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Journal of Attention Disorders
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Decision Making in Children With ADHD Only, ADHD-Anxious/Depressed, and Control Children Using a Child Version of the Iowa Gambling Task

Nancy Garon

Dalhousie University, nancy.garon{at}iwk.nshealth.ca

Chris Moore

Dalhousie University

Daniel A. Waschbusch

University of Buffalo

Objective: The goal of this study is to investigate decision making in children with ADHD using a child version of the Iowa Gambling Task (IGT). The effect of internalizing symptoms is also of interest. Method: Twenty-one children with ADHD (high anxiety/depression and no anxiety/depression) are compared to an age- and sex-matched control group on the gambling task. Children in the ADHD-alone group demonstrate impaired performance on the IGT. In contrast, children in the control group and the ADHD-anxiety/depression group learn to choose more from the advantageous decks over time. Results: These findings of impaired decision making in children with ADHD parallel findings of real-life decision-making problems in this population. Conclusion: Furthermore, the findings suggest that having a high number of internalizing symptoms leads to better performance for children with ADHD on this variant of the IGT.

Key Words: ADHD • development • decision making • executive function • Iowa Gambling Task • anxiety • depression

Journal of Attention Disorders, Vol. 9, No. 4, 607-619 (2006)
DOI: 10.1177/1087054705284501
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