Motivational effects on motor timing in attention-deficit/hyperactivity disorder

J Am Acad Child Adolesc Psychiatry. 2005 May;44(5):451-60. doi: 10.1097/01.chi.0000155326.22394.e6.

Abstract

Objective: This study was designed to clarify whether poor performance of children with attention-deficit/hyperactivity disorder (ADHD) on motor timing tasks reflects a true deficit in the temporal organization of motor output or is due to a lack of intrinsic motivation.

Method: Eighteen children with ADHD (age 8-12) were compared with 18 age- and gender-matched normal controls with respect to timing precision, timing variability, and the frequency of extreme under- and overestimations during a 1-second interval production task. Monetary reward, response cost, and no reward were implemented to manipulate motivation.

Results: Children with ADHD produced significantly more inaccurate and more variable time intervals and exhibited a larger number of extreme over- and underestimations than control children. Although all children performed significantly better when monetary incentives were applied, group differences were not eliminated.

Conclusions: In this study, no evidence was found for a motivational deficit as an explanation for impaired performance on a time production task in ADHD. Rather, results provide clear support for a generic motor timing deficit, probably due to a dysfunctional frontostriatocerebellar network involved in temporal aspects of motor preparation.

MeSH terms

  • Adolescent
  • Attention Deficit Disorder with Hyperactivity / diagnosis
  • Attention Deficit Disorder with Hyperactivity / physiopathology*
  • Cerebellum / physiopathology
  • Child
  • Child Behavior Disorders / diagnosis
  • Child Behavior Disorders / epidemiology
  • Comorbidity
  • Corpus Striatum / physiopathology
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Frontal Lobe / physiopathology
  • Humans
  • Male
  • Motivation*
  • Nerve Net / physiopathology
  • Psychomotor Performance / physiology*
  • Reward
  • Time Factors