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Increased Sensitivity to Perceptual Interference in Adults with Attention Deficit Hyperactivity Disorder

Published online by Cambridge University Press:  20 March 2012

Alexander A. Stevens*
Affiliation:
Department of Psychiatry, Oregon Health & Science University, Portland, Oregon
Leeza Maron
Affiliation:
Department of Psychiatry, Oregon Health & Science University, Portland, Oregon
Joel T. Nigg
Affiliation:
Department of Psychiatry, Oregon Health & Science University, Portland, Oregon
Desmond Cheung
Affiliation:
School of Professional Psychology, Pacific University, Forest Grove, Oregon
Edward F. Ester
Affiliation:
Department of Psychology, University of Oregon, Eugene, Oregon
Edward Awh
Affiliation:
Department of Psychology, University of Oregon, Eugene, Oregon Institute of Neuroscience, University of Oregon, Eugene, Oregon
*
Correspondence and reprint requests to: Alexander A. Stevens, Department of Psychiatry, Mailcode UN80R1, Oregon Health & Science University, Portland, OR 97239-3098. E-mail: stevenal@ohsu.edu

Abstract

Difficulty with selective attention is a frequent complaint of adult patients with ADHD, but selective attention tasks have not provided robust evidence of attentional dysfunction in this group. Two experiments examine this puzzle by distinguishing between failures of spatial selection and problems due to sensitivity to perceptual interference. In Experiment 1, we measured the level of perceptual interference generated by targets in crowded displays with nearby distractors by comparing luminance thresholds in both distractor-present (noise) and distractor-absent (clean) displays. ADHD and control participants had comparable thresholds for clean displays, but ADHD individuals had elevated thresholds to crowded displays. These effects could be explained in two distinct ways. Deficits may have arisen from amplified visual interference in the noise condition, or from abnormalities in top-down attentional processes that reduce visual interference. Experiment 2 adjusted for individual perceptual differences with clean and noise displays, before measuring visual interference resolution at attended versus unattended locations. ADHD and control groups had comparable interference resolution at attended locations. These results suggest that perceptual interference rather than spatial attention deficits may account for some deficits in ADHD. This putative deficit in sensory function highlights a potential early-stage perceptual processing deficit in ADHD distinct from selective attention. (JINS, 2012, 18, 511–520)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2012

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References

Achenbach, T. (1991). Manual for the young adult self report and young adult behavior checklist. Burlington, VT: University of Vermont Department of Psychiatry.Google Scholar
Antshel, K.M., Faraone, S.V., Maglione, K., Doyle, A., Fried, R., Seidman, L., Biederman, J. (2009). Is adult attention deficit hyperactivity disorder a valid diagnosis in the presence of high IQ? Psychological Medicine, 39(8), 13251335.CrossRefGoogle ScholarPubMed
Awh, E., Matsukura, M., Serences, J.T. (2003). Top-down control over biased competition during covert spatial orienting. Journal of Experimental Psychology: Human Perception & Performance, 29(1), 5263.Google ScholarPubMed
Awh, E., Sgarlata, A.M., Kliestik, J. (2005). Resolving visual interference during covert spatial orienting: Online attentional control through static records of prior visual experience. Journal of Experimental Psychology-General, 134(2), 192205.CrossRefGoogle ScholarPubMed
Barkley, R.A., Fischer, M., Smallish, L., Fletcher, K. (2002). The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. Journal of Abnormal Psychology, 111(2), 279289.CrossRefGoogle ScholarPubMed
Barkley, R.A., Murphy, K.R. (2006). Attention-deficit hyperactivity disorder: A clinical workbook (3rd ed). New York, NY: Guilford Press.Google Scholar
Biederman, J., Faraone, S.V., Keenan, K., Benjamin, J., Krifcher, B., Moore, C. et al. (1992). Further evidence for family-genetic risk factors in attention deficit hyperactivity disorder: Patterns of comorbidity in probands and relatives in psychiatrically and pediatrically referred samples. Archives of General Psychiatry, 49(9), 728.CrossRefGoogle ScholarPubMed
Biederman, J., Mick, E., Faraone, S.V. (2000). Age-dependent decline of symptoms of attention deficit hyperactivity disorder: Impact of remission definition and symptom type. American Journal of Psychiatry, 157(5), 816818.CrossRefGoogle ScholarPubMed
Biederman, J., Newcorn, J., Sprich, S. (1991). Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. The American Journal of Psychiatry, 148(5), 564.Google ScholarPubMed
Boehler, C.N., Tsotsos, J.K., Schoenfeld, M.A., Heinze, H.J., Hopf, J.M. (2011). Neural mechanisms of surround attenuation and distractor competition in visual search. Journal of Neuroscience, 31, 52135224.CrossRefGoogle ScholarPubMed
Bouma, H. (1971). Visual recognition of isolated lower-case letters. Vision Research, 11(5), 459474.CrossRefGoogle ScholarPubMed
Brown, T.E. (1996). Brown Manual for Attention-Deficit Disorder Scales. San Antonio, TX: The Psychological Corporation, Harcourt Brace and Company.Google Scholar
Cavanagh, P. (2001). Seeing the forest but not the trees. Nature Neuroscience, 4, 673674.CrossRefGoogle Scholar
Conners, C.K., Erhardt, D., Sparrow, E.P. (1999). Connor's adult ADHD rating scales: Technical manual. New York: Multi-Health Systems.Google Scholar
Desimone, R., Duncan, J. (1995). Neural mechanisms of selective visual attention. Annual Review of Neuroscience, 18(1), 193222.CrossRefGoogle ScholarPubMed
Eriksen, C.W. (1995). The flankers task and response competition: A useful tool for investigating a variety of cognitive problems. Visual Cognition, 2, 101118.CrossRefGoogle Scholar
Faraone, S.V., Biederman, J., Monuteaux, M.C. (2000). Attention-deficit disorder and conduct disorder in girls: Evidence for a familial subtype. Biological Psychiatry, 48(1), 2129.CrossRefGoogle ScholarPubMed
First, M., Spitzer, R., Gibbon, M., Williams, J.B. (1997). Structured Clinical Interview for DSM-IV Axis I Disorders. Washington DC: American Psychiatric Press.Google Scholar
Hart, E.L., Lahey, B.B., Loeber, R., Applegate, B., Frick, P.J. (1995). Developmental change in attention-deficit hyperactivity disorder in boys: A four-year longitudinal study. Journal of Abnormal Child Psychology, 23(6), 729749.CrossRefGoogle Scholar
Huang-Pollock, C.L., Nigg, J.T. (2003). Searching for the attention deficit in attention deficit hyperactivity disorder: The case of visuospatial orienting. Clinical Psychology Review, 23(6), 801830.CrossRefGoogle ScholarPubMed
Huang-Pollock, C.L., Nigg, J.T., Carr, T.H. (2005). Deficient attention is hard to find: Applying the perceptual load model of selective attention to attention deficit hyperactivity disorder subtypes. Journal of Child Psychology and Psychiatry, 46(11), 12111218.CrossRefGoogle ScholarPubMed
Kastner, S., De Weerd, P., Desimone, R., Ungerleider, L.G. (1998). Mechanisms of directed attention in the human extrastriate cortex as revealed by functional MRI. Science, 282, 108111.CrossRefGoogle ScholarPubMed
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(4), 716723.CrossRefGoogle ScholarPubMed
Lavie, N. (1995). Perceptual load as a necessary condition for selective attention. Journal of Experimental Psychology: General, 21(3), 451468.Google ScholarPubMed
Nigg, J.T., Stavro, G., Ettenhofer, M., Hambrick, D.Z., Miller, T., Henderson, J.M. (2005). Executive functions and ADHD in adults: Evidence for selective effects on ADHD symptom domains. Journal of Abnormal Psychology, 114(4), 706717.CrossRefGoogle ScholarPubMed
Nigg, J.T., Swanson, J.M., Hinshaw, S.P. (1997). Covert visual spatial attention in boys with attention deficit hyperactivity disorder: Lateral effects, methylphenidate response and results for parents. Neuropsychologia, 35(2), 165176.CrossRefGoogle ScholarPubMed
Parkes, L., Lund, J., Angelucci, A., Solomon, J.A., Morgan, M. (2001). Compulsory averaging of crowded orientation signals in human vision. Nature Neuroscience, 4, 739744.CrossRefGoogle ScholarPubMed
Pelli, D.G., Palomares, M., Majaj, N.J. (2004). Crowding is unlike ordinary masking: Distinguishing feature integration from detection. Journal of Vision, 4, 11361169.CrossRefGoogle ScholarPubMed
Posner, M.I. (1980). Orienting of attention. Quarterly Journal of Experimental Psychology, 32(1), 325.CrossRefGoogle ScholarPubMed
Posner, M.I., Petersen, S.E. (1990). The attention system of the human brain. Annual Review of Neuroscience, 13, 2542.CrossRefGoogle ScholarPubMed
Puig-Antich, J., Ryan, N. (1986). The schedule for affective disorders and schizophrenia for school-age children (kiddie-sads)-1986. Pittsburgh, PA: Western Psychiatric Institute and Clinic.Google Scholar
Schachar, R., Tannock, R., Logan, G.D. (1993). Inhibitory control, impulsiveness and attention deficit hyperactivity disorder. Clinical Psychology Review, 13, 721739.CrossRefGoogle Scholar
Scolari, M., Kohnen, A., Barton, B., Awh, E. (2007). Spatial attention, preview, and popout: Which factors influence critical spacing in crowded displays? Journal of Vision, 7(2), 7.123.CrossRefGoogle ScholarPubMed
Serences, J.T., Yantis, S., Culberson, A., Awh, E. (2004). Preparatory activity in visual cortex indexes distractor suppression during covert spatial orienting. Journal of Neurophysiology, 92, 35383545.CrossRefGoogle ScholarPubMed
Shiu, L., Pashler, H. (1994). Negligible effect of spatial precueing on identification of single digits. Journal of Experimental Psychology: Human Perception and Performance, 20, 10371054.Google Scholar
Swanson, J.M., Posner, M., Potkin, S., Bonforte, S., Youpa, D., Fiore, C., Crinella, F. (1991). Activating tasks for the study of visual-spatial attention in ADHD children: A cognitive anatomic approach. Journal of Child Neurology, 6(Suppl), S119S127.CrossRefGoogle Scholar
Wechsler, D. (1999). Wechsler Abbreviated Scale of Intelligence (WASI). San Antonio, TX: Harcourt Assessment.Google Scholar
Wender, P.H., Wolf, L.E., Wassertein, J. (2001). Adults with ADHD: An overview. Annals of the New York Academy of Sciences, 931, 119.CrossRefGoogle ScholarPubMed
Wilkinson, G.S., Robertson, G.J. (2006). Wide Range Achievement Test: Fourth edition. Lutz, FL: Psychological Assessment Resources.Google Scholar