Abstract

Handedness is associated with cerebral hemispheric differences. Normal patterns of brain asymmetries are needed for the neural processing of attention. In order to identify ADHD (Attention Deficit Hyperactive Disorder) children, the use of checklists allows a greater level of accuracy. Here, we will review our data on this subject. Our first study investigated the psychometric properties of a scale developed to assess attention disorders. Our second study investigated the relationship between handedness and attention disorders using the factors derived from the scale. Our third study included the use of a continuous visual test of attention (CVAT) and examined the relationship between handedness and CVAT variables. For the first and second study, 239 students were included. From this sample, 42 students were selected to participate in the third study. Forty-five teachers rated the children. Four factors were extracted: hyperactivity/impulsivity (explained variance = 36.3%); inattention (11.4%); social isolation (5.2%) and self-confidence (explained variance = 3.3%). Sixty-eight children were included in the ADHD group. We found a higher number of consistent left-handers in the ADHD group as compared to the normal group and a significant effect of handedness on factor hyperactivity/impulsivity. This indicated that left-handers showed greater problems in the hyperactivity-impulsivity domain as compared to right-handers. Considering the data derived from CVAT, a significant handedness effect was found only for the variable commission errors. Left-handers with attention problems showed the greatest number of errors and normal dextrals the lowest number of errors. Normal left-handers made significantly more errors than normal dextrals. Commission error is a parameter that is commonly viewed as a measure of impulsivity. Our data show that hyperactivity/impulsivity is related to handedness, because left-handers present more problems in impulsive behavior than right-handers and suggest that consistent left-handed subjects show greater probability to develop ADHD as compared to right-handed subjects.

Highlights

  • The presence of primary disorder of inattention and/or hyperactivity/impulsivity is a diagnostic criterion for Attention Deficit Hyperactive Disorder (ADHD), which is the most common childhood psychiatric disorder, affecting 5% of the school population

  • These authors find that teachers are more skilled in assessing hyperactive/ impulsive behavior, which facilitates the identification of children with low cognitive performance

  • The results demonstrated that the scale was more efficiently in classifying children with ADHD than the psychometric measures alone

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Summary

Introduction

The presence of primary disorder of inattention and/or hyperactivity/impulsivity is a diagnostic criterion for Attention Deficit Hyperactive Disorder (ADHD), which is the most common childhood psychiatric disorder, affecting 5% of the school population. As suggested by Mares, McLuckie, Schwartz & Saini (2007) and Tripp, Schaughency & Clarke (2006), it is essential to collect data from these two sources, considering that parents and teachers emphasize different aspects during the evaluation Such differences are commonly described in the literature (for example: Mitsis, McKay, Shultz, Newcorn, & Halperin, 2000). These authors find that teachers are more skilled in assessing hyperactive/ impulsive behavior, which facilitates the identification of children with low cognitive performance Such a facility by professionals is probably related to the fact that teachers know about child development and deal with a large number of children. The study makes clear that parents and teachers point out different but important aspects on child behavior

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