Vulnerability to the Irrelevant Sound Effect in Adult ADHD

J Atten Disord. 2016 Apr;20(4):306-16. doi: 10.1177/1087054713492563. Epub 2013 Jul 26.

Abstract

Objective: An ecologically valid adaptation of the irrelevant sound effect paradigm was employed to examine the relative roles of short-term memory, selective attention, and sustained attention in ADHD.

Method: In all, 32 adults with ADHD and 32 control participants completed a serial recall task in silence or while ignoring irrelevant background sound.

Results: Serial recall performance in adults with ADHD was reduced relative to controls in both conditions. The degree of interference due to irrelevant sound was greater for adults with ADHD. Furthermore, a positive correlation was observed between task performance under conditions of irrelevant sound and the extent of attentional problems reported by patients on a clinical symptom scale.

Conclusion: The results demonstrate that adults with ADHD exhibit impaired short-term memory and a low resistance to distraction; however, their capacity for sustained attention is preserved as the impact of irrelevant sound diminished over the course of the task.

Keywords: adult ADHD; irrelevant sound effect; selective attention; short-term memory; sustained attention.

MeSH terms

  • Adult
  • Aged
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Attention*
  • Auditory Perception
  • Case-Control Studies
  • Female
  • Humans
  • Male
  • Memory, Short-Term*
  • Mental Recall
  • Middle Aged
  • Neuropsychological Tests
  • Sensitivity and Specificity
  • Sound
  • Task Performance and Analysis*