Continuous performance task in ADHD: Is reaction time variability a key measure?

Florence Levy,1 Andrew Pipingas,2 Elizabeth V Harris,2 Maree Farrow,3 Richard B Silberstein2 1School of Psychiatry, University of New South Wales and Head, Child and Family East, Prince of Wales Hospital, Sydney, NSW, Australia; 2Centre for Human Psychopharmacology, Swinburne University of Technolo...

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Autores principales: Levy F, Pipingas A, Harris EV, Farrow M, Silberstein RB
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Lenguaje:EN
Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:c4470e8efc0c403fba4f8ef75aa7867e2021-12-02T02:03:35ZContinuous performance task in ADHD: Is reaction time variability a key measure?1178-2021https://doaj.org/article/c4470e8efc0c403fba4f8ef75aa7867e2018-03-01T00:00:00Zhttps://www.dovepress.com/continuous-performance-task-in-adhd-is-reaction-time-variability-a-key-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Florence Levy,1 Andrew Pipingas,2 Elizabeth V Harris,2 Maree Farrow,3 Richard B Silberstein2 1School of Psychiatry, University of New South Wales and Head, Child and Family East, Prince of Wales Hospital, Sydney, NSW, Australia; 2Centre for Human Psychopharmacology, Swinburne University of Technology, Hawthorn, Victoria, Australia; 3Wicking Dementia Research and Education Centre, University of Tasmania, Hobart, Tasmania, Australia Objective: To compare the use of the Continuous Performance Task (CPT) reaction time variability (intraindividual variability or standard deviation of reaction time), as a measure of vigilance in attention-deficit hyperactivity disorder (ADHD), and stimulant medication response, utilizing a simple CPT X-task vs an A-X-task. Method: Comparative analyses of two separate X-task vs A-X-task data sets, and subgroup analyses of performance on and off medication were conducted. Results: The CPT X-task reaction time variability had a direct relationship to ADHD clinician severity ratings, unlike the CPT A-X-task. Variability in X-task performance was reduced by medication compared with the children’s unmedicated performance, but this effect did not reach significance. When the coefficient of variation was applied, severity measures and medication response were significant for the X-task, but not for the A-X-task. Conclusion: The CPT-X-task is a useful clinical screening test for ADHD and medication response. In particular, reaction time variability is related to default mode interference. The A-X-task is less useful in this regard. Keywords: ADHD, continuous performance task, reaction time variability, stimulant medicationLevy FPipingas AHarris EVFarrow MSilberstein RBDove Medical PressarticleADHDContinuous Performance TaskReaction Time VariabilityStimulant medicationNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 781-786 (2018)
institution DOAJ
collection DOAJ
language EN
topic ADHD
Continuous Performance Task
Reaction Time Variability
Stimulant medication
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle ADHD
Continuous Performance Task
Reaction Time Variability
Stimulant medication
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Levy F
Pipingas A
Harris EV
Farrow M
Silberstein RB
Continuous performance task in ADHD: Is reaction time variability a key measure?
description Florence Levy,1 Andrew Pipingas,2 Elizabeth V Harris,2 Maree Farrow,3 Richard B Silberstein2 1School of Psychiatry, University of New South Wales and Head, Child and Family East, Prince of Wales Hospital, Sydney, NSW, Australia; 2Centre for Human Psychopharmacology, Swinburne University of Technology, Hawthorn, Victoria, Australia; 3Wicking Dementia Research and Education Centre, University of Tasmania, Hobart, Tasmania, Australia Objective: To compare the use of the Continuous Performance Task (CPT) reaction time variability (intraindividual variability or standard deviation of reaction time), as a measure of vigilance in attention-deficit hyperactivity disorder (ADHD), and stimulant medication response, utilizing a simple CPT X-task vs an A-X-task. Method: Comparative analyses of two separate X-task vs A-X-task data sets, and subgroup analyses of performance on and off medication were conducted. Results: The CPT X-task reaction time variability had a direct relationship to ADHD clinician severity ratings, unlike the CPT A-X-task. Variability in X-task performance was reduced by medication compared with the children’s unmedicated performance, but this effect did not reach significance. When the coefficient of variation was applied, severity measures and medication response were significant for the X-task, but not for the A-X-task. Conclusion: The CPT-X-task is a useful clinical screening test for ADHD and medication response. In particular, reaction time variability is related to default mode interference. The A-X-task is less useful in this regard. Keywords: ADHD, continuous performance task, reaction time variability, stimulant medication
format article
author Levy F
Pipingas A
Harris EV
Farrow M
Silberstein RB
author_facet Levy F
Pipingas A
Harris EV
Farrow M
Silberstein RB
author_sort Levy F
title Continuous performance task in ADHD: Is reaction time variability a key measure?
title_short Continuous performance task in ADHD: Is reaction time variability a key measure?
title_full Continuous performance task in ADHD: Is reaction time variability a key measure?
title_fullStr Continuous performance task in ADHD: Is reaction time variability a key measure?
title_full_unstemmed Continuous performance task in ADHD: Is reaction time variability a key measure?
title_sort continuous performance task in adhd: is reaction time variability a key measure?
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/c4470e8efc0c403fba4f8ef75aa7867e
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