Differential response to pharmacological intervention in ADHD furthers our understanding of the mechanisms of interference control

Cogn Neuropsychol. 2021 Feb-Mar;38(2):138-152. doi: 10.1080/02643294.2021.1908979. Epub 2021 Apr 10.

Abstract

The deficit in "interference control" found in children with Attention Deficit Hyperactivity Disorder (ADHD) could be due to two distinct processes, which are not disentangled in most studies: a larger susceptibility to activating prepotent response impulses and a deficit in suppressing them. Here, we investigated the effect of 1/ADHD and 2/ methylphenidate (MPH), on these two components of interference control. We compared interference control between untreated children with ADHD, children with ADHD under MPH, and typically developing children performing a Simon task. The main findings were that 1/ children with ADHD were more susceptible to reacting impulsively and less efficient at suppressing impulsive actions, and 2/ MPH improved the selective inhibition of impulsive actions but did not modify the strength of response impulse. This work provides an example of how pharmacological interventions and selective responses to them can be used to investigate and further our understanding of cognitive processing.

Keywords: ADHD; Simon task; activation-suppression model; interference control; methylphenidate.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Attention Deficit Disorder with Hyperactivity / drug therapy*
  • Attention Deficit Disorder with Hyperactivity / psychology*
  • Central Nervous System Stimulants / pharmacology
  • Central Nervous System Stimulants / therapeutic use
  • Child
  • Dopamine Uptake Inhibitors / pharmacology
  • Dopamine Uptake Inhibitors / therapeutic use
  • Female
  • Humans
  • Impulsive Behavior / drug effects*
  • Inhibition, Psychological*
  • Male
  • Methylphenidate / pharmacology*
  • Methylphenidate / therapeutic use*

Substances

  • Central Nervous System Stimulants
  • Dopamine Uptake Inhibitors
  • Methylphenidate