executive and phonological storage/rehearsal events of adults with ADHD have been damaged in comparison to healthy control adults; moreover, the size of the central executive significance was less than prior research of children, who have ADHD. The results support a lasting path of working memory shortage in ADHD.
Attention-deficit/hyperactivity disorder (ADHD) is commonly known as a childhood psychiatric condition that may be outgrown. Research show that 70 % o children, who have been diagnosed with ADHD, exist in both adolescences and adults. The rate of ADHD cases in adults are estimated in the U.S. at 4.4% (Kessler, Adler, Barkley, Biederman, Conners, Demler, Zaslavsky, 2006) and worldwide 3.4% (Fayyad, de Graaf, Kessler, Alonso, Angermeyer, Demyttenaere, Jin, 2007). The continued existence of ADHD in adults comes with several disapprovals, such as occupational, relationship, and economic difficulties. Identifying the lasting path of diagnosing ADHD has increased in research of adults with this disorder, which include ADHD related executive function deficits exams, known to found in children. Executive function is a set of mental processes that helps perform activities such as planning, organizing, strategizing, and managing time and space. Working Memory is a limited capacity system that temporarily stores and processes information for use in guiding behavior (Baddeley 2007). Working memory (WM) has garnered particular attention as an executive function that regularly yields moderate to large between group effects when children or adults with ADHD are compared to non-affected peers (Kasper, Alderson, & Hudec, 2012; Martinussen, Hayden, Hogg-Johnson, & Tannock, 2005). Working memory (WM) contain a central executive (CE) and two subsystems phonological (PH) and visouspatial (VS). The central executive (CE) pays attention to error and coordinating the subsystems. The current study uses three separate tasks to test particular hypotheses about the possible relationship between working memory elements and storage/rehearsal (PH and VS) in adults.
(1) pre- and post-test manage situations that do not place claim on the central executive and subsystem storage/rehearsal processes, and supply an experimental way to investigate the effects of consistently forcing requests on working memory component processes; (2) a phonological working memory task conducted at four different set sizes; and (3) a visuospatial working memory task directed at four separate set sizes. Working memory element events that are insufficient in adults have heuristic and applied …show more content…
value. A methodical approach was utilized to test WM in adults who have ADHD. Divided PH and VS combine scores was put together to test storage/rehearsal and CE processes working in partnership, along with the PH and VS performance. Based on previous meta-analytic findings of children (Kasper, Alderson, & Hudec, 2012; Martinussen, Hayden, Hogg-Johnson, & Tannock, 2005), ADHD in adults, in comparison to healthy control (HC) adults, were likely to display impairment in PH and VS combined scores. After analyzing in detail if adults with ADHD display disproportionately lacking execution as WM load heightened through PH and VS set size blocks. Finally, the components of Baddeley’s (2007) WM model were examined with a regression approach to identify the unique contributions of CE and PH/VS storage rehearsal processes (i.e., PH buffer/loop and VS sketchpad) to ADHD-related WM deficits. The participants in the study consist of thirty-seven undergraduates (ages 18 to 24).
Ten male and eleven female participants make up the ADHD group and the HC group include 10 male and 6 female participants, who gave consent to the University before data was collected. All criteria were met by the ADHD group, which includes being diagnosed by a clinical psychologist, symptom count of at least four on the Barkley ADHD Current Symptoms Scale-Self Report (Barkley & Murphy, 2006), symptom count of at least six on the Barkley ADHD Childhood symptoms Scale-Other Report (Barkley & Murphy, 2006) completed by a parent/guardian. A criterion count of 4 (rather than 6) on the Current Symptoms Scale was utilized based on literature suggesting childhood cutoffs may be too restrictive for adults (Barkley & Murphy,
2006). In conclusion, the regression approach used in this study recognized CE and PH storage/rehearsal as the cause of WM impairments of ADHD in adults. The results, with consideration of CE, seem to indicate trajectories that agree with age-related symptoms connected with adult ADHD. There will be more research needed to figure out the relationship between WM and DSM-IV-TR. Study on children prove deficits of CE, more than PH and VS storage/rehearsal. It looks like there is a decrease of CE deficits followed by improvement in executive functions, which might cause phenotypic transformations constantly viewed in adults with ADHD.
REFERENCES
1. Kessler, R. C., Adler, L., Barkley, R., Biederman, J., Conners, C. K., Demler, O., . . . Zaslavsky, A. M. (2006). The prevalence and correlates of adult ADHD in the United States: Results from the National Comorbidity Survey Replication. The American Journal of Psychiatry, 163,716–723.
2. Fayyad, J., de Graaf, R., Kessler, R., Alonso, J., Angermeyer, M., Demyttenaere, K., . . . Jin, R. (2007). Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder. The British Journal of Psychiatry, 190, 402–409.
3. Baddeley, A. (2007). Working memory, thought, and action. New York: Oxford University Press.
4. Kasper, L. J., Alderson, R. M., & Hudec, K. L. (2012). Moderators of working memory deficits in children with attention-deficit/hyperactivity disorder (ADHD): A meta-analytic review. Clinical Psychology Review,32, 605–617.
5. Barkley, R. A., Murphy, K. R., DuPaul, G. J., & Bush, T. (2002). Driving knowledge, competence, and adverse outcomes in teens and young adults with attention-deficit/hyperactivity disorder. Journal of the International Neuropsychology Society, 8, 655– 672.
6. Alderson R, Hudec K, Patros C, Kasper L. Working Memory Deficits in Adults with Attention-Deficit/Hyperactivity Disorder (ADHD): An Examination of Central Executive and Storage/Rehearsal Processes. Journal of Abnormal Psychology 2013; 122: 532-541