AUTHOR=Bieleninik Łucja , Gradys Gabriela , Dzhambov Angel M. , Walczak-Kozłowska Tamara , Lipowska Kornelia , Łada-Maśko Ariadna , Sitnik-Warchulska Katarzyna , Anikiej-Wiczenbach Paulina , Harciarek Michał , Lipowska Małgorzata TITLE=Attention deficit in primary-school-age children with attention deficit hyperactivity disorder measured with the attention network test: a systematic review and meta-analysis JOURNAL=Frontiers in Neuroscience VOLUME=17 YEAR=2023 URL=https://www.frontiersin.org/journals/neuroscience/articles/10.3389/fnins.2023.1246490 DOI=10.3389/fnins.2023.1246490 ISSN=1662-453X ABSTRACT=Objective

To review and meta-analyze patterns of attention deficit in primary-school-age children with ADHD measured with the neuropsychological attention network test (ANT).

Methods

Six electronic databases were searched to 5.05.2022. Selection criteria included prospective cohort and intervention studies; ANT used; primary-school-age; diagnosis of ADHD/at high risk.

Results

Seven studies met inclusion criteria (N = 3,826). Compared with controls, children with ADHD had higher scores for Reaction Time (Hedges’ g = 0.433; 95% CI: 0.135–0.731), Reaction Time Variability (Hedges’ g = 0.334; 95% CI: 0.012–0.657), and Alerting Network (Hedges’ g = 0.235; 95% CI: 0.021–0.449) while children at high risk had higher Alerting Network scores (Hedges’ g = 0.176; 95% CI: 0.003–0.349) and Correctness scores (Hedges’ g = 1.956; 95% CI: 0.020–3.892).

Conclusions

Children with ADHD and at risk of ADHD had different ANT results from children without ADHD only for the alerting network. There were no significant differences for executive and orienting outcomes. Children at risk of ADHD also made more errors (commission and omission) measured with the ANT compared with children without ADHD. Reaction time was longer and reaction time variability higher in children with ADHD than in children without ADHD, and in children at risk of ADHD compared with children without ADHD.

Preregistration

A protocol has been registered with the International Prospective Register of Systematic Reviews (PROSPERO) database (registration number: CRD42021249768).