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Children with ADHD exhibit narrative comprehension difficulties relative to typically developing peers. One unexplored comprehension area for this population is the generation of explanatory predictive inferences. Plausible explanatory predictive inferences allow for smooth integration of new information, and are targeted in many comprehension interventions. The current study examined three questions: (1) Is there a difference between children with ADHD and typically developing children in the creation of explanatory predictive inferences during a predictive prompt task? (2) Does the group difference in the generation of these inferences mediate group differences in recall measures? (3) Does the act of making predictions during story presentation improve recall relative to a control condition? Seven- to 11-year-old children with and without ADHD listened to two audio-taped stories, and made predictions at several pauses during one of the stories (predictive prompt task). The recording of the other story was paused without asking for predictions in the control task. Children recalled the story following the task. During the predictive prompt task, children with ADHD generated fewer plausible explanatory predictive inferences than typically developing peers and this group difference mediated a group difference in the recall of highly important events. Further, children in both diagnostic groups included more plausible explanatory backwards inferences during recall following the predictive prompt task than following the control task. Given the importance of explanatory inferences in constructing coherent story representations, these findings are encouraging for educators using predictive tasks but indicate that children with ADHD may need further instruction on generating appropriate predictive inferences. [ABSTRACT FROM AUTHOR]

Academic difficulties are well-documented among children with ADHD. Exploring these difficulties through story comprehension research has revealed deficits among children with ADHD in making causal connections between events and in using causal structure and thematic importance to guide recall of stories. Important to theories of story comprehension and implied in these deficits is the ability to make inferences. Often, characters' goals are implicit and explanations of events must be inferred. The purpose of the present study was to compare the inferences generated during story comprehension by 23 7- to 11-year-old children with ADHD (16 males) and 35 comparison peers (19 males). Children watched two televised stories, each paused at five points. In the experimental condition, at each pause children told what they were thinking about the story, whereas in the control condition no responses were made during pauses. After viewing, children recalled the story. Several types of inferences and inference plausibility were coded. Children with ADHD generated fewer of the most essential inferences, plausible explanatory inferences, than did comparison children, both during story processing and during story recall. The groups did not differ on production of other types of inferences. Group differences in generating inferences during the think-aloud task significantly mediated group differences in patterns of recall. Both groups recalled more of the most important story information after completing the think-aloud task. Generating fewer explanatory inferences has important implications for story comprehension deficits in children with ADHD. [ABSTRACT FROM AUTHOR]

Children with ADHD have difficulty understanding causal connections and goal plans within stories. This study examined mediators of group differences in story narrations between children ages 7–9 with and without ADHD, including as potential mediators both the core deficits of ADHD (i.e., inattention, disinhibition, planning/working memory) as well measures of phonological processing and verbal skills. Forty-nine children with ADHD and 67 non-referred children narrated a wordless book and completed tasks assessing the core deficits of ADHD, phonological processing, and verbal skills. Results revealed that, although no shorter than those of non-referred children, the narratives of children with ADHD contained fewer elements relating to the story’s causal structure and goal plan. Deficits in sustained attention accounted for the most variance in these differences. Results have implications for understanding and ameliorating the academic problems experienced by children with ADHD. [ABSTRACT FROM AUTHOR]