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Learning and Individual Differences 49 (2016) 341347

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Learning and Individual Differences

journal homepage: www.elsevier.com/locate/lindif

Working memory in children with specic learning disorders and/or


attention decits
Claudia Maehler , &, Kirsten Schuchardt
University of Hildesheim, Universittsplatz 1, 31141 Hildesheim, Germany

a r t i c l e i n f o a b s t r a c t

Article history: Specic working memory decits have been documented for different learning disorders (dyslexia, dyscalculia).
Received 23 March 2015 Also children with attention decit disorders (ADHD) have working memory problems especially with regard to
Received in revised form 27 February 2016 executive functioning. There is a high rate of comorbidity of learning and attention disorders and yet, it is an open
Accepted 17 May 2016
question, how this comorbidity might affect working memory functioning.
We tested six groups of children with dyslexia (N = 31), dyscalculia (N = 18), ADHD (N = 34), with dyslexia and
Keywords:
Working memory
ADHD (N = 37), with dyscalculia and ADHD (N = 21) and typically achieving control children (N = 31). Work-
Learning disabilities ing memory was assessed by a battery of 16 phonological, visual-spatial and central executive tasks, according to
ADHD the model of Baddeley (1986).
Primary school children Results reveal distinct patterns of working memory decits: dyslexia corresponds with decits in phonological
loop and dyscalculia with decits in visual-spatial sketchpad. ADHD corresponds with decits in central execu-
tive. No interaction effect could be detected. Thus, it should be concluded that the comorbidity leads to additive
working memory decits, i.e. children with both disorders must cope with broader decits.
2016 Elsevier Inc. All rights reserved.

Children with specic learning disorders like dyslexia or dyscalculia phonological information processing are demonstrated to be responsi-
experience signicant difculties in acquiring the core skills of reading, ble (Vellutino, Fletcher, Snowling, & Scanlon, 2004). Causation of
writing, and arithmetic from their very rst days at school. The high rate dyscalculia is much less clear. Deciencies in the memory of basic
of comorbidity with attention decit and hyperactivity disorders facts, immature strategies and a less developed number sense are
(DuPaul, Gormley, & Laracy, 2013) gives rise for the question of shared taken into consideration (Geary, 2004).
underlying cognitive disabilities and will be examined in this study with Clinical experience tells us that for many children learning disorders
regard to working memory functioning. lead to secondary problems, such as low self-esteem, school anxiety, de-
Dyslexia is characterized by a specic and signicant impairment in pression, psychosomatic disorders, or antisocial behavior and attention
the development of reading skills (often accompanied by poor spelling), decit (hyperactivity) disorders (ADHD). A recent review taking a total
dyscalculia by a specic impairment in the acquisition of mathematical of 17 studies published between 2001 and 2011 into account (DuPaul
skills. There are numerous approaches to the denition and diagnosis of et al., 2013), found relatively high comorbidity of learning disorders and
these learning disabilities. Internationally recognized criteria for their ADHD, with 31% to 45% of students with ADHD having learning disorders
diagnosis are specied in the conventional International Classication and vice versa. The variance between studies was due to different inclu-
of Diseases (ICD-10) published by the World Health Organization sion criteria in the different studies; nevertheless a tendency was found
(WHO, 2011). According to this system, learning disorders are present that comorbidity was highest for writing disorders, lesser for reading dis-
when individuals' abilities in the domains of reading, spelling, or arith- orders and least (although still between 5% and 30%) for math disorder.
metic are substantially below their expected potential given their age, According to the International Classication of Diseases (ICD-10;
general intelligence, and education. 2011) ADHD is diagnosed on the basis of persistent, developmentally
Despite increasing research interest in learning disabilities, consen- atypical and impairing symptoms of inattention, hyperactivity and im-
sus has not yet been reached on the specic cognitive decits that un- pulsivity. Although ADHD is dened behaviorally, relevant (neuropsy-
derlie different learning disorders. For a long time dyslexia was chological) research on ADHD has implicated decits in executive
considered to be caused by visual decits while currently decits in functions as integral cognitive features of ADHD (Barkley, 1997;
Corresponding author. Pennington & Ozonoff, 1996). The behavioral problems become mani-
E-mail address: maehler@uni-hildesheim.de (C. Maehler). fest in everyday situations at school or at home that require planning,

http://dx.doi.org/10.1016/j.lindif.2016.05.007
1041-6080/ 2016 Elsevier Inc. All rights reserved.
342 C. Maehler, K. Schuchardt / Learning and Individual Differences 49 (2016) 341347

self-control, and well structured behavior. Therefore parents and processing (storage only vs. storage and manipulation) reveals the
teachers are mostly asked to report the relevant data for the diagnosis. most severe decit in the functioning of visual-spatial sketchpad as
It is obvious in everyday school life that children with ADHD are at well as in central executive processing of spatial information. There
risk for sufcient academic achievement: If we observe children in edu- were also phonological decits observable, but to a lesser extent. The re-
cational settings we might notice that especially inattention may lead to sults of the meta-analysis are in line with several more recent studies
impaired participation and to less efcient information processing. On that report decits in the visual-spatial domain (Alloway, Gathercole,
the other hand learning problems or disorders may in turn lead to inat- & Elliott, 2010; Kibby & Cohen, 2008) and in central executive function-
tention and agitation in learning situations because a child may be un- ing (Cornoldi et al., 2001).
able to cope with the demands of reading, writing or arithmetic. The Taken together the empirical ndings reveal a solid body of evidence
comorbidity therefore does not imply a well dened causal relationship. for working memory decits underlying both learning disorders and at-
But taking the comorbidity into account gives rise to the search for tention decit disorders. Poor working memory has been found to be
common underlying causal factors. Given the typical problems of chil- closely associated both with low academic achievement (Alloway,
dren with learning disorders and children with ADHD, information pro- Gathercole, Kirkwood, & Elliott, 2009; Gathercole & Alloway, 2008)
cessing and executive functioning are viewed as probable basic risk and with some of the attention problems typical for children with
factors that may cause both learning disabilities and disorders and at- ADHD (Gathercole et al., 2008).
tention decit (hyperactivity) disorders (Willcutt, Pennington, Olson, There are indicators for specic decits with regard to specic work-
Chhabildas, & Hulslander, 2005). It is the concept of working memory ing memory functions and subsystems (see above) but at the same time
that encompasses information processing, executive functioning and studies have shown a considerable overlap of working memory prob-
(selective) attention. lems in children affected by learning and/or attention decit disorders.
Working memory decits are widely being discussed and identied Furthermore, other studies also report distinct and shared decits, for
as being related to learning disabilities. Although various models of example processing speed seems to be impaired in children with read-
working memory have been developed, the British model by Baddeley ing difculties and those with ADHD and therefore might explain the
(1986) has proved a particularly useful theoretical tool in numerous comorbidity of both disorders (McGrath et al., 2011; Shanahan et al.,
studies on learning disabilities. According to this model, working mem- 2006). Yet, there are no studies that allow a direct conclusion by inves-
ory comprises three components: the modality-free central executive, tigating the different groups of children and different comorbid combi-
which is a kind of supervisory system that serves to control and regulate nations (dyslexia, dyscalculia and ADHD) within the same design and
the occurring cognitive processes, and two slave systems, the phonolog- by using for all of them a wide range of working memory tasks. Further-
ical loop and the visual-spatial sketchpad. The functions of the central ex- more, the heterogeneous body of evidence might be due to varying in-
ecutive identied by Baddeley (1996) include a) coordinating the slave clusion and exclusion criteria for the examined learning disorders. By
systems, b) focusing and switching attention, c) retrieving representa- dening pure groups according to ICD-10 and using a broad battery
tions from long-term memory, and d) changing learning strategies. of tasks within the theoretical framework of the Baddeley (1986) work-
The two slave systems perform modality-specic operations. Verbal ing memory model we hope to identify possible distinct and common
and auditory information is temporarily stored and processed in the decits. Running this kind of study we addressed the following research
phonological loop. Two components of the phonological loop are distin- question: Given the empirical evidence of working memory decits un-
guished: the phonological store and the subvocal rehearsal process. The derlying both learning and attention decit disorders, could the comor-
visual-spatial sketchpad is concerned with remembering and process- bidity be explained by shared working memory decits?
ing visual and spatial information; it comprises a visual cache for static To answer this question we analyzed commonalities and differences
visual information and an inner scribe for dynamic spatial information in working memory in children with dyslexia and/or attention decit
(Logie, 1995; Pickering, Gathercole, Hall, & Lloyd, 2001). disorders and with dyscalculia and/or attention decit disorders. School
Research has provided numerous indications that specic learning achievement tests were administered to all children for both reading/
disabilities are associated with working memory impairments writing and mathematics in order to exclude children with combined
(Alloway & Gathercole, 2006; Pickering, 2006a). There is considerable disorders of scholastic skills.
evidence that children with specic reading disabilities/dyslexia have
decits in phonological processing and storage (Pickering, 2006b; 1. Method
Schuchardt, Maehler, & Hasselhorn, 2008; Swanson, 2006; Vellutino
et al., 2004). Further evidence suggests that these children also experi- 1.1. Design
ence decits in central executive functioning (Brandenburg et al.,
2014; Landerl, Bevan, & Butterworth, 2004), but when the demand for We used a three-factor design: (1) presence or absence of dyslexia,
phonological processing is controlled for in the central executive mem- (2) presence or absence of dyscalculia, and (3) presence or absence of
ory tasks, this decit seems to disappear (Schuchardt et al., 2008). For attention decit hyperactivity disorder. To this end, we identied ve
children with dyscalculia empirical evidence suggests that the visual- groups of children with disabilities based on the ICD-10 criteria for spe-
spatial sketchpad and the central executive seem to be particularly im- cic disorders: children with specic disorders of attention decit hy-
paired (Passolunghi & Siegel, 2001; Passolunghi, 2006; Schuchardt et al., peractivity disorder without learning difculties (ADHD), children
2008; van der Sluis, van der Leij, & de Jong, 2005), while ndings on the with specic reading disorders (Dyslexia), children with comorbid dis-
phonological loop are inconsistent (see Geary, Hamson, & Hoard, 2000 orders of ADHD and dyslexia (ADHD + Dyslexia), children with specic
vs. Swanson & Sachse-Lee, 2001; or Landerl et al., 2004). disorders of arithmetical skills (Dyscalculia), children with comorbid
Working memory decits in children with ADHD have also been disorders of dyscalculia and ADHD (ADHD + Dyscalculia), and formed
discussed for quite a while. Results, again, are inconsistent, although a control group (C) of typically achieving children matched for chrono-
there is a kind of consensus that an impairment of working memory ex- logical age.
ists independent of language or learning disorders and independent of
general intelligence (Martinussen & Tannock, 2006). Evidence with re- 1.2. Participants
gard to the exact location of possible decits is heterogeneous, probably
due to the heterogeneous population of children with AD(H)D, and the One hundred seventy-two 2nd to 4th grade students participated in
tasks differences. An exploratory meta-analysis of 26 studies the study. The diagnosis ADHD was made by an assessment of parents
(Martinussen, Hayden, Hogg-Johnson, & Tannock, 2005), that considers and teachers according to assessment forms CBCL and TRF (German ver-
tasks for the two modalities (verbal and spatial) and two types of sion). This is a not a clinical diagnosis but only a parents' and teachers'
C. Maehler, K. Schuchardt / Learning and Individual Differences 49 (2016) 341347 343

rating. Nevertheless it is the common procedure that also clinicians use. mathematics abilities test than did the other groups. Inspection of gen-
All children were screened with standardized tests of intellectual ability, der distribution patterns across disability groups showed that more
spelling, reading, and arithmetic. We used the full IQ scale from the Ger- Dyslexia (68%), ADHD (64%) and Dyslexia + ADHD (65%) children
man version of the Kaufman Assessment Battery for Children (K-ABC, were male. In contrast more Dyscalculia (73%), and
Melchers & Preu, 2001) to assess general intelligence. Mathematical Dyscalculia + ADHD (71%) children were female. Analysis of variance
skills were assessed using standardized German mathematical achieve- revealed that the six groups did differ signicantly in terms of intelli-
ment tests for 2nd, 3rd, and 4th graders (DEMAT 2+, Krajewski, Liehm, gence, F(5, 165) = 4.67, p b 0.001, p2 = 0.129. Post hoc comparisons
& Schneider, 2004; DEMAT 3 +, Roick, Glitz, & Hasselhorn, 2004; showed that there was no difference in intelligence between the groups
DEMAT 4, Glitz, Roick, & Hasselhorn, 2006). These multi-component Dyslexia, Dyslexia + ADHD, C and ADHD or between the Dyscalculia
tests include computation problems, word problems, and geometry and the Dyscalculia + ADHD groups, but that the Dyscalculia and
problems. Spelling abilities were assessed by the Weingartener spelling Dyscalculia + ADHD groups scored signicantly lower on intelligence
tests for 2nd and 3rd graders (WRT 2+, Birkel, 1994a; WRT 3+, Birkel, than the other two groups. We therefore included general intelligence
1994b) and the Westermann spelling test for 4th graders (WRT 4/5, as a covariate in all subsequent analyses.
Rathenow, 1979). In both of these standardized German achievement
tests, children insert dictated words into given sentences. Reading 1.3. Procedure: Working memory assessment
speed abilities were classied on the basis of scores on one subtests of
the Salzburg reading test (SLT; Landerl, Wimmer, & Moser, 1997): the Working memory was assessed by a battery of 16 tasks: seven pho-
word reading subtest Textlesen (short or long version depending on nological tasks (memory spans for digits, one-syllable and three-
grade level). syllable words, one-syllable and three-syllable nonwords, and images;
Only native German-speaking children were included in the study nonword repetition), ve visual-spatial tasks (memory span for loca-
sample, and no children with combined disorders of scholastic skills tions, matrix span simple and complex, corsi-block simple and com-
(that is reading, spelling and mathematical problems) took part in the plex), four central executive tasks (double span, backward spans for
study. The operational criteria for the ADHD-subgroups were clinical as- one-syllable words and digits, counting span). A detailed description
sessment by parents (CBCL: subtest attention decit disorder T 60) of all tasks follows below.
and teacher (TRF: subtest attention decit disorder T 60). The opera-
tional criteria for learning disability subgroups were as follows: 1.4. Phonological loop
IQ 80, below-average reading and/or spelling scores (T b 40), and a
critical discrepancy of 1.2 standard deviation between IQ and perfor- The digit span is the conventional measure used to assess phonolog-
mance on the standardized tests of reading and spelling achievement ical short-term capacity. A series of one to nine digits was presented
(this discrepancy of 1.2 standard deviation is the common criterion in acoustically at a rate of one digit per second, starting with two and con-
Germany used in clinical settings, cf. Schulte-Krne, Deimel, & tinuing up to a maximum of eight digits. Participants had to repeat the
Remschmidt, 2001). The control group (n = 31) showed average per- digits immediately in the presented order. The one-syllable and three-
formance (T 40) on all achievement tests. syllable word span tasks and the one-syllable and three-syllable nonword
We recruited the ve disability groups from the counseling center span tasks were presented in the same manner as in the digit span mea-
for children with learning disabilities at our department. All children sure. In the one-syllable and three-syllable word span tasks familiar
were investigated for the rst time, therefore we can be sure that chil- German nouns (e.g., Stern = star, Fisch = sh, Erdbeere = strawberry,
dren with the diagnosis ADHD did not yet (at the time of data collec- Briefkasten = letterbox) were used; the one-syllable and three-
tion) receive any medication. Control group children were 2nd to 4th syllable nonword span tasks are word-like nonwords (e.g., fen, sim,
graders from a public elementary school. None of the children in the bestrugeln, reseubelt).
study attended special schools. There is a partial overlap in the sample In the images span task, participants were presented a series of pic-
with the study of Schuchardt et al. (2008) with regard to the two groups tures of easily recognizable objects (e.g., sun, umbrella, door, car) on a
with dyslexia and dyscalculia and the control group. The ADHD-group computer screen, and were asked to recall them verbally in the order
and the children with comorbid problems did not participate in the of presentation.
2008 study, because in that study the aim was to investigate specic The German nonword repetition task administered developed by
working memory problems and proles in the different learning disabil- Hasselhorn and Krner (1997). Children had to repeat 24 word-like
ity groups. nonwords of two, three, or four syllables immediately after their pre-
Table 1 summarizes the six groups' descriptive statistics. However, sentation. Nonwords of different lengths were presented auditorily in
as expected due to sampling procedures, groups differed signicantly random order. The number of correctly repeated nonwords was taken
in reading, F(5, 165) = 38.67, p b 0.001, p2 = 0.559, spelling, F(5, as the score for this task.
165) = 41.88, p b 0.001, p2 = 0.561, and mathematics, F(5, 165) =
36.10, p b 0.001, p2 = 0.567. On average, the Dyslexia and 1.5. Visual-spatial sketchpad
Dyslexia + ADHD groups performed signicantly lower on the reading
and spelling abilities test than did the other groups. The Dyscalculia and In the location span task, children were shown increasing sequences
Dyscalculia + ADHD groups performed signicantly lower on the of green dots at different locations on a 3 3 matrix and asked to recall

Table 1
Sex distribution and Means (standard deviations) of Age, K-ABC IQ, WRT Spelling T-Scores, SLT Reading T-Scores, and DEMAT Mathematics T-Scores by Subgroup.

Dyslexia Dyslexia + ADHD Dyscalculia Dyscalculia + ADHD ADHD C


(n = 31) (n = 37) (n = 18) (n = 21) (n = 34) (n = 31)

Sex (m/f) 21/10 24/13 5/13 6/15 22/12 15/16


Age (months) 110.03 (12.36) 110.89 (11.85) 102.50 (7.71) 102.80 (10.52) 105.85 (10.51) 107.10 (9.52)
IQ 99.55 (6.81) 97.73 (8.74) 91.67 (7.15) 92.29 (8.63) 98.21 (9.83) 100.32 (6.01)
Spelling 34.13 (3.96) 35.14 (4.37) 46.82 (6.52) 45.00 (7.36) 45.10 (5.76) 50.32 (6.05)
Reading 33.28 (9.07) 32.84 (9.63) 49.00 (8.75) 45.75 (7.23) 48.25 (10.81) 50.27 (6.94)
Mathematics 51.11 (7.30) 43.17 (10.53) 32.39 (4.98) 30.57 (6.13) 48.91 (8.43) 50.53 (5.70)
344 C. Maehler, K. Schuchardt / Learning and Individual Differences 49 (2016) 341347

these locations in the correct order immediately after the dots had dis- memory tasks were administered on a computer. The order of presenta-
appeared. Corsi-block tasks were used to assess the dynamic spatial tion of the working memory tasks was the same for all children (images
component of visual-spatial memory. Nine red blocks are nailed in ran- span, location span, double span, one-syllable word span, three-syllable
dom positions on a grey board (23 27.5 cm). The experimenter taps a word span, corsi-block simple, corsi-block complex, nonword repeti-
sequence of blocks at the rate of one per second. The child then attempts tion, backward word span, backward digit span, counting span, digit
to reproduce the sequence of taps in the correct order. We used two var- span, matrix span simple, matrix span complex, one-syllable nonword
iations of the corsi-block task: simple sequences involving short dis- span, three-syllable nonword span).
tances between blocks without path crossings, and complex
sequences involving long distances between blocks with path crossings. 2. Results
A matrix span task was incorporated in the battery to measure the
static component of visual-spatial working memory. This task assesses The signicance level for all analyses was set at alpha =0.05. Scores
memory for random visual-spatial patterns of increasing complexity. on the working memory tasks were entered in a multivariate analysis of
Patterns of white and black boxes in a 4 4 matrix were presented on variance with dyslexia, dyscalculia and ADHD as xed factors. Due to the
the computer, beginning with two black boxes and continuing up to a six groups used in the design and the absence of a group with mixed dis-
maximum of eight black boxes. Immediately after presentation, chil- orders of scholastic skills (i.e. dyslexia and dyscalculia) and of a group
dren were asked to reproduce the pattern in an empty matrix. Two var- with these criteria plus ADHD, neither interaction between dyslexia
iations of this task were also implemented: a simple matrix span with and dyscalculia nor the triple interaction with ADHD could be comput-
the black boxes arranged in simple patterns, and a complex matrix ed. IQ was included as covariate in all subsequent analyses. The Levene-
span with the black boxes located at some distance from one another. Test revealed equality of error variances for all dependent variables. As
expected in a study with clinical groups data of most dependent vari-
1.6. Central executive ables do not follow a normal distribution. The MANOVA being fairly ro-
bust when faced with deviations from the normal distribution, we
The same items and procedures were used for the backward digit and nevertheless ran these analyses.
word span tasks as for the forward spans, the only difference being that Table 2 presents means and standard deviations for all working
participants were required to recall the sequences of items in reverse memory measures by the six groups.
order. Additionally, a double span task was implemented to assess the
children's ability to coordinate the functioning of the phonological 2.1. Phonological loop
loop and the visual-spatial sketchpad. The same pictures as in the im-
ages span task were presented, but this time in different locations on a The scores on the seven tasks assessing phonological loop function-
3 3 matrix. Children had to recall the pictures and their location in ing were entered into a MANCOVA. The covariate was signicantly re-
the order of presentation. The complex counting span task, a measure lated to the performance on the phonological loop tasks, F(7, 152) =
of storage and processing efciency, was based on a task designed by 4.04, p b 0.001, p2 = 0.157. The multivariate main effect for Dyslexia,
Case, Kurland, and Goldberg (1982). A series of yellow circles (target F(7, 152) = 2.42, p = 0.022, p2 = 0.100, proved to be signicant. The
items) and squares (distractor items) was presented in a random, multivariate main effect for Dyscalculia, F(7, 152) b 1, p2 = 0.042,
computer-generated pattern. Children were instructed to count the and ADHD, F(7, 152) = 1.83, p = 0.085, p2 = 0.078, and the interaction
number of circles. Subsequently, another map was presented and chil- of Dyslexia x ADHD, F(7, 152) = 1.15, p = 0.333, p2 = 0.050, and
dren again had to count the number of circles. Finally, the experimenter Dyscalculia x ADHD, F(7, 152) b 1, p2 = 0.030, were not signicant.
asked the child to recall the number of circles counted on each map. The For the dyslexia factor, univariate tests of working memory tasks
number of maps presented per sequence was steadily increased up to a showed signicant differences between groups on digit span: F(1,
maximum of eight. 158) = 6.26, p = 0.013, p2 = 0.038; one-syllable nonword span: F(1,
158) = 9.31, p = 0.003, p2 = 0.056; three-syllable nonword span:
1.6.1. Stop criterion F(1, 158) = 7.98, p = 0.005, p2 = 0.048; nonword repetition: F(1,
We used the same stop criterion for all span tasks. The length of the 158) = 4.06, p = 0.046, p2 = 0.025. No differences between groups
sequences presented was increased gradually, beginning with a mini- were found on images span, F(1, 158) = 1.89, p = 0.171, p2 = 0.012,
mum of two, and increasing to a maximum of eight items. There were one-syllable word span, F(1, 158) b 1, p2 = 0.004, and three-syllable
four trials at each sequence length. If an error was made, the child was word span, F(1, 158) b 1, p2 = 0.003.
given a second attempt at an item of the same length. If a child
succeeded on two successive trials of the same length, the task contin- 2.2. Visual-spatial sketchpad
ued with the next span length. If a child failed on the rst two successive
trials of the same length, he or she was not presented with any further The scores on the ve tasks assessing visual-spatial sketchpad were
sequences of the same length, but with a sequence one item shorter entered into a multivariate analysis of variance (MANCOVA). The covar-
and could thus succeed on all four items of the individual maximum iate was signicantly related to the performance on the visual-spatial
length. The dependent measure for all span tasks was the longest se- tasks, F(5, 159) = 5.22, p b 0.001, p2 = 0.141. The multivariate main ef-
quence of items repeated at least once in correct order. Children were fect for dyscalculia, F(5, 159) = 2.29, p b 0.049, p2 = 0.067, proved sig-
credited an extra fourth point (0.25) if they repeated a further sequence nicant. In contrast, the multivariate main effect for Dyslexia, F(5,
of the same length correctly (e.g., a score of 5.25 was awarded if two of 159) b 1, p2 = 0.018, and ADHD, F(5, 159) b 1, p2 = 0.027, and the
four 5-item sequences were recalled correctly, 5.5 if three of four se- Dyslexia x ADHD interaction, F(5, 159) b 1, p2 = 0.021, and dyscalculia
quences, and 5.75 if all four sequences were recalled correctly). x ADHD interaction, F(5, 159) b1, p2 = 0.020, were not signicant. For
the dyscalculia factor, univariate tests of visual-spatial working memory
1.6.2. Procedure tasks showed signicant differences between groups on all visual-
Children with learning disabilities were administered standardized spatial memory tasks (corsi-block simple task, F(1, 163) = 5.82,
tests of spelling, reading, and arithmetic, intelligence, and working p b 0.017, p2 = 0.034; corsi-block complex: F(1, 163) = 5.20, p =
memory individually in two separate sessions. The DEMAT and WRT 0.024, p2 = 0.031; matrix span complex: F(1, 163) = 5.37, p =
measures were administered to control group children in classroom 0.022, p2 = 0.032; location span: F(1, 163) = 6.76, p = 0.010, p2 =
learning groups. All other tests were administered individually within 0.040), with the exception of matrix span simple task, F(1, 163) =
a period of three weeks. Except for the corsi-block task, all working 3.87, p = 0.051, p2 = 0.023, which only slightly missed signicance.
C. Maehler, K. Schuchardt / Learning and Individual Differences 49 (2016) 341347 345

Table 2
Means (standard deviations) for working memory measures by subgroup.

Dyslexia Dyscalculia
Dyslexia + ADHD Dyscalculia + ADHD ADHD C

Phonological loop
Digit span 4.93 (0.64) 4.51 (0.71) 4.96 (0.65) 4.65 (0.66) 4.96 (0.86) 5.05 (0.64)
One-syllable word span 4.46 (0.76) 4.28 (0.66) 4.17 (0.75) 4.32 (0.61) 4.39 (0.65) 4.56 (0.63)
Three-syllable word span 3.69 (0.49) 3.47 (0.50) 3.69 (0.48) 3.57 (0.43) 3.57 (0.51) 3.76 (0.44)
One-syllable nonword span 3.81 (0.90) 3.47 (0.82) 4.00 (0.55) 3.87 (0.64) 3.89 (0.72) 4.19 (0.49)
Three-syllable nonword span 2.03 (0.98) 1.61 (1.16) 2.19 (1.11) 2.24 (1.02) 2.32 (0.97) 2.40 (0.88)
Images span 4.26 (0.82) 3.95 (0.65) 4.21 (0.65) 4.12 (0.77) 4.16 (0.70) 4.48 (0.82)
Nonword repetition 19.13 (2.99) 18.84 (2.95) 20.67 (2.09) 19.76 (2.32) 19.21 (2.66) 20.77 (1.80)

Visual-spatial sketchpad
Location span 5.15 (0.84) 4.97 (0.94) 4.43 (0.90) 4.25 (0.69) 4.96 (0.99) 5.06 (0.93)
Corsi-block simple 6.00 (1.31) 5.70 (1.22) 5.08 (1.01) 5.10 (1.28) 5.77 (1.06) 6.00 (1.47)
Corsi-block complex 5.06 (0.82) 4.57 (1.07) 4.38 (1.05) 4.05 (0.89) 4.88 (1.07) 5.03 (0.92)
Matrix span simple 6.89 (1.05) 6.55 (1.41) 5.43 (1.09) 5.67 (1.52) 6.42 (1.38) 6.66 (1.30)
Matrix span complex 4.31 (1.79) 4.16 (1.75) 3.33 (0.99) 3.19 (0.96) 3.98 (1.80) 4.76 (1.49)

Central executive
Backward digit span 3.52 (0.58) 3.63 (0.69) 3.76 (0.53) 3.38 (0.50) 3.65 (0.56) 3.94 (0.76)
Backward words span 3.47 (0.49) 3.53 (0.51) 3.44 (0.54) 3.23 (0.49) 3.44 (0.58) 3.72 (0.55)
Double span 3.73 (0.56) 3.49 (0.64) 3.74 (0.67) 3.48 (0.72) 3.76 (0.70) 4.02 (0.72)
Counting span 3.76 (0.81) 3.58 (0.85) 3.99 (0.89) 3.37 (0.71) 3.60 (0.71) 4.37 (0.88)

2.3. Central executive data children with dyscalculia as well as with dyslexia show some ten-
dencies of central executive problems. Due to our factorial analyses
The scores on the four tasks assessing central executive were en- these do not become signicant; but as mentioned above in the intro-
tered into a multivariate analysis of variance (MANCOVA). The covariate duction these decits have been found for children with reading disabil-
was signicantly related to the performance on the central-executive ities (Brandenburg et al., 2014), who partly represent our dyslexia
tasks, F(4, 159) = 6.33, p b 0.001, p2 = 0.137. The multivariate main ef- group, and those with arithmetical disabilities (Passolunghi, 2006).
fect for ADHD, F(4, 159) = 3.21, p = 0.014, p2 = 0.075 was signicant. But still, given the fact that no interaction was found, we conclude
In contrast, the multivariate main effects for Dyslexia, F(4, 159) = 2.11, that there is no common working memory decit being responsible
p = 0.081, p2 = 0.051, and Dyscalculia, F(4, 159) b 1, p2 = 0.008, for the comorbidity of learning and attention decit disorders. Of
proved not to be signicant. The interaction of the two factors Dyslexia course, from our design it cannot be argued that the working memory
x ADHD, F(4, 159) = 1.79, p = 0.134, p2 = 0.043, and Dyscalculia x problems really cause the learning disorders, as there is no proof in
ADHD, F(4, 159) b 1, p2 = 0.003, were not signicant. For the ADHD this study for any causal relationship. But the lack of any shared under-
factor, univariate tests showed signicant differences between groups lying working memory problem should lead us to abandon the idea of
on double span: F(1, 162) = 4.35, p = 0.039, p2 = 0.026, and counting working memory as a crucial factor for existing comorbidity.
span, F(1, 162) = 11.38, p = 0.001, p2 = 0.066, but not on digit back- With regard to educational implications we should take into account
ward span, F(1, 162) = 2.14, p = 0.145, p2 = 0.013, and word back- that the important role of working memory for school achievement and
ward span, F(1, 162) = 1.14, p = 0.287, p2 = 0.007. learning problems has often been stated, and it has been argued that
working memory might be more predictive for school achievement
than intelligence (Alloway & Alloway, 2010; Preler, Knen,
3. Discussion Hasselhorn, & Krajewski, 2014). With regard to ADHD the central exec-
utive problems will be predominant and most easily be experienced in
Taken together, the results of our study can be summarized in a everyday school life. But due to the comorbidity with learning disorders,
straight forward notion: learning disorders like dyslexia and dyscalculia ADHD may be accompanied by more working memory decits. In other
and attention decit disorders are accompanied by specic working words: the comorbidity leads to an addition of working memory prob-
memory decits: Phonological loop is impaired in children with dyslex- lems rather than to an interaction of functional decits. Other studies,
ia, visual-spatial sketchpad is impaired in children with dyscalculia, and investigating children with dyslexia and comorbid attention decit dis-
children with ADHD have problems in the central executive of working orders have also reported the additive character of decits; distinct pat-
memory. terns of single disorders will come together in children with comorbid
With regard to the rather mixed results documented in the literature disorders (Gooch, Snowling, & Hulme, 2011; Willcutt et al., 2005).
(see above) our results reveal very specic decits and not much over- This puts a high impact on comprehensive diagnostics of learning and
lap. Probably this result is due to our very strict group denitions and in- attention decit disorders and working memory in order to nd out
clusion criteria that made our groups more homogenous than in other the exact pattern of working memory problems in the individual child.
studies. Several working memory batteries for children are already available
If we look more carefully at the data on a more descriptive level we (WMTB-C, Pickering & Gathercole, 2001; AWMA, Alloway, 2007; AGTB
must consider, that in spite of the signicant main effects and lack of in- 5-12, Hasselhorn et al., 2012). Individual patterns of working memory
teractions, the amplitude of group differences with regard to several functioning might even allow for identication of children at risk for dif-
variables is not very large. Therefore we should refrain from talking ferent learning disabilities (Alloway, 2009; Bull, Epsy, & Wiebe, 2008).
about severe problems or decits and from predicting individual learn- Yet, attempts to generally improve working memory through individual
ing disorders on the basis of the measured working memory function- trainings have not been very promising (Melby-Lervg & Hulme, 2012),
ing. And, although main effects and missing interactions reveal clear but it is still an open question if existing decits could be removed by
results, we do not wish to deny that with regard to the descriptive specic interventions. Some studies show that especially for children
346 C. Maehler, K. Schuchardt / Learning and Individual Differences 49 (2016) 341347

with ADHD adaptive computerized training can improve central execu- ing memory and syntactic competence in six- and eight-year-olds]. Zeitschrift fr
Entwicklungspsychologie und Pdagogische Psychologie, 29, 212224.
tive functioning and reduce the ADHD symptoms (Klingberg et al., Hasselhorn, M., Schumann-Hengsteler, R., Grube, D., Knig, J., Mhler, C., Schmid, I., ...
2005). Similar studies have been carried out for children with learning Zoelch, C. (2012). Arbeitsgedchtnistestbatterie fr kinder von 5 bis 12 Jahren (AGTB
disorders, mostly with limited success (Holmes, Gathercole, & 512) [Working memory test battery for children aged ve to twelve years]. Gttingen:
Hogrefe.
Dunning, 2009; Mhler, Jrns, Radtke, & Schuchardt, 2015). With regard Holmes, J., Gathercole, S. E., & Dunning, D. L. (2009). Adaptive training leads to sustained
to our ndings future research is needed to predict the outcome of spe- enhancement of poor working memory in children. Developmental Science, 12(4),
cic interventions with the aim of training specic aspects of working F9F15.
Kibby, M. Y., & Cohen, M. J. (2008). Memory functioning in children with reading disabil-
memory vs. broad trainings of all working memory subsystems, the lat- ities and/or attention decit/hyperactivity disorder: A clinical investigation of their
ter being of importance for children with comorbid learning and atten- working memory and long-term memory functioning. Child Neuropsychology, 14,
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Klingberg, T., Fernell, E., Olesen, P., Johnson, M., Gustafsson, P., Dahlstrm, K., ...
In contrast to our sample of very specic, clearly dened groups
Westerberg, H. (2005). Computerized training of working memory in children with
school reality is full of children with all kinds and different levels of dif- ADHD A randomized, controlled trial. Journal of the American Academy of Child
culties and comorbid disorders. Therefore, teachers may prot from and Adolescent Psychiatry, 44, 177186.
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