Executive functions as predictors of ADHD symptoms and behavioral problems in Colombian schoolchildren
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https://doi.org/10.17979/reipe.2025.12.2.11888Abstract
The present study examined the relationship between executive functions (EF) and the symptomatology of Attention Deficit Hyperactivity Disorder (ADHD), as well as their impact on behavioral problems, in a sample of in a sample of elementary and secondary school students with ADHD Cartagena, Colombia. A total of 41 children diagnosed with combined-type ADHD participated in the study. They were assessed using the Attention Deficit Hyperactivity Disorder Rating Scale (EDAH), cognitive tests measuring working memory, cognitive flexibility, and inhibition, and a behavioral evaluation of EF through the Behavior Rating Inventory of Executive Function – Second Edition (BRIEF-2), completed by their teachers. Multiple linear regression analyses were conducted to identify the contribution of EF to ADHD symptoms and behavioral problems. The results indicated that cognitive flexibility was a significant predictor of inattention, whereas inhibition and task monitoring were associated with hyperactivity. Furthermore, combined symptomatology was explained by cognitive flexibility and interference control, while behavioral problems were predicted by emotional control. These findings highlight the role of EF in the manifestation of ADHD and underscore the need for tailored educational interventions aimed at enhancing executive skills. The implementation of personalized educational support strategies is recommended to optimize academic performance and behavioral adaptation in students with ADHD.
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AHMADI, Ahmad; CHUANG, Susan; MCCLELLAND, Megan; GONZALES, Christopher R.; & BEH-PAJOOH, Ahmad (2024). Executive functioning and early math skills in young children at risk for mathematical difficulties: Evaluation of interventions efficacy and transfer effects. Early Education and Development, 35(8), 1712-1739. https://doi.org/10.1080/10409289.2023.2298166
AMERICAN PSYCHIATRIC ASSOCIATION (2013). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Author. https://doi.org/10.1176/appi.books.9780890425596
ARANGO, Juan Carlos; RIVERA, Diego; & OLABARRIETA-LANDA, Laiene (2017). Neuropsicología infantil. Manual Moderno.
ASTENVALD, Rebecka; FRICK, Matilda; NEUFELD, Janina; BÖLTE, Sven; & ISAKSSON, Johan (2022). Emotion dysregulation in ADHD and other neurodevelopmental conditions: A co-twin control study. Child and Adolescent Psychiatry and Mental Health, 16(1), Article 92. https://doi.org/10.1186/s13034-022-00528-0
BARKLEY, Russell A. (2015). History of ADHD. En Russell A. Barkley (Ed.), Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (4th ed.) (pp. 3-50). The Guilford Press.
BREAUX, Rosanna P.; MCQUADE, Julia D.; HARVEY, Elizabeth A.; & ZAKARIAN, Rebecca J. (2018). Longitudinal associations of parental emotion socialization and children’s emotion regulation: The moderating role of ADHD Symptomatology. Journal of Abnormal Child Psychology, 46(4), 671-683. https://doi.org/10.1007/s10802-017-0327-0
CHAN, Wendy W. Y.; SHUM, Kathy Kar-man; & SONUGA‐BARKE, Edmund J. S. (2022). Attention‐deficit/hyperactivity disorder (ADHD) in cultural context: Do parents in Hong Kong and the United Kingdom adopt different thresholds when rating symptoms, and if so why? International Journal of Methods in Psychiatric Research, 31(3), Article e1923. https://doi.org/10.1002/mpr.1923
COKER, Tumaini R.; ELLIOTT, Marc N.; TOOMEY, Sara L.; SCHWEBEL, David C.; CUCCARO, Paula; TORTOLERO EMERY, Susan; DAVIES, Susan L.; VISSER, Susanna N.; & SCHUSTER, Mark A. (2016). Racial and ethnic disparities in ADHD diagnosis and treatment. Pediatrics, 138(3), Article e20160407. https://doi.org/10.1542/peds.2016-0407
CORTÉS PASCUAL, Alejandra; MOYANO MUÑOZ, Nieves; & QUÍLEZ ROBRES, Alberto (2019). The Relationship between executive functions and academic performance in primary education: Review and meta-analysis. Frontiers in Psychology, 10, Article e1582. https://doi.org/10.3389/fpsyg.2019.01582
DIENER, Tyler-Shea L.; JACKSON, Mervyn; LEE, Mark A.; GROVÉ, Christine; & NGUYEN, Vinh (2025). Cross-cultural disparities in teachers’ reports of ADHD symptoms and behavior: A scoping review. Social Psychology of Education, 28, Article e135. https://doi.org/10.1007/s11218-025-10092-y
DOVIS, Sebastian; VAN DER OORD, Saskia; WIERS, Reinout; & PRINS, Pier J. M. (2015). Improving executive functioning in children with ADHD: Training multiple executive functions within the context of a computer game. A randomized double-blind placebo controlled trial. PLOS ONE, 10(4), Article e0121651. https://doi.org/10.1371/journal.pone.0121651
DRECHSLER, Renate; BREM, Silvia; BRANDEIS, Daniel; GRÜNBLATT, Edna; BERGER, Gregor; & WALITZA, Susanne (2020). ADHD: Current concepts and treatments in children and adolescents. Neuropediatrics, 51(05), 315-335. https://doi.org/10.1055/s-0040-1701658
EHLIS, Ann-Christine; DEPPERMANN, Saskia; & FALLGATTER, Andreas J. (2018). Performance monitoring and post-error adjustments in adults with attention-deficit/hyperactivity disorder: An EEG analysis. Journal of Psychiatry and Neuroscience, 43(6), 396-406. https://doi.org/10.1503/jpn.170118
EISENREICH, Benjamin R.; AKAISHI, Rei; & HAYDEN, Benjamin Y. (2017). Control without controllers: Toward a distributed neuroscience of executive control. Journal of Cognitive Neuroscience, 29(10), 1684-1698. https://doi.org/10.1162/jocn_a_01139
FARAONE, Stephen V.; BELLGROVE, Mark; BRIKELL, Isabell; CORTESE, Samuele; HARTMAN, Catharina A.; HOLLIS, Chris; NEWCORN, Jeffrey H.; PHILIPSEN, Alexandra; POLANCZYK, Guilherme V.; RUBIA, Katya; SIBLEY, Margaret H.; & BUITELAAR, Jan K. (2024). Attention-deficit/hyperactivity disorder. Nature Reviews Disease Primers, 10(1), Article e11. https://doi.org/10.1038/s41572-024-00495-0
FARRÉ, Anna; & NARBONA, Juan (2013). EDAH: Escalas para la evaluación del trastorno por déficit de atención con hiperactividad. TEA Ediciones.
GARCIA-BARRERA, Mauricio A.; KARR, Justin E.; DURAN, Victor; DIRENFELD, Esther; & PINEDA, David A. (2015). Cross-cultural validation of a behavioral screener for executive functions: Guidelines for clinical use among Colombian children with and without ADHD. Psychological Assessment, 27(4), 1349–1363. https://doi.org/10.1037/pas0000117
GIOIA, Gerard A.; ISQUITH, Peter K.; GUY, Steven C.; & KENWORTHY, Lauren (2015). Behavior Rating Inventory of Executive Function® Second Edition (BRIEF®2). APA PsycTests. https://doi.org/10.1037/t79467-000. [Adaptación al español: MALDONADO, María J.; FOURNIER, María de la Concepción; MARTÍNEZ, Rosario; GONZÁLEZ, Javier; ESPEJO-SAAVEDRA, Juan Manuel; & SANTAMARÍA, Pablo (2017). BRIEF®-2. Evaluación Conductual de la Función Ejecutiva. TEA Ediciones.]
GOLDEN, Charles J. (2020). Stroop. Test de colores y palabras. Edición revisada. TEA Ediciones.
HONKASILTA, Juho; SANDBERG, Erja; NÄRHI, Vesa; & JAHNUKAINEN, Markku T. (2014). ADHD in the context of Finnish basic education. Emotional and Behavioural Difficulties, 19(3), 311-323. https://doi.org/10.1080/13632752.2014.883789
JOHNSON, Simon; LIM, Eric; JACOBY, Peter; FARAONE, Stephen V.; SU, Benjamin Minche; SOLMI, Marco; FORREST, Benjamin; FURFARO, Bethany; VON KLIER, Kiri; DOWNS, Jenny; & CHEN, Wai (2025). Prevalence of attention deficit hyperactivity disorder/hyperkinetic disorder of pediatric and adult populations in clinical settings: A systematic review, meta-analysis and meta-regression. Molecular Psychiatry. Advance online publication. https://doi.org/10.1038/s41380-025-03178-8
KOFLER, Michael J.; GROVES, Nicole B.; CHAN, Elizabeth S. M.; MARSH, Carolyn L.; COLE, Alissa M.; GAYE, Fatou; CIBRIAN, Enrique; TATSUKI, Miho O.; & SINGH, Leah J. (2024). Working memory and inhibitory control deficits in children with ADHD: An experimental evaluation of competing model predictions. Frontiers in Psychiatry, 15, Article e1277583. https://doi.org/10.3389/fpsyt.2024.1277583
KORZENIOWSKI, Celina; & ISON, Mirta (2019). Escala de Funcionamiento Ejecutivo para Escolares: Análisis de las propiedades psicométricas. Psicología Educativa, 25(2), 147-157. https://doi.org/10.5093/psed2019a4
LIU, Yanni; HANNA, Gregory L.; HANNA, Barbara S.; ROUGH, Haley E.; ARNOLD, Paul D.; & GEHRING, William J. (2020). Behavioral and electrophysiological correlates of performance monitoring and development in children and adolescents with attention-deficit/hyperactivity disorder. Brain Sciences, 10(2), Article e79. https://doi.org/10.3390/brainsci10020079
MALMQVIST, Johan (2018). Has schooling of ADHD students reached a crossroads? Emotional and Behavioural Difficulties, 23(4), 389-409. https://doi.org/10.1080/13632752.2018.1462974
MARTIN, Joanna (2024). Why are females less likely to be diagnosed with ADHD in childhood than males? The Lancet Psychiatry, 11(4), 303-310. https://doi.org/10.1016/S2215-0366(24)00010-5
MARTIN, Joanna; LANGLEY, Kate; COOPER, Miriam; ROUQUETTE, Oliver Y.; JOHN, Ann; SAYAL, Kapil; FORD, Tamsin; & THAPAR, Anita (2024). Sex differences in attention‐deficit hyperactivity disorder diagnosis and clinical care: A national study of population healthcare records in Wales. Journal of Child Psychology and Psychiatry, 65(12), 1648-1658. https://doi.org/10.1111/jcpp.13987
MIYAKE, Akira; FRIEDMAN, Naomi P.; EMERSON, Michael J.; WITZKI, Alexander H.; HOWERTER, Amy; & WAGER, Tor D. (2000). The unity and diversity of executive functions and their contributions to complex "Frontal Lobe" tasks: A latent variable analysis. Cognitive psychology, 41(1), 49–100. https://doi.org/10.1006/cogp.1999.0734
PANAH, Mohammad T.; TAREMIAN, Farhad; DOLATSHAHI, Behrouz; SEDDIGH, Seyyed Hamzeh; RAEISIAN, Fatemeh S.; & PANAH, Ebrahim (2025). A comparison of Barkley’s behavioral inhibition model (1997) with Barkley’s updated executive functioning model in predicting adult ADHD symptoms: A preliminary report using structural equation modeling. Applied Neuropsychology: Adult, 32(1), 140-152. https://doi.org/10.1080/23279095.2022.2158441
PERPIÑÀ MARTÍ, Georgina; SIDERA, Francesc; SENAR MORERA, Fernando; & SERRAT SELLABONA, Elisabet (2023). Executive functions are important for academic achievement, but emotional intelligence too. Scandinavian Journal of Psychology, 64(4), 470-478. https://doi.org/10.1111/sjop.12907
RHODES, Ashley E.; & ROZELL, Timothy G. (2017). Cognitive flexibility and undergraduate physiology students: Increasing advanced knowledge acquisition within an ill-structured domain. Advances in Physiology Education, 41(3), 375-382. https://doi.org/10.1152/advan.00119.2016
ROBLES, Darwin J.; & ORTIZ GRANJA, Dorys N. (2024). Funciones ejecutivas en el aprendizaje de estudiantes universitarios. Sophía, 36, 143-168. https://doi.org/10.17163/soph.n36.2024.04
SADOZAI, Ayesha K.; SUN, Carter; DEMETRIOU, Eleni A.; LAMPIT, Amit; MUNRO, Martha; PERRY, Nina; BOULTON, Kelsie A.; & GUASTELLA, Adam J. (2024). Executive function in children with neurodevelopmental conditions: A systematic review and meta-analysis. Nature Human Behaviour, 8(12), 2357-2366. https://doi.org/10.1038/s41562-024-02000-9
SALARI, Nader; GHASEMI, Hooman; ABDOLI, Nasrin; RAHMANI, Adibeh; SHIRI, Mohammad H.; HASHEMIAN, Amir H.; AKBARI, Hakimeh; & MOHAMMADI, Masoud (2023). The global prevalence of ADHD in children and adolescents: A systematic review and meta-analysis. Italian Journal of Pediatrics, 49(1), Article e48. https://doi.org/10.1186/s13052-023-01456-1
SARI, Yunita; SUPENA, Asep; YUFIARTI; SARI, Rani P.; & IASHA, Vina (2020). The role of executive function in facing attention interference in elementary school students: Descriptive qualitative. Proceedings of the 4th International Conference on Learning Innovation and Quality Education, 1-6. https://doi.org/10.1145/3452144.3452285
SARVER, Dustin E.; RAPPORT, Mark D.; KOFLER, Michael J.; RAIKER, Joseph S.; & FRIEDMAN, Lauren M. (2015). Hyperactivity in attention-deficit/hyperactivity disorder (ADHD): Impairing deficit or compensatory behavior? Journal of Abnormal Child Psychology, 43(7), 1219-1232. https://doi.org/10.1007/s10802-015-0011-1
SATTLER, Jerome M.; & HOGE, Robert (2006). Assessment of children: Behavioral, social, and clinical foundations (5th ed.). Jerome M. Sattler Publisher Inc.
SCHRETLEN, David (2010). Modified Wisconsin Card Sorting Test: M-WCST. Professional Manual. PAR.
SHIELS, Keri; & HAWK, Larry W. (2010). Self-regulation in ADHD: The role of error processing. Clinical Psychology Review, 30(8), 951-961. https://doi.org/10.1016/j.cpr.2010.06.010
STAFF, Anouck I.; OOSTERLAAN, Jaap; VAN DEROORD, Saskia; DE SWART, Fanny; IMERAJ, Lindita; VAN DEN HOOFDAKKER, Barbara J.; & LUMAN, Marjolein (2023). Teacher feedback, student ADHD behavior, and the teacher–student relationship: Are these related? School Mental Health, 15(1), 287-299. https://doi.org/10.1007/s12310-022-09550-1
TAMAYO LOPERA, Diego A.; HERNÁNDEZ CALLE, Jonathan A.; CARRILLO SIERRA, Sandra-Milena; & HERNÁNDEZ-LALINDE, Juan (2020). Funciones ejecutivas tardías en estudiantes de undécimo grado de colegios oficiales de Cúcuta y Envigado, Colombia. Archivos Venezolanos de Farmacología y Terapéutica, 39(1), 54-62. https://doi.org/10.5281/zenodo.4065028
VÉLEZ-VAN-MEERBEKE, Alberto; ZAMORA, I. P.; GUZMÁN, G.; FIGUEROA, B.; LÓPEZ CABRA, Claudia A.; & TALERO-GUTIÉRREZ, Claudia (2013). Evaluating executive function in schoolchildren with symptoms of attention deficit hyperactivity disorder. Neurología, 28(6), 348–355. https://doi.org/10.1016/j.nrl.2012.06.011
WECHSLER, David (1993). Escala de Inteligencia para Niños Revisada. TEA Ediciones.
WECHSLER, David (2005). Escala Wechsler de inteligencia para niños-IV. Manual Moderno.
WEIGARD, Alexander; HUANG-POLLOCK, Cynthia; & BROWN, Scott (2016). Evaluating the consequences of impaired monitoring of learned behavior in attention-deficit/hyperactivity disorder using a Bayesian hierarchical model of choice response time. Neuropsychology, 30(4), 502-515. https://doi.org/10.1037/neu0000257
WILLCUTT, Erik G. (2023). Neuropsychology of attention-deficit/hyperactivity disorder. En Gregory G. Brown, Tricia. Z. King, Kathleen Y. Haaland, & Bruce Crosson (Eds.), APA Handbook of Neuropsychology. Volume 1: Neurobehavioral disorders and conditions: Accepted science and open questions (pp. 325-339). American Psychological Association. https://doi.org/10.1037/0000307-016
ZELAZO, Phillip D. (2020). Executive function and psychopathology: A neurodevelopmental perspective. Annual Review of Clinical Psychology, 16(1), 431-454. https://doi.org/10.1146/annurev-clinpsy-072319-024242

