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Investigation of cool and hot executive function in ODD/CD independently of ADHD

Hobson, Christopher W., Scott, Stephen and Rubia, Katya 2011. Investigation of cool and hot executive function in ODD/CD independently of ADHD. Journal of Child Psychology and Psychiatry 52 (10) , pp. 1035-1043. 10.1111/j.1469-7610.2011.02454.x

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Background: Children with oppositional defiant disorder/conduct disorder (ODD/CD) have shown deficits in ‘cool’ abstract‐cognitive, and ‘hot’ reward‐related executive function (EF) tasks. However, it is currently unclear to what extent ODD/CD is associated with neuropsychological deficits, independently of attention deficit hyperactivity disorder (ADHD). Methods: Fifty‐nine adolescents with a history of early‐onset oppositional problems, 28 with pure ODD/CD symptoms and 31 with ADHD with or without ODD/CD, and 34 healthy controls were administered a task battery measuring motor response inhibition, sustained attention, cognitive flexibility and reward‐related decision‐making. Findings were analysed using dimensional and group analyses. Results: In group analyses both groups with and without ADHD were impaired in EF measures. Dimensional analyses, however, showed that ODD/CD but not ADHD was related to hot EF based on increased risky decision‐making in the Iowa Gambling Task. ODD/CD was also independently related to aspects of cool EF independently of ADHD, namely slower speeds of inhibitory responding and increased intra‐subject variability. Conclusions: These findings show EF deficits associated with ODD/CD independently of ADHD, and implicate reward‐related abnormalities in theories of antisocial behaviour development.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Publisher: Wiley
ISSN: 0021-9630
Date of Acceptance: 11 July 2011
Last Modified: 03 Dec 2020 14:00

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