Altered Time Perception in Attention Deficit Hyperactivity Disorder (ADHD)
DOI:
https://doi.org/10.54097/36pq5676Keywords:
Attention-deficit/hyperactivity Disorder, Time Perception, Executive Function, Neuroimaging, Cognitive TrainingAbstract
Attention-Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder characterized not only by inattention, hyperactivity, and impulsivity, but also by pronounced impairments in time perception and temporal processing. Increasing evidence suggests that deficits in time estimation, reproduction, and temporal control play a critical role in the everyday functional difficulties experienced by individuals with ADHD. This review aims to synthesize current findings on the cognitive, behavioral, and neurobiological mechanisms underlying altered time perception in ADHD. Drawing on evidence from behavioral experiments, neuroimaging studies, pharmacological research, and non-pharmacological interventions, this paper examines how dysfunctions in fronto-striatal circuits, cerebellar systems, and large-scale brain networks contribute to temporal processing abnormalities. In addition, the effects of stimulant and non-stimulant medications, as well as emerging interventions such as cognitive training and neurofeedback, are reviewed with respect to their influence on time perception. Understanding time perception deficits in ADHD provides important insights into the disorder’s core mechanisms and offers promising directions for targeted assessment and intervention strategies.
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References
[1] American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
[2] Arns, M., Heinrich, H., & Strehl, U. (2014). Evaluation of neurofeedback in ADHD: The long and winding road. Biological Psychology, 95, 108–115.
[3] Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121(1), 65–94.
[4] Barkley, R. A., Murphy, K. R., & Bush, T. (2001). Time perception and reproduction in young adults with attention deficit hyperactivity disorder. Neuropsychology, 15(3), 351–360.
[5] Barkley, R. A. (2016). Recent longitudinal studies of childhood attention-deficit/hyperactivity disorder: Important themes and questions for further research. Journal of Abnormal Psychology, 125(2), 248–255.
[6] Bloch, M. H., Panza, K. E., Landeros-Weisenberger, A., & Leckman, J. F. (2009). Meta-analysis: Treatment of attention-deficit/hyperactivity disorder in children with comorbid tic disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 48(9), 884–893.
[7] Buhusi, C. V., & Meck, W. H. (2005). What makes us tick? Functional and neural mechanisms of interval timing. Nature Reviews Neuroscience, 6(10), 755–765.
[8] Bymaster, F. P., Katner, J. S., Nelson, D. L., Hemrick-Luecke, S. K., Threlkeld, P. G., Heiligenstein, J. H., Morin, S. M., Gehlert, D. R., & Perry, K. W. (2002). Atomoxetine increases extracellular levels of norepinephrine and dopamine in prefrontal cortex of rat: A potential mechanism for efficacy in ADHD. Neuropsychopharmacology, 27(5), 699–711.
[9] Campez, M., Raiker, J. S., Little, K., Altszuler, A. R., Merrill, B. M., Macphee, F. L., Gnagy, E. M., Greiner, A. R., Musser, E. D., Coles, E. K., & Pelham, W. E. (2022). An evaluation of the effect of methylphenidate on working memory, time perception, and choice impulsivity in children with ADHD. Experimental and Clinical Psychopharmacology, 30(2), 209–219.
[10] Castellanos, F. X., & Proal, E. (2012). Large-scale brain systems in ADHD: Beyond the prefrontal–striatal model. Trends in Cognitive Sciences, 16(1), 17–26.
[11] Del Campo, N., Chamberlain, S. R., Sahakian, B. J., & Robbins, T. W. (2011). The roles of dopamine and noradrenaline in the pathophysiology and treatment of attention-deficit/hyperactivity disorder. Biological Psychiatry, 69(12), e145–e157.
[12] Fu, D., Wu, D.-D., Guo, H.-L., Hu, Y.-H., Xia, Y., Ji, X., Fang, W.-R., Li, Y.-M., Xu, J., Chen, F., & Liu, Q.-Q. (2022). The mechanism, clinical efficacy, safety, and dosage regimen of atomoxetine for ADHD therapy in children: A narrative review. Frontiers in Psychiatry, 12, 780921.
[13] Hart, H., Radua, J., Mataix-Cols, D., & Rubia, K. (2012). Meta-analysis of fMRI studies of timing in attention-deficit/hyperactivity disorder (ADHD). Neuroscience and Biobehavioral Reviews, 36(10), 2248–2256.
[14] Kratochvil, C. J., Wilens, T. E., Greenhill, L. L., Gao, H., Baker, K. D., Feldman, P. D., & Gelowitz, D. L. (2006). Effects of long-term atomoxetine treatment for young children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 45(8), 919–927.
[15] Langberg, J. M., Breaux, R., Dvorsky, M. R., Molitor, S. J., Smith, Z. R., & Bourchtein, E. (2020). The homework, organization, and planning skills (HOPS) intervention. In Handbook of research on emotional and behavioral disorders: Interdisciplinary developmental perspectives on children and youth (pp. 356–370). Routledge. https://doi.org/10.4324/9780429453106-24
[16] Lee, D. Y., Kim, C., Shin, Y., & Park, R. W. (2024). Combined methylphenidate and selective serotonin reuptake inhibitors in adults with attention-deficit/hyperactivity disorder. JAMA Network Open, 7(10), e2438398.
[17] Moradi, N., Rajabi, S., & Mansouri Nejad, A. (2024). The effect of neurofeedback training combined with computer cognitive games on the time perception, attention, and working memory in children with ADHD. Applied Neuropsychology: Child, 13(1), 24–36. https://doi.org/10.1080/21622965.2022.2112679
[18] Niermann, H. C., & Scheres, A. (2014). The relation between procrastination and symptoms of attention-deficit hyperactivity disorder (ADHD) in undergraduate students. International Journal of Methods in Psychiatric Research, 23(4), 411–421.
[19] Noreika, V., Falter, C. M., & Rubia, K. (2013). Timing deficits in attention-deficit/hyperactivity disorder (ADHD): Evidence from neurocognitive and neuroimaging studies. Neuropsychologia, 51(2), 235–266.
[20] Prins, P. J., Dovis, S., Ponsioen, A., ten Brink, E., & van der Oord, S. (2011). Does computerized working memory training with game elements enhance motivation and training efficacy in children with ADHD? Cyberpsychology, Behavior, and Social Networking, 14(3), 115–122.
[21] Ptacek, R., Weissenberger, S., Braaten, E., Klicperova-Baker, M., Goetz, M., Raboch, J., Vnukova, M., & Stefano, G. B. (2019). Clinical implications of the perception of time in attention deficit hyperactivity disorder (ADHD): A review. Medical Science Monitor, 25, 3918–3924.
[22] Rubia, K., Alegria, A., & Brinson, H. (2014). Brain abnormalities in attention-deficit hyperactivity disorder: A review. Revue Neurologique, 170(9), 555–567.
[23] Rubia, K., Halari, R., Mohammad, A. M., Taylor, E., & Brammer, M. (2009). Methylphenidate normalizes fronto-striatal underactivation during interference inhibition in medication-naïve boys with ADHD. Neuropsychopharmacology, 34(3), 544–554.
[24] Safren, S. A., Otto, M. W., Sprich, S., Winett, C. L., Wilens, T. E., & Biederman, J. (2005). Cognitive-behavioral therapy for ADHD in medication-treated adults with continued symptoms. Behaviour Research and Therapy, 43(7), 831–842.
[25] Silberstein, R. B., Pipingas, A., Farrow, M., Levy, F., & Stough, C. K. (2016). Dopaminergic modulation of default mode network brain functional connectivity in attention deficit hyperactivity disorder. Brain and Behavior, 6(12), e00582.
[26] Smith, A., Cubillo, A., Barrett, N., Giampietro, V., Simmons, A., Brammer, M., & Rubia, K. (2013). Neurofunctional effects of methylphenidate and atomoxetine in boys with attention-deficit/hyperactivity disorder during time discrimination. Biological Psychiatry, 74(8), 615–622.
[27] Sonuga-Barke, E. J. S., & Castellanos, F. X. (2007). Spontaneous attentional fluctuations in impaired states and pathological conditions: A neurobiological hypothesis of ADHD. Neuroscience & Biobehavioral Reviews, 31(7), 977–986.
[28] Tamm, L., Narad, M. E., Antonini, T. N., O’Brien, K. M., Hawk, L. W. Jr., & Epstein, J. N. (2012). Reaction time variability in ADHD: A review. Neurotherapeutics, 9(3), 500–508.
[29] Toplak, M. E., Dockstader, C., & Tannock, R. (2006). Temporal information processing in ADHD: Findings to date and new methods. Journal of Neuroscience Methods, 151(1), 15–29.
[30] Valera, E. M., Faraone, S. V., Murray, K. E., & Seidman, L. J. (2007). Meta-analysis of structural imaging findings in attention-deficit/hyperactivity disorder. Biological Psychiatry, 61(12), 1361–1369.
[31] Walg, M., Hapfelmeier, G., El-Wahsch, D., & Klein, A. M. (2017). The faster internal clock in ADHD is related to lower processing speed: WISC-IV profile analyses and time estimation tasks facilitate the distinction between real ADHD and pseudo-ADHD. European Child & Adolescent Psychiatry, 26(10), 1177–1186.
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