For Marah Butzbach, ADHD patients and the self-perception of their cognitive functions are the focus of interest
Attention deficit hyperactivity disorder (ADHD) in adults is associated with marked cognitive impairment. Although there is already some evidence on this, there is little research on metacognition in this patient group. This is all the more remarkable considering that deficits in metacognition can have a negative impact on treatment adherence, functional outcomes and daily life.
In the study “Metacognition in adult ADHD: Subjective and objective perspectives on self-awareness of cognitive functioning”, 47 patients with ADHD and 47 control subjects were examined using neuropsychological tests on attention, executive functions and memory (objective assessment) and also answered questionnaires on cognitive performance and the severity of symptoms (subjective assessment; self- and peer assessment).
For objective assessment, the tests WAFS, VIGIL, TMT-L, NBV, TOL-F, GET and FLEI of the Vienna Test System were used, among others. Here, deficits in long-term memory, vigilance and selective attention were shown. Impairments in metacognition, i.e. a discrepancy between objective and subjective assessment, occurred particularly in attentional performance.
Butzbach, M., et al. (2021). Metacognition in adult ADHD: Subjective and objective perspectives on self-awareness of cognitive functioning. Journal of Neural Transmission, 128, 939–955. https://doi.org/10.1007/s00702-020-02293-w