Response Inhibition in Tic Disorders: Waiting to Respond Is Harder When ADHD Is Present

J Atten Disord. 2016 Mar;20(3):251-9. doi: 10.1177/1087054713513638. Epub 2013 Dec 4.

Abstract

Objective: Tic disorders such as Gilles-de-la-Tourette syndrome (TS) are associated with difficulties in withholding movements and sometimes inappropriate actions. The present study examined whether these disorders lead to a specific difficulty in withholding preprogrammed voluntary movements irrespective of decisions on whether or not to move.

Method: Children with TS with or without attention-deficit hyperactivity disorder (ADHD) and controls performed a fast-paced simple reaction time task involving responses to a target in a rapid letter stream (9 letters/s, average foreperiod 332 ms) with feedback on response speed.

Results: The ADHD group showed more premature responses and more variable response time than other groups, whether the timing of the target was predictable or not.

Conclusion: The data indicate that in tic disorders, the presence of ADHD is associated with difficulties in waiting to initiate preprogrammed movements independently of response selection or response timing difficulties.

Keywords: executive functions; frontal cortex; hyperactivity; impulsivity; movement synchronization; preparation; rapid serial visual presentation; response inhibition; speeding; striatum.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Attention / physiology*
  • Attention Deficit Disorder with Hyperactivity / complications*
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Case-Control Studies
  • Child
  • Executive Function
  • Female
  • Frontal Lobe / physiopathology
  • Humans
  • Male
  • Neural Inhibition / physiology
  • Neuropsychological Tests
  • Psychiatric Status Rating Scales
  • Reaction Time / physiology*
  • Tic Disorders / complications
  • Tourette Syndrome / complications
  • Tourette Syndrome / psychology*