Relations Between Central Executive Function and Scores on an ADHD Rating Scale in Second Grade Children

Purpose: Children with attention-deficit/hyperactivity disorder (ADHD) have been found to have central executive deficits in working memory as well as less academic success than children with typical development. The purpose of this study was to determine which components of central executive function were most closely related to parental rating scores of attention.
Method: Two hundred twenty three 2nd graders with typical development, dyslexia, developmental language disorder (DLD), or dyslexia/DLD completed three central executive tasks from the Comprehensive Assessment Battery for Children–Working Memory (Gray, Alt, Hogan, Green, & Cowan, n.d.). Parents of the children completed the ADHD Rating Scale-IV: Home Version for their child. None of the participants had been diagnosed with ADD/ADHD
Results: When diagnostic group performance was compared we found significant differences on each central executive task. When ADHD group performance was compared we found a significant between-group performance only on the n-back visual task with the high-risk group scoring lower than the other two groups. ADHD rating scores predicted a significant amount of variance for each central executive task, but percentages were small (3%-6%).
Discussion: Working memory is known to be related to attention control. Stronger attentional control is associated with a higher working memory performance. Our study showed that children most at risk for ADD/ADHD based on parent ratings scored lowest on the visuospatial task, likely because rehearsal of visuospatial information is not possible so relies more heavily on attention. This study is a step toward considering how attention affects working memory performance so that both can be considered when designing instruction and interventions.