Is ADHD a disinhibitory disorder?

Authors
Citation
Jt. Nigg, Is ADHD a disinhibitory disorder?, PSYCHOL B, 127(5), 2001, pp. 571-598
Citations number
230
Categorie Soggetti
Psycology,"Neurosciences & Behavoir
Journal title
PSYCHOLOGICAL BULLETIN
ISSN journal
00332909 → ACNP
Volume
127
Issue
5
Year of publication
2001
Pages
571 - 598
Database
ISI
SICI code
0033-2909(200109)127:5<571:IAADD>2.0.ZU;2-1
Abstract
Attention deficit hyperactivity disorder (ADHD) is widely theorized to stem from dysfunctional inhibitory processes. However, the definition of inhibi tion is imprecisely distinguished across theories. To clarify the evidence for this conception, the author relies on a heuristic distinction between i nhibition that is under executive control and inhibition that is under moti vational control (anxiety or fear). It is argued that ADHD is unlikely to b e due to a motivational inhibitory control deficit, although suggestions ax e made for additional studies that could overturn that conclusion. Evidence for a deficit in an executive motor inhibition process for the ADHD combin ed type is more compelling but is not equally strong for all forms of execu tive inhibitory control. Remaining issues include specificity to ADHD, whet her inhibitory problems are primary or secondary in causing ADHD, role of c omorbid anxiety and conduct disorder, and functional deficits in the inatte ntive ADHD subtype.