Pre-attention and Working Memory in ADHD: A 25-Year Follow-Up Study

J Atten Disord. 2021 May;25(7):895-905. doi: 10.1177/1087054719879491. Epub 2019 Oct 18.

Abstract

Objective: The aim of the study was to compare the development of working memory and preliminary stages of attentional processing in individuals with ADHD over a 23- to 25-year period. Method: Individuals with ADHD (n = 19) and healthy controls (n = 26) were followed up after 13 years (T2) and 23 to 25 years (T3) after initial assessment (T1). They were reassessed with diagnostic measures and the Backward masking task (pre-attention) and the Digit span distractibility test with and without distraction conditions (working memory). Results: The ADHD group performed below the healthy controls on all time points on the Digit span distractibility test. On the distractibility condition, we found a selective decline in performance from T2 to T3 for the ADHD group. Conclusion: The results highlight that ADHD individuals continue to display working memory deficits, also in adulthood, thus creating an imperative for cognitive rehabilitation techniques to help address attention difficulties.

Keywords: ADHD; longitudinal; neurodevelopment; pre-attention; working memory.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attention
  • Attention Deficit Disorder with Hyperactivity*
  • Follow-Up Studies
  • Humans
  • Memory Disorders
  • Memory, Short-Term*
  • Neuropsychological Tests