The Link between Mind-wandering and Performance in a Sustained Attention to Response Test in Adults with Attention-deficit/Hyperactivity Disorder Symptoms

10.4103/TPSY.TPSY_16_22

Susan Shur-Fen Gau；Shoou-Lian Hwang-Gu；Ying Ting Lin；Chia-Fen Hsu；Hsing-Chang Ni

adult attention-deficit/hyperactivity disorder ； commission errors ； task performance ； thought probes

台灣精神醫學

36卷2期（2022 / 06 / 01）

74 - 81

英文

Objectives: The symptoms of attention-deficit/hyperactivity disorder (ADHD) have been positively documented to be correlated with unintentional mind-wandering (MW) in the literature. In this study, we intended to explore the link between the types of MW and the attention laboratory performance in adults with ADHD symptoms. Methods: We recruited 24 adult patients with ADHD and 30 controls: (a) to receive a semi-structured psychiatric interview for ADHD and other diagnoses, (b) to complete questionnaires about adult ADHD symptoms and other psychiatric symptoms, (c) to receive intelligence assessment, (d) to have thought probes during a Sustained Attention to Response Task (SART), and (e) to be assessed with the MW: Spontaneous Scale (WM-S). Results: Adult patients with ADHD symptoms showed a more impulsive SART response style (increased commission errors and fast response speed) and unintentional MW. Increased unintentional MW was associated with reduced task performance. A positive association existed between MW-S scores and unintentional MW during the SART. Conclusion: Spontaneous MW may be significant impairment in adults with ADHD. Different measurements of MW had the associated and consistent findings measured by cognitive laboratory task with thought probe or WM-S measurement.

1. Alali-Morlevy, K,Goldfarb, L(2021).The connection between mind wandering, ADHD, and Level of Performance on an Attention Task.J Atten Disord,25,1895-1907.
2. Arabacı, G,Parris, BA(2018).Probe-caught spontaneous and deliberate mind wandering in relation to self-reported inattentive, hyperactive and impulsive traits in adults.Sci Rep,8,4113.
3. Asherson, P,Buitelaar, J,Faraone, SV(2016).Adult attention-deficit hyperactivity disorder: key conceptual issues.Lancet Psychiatry,3,568-578.
4. Biederman, J,Fitzgerald, M,Uchida, M(2017).Towards operationalising internal distractibility (Mind Wandering) in adults with ADHD.Acta Neuropsychiatr,29,330-336.
5. Bozhilova, N,Michelini, G,Jones, C(2021).Context regulation of mind wandering in ADHD.J Atten Disord,25,2014-2027.
6. Bozhilova, NS,Michelini, G,Kuntsi, J(2018).Mind wandering perspective on attention-deficit/hyperactivity disorder.Neurosci Biobehav Rev,92,464-476.
7. Carriere, JS,Seli, P,Smilek, D(2013).Wandering in both mind and body: individual differences in mind wandering and inattention predict fidgeting.Can J Exp Psychol,67,19-31.
8. Chen, YL,Chen, WJ,Lin, KC(2019).Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings.Epidemiol Psychiatr Sci,29,e15.
9. Christoff, K,Irving, ZC,Fox, KC(2016).Mind-wandering as spontaneous thought: a dynamic framework.Nat Rev Neurosci,17,718-731.
10. Cohen, J(1998).Statistical Power Analysis for the Behavioral Sciences.Hillsdale, New Jersey, USA:Erlbaum.
11. Durantin, G,Dehais, F,Delorme, A(2015).Characterization of mind wandering using fNIRS.Front Syst Neurosci,9,45.
12. Epstein, NJ,Conners, CK,Sitarenios, G(1998).Continuous performance test results of adults with attention deficit hyperactivity disorder.Clin Neuropsychol,12,155-168.
13. Faraone, SV,Asherson, P,Banaschewski, T(2015).Attention-deficit/hyperactivity disorder.Nat Rev Dis Primers,1,15020.
14. Franklin, MS,Mrazek, MD,Anderson, CL(2017).Tracking distraction.J Atten Disord,21,475-486.
15. Fredriksen, M,Egeland, J,Haavik, J(2021).Individual variability in reaction time and prediction of clinical response to methylphenidate in adult ADHD: a prospective open label study using conners’ continuous performance test II.J Atten Disord,25,657-671.
16. Fuermaier, AB,Tucha, O,Koerts, J(2018).Is motor activity during cognitive assessment an indicator for feigned attention-deficit/hyperactivity disorder (ADHD) in adults?.J Clin Exp Neuropsychol,40,971-986.
17. Gau, SS,Kessler, RC,Tseng, WL(2007).Association between sleep problems and symptoms of attention-deficit/hyperactivity disorder in young adults.Sleep,30,195-201.
18. Gau, SS,Lin, YJ,Cheng, AT(2010).Psychopathology and symptom remission at adolescence among children with attention-deficit-hyperactivity disorder.Aust N Z J Psychiatry,44,323-332.
19. Gmehlin, D,Fuermaier, AB,Walther, S(2016).Attentional lapses of adults with attention deficit hyperactivity disorder in tasks of sustained attention.Arch Clin Neuropsychol,31,343-357.
20. Huang-Pollock, CL,Karalunas, SL,Tam, H(2012).Evaluating vigilance deficits in ADHD: a meta-analysis of CPT performance.J Abnorm Psychol,121,360-371.
21. Kane, MJ,Brown, LH,McVay, JC(2007).For whom the mind wanders, and when: an experience-sampling study of working memory and executive control in daily life.Psychol Sci,18,614-621.
22. Keith, JR,Blackwood, ME,Mathew, RT(2017).Self-reported mindful attention and awareness, Go/No-Go response-time variability, and attention-deficit hyperactivity disorder.Mindfulness,8,765-774.
23. Kessler, RC,Adler, L,Ames, M(2005).The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population.Psychol Med,35,245-256.
24. Ko, YH,Chang, SF(2003).Health, Personality, and Habit Test Manual.Taipei:People Achievement Consulting.
25. Lacouture, Y,Cousineau, D(2008).How to use MATLAB to fit the ex-Gaussian and other probability functions to a distribution of response times.Tutor Quant Methods Psychol,4,35-45.
26. Lanier, J,Noyes, E,Biederman, J(2021).Mind wandering (Internal Distractibility) in ADHD: a literature review.J Atten Disord,25,885-890.
27. Leth-Steensen, C,Elbaz, ZK,Douglas, VI.(2000).Mean response times, variability, and skew in the responding of ADHD children: a response time distributional approach.Acta Psychol,104,167-190.
28. Lin, YJ,Gau, SS.(2020).Comparison of neuropsychological functioning between adults with early- and late-onset DSM-5 ADHD.J Atten Disord,24,29-40.
29. Lin, YJ,Gau, SS.(2019).Developmental changes of neuropsychological functioning in individuals with and without childhood ADHD from early adolescence to young adulthood: a 7-year follow-up study.Psychol Med,49,940-951.
30. Luo, Y,Weibman, D,Halperin, JM(2019).A review of heterogeneity in attention deficit/hyperactivity disorder (ADHD).Front Hum Neurosci,13,42.
31. Madiouni, C,Lopez, R,Gély-Nargeot, MC(2020).Mind-wandering and sleepiness in adults with attention-deficit/hyperactivity disorder.Psychiatry Res,287,112901.
32. Mitchell, JT,Zylowska, L,Kollins, SH.(2015).Mindfulness meditation training for attention-deficit/hyperactivity disorder in adulthood: current empirical support, treatment overview, and future directions.Cogn Behav Pract,22,172-191.
33. Mowlem, FD,Skirrow, C,Reid, P(2019).Validation of the mind excessively wandering scale and the relationship of mind wandering to impairment in adult ADHD.J Atten Disord,23,624-634.
34. Ni, HC,Hwang Gu, SL,Lin, HY(2016).Atomoxetine could improve intra-individual variability in drug-naïve adults with attention-deficit/hyperactivity disorder comparably with methylphenidate: a head-to-head randomized clinical trial.J Psychopharmacol,30,459-467.
35. Ni, HC,Lin, YJ,Gau, SS(2017).An open-label, randomized trial of methylphenidate and atomoxetine treatment in adults with ADHD.J Atten Disord,21,27-39.
36. Seli, P(2016).The attention-lapse and motor decoupling accounts of SART performance are not mutually exclusive.Conscious Cogn,41,189-198.
37. Seli, P,Cheyne, JA,Xu, M(2015).Motivation, intentionality, and mind wandering: implications for assessments of task-unrelated thought.J Exp Psychol Learn Mem Cogn,41,1417-1425.
38. Seli, P,Risko, EF,Smilek, D(2016).Assessing the associations among trait and state levels of deliberate and spontaneous mind wandering.Conscious Cogn,41,50-56.
39. Seli, P,Smallwood, J,Cheyne, JA(2015).On the relation of mind wandering and ADHD symptomatology.Psychon Bull Rev,22,629-636.
40. Smallwood, J,Davies, JB,Heim, D(2004).Subjective experience and the attentional lapse: task engagement and disengagement during sustained attention.Conscious Cogn,13,657-690.
41. Smilek, D,Carriere, JS,Cheyne, JA(2010).Failures of sustained attention in life, lab, and brain: ecological validity of the SART.Neuropsychologia,48,2564-2570.
42. Strauß, M,Ulke, C,Paucke, M(2018).Brain arousal regulation in adults with attention-deficit/hyperactivity disorder (ADHD).Psychiatry Res,261,102-108.
43. Thomson, DR,Seli, P,Besner, D(2014).On the link between mind wandering and task performance over time.Conscious Cogn,27,14-26.
44. Tucha, L,Tucha, O,Walitza, S(2009).Vigilance and sustained attention in children and adults with ADHD.J Atten Disord,12,410-421.
45. van Son, D,De Blasio, FM,Fogarty, JS(2019).Frontal EEG theta/beta ratio during mind wandering episodes.Biol Psychol,140,19-27.
46. Wiemers, EA,Redick, TS.(2019).The influence of thought probes on performance: does the mind wander more if you ask it?.Psychon Bull Rev,26,367-373.
47. Yeh, CB,Gau, SS,Kessler, RC(2008).Psychometric properties of the Chinese version of the adult ADHD Self-report Scale.Int J Methods Psychiatr Res,17,45-54.
48. Zablotsky, B,Black, LI,Maenner, MJ(2019).Prevalence and trends of developmental disabilities among children in the United States: 2009-2017.Pediatrics,144,e20190811.