Evidence map›Paper›PMID 42517889›Full record

ArticleEuropean child & adolescent psychiatry2026

Watching reasoning at work: eye movement patterns of participants with ADHD solving Raven´s matrices.

Jana Bretthauer, Daniela Canu, Ulf Thiemann, Christian Fleischhaker, Monica Biscaldi, Nikolaos Smyrnis, Stephan Bender, André Beauducel, Christoph Klein

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Article in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jana BretthauerDepartment of Child and Adolescent Psychiatry, Medical Faculty, University of Cologne, Cologne, Germany.
Daniela CanuClinic for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Medical Center, University of Freiburg, Freiburg, Germany.
Ulf ThiemannDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, LVR Hospital Bonn, Bonn, Germany.
Christian FleischhakerClinic for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Medical Center, University of Freiburg, Freiburg, Germany.
Monica BiscaldiClinic for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Medical Center, University of Freiburg, Freiburg, Germany.
Nikolaos SmyrnisLaboratory of Cognitive Neuroscience and Sensorimotor Control, University Mental Health, Neurosciences and Precision Medicine Research Institute "COSTAS STEFANIS", Athens, Greece.
Stephan BenderDepartment of Child and Adolescent Psychiatry, Medical Faculty, University of Cologne, Cologne, Germany.
André BeauducelInstitute of Psychology, University of Bonn, Bonn, Germany.
Christoph KleinDepartment of Child and Adolescent Psychiatry, Medical Faculty, University of Cologne, Cologne, Germany. christoph.klein@uk-koeln.de.ORCID http://orcid.org/0000-0002-9451-4699

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Attention-Deficit/Hyperactivity Disorder (ADHD) has been associated with broad cognitive deficits, particularly in tasks regarding working memory and executive control. However, how individuals with ADHD process visual reasoning tasks remains largely unclear. In typically developing (TD) individuals, two main problem-solving strategies have been described for Raven's Standard Progressive Matrices (RSPM): Constructive Matching (CM) is an efficient processing style involving hypothesis generation and integration of relations in working memory, whereas Answer Elimination (AE) is a less demanding trial-and-error approach. This study examined group differences in processing style using eye-tracking during RSPM solving and explored the role of individual cognitive ability in strategy use. Seventy-nine participants (38 ADHD, 41 TD) completed a validated 9-item short form of the RSPM while their eye movements were recorded. Gaze parameters reflecting CM, AE and speed parameters were analyzed. Participants with ADHD showed reduced RSPM accuracy alongside normal CM and adaptation to increasing item difficulty. In this group, furthermore, RSPM item difficulty interacted with Culture Fair Test(CFT)-assessed intelligence such that CM-related adaptation to trial difficulty from easy to medium items (but not medium to hard) was more pronounced in participants with ADHD with higher CFT-assessed intelligence. This association with CFT-assessed intelligence was absent in controls. Our findings suggest that participants with ADHD show normal RSPM processing style (CM and adaptation to varying task demands) despite reduced accuracy and that higher intelligence may improve processing style up to a certain point of task complexity. Our results confirm the assumed compensatory role of intelligence for cognition in ADHD.

Indexed as

ADHDEye MovementsIntelligenceRaven Matrices

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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.