Inhibitory deficits, delay aversion and preschool AD/HD: implications for the dual pathway model

Neural Plast. 2004;11(1-2):1-11. doi: 10.1155/np.2004.1.

Abstract

The dual pathway model proposes the existence of separate and neurobiologically distinct cognitive (inhibitory and more general executive dysfunction) and motivational (delay aversion) developmental routes to AD/HD. The study reported in this paper explores the relation between inhibitory deficits and delay aversion and their association with AD/HD in a group of three-year-old children. Children identified as having a pre-school equivalent of AD/HD (N=19) and controls (N=19), matched for gender and IQ, completed a battery of inhibition and delay tasks. Correlational and factor analysis supported a dissociation between inhibitory deficits (go-no-go, set shifting) and delay aversion (choice delay) with delay of gratification cross-loading. Children with AD/HD displayed more inhibitory deficits and were more delay averse than controls. The data support the value of the distinction between motivational and cognitive pathways to AD/HD. Furthermore, the data suggest that such a distinction is apparent relatively early on during development.

Publication types

  • Comparative Study

MeSH terms

  • Analysis of Variance
  • Attention Deficit Disorder with Hyperactivity / psychology*
  • Avoidance Learning / physiology
  • Child, Preschool
  • Choice Behavior / physiology
  • Humans
  • Inhibition, Psychological*
  • Models, Psychological*
  • Multivariate Analysis
  • Neuropsychological Tests / statistics & numerical data