Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD.
- Authors
- Barkley, Russell A
- Year
- 1997
- Journal
- Psychological bulletin
- PMID
- 9000892
- DOI
- 10.1037/0033-2909.121.1.65
Attention deficit hyperactivity disorder (ADHD) comprises a deficit in behavioral inhibition. A theoretical model is constructed that links inhibition to 4 executive neuropsychological functions that appear to depend on it for their effective execution: (a) working memory, (b) self-regulation of affect-motivation-arousal, (c) internalization of speech, and (d) reconstitution (behavioral analysis and synthesis). Extended to ADHD, the model predicts that ADHD should be associated with secondary impairments in these 4 executive abilities and the motor control they afford. The author reviews evidence for each of these domains of functioning and finds it to be strongest for deficits in behavioral inhibition, working memory, regulation of motivation, and motor control in those with ADHD. Although the model is promising as a potential theory of self-control and ADHD, far more research is required to evaluate its merits and the many predictions it makes about ADHD.
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| Visual attention in adults with attention-deficit/hyperactivity disorder before and after stimulant treatment. | Low AM et al. | β | 2019 | β |
| Why are we not flooded by involuntary thoughts about the past and future? Testing the cognitive inhibition dependency hypothesis. | Barzykowski K et al. | β | 2019 | β |
| A Low-Level Perceptual Correlate of Behavioral and Clinical Deficits in ADHD. | Mihali A et al. | β | 2018 | β |
| Association of Affected Neurocircuitry With Deficit of Response Inhibition and Delayed Gratification in Attention Deficit Hyperactivity Disorder: A Narrative Review. | Jiang X et al. | β | 2018 | β |
| A systematic review and meta-analysis of effects of early life non-cognitive skills on academic, psychosocial, cognitive and health outcomes. | Smithers LG et al. | β | 2018 | β |
| Can working memory training work for ADHD? Development of central executive training and comparison with behavioral parent training. | Kofler MJ et al. | β | 2018 | β |
| Cognitive Control Over Visual Motion Processing - Are Children With ADHD Especially Compromised? A Pilot Study of Flanker Task Event-Related Potentials. | Lange-Malecki B et al. | β | 2018 | β |
| Effect of cognitive and executive functions on perception of quality of life of cognitively normal elderly people dwelling in residential aged care facilities in Sri Lanka. | Gamage MWK et al. | β | 2018 | β |
| Effect of Comorbid Psychopathology and Conduct Problem Severity on Response to a Multi-component Intervention for Childhood Disruptive Behavior. | Aitken M et al. | β | 2018 | β |
| Evaluation of the diagnostic implications of Das-Naglieri cognitive assessment system in children with attention deficit hyperactivity disorder. | Qin L et al. | β | 2018 | β |
| Executive Functioning Mediates Predictions of Youth Academic and Social Development from Parenting Behavior. | Fenesy MC et al. | β | 2018 | β |
| Feedback Timing Modulates Probabilistic Learning in Adults with ADHD. | Gabay Y et al. | β | 2018 | β |
| Genetic association study of dyslexia and ADHD candidate genes in a Spanish cohort: Implications of comorbid samples. | SΓ‘nchez-MorΓ‘n M et al. | β | 2018 | β |
| Keeping Emotions in Mind: The Influence of Working Memory Capacity on Parent-Reported Symptoms of Emotional Lability in a Sample of Children With and Without ADHD. | Jensen DA et al. | β | 2018 | β |
| No Medication for My Child! A Naturalistic Study on the Treatment Preferences for and Effects of Cogmed Working Memory Training Versus Psychostimulant Medication in Clinically Referred Youth with ADHD. | Muris P et al. | β | 2018 | β |
| Preschool Executive Control and Internalizing Symptoms in Elementary School. | Nelson TD et al. | β | 2018 | β |
| Preschool Inhibitory Control Predicts ADHD Group Status and Inhibitory Weakness in School. | Jacobson LA et al. | β | 2018 | β |
| Remittance or persistence of attention deficit-hyperactivity disorder (ADHD) and its impact on recidivism in risky driving behaviors. | Valero S et al. | β | 2018 | β |
| Review of the Evidence for Motivation Deficits in Youth with ADHD and Their Association with Functional Outcomes. | Smith ZR et al. | β | 2018 | β |
| Selective impairment of attentional set shifting in adults with ADHD. | Luna-Rodriguez A et al. | β | 2018 | β |
| Sport concussion and attention deficit hyperactivity disorder in student athletes: A cohort study. | Iaccarino MA et al. | β | 2018 | β |
| What's going on in my baby's mind? Mothers' executive functions contribute to individual differences in maternal mentalization during mother-infant interactions. | Yatziv T et al. | β | 2018 | β |
| Within- and Between-Session Prefrontal Cortex Response to Virtual Reality Exposure Therapy for Acrophobia. | Landowska A et al. | β | 2018 | β |