Evidence map›Paper›PMID 34570539›Full record

ArticleNeuropsychology2021

Executive functions and writing skills in children with and without ADHD.

Elia F Soto, Lauren N Irwin, Elizabeth S M Chan, Jamie A Spiegel, Michael J Kofler

Abstract read
In one paragraph

Article in Neuropsychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. The Impact of ADHD on Children's Language Development.Children (Basel, Switzerland) · 2026
    Review
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  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elia F SotoDepartment of Psychology, Florida State University.ORCID 0000-0002-6672-287X
Lauren N IrwinDepartment of Psychology, Florida State University.ORCID 0000-0002-0025-3513
Elizabeth S M ChanDepartment of Psychology, Florida State University.ORCID 0000-0001-7494-3587
Jamie A SpiegelCenter for Children and Families, Florida International University.
Michael J KoflerDepartment of Psychology, Florida State University.ORCID 0000-0002-8604-3647

Funding

Evaluating the Feasibility of Central Executive Training for Children with ADHD- Administrative SupplementR34MH102499 · NIMH · FLORIDA STATE UNIVERSITY · PI KOFLER, MICHAEL J · 2014 to 2016
$737k
NIH HHSNIMH NIH HHS R34 MH102499
6 · The paper itself

Abstract

objectivePediatric attention-deficit/hyperactivity disorder (ADHD) has been associated with impairments in executive functioning and academic writing skills. However, our understanding of the extent to which these children's writing difficulties are related to their underdeveloped executive functions-and whether this relation is attributable to specific executive functions-is limited.

methodA clinically-evaluated and carefully-phenotyped sample of 91 children ages 8-13 (M = 10.60, SD = 1.25; 37 girls) were administered multiple, counterbalanced tests of the three core executive functions (working memory, inhibitory control, set shifting), assessed for ADHD symptoms via multiple-informant reports, and completed standardized, norm-referenced testing of three core writing skills (written expression, spelling, writing fluency).

resultsBias-corrected, bootstrapped conditional effects modeling indicated that underdeveloped working memory exerted significant direct effects on all three writing skills, as well as indirect effects on written expression and spelling via the ADHD symptoms pathway (all 95% CIs exclude 0.0). In contrast, inhibitory control uniquely predicted spelling difficulties only, set shifting was not associated directly or indirectly with any assessed writing skill, and ADHD symptoms failed to uniquely predict writing skills after controlling for working memory. This pattern of results replicated across informants (parent vs. teacher ADHD symptom ratings), and was robust to control for age, sex, socioeconomic status (SES), majority/minority race/ethnicity status, intellectual functioning (IQ), decoding skills, language skills, and learning disability status.

conclusionThese findings suggest multiple pathways to writing skill difficulties in children with ADHD, while suggesting that their overt behavioral symptoms may be less involved in their writing difficulties than their underlying neurocognitive vulnerabilities. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Indexed as

Attention Deficit Disorder with HyperactivityDyslexiaAdolescentChildExecutive FunctionFemaleHumansMemory, Short-TermWriting

Identifiers

PMID34570539
PMCPMC8957092

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.