Skip to main content
Top
Published in: ADHD Attention Deficit and Hyperactivity Disorders 4/2013

01-12-2013 | Original Article

Verbal fluency in adults diagnosed with attention-deficit hyperactivity disorder (ADHD) in childhood

Authors: Georgia Andreou, Kate Trott

Published in: ADHD Attention Deficit and Hyperactivity Disorders | Issue 4/2013

Login to get access

Abstract

It has been increasingly believed that attention-deficit hyperactivity disorder (ADHD) is a disorder with lifelong course associated with cognitive difficulties including among others, language production, verbal learning, and verbal fluency. However, research is limited to children and adolescents, and very few researchers have examined the impact of ADHD in adulthood on the cognitive domain. The aim of the present study is to examine the performance of adults, diagnosed with ADHD in childhood, on semantic and phonemic verbal fluency tasks. It is hypothesized that adults with ADHD will perform worse on both tasks than matched controls. Sixty university students (30 diagnosed with ADHD in childhood and 30 matched controls) of mean age 20.5 participated in the study. They all completed two verbal fluency tasks. The ADHD group had statistically significant lower scores than the non-ADHD group on the phonemic, but not the semantic task. The study provides some evidence that ADHD in childhood has a negative impact on adults’ phonemic verbal fluency. This finding could be probably explained by the fact that phonemic fluency is considered more cognitively demanding and impacting more on the frontal lobe functions, known to be impaired in ADHD, than semantic fluency.
Appendix
Available only for authorised users
Literature
go back to reference Andreou G, Karapetsas A, Gourgoulianis K, Agapitou P (2003) Verbal intelligence and sleep disorders in children with ADHD. Percept Mot Skills 96:1283–1288PubMedCrossRef Andreou G, Karapetsas A, Gourgoulianis K, Agapitou P (2003) Verbal intelligence and sleep disorders in children with ADHD. Percept Mot Skills 96:1283–1288PubMedCrossRef
go back to reference Andreou G, Agapitou P, Karapetsas A (2005) Verbal skills in children with ADHD. Eur J Spec Needs Educ 20(2):231–238CrossRef Andreou G, Agapitou P, Karapetsas A (2005) Verbal skills in children with ADHD. Eur J Spec Needs Educ 20(2):231–238CrossRef
go back to reference Barkley RA (1998) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 2nd edn. Guilford Press, New York Barkley RA (1998) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 2nd edn. Guilford Press, New York
go back to reference Barkley RA, Fischer M, Edelbrock CS, Smallish L (1990) The adolescent outcome of hyperactive children diagnosed by research criteria: i. An 8-year prospective follow-up study. J Am Acad Child Adolesc Psychiatry 29:546–557PubMedCrossRef Barkley RA, Fischer M, Edelbrock CS, Smallish L (1990) The adolescent outcome of hyperactive children diagnosed by research criteria: i. An 8-year prospective follow-up study. J Am Acad Child Adolesc Psychiatry 29:546–557PubMedCrossRef
go back to reference Barkley R, Grodzinsky G, DuPaul G (1992) Frontal lobe functions in attention deficit disorder with and without hyperactivity: a review and research report. J Abnorm Child Psychol 20:163–188PubMedCrossRef Barkley R, Grodzinsky G, DuPaul G (1992) Frontal lobe functions in attention deficit disorder with and without hyperactivity: a review and research report. J Abnorm Child Psychol 20:163–188PubMedCrossRef
go back to reference Barkley RA, Murphy K, Kwasnik D (1996) Psychological adjustment and adaptive impairments in young adults with ADHD. J Atten Disord 1:41–54CrossRef Barkley RA, Murphy K, Kwasnik D (1996) Psychological adjustment and adaptive impairments in young adults with ADHD. J Atten Disord 1:41–54CrossRef
go back to reference Biederman J, Faraone SV, Spencer T, Wilens T, Normal D, Lapey KA, Mick E, Lehman BK, Doyle A (1993) Patterns of psychiatric comorbidity, cognition and psychosocial functioning in adults with attention-deficit hyperactivity disorder. Am J Psychiatry 150:1792–1798PubMed Biederman J, Faraone SV, Spencer T, Wilens T, Normal D, Lapey KA, Mick E, Lehman BK, Doyle A (1993) Patterns of psychiatric comorbidity, cognition and psychosocial functioning in adults with attention-deficit hyperactivity disorder. Am J Psychiatry 150:1792–1798PubMed
go back to reference Boonstra AM, Oosterlaan J, Sergeant AJ, Buitelaar KJ (2005) Executive functioning in adult ADHD: a meta-analytic review. Psychol Med 35(8):1097–1108PubMedCrossRef Boonstra AM, Oosterlaan J, Sergeant AJ, Buitelaar KJ (2005) Executive functioning in adult ADHD: a meta-analytic review. Psychol Med 35(8):1097–1108PubMedCrossRef
go back to reference De Quiros BG, Kinsboune M (2001) Adult ADHD: analysis of self-ratings on a behaviour questionnaire. Ann NY Acad Sci 931:140–147PubMedCrossRef De Quiros BG, Kinsboune M (2001) Adult ADHD: analysis of self-ratings on a behaviour questionnaire. Ann NY Acad Sci 931:140–147PubMedCrossRef
go back to reference Dinn WM, Robbins NC, Harris CL (2001) Adult attention-deficit hyperactivity disorder: psychological test profiles in a clinical population. Brain Cogn 46:114–121PubMedCrossRef Dinn WM, Robbins NC, Harris CL (2001) Adult attention-deficit hyperactivity disorder: psychological test profiles in a clinical population. Brain Cogn 46:114–121PubMedCrossRef
go back to reference Engelhardt EP, Ferreira F, Nigg TJ (2009) Priming sentence production in adolescents and adults with attention-deficit hyperactivity disorder. J Abnorm Child Psychol 37:995–1006PubMedCrossRef Engelhardt EP, Ferreira F, Nigg TJ (2009) Priming sentence production in adolescents and adults with attention-deficit hyperactivity disorder. J Abnorm Child Psychol 37:995–1006PubMedCrossRef
go back to reference Fischer M, Barkley R, Edelbrock C, Smallish L (1990) The adolescent outcome of hyperactive children diagnosed by research criteria: II academic, attention and neuropsychological status. J Consult Clin Psychol 58:580–588PubMedCrossRef Fischer M, Barkley R, Edelbrock C, Smallish L (1990) The adolescent outcome of hyperactive children diagnosed by research criteria: II academic, attention and neuropsychological status. J Consult Clin Psychol 58:580–588PubMedCrossRef
go back to reference Grodzinsky GM, Diamond R (1992) Frontal lobe functioning in boys with attention deficit hyperactivity disorder. Dev Neuropsychol 8:427–445CrossRef Grodzinsky GM, Diamond R (1992) Frontal lobe functioning in boys with attention deficit hyperactivity disorder. Dev Neuropsychol 8:427–445CrossRef
go back to reference Hervey SA (2004) Neuropsychology of adults with attention-deficit hyperactivity disorder: a meta-analytic review. Neuropsychology 18(3):485–503PubMedCrossRef Hervey SA (2004) Neuropsychology of adults with attention-deficit hyperactivity disorder: a meta-analytic review. Neuropsychology 18(3):485–503PubMedCrossRef
go back to reference Hurks PM, Hendriksen JGM, Vles JSH, Kalff CA, Feron FJM, Kroes M, Van Zeben TMCB, Steyaert J, Jolles J (2004) Verbal fluency over time as a measure of automatic and controlled processing in children with ADHD. Brain Cogn 55:535–544PubMedCrossRef Hurks PM, Hendriksen JGM, Vles JSH, Kalff CA, Feron FJM, Kroes M, Van Zeben TMCB, Steyaert J, Jolles J (2004) Verbal fluency over time as a measure of automatic and controlled processing in children with ADHD. Brain Cogn 55:535–544PubMedCrossRef
go back to reference Hynd GW, Semrud-Clikeman M, Lorys A, Novey ES, Eliopulos D (1990) Brain morphology in developmental dyslexia and attention deficit disorder/hyperactivity. Arch Neurol 47:919–926PubMedCrossRef Hynd GW, Semrud-Clikeman M, Lorys A, Novey ES, Eliopulos D (1990) Brain morphology in developmental dyslexia and attention deficit disorder/hyperactivity. Arch Neurol 47:919–926PubMedCrossRef
go back to reference Jenkins AM, Cohen R, Malloy P, Salloway S, Johnson EG, Penn J, Marcotte A (1998) Neuropsychological measures which discriminate among adults with residual symptoms of attention deficit disorder and other attentional complaints. Clin Neuropsychol 12:74–83 Jenkins AM, Cohen R, Malloy P, Salloway S, Johnson EG, Penn J, Marcotte A (1998) Neuropsychological measures which discriminate among adults with residual symptoms of attention deficit disorder and other attentional complaints. Clin Neuropsychol 12:74–83
go back to reference Johnson ED, Epstein NJ, Waid LR, Latham KP, Voronin EK, Anton FR (2001) Arch Clin Neuropsychol 16:587–604PubMed Johnson ED, Epstein NJ, Waid LR, Latham KP, Voronin EK, Anton FR (2001) Arch Clin Neuropsychol 16:587–604PubMed
go back to reference Kosmidis M, Vlachou HC, Panagiotaki P, Kiosseoglou G (2004) The verbal fluency task in the Greek population: normative data and clustering and switching strategies. J Int Neuropsychol Soc 10:164–172PubMed Kosmidis M, Vlachou HC, Panagiotaki P, Kiosseoglou G (2004) The verbal fluency task in the Greek population: normative data and clustering and switching strategies. J Int Neuropsychol Soc 10:164–172PubMed
go back to reference Lezak MD (1995) Neuropsychological assessment, 3rd edn. Oxford University Press, New York Lezak MD (1995) Neuropsychological assessment, 3rd edn. Oxford University Press, New York
go back to reference Lovejoy DW, Ball JD, Keats M, Stutts ML, Spain EH, Janda L, Janusz J (1999) Neuropsychological performance of adults with attention-deficit hyperactivity disorder (ADHD): diagnostic classification estimates for measures of frontal lobe/executive functioning. J Int Neuropsychol Soc 5:222–233PubMedCrossRef Lovejoy DW, Ball JD, Keats M, Stutts ML, Spain EH, Janda L, Janusz J (1999) Neuropsychological performance of adults with attention-deficit hyperactivity disorder (ADHD): diagnostic classification estimates for measures of frontal lobe/executive functioning. J Int Neuropsychol Soc 5:222–233PubMedCrossRef
go back to reference Nadeau KG (1995) A comprehensive guide to attention-deficit disorder in adults. Brunner/Mazer, New York Nadeau KG (1995) A comprehensive guide to attention-deficit disorder in adults. Brunner/Mazer, New York
go back to reference Pennington BF, Ozonoff S (1996) Executive functions and developmental psychopathology. J Child Psychol Psychiatry 37:51–87PubMedCrossRef Pennington BF, Ozonoff S (1996) Executive functions and developmental psychopathology. J Child Psychol Psychiatry 37:51–87PubMedCrossRef
go back to reference Pineda D, Ardila A, Rosselli M, Cadavid C, Mancheno S, Mejia S (1998) Executive dysfunctions in children with attention-deficit hyperactivity disorder. Int J Neurosci 96:177–196PubMedCrossRef Pineda D, Ardila A, Rosselli M, Cadavid C, Mancheno S, Mejia S (1998) Executive dysfunctions in children with attention-deficit hyperactivity disorder. Int J Neurosci 96:177–196PubMedCrossRef
go back to reference Reader MJ, Harris E, Schuerholz LJ, Denckla MB (1994) Attention deficit hyperactivity disorder and executive dysfunction. DevNeuropsychol 10:493–512 Reader MJ, Harris E, Schuerholz LJ, Denckla MB (1994) Attention deficit hyperactivity disorder and executive dysfunction. DevNeuropsychol 10:493–512
go back to reference Riva D, Nichelli F, Devoti M (2000) Developmental aspects of verbal fluency and confrontation naming in children. Brain Lang 71:267–284PubMedCrossRef Riva D, Nichelli F, Devoti M (2000) Developmental aspects of verbal fluency and confrontation naming in children. Brain Lang 71:267–284PubMedCrossRef
go back to reference Shaffer D (1994) Attention-deficit hyperactivity disorder in adults. Am J Psychiatry 151:633–638PubMed Shaffer D (1994) Attention-deficit hyperactivity disorder in adults. Am J Psychiatry 151:633–638PubMed
go back to reference Szatkowska I, Grabowska A, Szymanska O (2000) Phonological and semantic fluencies are mediated by different regions in the prefrontal cortex. Acta Neurobiol Exp 60:503–508 Szatkowska I, Grabowska A, Szymanska O (2000) Phonological and semantic fluencies are mediated by different regions in the prefrontal cortex. Acta Neurobiol Exp 60:503–508
go back to reference Teeter AP (1998) Interventions for ADHD: treatment in developmental context. The Guilford Press, New York Teeter AP (1998) Interventions for ADHD: treatment in developmental context. The Guilford Press, New York
go back to reference Troyer AK (2000) Normative data for clustering and switching on verbal fluency tasks. J Clin Exp Neuropsychol 33:370–378CrossRef Troyer AK (2000) Normative data for clustering and switching on verbal fluency tasks. J Clin Exp Neuropsychol 33:370–378CrossRef
go back to reference Troyer AK, Moscovitch M, Winocur G (1997) Clustering and switching as two components of verbal fluency: evidence from younger and older healthy adults. Neuropsychology 11:138–146PubMedCrossRef Troyer AK, Moscovitch M, Winocur G (1997) Clustering and switching as two components of verbal fluency: evidence from younger and older healthy adults. Neuropsychology 11:138–146PubMedCrossRef
go back to reference Tucha O, Mecklinger L, Laufkotter R, Kaunzinger I, Paul G, Klein H, Lange K (2005) Clustering and switching on verbal and figural fluency functions in adults with attention-deficit hyperactivity disorder. Cogn Neuropsychiatry 10(3):231–248PubMedCrossRef Tucha O, Mecklinger L, Laufkotter R, Kaunzinger I, Paul G, Klein H, Lange K (2005) Clustering and switching on verbal and figural fluency functions in adults with attention-deficit hyperactivity disorder. Cogn Neuropsychiatry 10(3):231–248PubMedCrossRef
go back to reference Walker AJ, Shores EA, Trollor JN, Lee T, Sachdev PS (2000) Neuropsychological functioning of adults with attention-deficit hyperactivity disorder. J Clin Exp Neuropsychol 22:115–124PubMedCrossRef Walker AJ, Shores EA, Trollor JN, Lee T, Sachdev PS (2000) Neuropsychological functioning of adults with attention-deficit hyperactivity disorder. J Clin Exp Neuropsychol 22:115–124PubMedCrossRef
go back to reference Welsh MC, Pennington BF (1998) Assessing frontal lobe fuctioning in children: views from developmental psychology. Dev Neuropsychol 4(3):199–230 Welsh MC, Pennington BF (1998) Assessing frontal lobe fuctioning in children: views from developmental psychology. Dev Neuropsychol 4(3):199–230
go back to reference Weiss G, Hechtman LT (1993) Hyperactive children grown up. Guilford Press, New York Weiss G, Hechtman LT (1993) Hyperactive children grown up. Guilford Press, New York
go back to reference Wender PH (1995) Attention-deficit hyperactivity disorder in adults. Oxford Press, New York Wender PH (1995) Attention-deficit hyperactivity disorder in adults. Oxford Press, New York
go back to reference Weyandt L, Willis W (1994) Executive functions in school-aged children: potential efficacy of discriminating clinical groups. Dev Neuropsychol 10:27–38CrossRef Weyandt L, Willis W (1994) Executive functions in school-aged children: potential efficacy of discriminating clinical groups. Dev Neuropsychol 10:27–38CrossRef
go back to reference Wilens TE, Biederman J, Spencer TJ (2002) Attention-deficit hyperactivity disorder across the lifespan. Annu Rev Med 53:113–131PubMedCrossRef Wilens TE, Biederman J, Spencer TJ (2002) Attention-deficit hyperactivity disorder across the lifespan. Annu Rev Med 53:113–131PubMedCrossRef
go back to reference Woods SP, Lovejoy DW, Ball JD (2002) Neuropsychological characteristics of adults with ADHD: a comprehensive review of initial studies. Clin Neuropsychol 16:12–34PubMedCrossRef Woods SP, Lovejoy DW, Ball JD (2002) Neuropsychological characteristics of adults with ADHD: a comprehensive review of initial studies. Clin Neuropsychol 16:12–34PubMedCrossRef
Metadata
Title
Verbal fluency in adults diagnosed with attention-deficit hyperactivity disorder (ADHD) in childhood
Authors
Georgia Andreou
Kate Trott
Publication date
01-12-2013
Publisher
Springer Vienna
Published in
ADHD Attention Deficit and Hyperactivity Disorders / Issue 4/2013
Print ISSN: 1866-6116
Electronic ISSN: 1866-6647
DOI
https://doi.org/10.1007/s12402-013-0112-z

Other articles of this Issue 4/2013

ADHD Attention Deficit and Hyperactivity Disorders 4/2013 Go to the issue