Learning‐based cognitive control in ADHD: a multicentric study.

Background: Learning‐based cognitive control (CC), the ability to adapt control strategies based on contextual regularities, has been studied in typically developing (TD) children but remains underexplored in children with attention deficit hyperactivity disorder (ADHD). This study investigates whet...

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Publicado en:Journal of Child Psychology & Psychiatry Vol. 67; no. 10; pp. 1624 - 1639
Autores principales: Toffoli, Lisa, Stefanelli, Giulia, Del Popolo Cristaldi, Fiorella, Duma, Gian Marco, Pastore, Massimiliano, Tarantino, Vincenza, Franzoi, Malida, Vecchi, Marilena, Danieli, Alberto, Martinez, Federica, Blaye, Agnes, Gonthier, Corentin, Mento, Giovanni
Formato: Artículo
Publicado: Wiley-Blackwell Oct2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2026
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      pub: Wiley-Blackwell
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        10.1111/jcpp.70162
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        atl: Learning‐based cognitive control in ADHD: a multicentric study.
      aug:
        au:
          Toffoli, Lisa
          Stefanelli, Giulia
          Del Popolo Cristaldi, Fiorella
          Duma, Gian Marco
          Pastore, Massimiliano
          Tarantino, Vincenza
          Franzoi, Malida
          Vecchi, Marilena
          Danieli, Alberto
          Martinez, Federica
          Blaye, Agnes
          Gonthier, Corentin
          Mento, Giovanni
        affil:
          Department of General Psychology – DPG, University of Padova, Padova, Italy
          Scientific Institute IRCCS E. Medea, Conegliano (TV), Italy
          Department of Developmental Psychology and Socialisation ‐ DPSS, University of Padova, Padova, Italy
          Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy
          Centre de Recherche en Psychologie et Neuroscience (UMR 7077), Aix‐Marseille Université & CNRS, Marseille, France
          Nantes Université, Univ Angers, Laboratoire de psychologie des Pays de la Loire, LPPL, UR 4638, Nantes, France
          Institut Universitaire de France, Paris, France
      su:
        Italy
        Behavior disorders
        High schools
        Attention-deficit hyperactivity disorder
        Control (Psychology)
        Task performance
        Preschools
        Elementary schools
        Learning
        Psychological adaptation
        Adolescence
        Children
        Research funding
        Questionnaires
        Descriptive statistics
        Experimental design
        Research
        Neuropsychological tests
        Child Behavior Checklist
        Reaction time
        Short-term memory
        Comparative studies
        Cognitive flexibility
      sug:
        subj:
          Behavior disorders
          High schools
          Attention-deficit hyperactivity disorder
          Control (Psychology)
          Task performance
          Preschools
          Elementary schools
          Learning
          Psychological adaptation
          Adolescence
          Children
          Italy
          Elementary and Secondary Schools
          Child Day Care Services
          Research funding
          Questionnaires
          Descriptive statistics
          Experimental design
          Research
          Neuropsychological tests
          Child Behavior Checklist
          Reaction time
          Short-term memory
          Comparative studies
          Cognitive flexibility
      keyword:
        ADHD
        development
        Flanker task
        go‐noGo
        inhibition
        Learning‐based cognitive control
        ADHD
        development
        Flanker task
        go‐noGo
        inhibition
        Learning‐based cognitive control
      ab: Background: Learning‐based cognitive control (CC), the ability to adapt control strategies based on contextual regularities, has been studied in typically developing (TD) children but remains underexplored in children with attention deficit hyperactivity disorder (ADHD). This study investigates whether children with ADHD show intact learning‐based CC and how it is affected by increased cognitive demands. Methods: In a multicentric study, 7–14 years old children (145 ADHD [20F, mean = 10.4 ± 2.0], 97 TD [51F, mean = 10.4 ± 2.0]) completed two experimental tasks: a modified Flanker task and a cued go‐noGo task. Both included a List‐Wide Proportion Congruency (LWPC) manipulation to create different contextual predictability (mostly congruent/valid vs. half congruent/valid blocks). Reaction times (RTs) and accuracy were analyzed across blocks, and we also examined associations between task adaptation and neuropsychological (NPS) as well as questionnaire‐based measures of CC, including inhibition, cognitive flexibility, working memory, and behavioral difficulties. Results: Children with ADHD showed similar LWPC effects to TD peers in the Flanker task, suggesting preserved learning‐based CC in low‐demand contexts. In the cued go‐noGo task, which involved greater attentional and inhibitory demands, children with ADHD displayed less efficient modulation of RTs and reduced speed‐accuracy trade‐off adaptation compared to TD peers. A composite NPS score predicted task adaptation. No associations were found with parental questionnaires. Conclusions: Learning‐based CC appears preserved in children with ADHD in simple contexts but is hindered under complex, multi‐demand conditions. Neuropsychological performance may be a key mechanism underlying these group differences. These findings emphasize the need for ecologically valid paradigms and tailored interventions targeting complex CC challenges in ADHD.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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