Associative learning in ADHD: improved expression under methylphenidate

Attention Deficit/Hyperactivity Disorder (ADHD) is characterised by developmentally inappropriate levels of inattention, impulsivity and hyperactivity. As might be expected of a disorder in which inhibitory deficits form part of the diagnostic criteria, deficits in response inhibition in ADHD have b...

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Main Authors: Kantini, Ebrahim, Cassaday, Helen J., Batty, Martin J., Hollis, Chris, Jackson, Georgina M.
Format: Article
Published: 2011
Online Access:https://eprints.nottingham.ac.uk/2235/
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author Kantini, Ebrahim
Cassaday, Helen J.
Batty, Martin J.
Hollis, Chris
Jackson, Georgina M.
author_facet Kantini, Ebrahim
Cassaday, Helen J.
Batty, Martin J.
Hollis, Chris
Jackson, Georgina M.
author_sort Kantini, Ebrahim
building Nottingham Research Data Repository
collection Online Access
description Attention Deficit/Hyperactivity Disorder (ADHD) is characterised by developmentally inappropriate levels of inattention, impulsivity and hyperactivity. As might be expected of a disorder in which inhibitory deficits form part of the diagnostic criteria, deficits in response inhibition in ADHD have been evidenced in a number of studies. To date, the tasks used in such studies have required participants to inhibit the learned stimulus-response associations that result in unwanted behavior. However, no research has examined the inhibition of stimulus-stimulus associations, formally ‘conditioned inhibition’. The present study used video game style conditioned inhibition procedures, developed for children and adolescents with a clinical diagnosis of ADHD and suitable for typically developing matched controls. Two computer-based tasks (‘Mission to Mars’ and ‘Weapon-X’) required participants to predict the occurrence of an outcome based on the stimuli presented. We selected 12 male participants with ADHD on medication (methylphenidate), but without comorbid Tourette Syndrome, pervasive developmental disorder, learning disability or psychosis. This group showed overall normal inhibition of stimulus-stimulus associations, measured repeatedly over trials and with two task variants. There was no correlation between inhibitory learning and symptom severity ratings. However, participants with ADHD on higher dosages of methylphenidate, or longer duration of treatment with methylphenidate, showed improved ability to anticipate outcomes following the different stimulus presentations on non-inhibited versus inhibited trials. This effect was most clearly demonstrated on the Weapon-X task. Thus, methylphenidate dose-relatedly improved the expression of associative learning. This action may contribute to its therapeutic effects in improving cognitive function in ADHD.
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spelling nottingham-22352020-05-04T20:23:56Z https://eprints.nottingham.ac.uk/2235/ Associative learning in ADHD: improved expression under methylphenidate Kantini, Ebrahim Cassaday, Helen J. Batty, Martin J. Hollis, Chris Jackson, Georgina M. Attention Deficit/Hyperactivity Disorder (ADHD) is characterised by developmentally inappropriate levels of inattention, impulsivity and hyperactivity. As might be expected of a disorder in which inhibitory deficits form part of the diagnostic criteria, deficits in response inhibition in ADHD have been evidenced in a number of studies. To date, the tasks used in such studies have required participants to inhibit the learned stimulus-response associations that result in unwanted behavior. However, no research has examined the inhibition of stimulus-stimulus associations, formally ‘conditioned inhibition’. The present study used video game style conditioned inhibition procedures, developed for children and adolescents with a clinical diagnosis of ADHD and suitable for typically developing matched controls. Two computer-based tasks (‘Mission to Mars’ and ‘Weapon-X’) required participants to predict the occurrence of an outcome based on the stimuli presented. We selected 12 male participants with ADHD on medication (methylphenidate), but without comorbid Tourette Syndrome, pervasive developmental disorder, learning disability or psychosis. This group showed overall normal inhibition of stimulus-stimulus associations, measured repeatedly over trials and with two task variants. There was no correlation between inhibitory learning and symptom severity ratings. However, participants with ADHD on higher dosages of methylphenidate, or longer duration of treatment with methylphenidate, showed improved ability to anticipate outcomes following the different stimulus presentations on non-inhibited versus inhibited trials. This effect was most clearly demonstrated on the Weapon-X task. Thus, methylphenidate dose-relatedly improved the expression of associative learning. This action may contribute to its therapeutic effects in improving cognitive function in ADHD. 2011 Article PeerReviewed Kantini, Ebrahim, Cassaday, Helen J., Batty, Martin J., Hollis, Chris and Jackson, Georgina M. (2011) Associative learning in ADHD: improved expression under methylphenidate. Open Journal of Psychiatry, 1 (2). pp. 20-29. ISSN 2161-7325 http://dx.doi.org/10.4236/ojpsych.2011.12004 doi:10.4236/ojpsych.2011.12004 doi:10.4236/ojpsych.2011.12004
spellingShingle Kantini, Ebrahim
Cassaday, Helen J.
Batty, Martin J.
Hollis, Chris
Jackson, Georgina M.
Associative learning in ADHD: improved expression under methylphenidate
title Associative learning in ADHD: improved expression under methylphenidate
title_full Associative learning in ADHD: improved expression under methylphenidate
title_fullStr Associative learning in ADHD: improved expression under methylphenidate
title_full_unstemmed Associative learning in ADHD: improved expression under methylphenidate
title_short Associative learning in ADHD: improved expression under methylphenidate
title_sort associative learning in adhd: improved expression under methylphenidate
url https://eprints.nottingham.ac.uk/2235/
https://eprints.nottingham.ac.uk/2235/
https://eprints.nottingham.ac.uk/2235/