Regulation of cognitive resources during an n-back task in youth-onset psychosis and attention-deficit/hyperactivity disorder (ADHD)

The goals of the current study were to use behavioral and pupillary measures to examine working memory on a spatial n-back task in 8-20-year-olds with youth-onset psychosis or ADHD (Combined subtype) and healthy controls to determine the contribution of different attentional factors to spatial working memory impairments, and to examine if age-related changes in performance differed across groups. Although both clinical groups had lower perceptual sensitivity on both 0- and 1-back, there was no evidence of an impairment in spatial working memory or differential order effects on the 0-back. Instead, results suggest that both clinical groups had difficulty encoding the stimuli. They also appeared to have difficulty maintaining attention and/or readiness to respond, and, to a lesser extent, recruiting resources on a trial-to-trial basis. It is likely that these attentional problems prevented the clinical groups from encoding the stimuli effectively and contributed to their general performance deficits.