Basic numerical processing, calculation, and working memory in children with dyscalculia and/or ADHD symptoms

Z Kinder Jugendpsychiatr Psychother. 2016 Sep;44(5):365-375. doi: 10.1024/1422-4917/a000450. Epub 2016 Jun 29.

Abstract

Objective: Deficits in basic numerical skills, calculation, and working memory have been found in children with developmental dyscalculia (DD) as well as children with attention-deficit/hyperactivity disorder (ADHD). This paper investigates cognitive profiles of children with DD and/or ADHD symptoms (AS) in a double dissociation design to obtain a better understanding of the comorbidity of DD and ADHD.

Method: Children with DD-only (N = 33), AS-only (N = 16), comorbid DD+AS (N = 20), and typically developing controls (TD, N = 40) were assessed on measures of basic numerical processing, calculation, working memory, processing speed, and neurocognitive measures of attention.

Results: Children with DD (DD, DD+AS) showed deficits in all basic numerical skills, calculation, working memory, and sustained attention. Children with AS (AS, DD+AS) displayed more selective difficulties in dot enumeration, subtraction, verbal working memory, and processing speed. Also, they generally performed more poorly in neurocognitive measures of attention, especially alertness. Children with DD+AS mostly showed an additive combination of the deficits associated with DD-only and A_Sonly, except for subtraction tasks, in which they were less impaired than expected.

Conclusions: DD and AS appear to be related to largely distinct patterns of cognitive deficits, which are present in combination in children with DD+AS.

Keywords: ADHD; Mathematical learning disabilities; basic numerical processing; comorbidity; dyscalculia.

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / classification*
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Child
  • Comorbidity
  • Cross-Sectional Studies
  • Dyscalculia / classification*
  • Dyscalculia / diagnosis*
  • Dyscalculia / epidemiology
  • Dyscalculia / psychology
  • Dyslexia / classification
  • Dyslexia / diagnosis
  • Dyslexia / epidemiology
  • Dyslexia / psychology
  • Female
  • Humans
  • Intelligence
  • Internal-External Control
  • Male
  • Memory, Short-Term*
  • Mental Disorders / classification
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology
  • Neuropsychological Tests / statistics & numerical data
  • Psychometrics / statistics & numerical data
  • Reproducibility of Results