Feigned ADHD Associated Cognitive Impairment: Utility of Integrating an Eye-tracker and the MOXO-dCPT

Astar Lev, Tomer Elbaum, Corinne Berger, Yoram Braw

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: The current study assessed the utility of eye-movements measures, gathered while participants performed a commercially available Continuous Performance Test (CPT), to detect feigned ADHD-associated cognitive impairment. Method: Healthy simulators (n = 37), ADHD patients (n = 33), and healthy controls (n = 36) performed an eye-tracker integrated MOXO-dCPT and a stand-alone validity indicator. Results: Simulators gazed significantly longer at regions that were irrelevant for successful MOXO-dCPT performance compared to ADHD patients and healthy controls. This eye-movement measure, however, had lower sensitivity than traditional MOXO-dCPT indices. Discussion: Gaze direction measures, gathered while performing a CPT, show initial promise as validity indicators. Traditional CPT measures, however, are more sensitive and therefore offer a more promising path for the establishment of CPT-based validity indicators. The current study is an initial exploration of the issue and further evaluation of both theoretical and practical aspects is mandated.

Original languageEnglish
Pages (from-to)1212-1222
Number of pages11
JournalJournal of Attention Disorders
Volume26
Issue number9
DOIs
StatePublished - Jul 2022

Bibliographical note

Publisher Copyright:
© ©The Author(s) 2021.

Funding

The research reported in this paper was completed as part of the first author’s (A.L.) MA dissertation (Bar-Ilan University, Ramat Gan, Israel), the second and third authors’ (T.E. and C.B.) PhD dissertation (Ariel University, Ariel, Israel), and the undergraduate program requirements of Adi Narov, Adi Zafris, Amit Yarkoni, Eden Katzav, Ela Drookman, Michal Shisha, Sean Shachar, and Tzoor Cohen. We thank them for their invaluable contribution to the project. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Neurotech Solutions, the publishers of the MOXO-d-CPT, permitted the researchers to use the MOXO-d-CPT free of charge for the duration of the study and for the purpose of the described study.

FundersFunder number
Tzoor Cohen

    Keywords

    • ADHD
    • MOXO-dCPT
    • continuous performance test
    • eye tracking
    • feigned cognitive impairment

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