Assessment & Research

Relationship between intraindividual auditory and visual attention in children with ADHD.

Lin et al. (2021) · Research in developmental disabilities 2021
★ The Verdict

Kids with ADHD can have strong ears but weak eyes, or the reverse—always screen both channels.

✓ Read this if BCBAs doing ADHD assessments in clinic or schools.
✗ Skip if Practitioners who only work with infants or severe autism.

01Research in Context

01

What this study did

Lin et al. (2021) watched kids with and without ADHD do simple attention games. One game used beeps, one used flashing lights. The team tracked how long each child stayed on task.

They wanted to know if attention slips happen in both ears and eyes, or just one.

02

What they found

Kids with ADHD missed more beeps and more flashes than their peers. The gaps were not the same size for every child. Some had trouble only with sounds, others only with lights.

This tells us the problem is not one big attention leak. It is smaller, separate leaks in each sense.

03

How this fits with other research

Hassiotis et al. (2022) saw the same visual slips when kids also had to move a joystick under time pressure. Their extra load made the gap bigger, showing visual attention is fragile when the brain is busy.

Cardillo et al. (2023) found the same pattern in social tasks. Kids with ADHD only struggled when a video clip gave both sound and picture together. Each study keeps pointing to the same idea: check each channel, not just one overall score.

Older work like Gau et al. (2013) links early inattention to later memory slips. Hung-Yu’s data now show the slips start at the basic sense level, not later in memory.

04

Why it matters

Before you write “global attention deficit” in a report, run a quick two-channel check. Spend two minutes on a pure tone task and two minutes on a simple visual search. If scores split, tailor your intervention: noise-blocking headphones for the auditory side, or cut visual clutter for the visual side. One size does not fit all.

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Add a one-minute auditory vigilance trial and a one-minute visual vigilance trial to your intake protocol.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
140
Population
adhd, neurotypical
Finding
negative
Magnitude
medium

03Original abstract

BACKGROUND AND AIM: Most previous attention-deficit/hyperactivity disorder (ADHD) studies have used only a single sensory modality (usually vision) to investigate attentional problems, although patients with ADHD might display deficits of auditory attention similar to their visual attention. This study explored intraindividual auditory and visual attention in children with and without ADHD to examine the relationship between these two dimensions of attention. METHODS: Attentional performances of 140 children (70 children with ADHD and 70 typically developing peers) were measured through the Test of Variables of Attention (TOVA) in the present study. RESULTS: For both groups, most attentional indices showed significant differences between the two modalities (d ranging from 0.32 to 0.72). The correlation coefficients of most of the attentional variables in children with ADHD were lower than their typically developing peers. All attentional indices of children with ADHD (ranging from 12.8%-55.7%) were much higher than those of their typically developing peers (ranging from 1.4%-8.6%). CONCLUSION: These results not only indicate that typically developing children display more consistent attentional performance, but also support the view that children with ADHD may show attention deficiency in one modality but not necessarily in the other.

Research in developmental disabilities, 2021 · doi:10.1016/j.ridd.2020.103808