Do ADHD symptoms, executive function, and study strategies predict temporal reward discounting in college students with varying levels of ADHD symptoms? A pilot study

The purpose of this study was to examine the relationship between temporal reward discounting and attention deficit hyperactivity disorder (ADHD) symptoms in college students. Additionally, we examined whether temporal reward discounting was associated with executive functioning in daily life and with learning and study strategies in this group. Thirty-nine college students (19 with ADHD and 20 controls) participated after meeting criteria for ADHD or non-ADHD based on standardized assessment. Strong preferences for small immediate rewards were specifically associated with the ADHD symptom domain hyperactivity-impulsivity. Additionally, these preferences were associated with daily life executive function problems and with weak learning and study strategies. This suggests that steep temporal discounting may be a key mechanism playing a role in the daily life challenges that college students with ADHD symptoms face. If these findings are replicated in larger samples, then intervention strategies may profitably be developed to counteract this strong preference for small immediate rewards in college students with ADHD symptoms

Is inhibition impaired in ADHD?

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Feasibility, acceptability, and effectiveness of a new cognitive-behavioral intervention for college students with ADHD

Objective: This purpose of this study was to assess the feasibility, acceptability, and effectiveness of a new group cognitive-behavioral treatment (CBT) to enhance executive function (EF) in college students with ADHD. Methods: Eighteen students meeting rigorous DSM-5 criteria for ADHD were enrolled in two nine-member groups. The treatment targeted time-awareness, distractibility, procrastination, and failure to plan, and included strategies to facilitate academic EF skills. Results: Eighty-four percent of students attended nine or more of the 12 weekly sessions. Repeated measures analyses of change from pre- to posttreatment yielded improvement in clinician- and self-ratings of DSM-5 ADHD inattentive symptoms, with robust effect sizes. Also improved were scores on standardized scales of time-management, concentration, and total EF. Discussion: Results provide support for the feasibility, acceptability, and effectiveness of a CBT program in reducing inattentive symptoms and enhancing EF in college students with ADHD, and warrant investigation on a larger scale

The relation between procrastination and symptoms of attention-deficit hyperactivity disorder (ADHD) in undergraduate students

Item does not contain fulltextProcrastination is defined as the tendency to delay activities that have to be completed before a deadline. It is often part of psychotherapies for adults with attention-deficit hyperactivity disorder (ADHD). However, procrastination is officially not acknowledged as an ADHD-related symptom. Therefore, little is known about the role of procrastination in ADHD. We investigated the relation between procrastination and ADHD-related symptoms of inattention, hyperactivity, and impulsivity in 54 students with varying levels of self-reported ADHD-related behaviours. Various measures of procrastination were used, including questionnaires of academic, general procrastination and susceptibility to temptation as well as direct observation of academic procrastination while solving math problems. We expected a positive relation between severity of ADHD-related behaviours and procrastination, specifically for impulsivity. However, partial correlations (corrected for the other symptom domain of ADHD) indicated that only inattention was correlated with general procrastination. This specific and preliminary finding can stimulate future research in individuals diagnosed with ADHD.11 p

Attention-Deficit/Hyperactivity Disorder (ADHD) and its Treatment

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Temporal reward discounting in children, adolescents, and emerging adults during an experiential task

Contains fulltext : 129270.pdf (publisher's version ) (Open Access)The goal of this study was to examine age effects on the ability/willingness to wait for large rewards in a real temporal reward discounting task from childhood to adulthood. Therefore, a real temporal discounting (TD) task was administered to children aged 6-12 (n = 39), adolescents aged 13-17 (n = 28), and young adults aged 18-19 (n = 55). Findings indicated that the cross-sectional development of TD followed a quadratic pattern across age groups, with adolescents choosing more often than children and adults to wait for the large delayed reward, resulting in reward-maximization. Various interpretations of this finding were offered, including a focus on reward maximization despite an immature ability to exert self-control, and flexible self-control which was high during this task as a result of strong motivation to maximize financial gains.7 p

What We Can and Cannot Conclude About the Relationship Between Steep Temporal Reward Discounting and Hyperactivity-Impulsivity Symptoms in Attention-Deficit/Hyperactivity Disorder

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Measuring the Neural Basis of Reward Anticipation and Reward Receipt in Attention-Deficit/Hyperactivity Disorder: The Importance of Task Design

Item does not contain fulltextIn the May 2015 issue of the Journal, von Rhein et al. investigated ventral-striatal (VS) response during monetary reward anticipation and receipt using an impressively large sample (N = 350) of adolescents and young adults with attention-deficit/hyperactivity disorder (ADHD), their unaffected siblings, and typically functioning controls. The goal was to resolve putative inconsistent findings in previous studies by using a statistically well-powered, multicenter, large-scale functional magnetic resonance imaging study

Temporal reward discounting and ADHD: task and symptom specific effects

Item does not contain fulltextThis study investigated a new aspect of the association between ADHD symptoms and delay aversion. Participants were 55 undergraduate Psychology students with varying levels of self-reported ADHD symptoms. Various delay aversion tasks were used, including real and hypothetical temporal discounting tasks previously used in the field of ADHD. ADHD symptoms, specifically hyperactivity/impulsivity, were associated with steep discounting, but only when rewards and delays were real. These data suggest that (1) real temporal discounting tasks are more sensitive to ADHD-related delay aversion than hypothetical ones; (2) delay aversion may be a causal mechanism specifically associated with ADHD-Combined and Hyperactive/Impulsive Types but not Inattentive Type. These findings may help refine behavioral treatment approaches and models of ADHD

New perspectives on self-control development: Highlighting the role of intentional inhibition

Item does not contain fulltextThe ability to exert self-control over one׳s thoughts and actions is crucial for successful functioning in daily life. To date, self-control development has been primarily studied from the perspective of externally driven inhibition. In this review, we introduce a new perspective on the development of self-control by highlighting the importance of intentional inhibition. First, we will review the existing behavioral and neuroscientific literature on the development of self-control from the perspective of externally driven inhibition. Next, we will introduce a new framework for studying the development of self-control from the perspective of intentional inhibition. We will discuss several recent studies in this domain, showing that intentional inhibition within cold contexts has an early development, but continues to develop through adolescence in motivational contexts. We conclude that understanding the developmental trajectory of intentional inhibition in cold and motivationally relevant contexts and its underlying mechanisms is an important direction for future research, which has important implications for our understanding of developmental disorders associated with problems in self-control, such as Attention Deficit Hyperactivity Disorder.11 p