The Mesulam Continuous Performance Test (M-CPT): Age-Related and Gender Differences in the Sustained Attention of Elementary School Children

Joshua Sussman, Anthony F. Tasso

Abstract


The present study gathered normative data for the Mesulam Continuous Performance Test (M-CPT; Mesulam, 1985) and illustrates its potential as an efficient assessment of attention in elementary school children. The M-CPT was administered to a convenience sample of 299 6-14 year-old children drawn from a charter elementary school in Northern California. The results of a multiple regression analysis revealed that test performance generally improved with age. Logistic regression modeling indicated that female students had greater odds of committing no errors on at least one section of the M-CPT than male students, suggesting that girls had greater attentional capacity for the task. The amount of time it took each student to complete the M-CPT was investigated and it was found that age had a strong linear relationship with time to completion. The results suggest that time to completion could be a developmentally sensitive marker of sustained attention. M-CPT completion time offers promise in an assessment of attention problems. Implications are discussed.


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References


American Academy of Child and Adolescent Psychiatry (AACP). (1997). Practice parameters for the assessment and treatment of children, adolescents, and adults with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 36, supplement 10, 85Sā€“121S.

American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders, (4th ed., text revision). Washington, DC: American Psychiatric Association.

Barkley, R. A. (2003). Attention-deficit/hyperactivity disorder. In E. Mash & R. Barkley (Eds.), Child Psychopathology (pp. 75-143). New York. NY: The Guilford Press.

Barkley, R. A., & Grodizinsky, G.M. (1994). Are tests of frontal lobe dysfunction useful in the diagnosis of Attention Deficit Disorders? The Clinical Neurologist, 8, 121-239. Castellanos, F. X., & Tannock, R. (2002). Neuroscience of attention-deficit/hyperactivity disorder: the search for endophenotypes. Nature Reviews Neuroscience, 3(8), 617-628.

Conners, C. K., Epstein, J. N., Angold, A., & Klaric, J. (2003). Continuous performance test performance in a normative epidemiological sample. Journal of Abnormal Child Psychology, 31(5), 555-562. doi: 10.1037/0033-2909.121.1.65

Dumont, R., Stevens, C., Dawson, M. M., Guare R., & Weiler, M. (2001). Obtained score differences on the Mesulam Continuous Performance Test: A comparison between ADHD subjects and controls. Retrieved April 28th, 2012 from http://alpha.fdu.edu/psychology/Mesulam_article.htm

Dupaul, G. J., & Stoner, G. (2003). ADHD in the Schools, Second Edition: Assessment and Intervention Strategies. New York: The Guilford Press.

Epstein, J., Erkanli, A., Conners C. K., Klaric, J., Costello, J., & Angold, A. (2003). Relations between continuous performance test performance measures and ADHD behaviors. Journal of Abnormal Child Psychology, 31, 543-554.

Halperin, J. M., Matier, K., Bedi, G., Sharma, V., & Newcorn, J. H. (1992). Specificity of Inattention, Impulsivity, and Hyperactivity to the Diagnosis of Attention-deficit Hyperactivity Disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 190-196.

Halperin, J. M., & Healey, D. M. (2011). The influences of environmental enrichment, cognitive enhancement, and physical exercise on brain development: Can we alter the developmental trajectory of ADHD? Neuroscience and Biobehavioral Reviews, 35(3), 621-634. doi: 10.1037/0033-2909.121.1.65

Jeynes, W. H. (2002). The challenge of controlling for SES in social science and education research. Educational Psychology Review, 14(2), 205-221. doi: 10.1037/0012-1649.25.4.540

Kail, R. (1991). Developmental change in speed of processing during childhood and adolescence. Psychological Bulletin, 109(3), 490-501.

Klassen, A. F., Miller, A., & Fine, S. (2004). Health-Related Quality of Life in Children and Adolescents Who Have a Diagnosis of Attention-Deficit/Hyperactivity Disorder. Pediatrics, 114, 5, e541 - e547.

Kuntsi, J., Oosterlaan, J., & Stevenson, J. (2001). Psychological mechanisms in hyperactivity: I Response inhibition deficit, working memory impairment, delay aversion, or something else? Journal of Child Psychology and Psychiatry,42(2), 199-210. doi: 10.1111/1469-7610.00424

Losier, B.J., McGrath, P., & Klein, R.M. (1996). Error patterns on the continuous performance test in nonmedicated and medicated samples of children with and without ADHD: A meta-analytic review. Journal of Child Psychology, Psychiatry and Allied Disciplines, 37, 971-987.

Mesulam, M. M. (1985). Principles of Behavioral Neurology. Philadelphia, PA: Davis.

Meyer, L., & De Lange, P. (2005). Application possibilities of the Mesulam Continuous Performance Test as a diagnostic screening device for Attention-deficit/Hyperactivity Disorder (ADHD). South African Journal Of Education, 25(3), 198-202.

Miller, L. T., & Vernon, P. A. (1997). Developmental changes in speed of information processing in young children. Developmental Psychology, 33, 549-554. doi: 10.1037/0012-1649.33.3.549

Nigg, J. T., Hinshaw, S. P., & Halperin, J. M. (1996). Continuous performance test in boys with attention deficit hyperactivity disorder: Methylphenidate does response and relations with observed behaviors. Journal of Clinical Child and Adolescent Psychology, 25, 330-340.

Pastor, P. N., & Reuben, C. A. (2008). Diagnosed attention deficit hyperactivity disorder and learning disability: United states, 2004-2006. data from the national health interview survey. vital and health statistics. series 10, number 237.

Centers for Disease Control and Prevention. National Institutes of Health. (1998). Diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD). NIH Consensus Statement, 16(2), 1ā€“37.

Riccio, C. A., Reynolds, C. R., Lowe, P., & Moore, J. J. (2002). The continuous performance test: A window on the neural substrates for attention? Archives of Clinical Neuropsychology, 17(3), 235-272. doi:10.1016/S0887-6177(01)00111-1

Stefanatos, G. A., & Baron, I. S. (2007). Attention-deficit/hyperactivity disorder: A neuropsychological perspective towards DSM-V. Neuropsychology Review, 17(1), 5-38. doi:10.1007/s11065-007-9020-3

Vaurio, R. G., Simmonds, D. J., & Mostofsky, S.H. (2009). Increased intra-individual reaction time variability in attention-deficit/hyperactivity disorder across response inhibition tasks with different cognitive demands. Neuropsychologia, 47(12), 2389-2396. doi: 10.1016/j. neuropsychologia.2009.01.022

Waber, D.P., De Moor, C., Forbes, P.W., Almli, C.R., Botteron, K.N., Leonard, G., Milovan, D., Paus, T., & Rumsey, J. (2007). The NIH MRI study of normal brain development: performance of a population based sample of healthy children aged 6 to 18 years on a neuropsychological battery. Journal of the International Neuropsychological Society, 13, 729ā€“746.

Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the Executive Function Theory of Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review. Biological Psychiatry, 57(11), 1336-1346.


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