Eye Tracking During a Continuous Performance Test: Utility for Assessing ADHD Patients

• Published in: Journal of attention disorders Vol. 26; no. 2; pp. 245 - 255
• Main Authors: Lev, Astar, Braw, Yoram, Elbaum, Tomer, Wagner, Michael, Rassovsky, Yuri
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.01.2022
• Subjects: Adult; Attention Deficit Disorder with Hyperactivity - diagnosis; Attention Deficit Disorder with Hyperactivity - psychology; Eye Movements; Eye-Tracking Technology; Humans; Neuropsychological Tests; ADHD; continuous performance tests; MOXO-dCPT; eye movements
• ISSN: 1087-0547; 1557-1246
• DOI: 10.1177/1087054720972786

Objective: The use of continuous performance tests (CPTs) for assessing ADHD related cognitive impairment is ubiquitous. Novel psychophysiological measures may enhance the data that is derived from CPTs and thereby improve clinical decision-making regarding diagnosis and treatment. As part of the current study, we integrated an eye tracker with the MOXO-dCPT and assessed the utility of eye movement measures to differentiate ADHD patients and healthy controls. Method: Adult ADHD patients and gender/age-matched healthy controls performed the MOXO-dCPT while their eye movements were monitored (n = 33 per group). Results: ADHD patients spent significantly more time gazing at irrelevant regions, both on the screen and outside of it, than healthy controls. The eye movement measures showed adequate ability to classify ADHD patients. Moreover, a scale that combined eye movement measures enhanced group prediction, compared to the sole use of conventional MOXO-dCPT indices. Conclusions: Integrating an eye tracker with CPTs is a feasible way of enhancing diagnostic precision and shows initial promise for clarifying the cognitive profile of ADHD patients. Pending replication, these findings point toward a promising path for the evolution of existing CPTs.