comparing neuropsychological indicators related to executive functions in children with attention deficit-hyperactivity disorder (ADHD) with and without conduct disorder (CD) and normal children.
Methods: The current research was a descriptive and causal-comparative study. The statistical population included all children with pure ADHD or comorbid with CD (ADHD+CD) who were studying in special schools and in regular schools at the Kurdistan province. A sample of 111 children were selected using the purposive sampling method. Research tools were Children Symptom Inventory, Connors’ Continuous Performance Test, Go/No-Go Task, and Stroop Task. The research data were analyzed using multivariate analysis of variance (MANOVA) and Sheffe's post hoc test in SPSS-22.
Results: No significant difference was found between the ADHD and ADHD+CD groups in the sustained attention, but significant difference was observed in the impulse control between the ADHD+CD and the normal groups.
Conclusion: Findings can have practical implications in providing cognitive rehabilitation interventions for children with ADHD and CD. Strengthening the executive functions of these children through targeted and focused interventions on executive functions associated with sustained attention and impulse control plays a key role in improving the academic and educational abilities of these children.

Keywords

Main Subjects

References

حسین‌زاده کلسری، بنفشه؛ کافی ماسوله، سیدموسی؛ ابوالقاسمی، عباس. (1401). مقایسه سبک‌های یادگیری در دانش‌آموزان دارای اختلال یادگیری، نقص‌ توجه/ بیش‌فعالی و بهنجار. فصلنامه ناتوانی‌های یادگیری، 11(3)، 45-61. https://doi.org/10.22098/jld.2022.7471.1801
کاوه پور ابرقوئی، مهسا، نزاکت الحسینی، مریم، شفیعی، بیژن، رافعی بروجنی، مهدی، و نیکخواه، سپیده. (1399). اثر یک دوره تمرینات پینگ پنگ با رویکرد شناختی بر توجه انتخابی و شدت لکنت کودکان مبتلا به اختلال لکنت رشدی. تازه های علوم شناختی، 22(4 )، 13-23. https://sid.ir/paper/960193/fa
قدیری، فاطمه، جزایری، علیرضا، عشایری، حسن، و قاضی طباطبایی، سیدمحمود. (1385). نقش توانبخشی شناختی در کاهش نقایص کارکردهای اجرایی و نشانه های وسواسی– اجباری بیماران اسکیزو– وسواسی. آرشیو توانبخشی، 7(4)، 15-24. https://sid.ir/paper/43481/fa
قمری گیوی، حسین، نریمانی، محمد، و ربیعی، ژاله. (1388). مقایسه کارکردهای اجرایی در کودکان مبتلا به اختلال نقص توجه بیش فعالی, ناتوانی در یادگیری و کودکان بهنجار. اصول بهداشت روانی، 11(4)، 322-333. https://sid.ir/paper/88444/fa
محمداسماعیل، الهه. (1386). انطباق و هنجاریابی سیاهه نشانه های مرضی کودک ویرایش چهارم (CSI-4).. فصلنامه کودکان استثنایی، 7(1)، 79-96  https://sid.ir/paper/96423/fa
نریمانی، محمد، سلیمانی، اسماعیل، و تبریزچی، نرگس. (1394). بررسی تاثیر توانبخشی شناختی بر بهبود نگهداری توجه و پیشرفت تحصیلی ریاضی دانش آموزان دارای اختلال. ADHD روان‌شناسی مدرسه، 4(2 (پیاپی 14))، 118-134 https://sid.ir/paper/216745/fa
 
Adamis, A. M., & Olatunji, B. O. (2024). Specific emotion regulation difficulties and executive function explain the link between worry and subsequent stress: A prospective moderated mediation study. Journal of Affective Disorders, 348, 88-96. https://doi.org/10.1016/j.jad.2023.12.029
American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition-Text Revised(DSM-5-TR). Washington, DC: American psychiatric association. ‏
Barkley, R. A. (2021). Implications of the executive function—self-regulation (EF-SR) theory of ADHD for estimates of persistence and prevalence. The ADHD Report, 29(5), 8-11. https://doi.org/10.1521/adhd.2021.29.5.8
Barkley, R. A. (2022). Treating ADHD in children and adolescents. Guilford Publications.
Beaton, D. M., Sirois, F., & Milne, E. (2022). Experiences of criticism in adults with ADHD: A qualitative study. Plos one, 17(2), e0263366. DOI: 10.1371/journal.pone.0263366
Bonham, M. D., Shanley, D. C., Waters, A. M., & Elvin, O. M. (2021). Inhibitory control deficits in children with oppositional defiant disorder and conduct disorder compared to attention deficit/hyperactivity disorder: A systematic review and meta-analysis. Research on Child and Adolescent Psychopathology, 49, 39-62.‏ https://doi.org/10.1007/s10802-020-00713-9
Connor, D. F., Steeber, J., & McBurnett, K. (2010). A review of attention-deficit/hyperactivity disorder complicated by symptoms of oppositional defiant disorder or conduct disorder. Journal of Developmental & Behavioral Pediatrics, 31(5), 427-440.‏DOI: 10.1097/DBP.0b013e3181e121bd
Cortese, S., Ferrin, M., Brandeis, D., Buitelaar, J., Daley, D., Dittmann, R. W., ... & European ADHD Guidelines Group. (2015). Cognitive training for attention-deficit/hyperactivity disorder: meta-analysis of clinical and neuropsychological outcomes from randomized controlled trials. Journal of the American Academy of Child & Adolescent Psychiatry, 54(3), 164-174.‏ https://doi.org/10.1016/j.jaac.2014.12.010
Craig, F., Margari, F., Legrottaglie, A. R., Palumbi, R., De Giambattista, C., & Margari, L. (2016). A review of executive function deficits in autism spectrum disorder and attention-deficit/hyperactivity disorder. Neuropsychiatric disease and treatment, 1191-1202. DOI: 10.2147/NDT.S104620
Diamond, A. (2013). Executive functions. Annual review of psychology, 64, 135-168. https://doi.org/10.1146/annurev-psych-113011-143750
Epstein, J. N., Erkanli, A., Conners, C. K., Klaric, J., Costello, J. E., & Angold, A. (2003). Relations between continuous performance test performance measures and ADHD behaviors. Journal of Abnormal Child Psychology, 31, 543-554.‏ https://doi.org/10.1023/A:1025405216339
Hosseinjani, F., & Zemestani, M. (2023). Mediating Role of Emotion Dysregulation and Intolerance of Uncertainty as Transdiagnostic Processes in the Development of Externalizing Psychopathologies in Children with Autism Spectrum Disorder. Psychology of Exceptional Individuals, 13(50), 187-223. [in Persian] DOI: 10.22054/JPE.2023.71240.2521
Hosseinpanahi, O., &  Zemestani, M. (2020). The effect of Transcranial Direct-Current Stimulation (TDCS) on Neuropsychological indices Associated with Social Skills in Children with Autism. Journal of Cognitive psychology, 8(1), 95-106. [in Persian]  https://jcp.khu.ac.ir/browse.php?a_id=3268&sid=1&slc_lang=en
Hosseinzadeh Kolesari, B., Kafi Masouleh, S. M., & Abolghasemi, A. (2022). Comparison of Learning Styles in Students with Learning Disorder, Attention Deficit / Hyperactivity Disorder and Normal. Journal of Learning Disabilities,11(3),45-61. (in Persian) https://doi.org/10.22098/jld.2022.7471.1801
Inoue, Y., Sakihara, K., Gunji, A., Ozawa, H., Kimiya, S., Shinoda, H., ... & Inagaki, M. (2012). Reduced prefrontal hemodynamic response in children with ADHD during the Go/NoGo task: a NIRS study. Neuroreport, 23(2), 55-60.‏ doi: 10.1097/WNR.0b013e32834e664c.
Kaplan, H. I., & Sadock, B. J., Ruiz, P. (2019). Synopsis of psychiatry: Behavioral sciences clinical psychiatry (11th ed). Williams & Wilkins Co.‏
Kuja‐Halkola, R., Lichtenstein, P., D'Onofrio, B. M., & Larsson, H. (2015). Codevelopment of ADHD and externalizing behavior from childhood to adulthood. Journal of Child Psychology and Psychiatry, 56(6), 640-647.  https://doi.org/10.1111/jcpp.12340
Lipszyc, J., & Schachar, R. (2010). Inhibitory control and psychopathology: a meta-analysis of studies using the stop signal task. Journal of the International Neuropsychological Society, 16(6), 1064-1076.‏ doi:10.1017/S1355617710000895
Morshed, N., Babamiri, M., Zemestani, M., & Alipour, N. (2019). A comparative study on the effectiveness of individual and group play therapy on symptoms of oppositional defiant disorder among children. Korean Journal of Family Medicine, 40(6), 368-372. doi: 10.4082/kjfm.18.0045
Narimani, M., Soleymani, E., & Tabrizchi, N. (2015). The effect of cognitive rehabilitation on attention maintenance and math achievement in ADHD students. Journal of School Psychology, 4(2), 118-134. [in Persian]
Nigg, J. T., Sibley, M. H., Thapar, A., & Karalunas, S. L. (2020). Development of ADHD: Etiology, heterogeneity, and early life course. Annual review of developmental psychology, 2, 559-583.‏ https://doi.org/10.1146/annurev-devpsych-060320-093413
Noordermeer, S. D., Luman, M., & Oosterlaan, J. (2016). A systematic review and meta-analysis of neuroimaging in oppositional defiant disorder (ODD) and conduct disorder (CD) taking attention-deficit hyperactivity disorder (ADHD) into account. Neuropsychology review, 26, 44-72. ‏ https://doi.org/10.1007/s11065-015-9315-8
Orban, S. A., Rapport, M. D., Friedman, L. M., & Kofler, M. J. (2014). Executive function/cognitive training for children with ADHD: Do results warrant the hype and cost?. The ADHD Report, 22(8), 8-14 https://doi.org/10.1521/adhd.2014.22.8.8
Retz, W., Ginsberg, Y., Turner, D., Barra, S., Retz-Junginger, P., Larsson, H., & Asherson, P. (2021). Attention-Deficit/Hyperactivity Disorder (ADHD), antisociality and delinquent behavior over the lifespan. Neuroscience & Biobehavioral Reviews, 120, 236-248.‏ https://doi.org/10.1016/j.neubiorev.2020.11.025
Rhodes, S. M., Park, J., Seth, S., & Coghill, D. R. (2012). A comprehensive investigation of memory impairment in attention deficit hyperactivity disorder and oppositional defiant disorder. Journal of Child Psychology and Psychiatry, 53(2), 128-137.‏ https://doi.org/10.1111/j.1469-7610.2011.02436.x
Robledo-Castro, C., Lerma-Castaño, P. R., & Bonilla-Santos, G. (2023). Effect of Cognitive Training Programs Based on Computer Systems on Executive Functions in Children with ADHD: A Systematic Review. Journal of Attention Disorders, 27(13), 1467-1487. https://doi.org/10.1177/108705472311871
Senderecka, M., Grabowska, A., Szewczyk, J., Gerc, K., & Chmylak, R. (2012). Response inhibition of children with ADHD in the stop-signal task: An event-related potential study. International Journal of Psychophysiology, 85(1), 93-105.‏ https://doi.org/10.1016/j.ijpsycho.2011.05.007
Wiguna, T., Ismail, R. I., Kaligis, F., Minayati, K., Murtani, B. J., Wigantara, N. A., ... & Nugroho, E. (2021). Developing and feasibility testing of the Indonesian computer-based game prototype for children with attention deficit/hyperactivity disorder. Heliyon, 7(7).‏ https://www.cell.com/heliyon/pdf/S2405-8440(21)01674-1.pdf
Zemestani, M. (2023). Comparison the Emotion Regulation Strategies and Intolerance of Uncertainty in Mothers of Children with and without Specific Learning Disabilities. Journal of Learning Disabilities, 12(3), 49-38. doi: 10.22098/jld.2023.12555.2077
Zemestani, M., Azadbakht, M., & Storch, E. A. (2023). Preliminary evaluation of music-based emotion-regulation skills to augment CBT for adolescents with ADHD. Musicae Scientiae, 27(3), 757–779. https://doi.org/10.1177/1029864922114605
Zemestani, M., Didehban, R., Comer, J. S., & Kendall, P. C. (2022). Psychometric evaluation of the intolerance of uncertainty scale for children (IUSC): Findings from clinical and community samples in Iran. Assessment, 29(5), 993-1004. https://doi.org/10.1177/1073191121998769
Zemestani, M., Gholizadeh, Z., & Alaei, M. (2018). Effectiveness of Acceptance and Commitment Therapy on depression and anxiety of adhd childrens' mothers. Psychology of Exceptional Individuals, 8(29), 61-84.‏ [in Persian] https://doi.org/10.22054/jpe.2018.25533.1638
Zemestani, M., Hoseinpanahi, O., Salehinejad, M. A., & Nitsche, M. A. (2022). The impact of prefrontal transcranial direct current stimulation (tDCS) on theory of mind, emotion regulation and emotional‐behavioral functions in children with autism disorder: A randomized, sham‐controlled, and parallel‐group study. Autism Research, 15(10), 1985-2003. https://doi.org/10.1002/aur.2803
Zhu, Y., Liu, L., Yang, D., Ji, H., Huang, T., Xue, L., ... & Fang, Y. (2021). Cognitive control and emotional response in attention-deficit/hyperactivity disorder comorbidity with disruptive, impulse-control, and conduct disorders. BMC psychiatry, 21(1), 1-13.‏ https://doi.org/10.1186/s12888-021-03221-2
Journal of School Psychology
Volume 13, Issue 2
August 2024
Pages 103-115

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