ABSTRACT
Studies with individuals with developmental dyslexia (DD) have documented impaired perception of words and faces, both of which are domains of visual expertise for human adults. In this study, we examined a possible mechanism that might be associated with the impaired acquisition of visual expertise for words and faces in DD, namely, the atypical engagement of the monocular visual pathway. Participants with DD and typical readers (TR) judged whether a pair of sequentially presented unfamiliar faces or nonwords were the same or different, and the pair of stimuli were displayed in an eye-specific fashion using a stereoscope. Based on evidence of greater reliance on subcortical structures early in development, we predicted differences between the groups in the engagement of lower (monocular) versus higher (binocular) regions of the visual pathways. Whereas the TR group showed a monocular advantage for both stimulus types, the DD participants evinced a monocular advantage for faces and words that was much greater than that measured in the TRs. These findings indicate that the DD individuals have enhanced subcortical engagement and that this might arise from the failure to fine-tune cortical correlates mediating the discrimination of homogeneous exemplars in domains of expertise.
Subject(s)
Dyslexia , Visual Perception , Adult , Humans , Visual Pathways , ReadingABSTRACT
Speech communication depends on accurate perception and identification of speech sounds, which vary across talkers and word or sentence contexts. The ability to map this variable input onto discrete speech sound representations relies on categorization. Recent research and theoretical models implicate the procedural learning system in the ability to learn novel speech and non-speech categories. This connection is particularly intriguing because several language disorders that demonstrate linguistic impairments are proposed to stem from procedural learning and memory dysfunction. One such disorder, Developmental Language Disorder (DLD), affects 7.5% of children and persists into adulthood. While DLD is associated with general linguistic impairments, it is not yet clear how fundamental perceptual and cognitive processes supporting language are impacted, such as the ability to learn novel auditory categories. We examined auditory category learning in children with DLD and typically developed (TD) children using two well-matched nonspeech auditory category learning challenges to draw upon presumed procedural (information-integration) versus declarative (rule-based) learning systems. We observed impaired information-integration category learning and intact rule-based category learning in the DLD group. Quantitative model-based analyses revealed reduced use of, and slower shifting to, optimal procedural-based strategies in DLD and slower shifting to but similarly efficient use of optimal hypothesis-testing strategies. The dissociation is consistent with the Procedural Deficit Hypothesis of language disorders and supports the theoretical distinction of multiple category learning systems. These findings demonstrate that highly controlled experimental tasks assessing perceptual and cognitive abilities can relate to real-world challenges facing individuals with DLD in forming stable linguistic representations.
ABSTRACT
Current theories of Autism Spectrum Disorder (ASD) suggest atypical use of context in ASD, but little is known about how these atypicalities influence speech perception. We examined the influence of contextual information (lexical, spectral, and temporal) on phoneme categorization of people with ASD and in typically developed (TD) people. Across three experiments, we found that people with ASD used all types of contextual information for disambiguating speech sounds to the same extent as TD; yet they exhibited a shallower identification curve when phoneme categorization required temporal processing. Overall, the results suggest that the observed atypicalities in speech perception in ASD, including the reduced sensitivity observed here, cannot be attributed merely to the limited ability to utilize context during speech perception.
ABSTRACT
Although statistical learning (SL) has been studied extensively in developmental dyslexia (DD), less attention has been paid to other fundamental challenges in language acquisition, such as cross-situational word learning. Such investigation is important for determining whether and how SL processes are affected in DD at the word level. In this study, typically developed (TD) adults and young adults with DD were exposed to a set of trials that contained multiple spoken words and multiple pictures of individual objects, with no information about word-referent correspondences provided within a trial. Nonetheless, cross-trial statistical relations could be exploited to learn word-referent mappings. The degree of within-trial reference uncertainty and the novelty of to-be-learned objects (novel or familiar) were varied under different learning conditions. The results show that across all conditions, young adults with DD were significantly impaired in their ability to exploit cross-trial regularities in co-occurring visual-auditory streams to discover word-referent mappings. Observed impairments were most pronounced when within-trial reference uncertainty was the highest. Subjective measures of knowledge awareness revealed greater development of implicit but not explicit knowledge in the TD group than in the DD group. Together, these findings suggest that the SL deficit in DD affects fundamental language learning challenges at the word level and points to greater reliance on explicit processes due to impaired implicit associative learning among individuals with DD. Such a deficit is likely to influence spoken language acquisition, and in turn affect literacy skills, in people with DD.
Subject(s)
Dyslexia , Learning , Young Adult , Humans , Language Development , Verbal Learning , KnowledgeABSTRACT
BACKGROUND: To overcome variability in spoken language, listeners utilize various types of context information for disambiguating speech sounds. Context effects have been shown to be affected by cognitive load. However, previous results are mixed regarding the influence of cognitive load on the use of context information in speech perception. PURPOSE: We tested a population characterized by an attention-deficit/hyperactivity disorder (ADHD) to better understand the relationship between attention (or internal cognitive load) and context effects. METHOD: The use of acoustic versus lexical properties of the surrounding signal to disambiguate speech sounds was examined in listeners with ADHD and neurotypical listeners. RESULTS: Compared to neurotypicals, individuals with ADHD relied more strongly on lexical context for speech perception; however, reliance on acoustic context information from speech rate did not differ. CONCLUSION: These findings confirm that cognitive load impacts the use of high-level but not low-level context information in speech and imply that speech recognition deficits in ADHD likely arise due to impaired higher order cognitive processes.
ABSTRACT
BACKGROUND: Theoretical models posit abnormalities in cortico-striatal pathways in two of the most common neurodevelopmental disorders (Developmental dyslexia, DD, and Attention deficit hyperactive disorder, ADHD), but it is still unclear what distinct cortico-striatal dysfunction might distinguish language disorders from others that exhibit very different symptomatology. Although impairments in tasks that depend on the cortico-striatal network, including reinforcement learning (RL), have been implicated in both disorders, there has been little attempt to dissociate between different types of RL or to compare learning processes in these two types of disorders. The present study builds upon prior research indicating the existence of two learning manifestations of RL and evaluates whether these processes can be differentiated in language and attention deficit disorders. We used a two-step RL task shown to dissociate model-based from model-free learning in human learners. RESULTS: Our results show that, relative to neurotypicals, DD individuals showed an impairment in model-free but not in model-based learning, whereas in ADHD the ability to use both model-free and model-based learning strategies was significantly compromised. CONCLUSIONS: Thus, learning impairments in DD may be linked to a selective deficit in the ability to form action-outcome associations based on previous history, whereas in ADHD some learning deficits may be related to an incapacity to pursue rewards based on the tasks' structure. Our results indicate how different patterns of learning deficits may underlie different disorders, and how computation-minded experimental approaches can differentiate between them.
Subject(s)
Attention Deficit Disorder with Hyperactivity , Language Disorders , Humans , Learning , Attention Deficit Disorder with Hyperactivity/diagnosis , Reinforcement, Psychology , LanguageABSTRACT
Humans generate categories from complex regularities evolving across even imperfect sensory input. Here, we examined the possibility that incidental experiences can generate lasting category knowledge. Adults practiced a simple visuomotor task not dependent on acoustic input. Novel categories of acoustically complex sounds were not necessary for task success but aligned incidentally with distinct visuomotor responses in the task. Incidental sound category learning emerged robustly when within-category sound exemplar variability was closely yoked to visuomotor task demands and was not apparent in the initial session when this coupling was less robust. Nonetheless, incidentally acquired sound category knowledge was evident in both cases one day later, indicative of offline learning gains and, nine days later, learning in both cases supported explicit category labeling of novel sounds. Thus, a relatively brief incidental experience with multi-dimensional sound patterns aligned with behaviorally relevant actions and events can generate new sound categories, immediately after the learning experience or a day later. These categories undergo consolidation into long-term memory to support robust generalization of learning, rather than simply reflecting recall of specific sound-pattern exemplars previously encountered. Humans thus forage for information to acquire and consolidate new knowledge that may incidentally support behavior, even when learning is not strictly necessary for performance.
Subject(s)
Generalization, Psychological , Learning , Adult , Humans , Learning/physiology , Generalization, Psychological/physiology , Sound , Mental Recall , Memory, Long-TermABSTRACT
Categorization has a deep impact on behavior, but whether category learning is served by a single system or multiple systems remains debated. Here, we designed two well-equated nonspeech auditory category learning challenges to draw on putative procedural (information-integration) versus declarative (rule-based) learning systems among adult Hebrew-speaking control participants and individuals with dyslexia, a language disorder that has been linked to a selective disruption in the procedural memory system and in which phonological deficits are ubiquitous. We observed impaired information-integration category learning and spared rule-based category learning in the dyslexia group compared with the neurotypical group. Quantitative model-based analyses revealed reduced use of, and slower shifting to, optimal procedural-based strategies in dyslexia with hypothesis-testing strategy use on par with control participants. The dissociation is consistent with multiple category learning systems and points to the possibility that procedural learning inefficiencies across categories defined by complex, multidimensional exemplars may result in difficulty in phonetic category acquisition in dyslexia.
Subject(s)
Dyslexia , Learning , Adult , Humans , PhoneticsABSTRACT
Statistical learning (SL), the ability to pick up patterns in sensory input, serves as one of the building blocks of language acquisition. Although SL has been studied extensively in developmental dyslexia (DD), much less is known about the way SL evolves over time. The handful of studies examining this question were all limited to the acquisition of motor sequential knowledge or highly learned segmented linguistic units. Here we examined memory consolidation of statistical regularities in adults with DD and typically developed (TD) readers by using auditory SL requiring the segmentation of units from continuous input, which represents one of the earliest learning challenges in language acquisition. DD and TD groups were exposed to tones in a probabilistically determined sequential structure varying in difficulty and subsequently tested for recognition of novel short sequences that adhered to this statistical pattern in immediate and delayed-recall sessions separated by a night of sleep. SL performance of the DD group at the easy and hard difficulty levels was poorer than that of the TD group in the immediate-recall session. Importantly, DD participants showed a significant overnight deterioration in SL performance at the medium difficulty level compared to TD, who instead showed overnight stabilization of the learned information. These findings imply that SL difficulties in DD may arise not only from impaired initial learning but also due to a failure to consolidate statistically structured information into long-term memory. We hypothesize that these deficits disrupt the typical course of language acquisition in those with DD.
Subject(s)
Dyslexia , Adult , Humans , Dyslexia/diagnosis , Learning , Language Development , Memory, Short-Term , LinguisticsABSTRACT
The environment provides multiple regularities that might be useful in guiding behavior if one was able to learn their structure. Understanding statistical learning across simultaneous regularities is important, but poorly understood. We investigate learning across two domains: visuomotor sequence learning through the serial reaction time (SRT) task, and incidental auditory category learning via the systematic multimodal association reaction time (SMART) task. Several commonalities raise the possibility that these two learning phenomena may draw on common cognitive resources and neural networks. In each, participants are uninformed of the regularities that they come to use to guide actions, the outcomes of which may provide a form of internal feedback. We used dual-task conditions to compare learning of the regularities in isolation versus when they are simultaneously available to support behavior on a seemingly orthogonal visuomotor task. Learning occurred across the simultaneous regularities, without attenuation even when the informational value of a regularity was reduced by the presence of the additional, convergent regularity. Thus, the simultaneous regularities do not compete for associative strength, as in overshadowing effects. Moreover, the visuomotor sequence learning and incidental auditory category learning do not appear to compete for common cognitive resources; learning across the simultaneous regularities was comparable to learning each regularity in isolation.
Subject(s)
Learning , Neural Networks, Computer , Humans , Reaction Time , Feedback , CognitionABSTRACT
ADHD has been associated with cortico-striatal dysfunction that may lead to procedural memory abnormalities. Sleep plays a critical role in consolidating procedural memories, and sleep problems are an integral part of the psychopathology of ADHD. This raises the possibility that altered sleep processes characterizing those with ADHD could contribute to their skill-learning impairments. On this basis, the present study tested the hypothesis that young adults with ADHD have altered sleep-dependent procedural memory consolidation. Participants with ADHD and neurotypicals were trained on a visual discrimination task that has been shown to benefit from sleep. Half of the participants were tested after a 12-h break that included nocturnal sleep (sleep condition), whereas the other half were tested after a 12-h daytime break that did not include sleep (wakefulness condition) to assess the specific contribution of sleep to improvement in task performance. Despite having a similar degree of initial learning, participants with ADHD did not improve in the visual discrimination task following a sleep interval compared to neurotypicals, while they were on par with neurotypicals during the wakefulness condition. These findings represent the first demonstration of a failure in sleep-dependent consolidation of procedural learning in young adults with ADHD. Such a failure is likely to disrupt automatic control routines that are normally provided by the non-declarative memory system, thereby increasing the load on attentional resources of individuals with ADHD.
Subject(s)
Attention Deficit Disorder with Hyperactivity , Sleep Wake Disorders , Young Adult , Humans , Attention Deficit Disorder with Hyperactivity/complications , Sleep , Wakefulness , LearningABSTRACT
OBJECTIVES: According to the Procedural Deficit Hypothesis, abnormalities in corticostriatal pathways could account for the language-related deficits observed in developmental dyslexia. The same neural network has also been implicated in the ability to learn contingencies based on trial and error (i.e., reinforcement learning [RL]). On this basis, the present study tested the assumption that dyslexic individuals would be impaired in RL compared with neurotypicals in two different tasks. METHODS: In a probabilistic selection task, participants were required to learn reinforcement contingencies based on probabilistic feedback. In an implicit transitive inference task, participants were also required to base their decisions on reinforcement histories, but feedback was deterministic and stimulus pairs were partially overlapping, such that participants were required to learn hierarchical relations. RESULTS: Across tasks, results revealed that although the ability to learn from positive/negative feedback did not differ between the two groups, the learning of reinforcement contingencies was poorer in the dyslexia group compared with the neurotypicals group. Furthermore, in novel test pairs where previously learned information was presented in new combinations, dyslexic individuals performed similarly to neurotypicals. CONCLUSIONS: Taken together, these results suggest that learning of reinforcement contingencies occurs less robustly in individuals with developmental dyslexia. Inferences for the neuro-cognitive mechanisms of developmental dyslexia are discussed.
Subject(s)
Dyslexia , HumansABSTRACT
Speech recognition is a complex human behavior in the course of which listeners must integrate the detailed phonetic information present in the acoustic signal with their general linguistic knowledge. It is commonly assumed that this process occurs effortlessly for most people, but it is still unclear whether this also holds true in the case of developmental dyslexia (DD), a condition characterized by perceptual deficits. In the present study, we used a dual-task setting to test the assumption that speech recognition is effortful for people with DD. In particular, we tested the Ganong effect (i.e., lexical bias on phoneme identification) while participants performed a secondary task of either low or high cognitive demand. We presumed that reduced efficiency in perceptual processing in DD would manifest in greater modulation in the performance of primary task by cognitive load. Results revealed that this was indeed the case. We found a larger Ganong effect in the DD group under high than under low cognitive load, and this modulation was larger than it was for typically developed (TD) readers. Furthermore, phoneme categorization was less precise in the DD group than in the TD group. These findings suggest that individuals with DD show increased reliance on top-down lexically mediated perception processes, possibly as a compensatory mechanism for reduced efficiency in bottom-up use of acoustic cues. This indicates an imbalance between bottom-up and top-down processes in speech recognition of individuals with DD.
Subject(s)
Dyslexia , Speech Perception , Acoustic Stimulation/methods , Acoustics , Cues , Dyslexia/psychology , Humans , PhoneticsABSTRACT
A theoretical framework suggests that developmental dyslexia is characterized by abnormalities in brain structures underlying the procedural learning and memory systems while the declarative learning and memory systems are presumed to remain intact or even enhanced (Procedural Deficit Hypothesis). This notion has been supported by a substantial body of research, which focused on each system independently. However, less attention has been paid to interactions between these memory systems which may provide insights as to learning situations and conditions in which learning in dyslexia can be improved. The current study was undertaken to examine these important but unresolved issues. To this end, probabilistic reinforcement learning and episodic memory tasks were examined in participants with dyslexia and neurotypicals simultaneously within a single task. Feedback timing presentation was manipulated, building on prior research indicating that delaying feedback timing shifts striatal-based probabilistic learning, to become more hippocampal-dependent. It was hypothesized that if the procedural learning and memory systems are impaired in dyslexia, performance will be impaired under conditions that encourage procedural memory engagement (immediate feedback trials) but not under conditions that promote declarative memory processing (long delayed feedback trials). It was also predicted that the ability to incidentally acquire episodic information would be preserved in dyslexia. The results supported these predictions. Participants with dyslexia were impaired in probabilistic learning of cue-outcome associations compared to neurotypicals in an immediate feedback condition, but not when feedback on choices was presented after a long delay. Furthermore, participants with dyslexia demonstrated similar performance to neurotypicals in a task requiring incidental episodic memory formation. These findings attest to a dissociation between procedural-based and declarative-based learning in developmental dyslexia within a single task, a finding that adds discriminative validity to the Procedural Deficit Hypothesis. Just as important, the present findings suggest that training conditions designed to shift the load from midbrain/striatal systems to declarative memory mechanisms have the potential to compensate for impaired learning in developmental dyslexia.
Subject(s)
Dyslexia/psychology , Formative Feedback , Reinforcement, Psychology , Adult , Case-Control Studies , Humans , Memory, Episodic , Neuropsychological TestsABSTRACT
OBJECTIVE: Acoustic distortions to the speech signal impair spoken language recognition, but healthy listeners exhibit adaptive plasticity consistent with rapid adjustments in how the distorted speech input maps to speech representations, perhaps through engagement of supervised error-driven learning. This puts adaptive plasticity in speech perception in an interesting position with regard to developmental dyslexia inasmuch as dyslexia impacts speech processing and may involve dysfunction in neurobiological systems hypothesized to be involved in adaptive plasticity. METHOD: Here, we examined typical young adult listeners (N = 17), and those with dyslexia (N = 16), as they reported the identity of native-language monosyllabic spoken words to which signal processing had been applied to create a systematic acoustic distortion. During training, all participants experienced incremental signal distortion increases to mildly distorted speech along with orthographic and auditory feedback indicating word identity following response across a brief, 250-trial training block. During pretest and posttest phases, no feedback was provided to participants. RESULTS: Word recognition across severely distorted speech was poor at pretest and equivalent across groups. Training led to improved word recognition for the most severely distorted speech at posttest, with evidence that adaptive plasticity generalized to support recognition of new tokens not previously experienced under distortion. However, training-related recognition gains for listeners with dyslexia were significantly less robust than for control listeners. CONCLUSIONS: Less efficient adaptive plasticity to speech distortions may impact the ability of individuals with dyslexia to deal with variability arising from sources like acoustic noise and foreign-accented speech.
Subject(s)
Dyslexia , Speech Perception , Adaptation, Physiological , Auditory Perception , Humans , Noise , Young AdultABSTRACT
An accumulating body of evidence highlights the contribution of general cognitive processes, such as attention, to language-related skills. OBJECTIVE: The purpose of the present study was to explore how interference control (a subcomponent of selective attention) is affected in developmental dyslexia (DD) by means of control over simple stimulus-response mappings. Furthermore, we aimed to examine interference control in adults with DD across sensory modalities. METHODS: The performance of 14 dyslexic adults and 14 matched controls was compared on visual/auditory Simon tasks, in which conflict was presented in terms of an incongruent mapping between the location of a visual/auditory stimulus and the appropriate motor response. RESULTS: In the auditory task, dyslexic participants exhibited larger Simon effect costs; namely, they showed disproportionately larger reaction times (RTs)/errors costs when the auditory stimulus and response were incongruent relative to RT/errors costs of non-impaired readers. In the visual Simon task, both groups presented Simon effect costs to the same extent. CONCLUSION: These results indicate that the ability to control auditory selective attention is carried out less effectively in those with DD compared with visually controlled processing. The implications of this impaired process for the language-related skills of individuals with DD are discussed.
Subject(s)
Attention/physiology , Auditory Perception/physiology , Dyslexia/physiopathology , Executive Function/physiology , Inhibition, Psychological , Visual Perception/physiology , Adult , Female , Humans , Male , Young AdultABSTRACT
It is well established that acute stress can influence memory function, yet its influence may differ across memory systems. Whereas stress sometimes exerts a negative influence on declarative learning, it does not necessarily harm learning in general, as demonstrated in the case of procedural learning. Probabilistic category learning is mediated by the striatum, but delaying feedback by a few seconds shifts learning to become more hippocampal-dependent. Here, we examined the influence of acute stress on this type of learning, under different conditions that favor either procedural-based (immediate feedback) vs. declarative-based (delayed feedback) learning. Sixty-two participants randomly assigned to either stress or non-stress groups, performed a probabilistic category learning task, in which they were instructed to learn associations between cues and outcomes under different feedback conditions (immediate feedback, short-delayed feedback, and long-delayed feedback). Acute stress was induced by the Maastricht Acute Stress Test (MAST), and stress levels were gauged by Galvanic Skin Response (GSR) measures and a self-reported questionnaire. Results showed that although the MAST was effective in inducing stress, this did not harm learning in either of the feedback conditions. These findings suggest that not all hippocampal-based learning types are negatively influenced by stress.
ABSTRACT
Purpose Developmental dyslexia (DD) has mostly been attributed to arise from phonological impairments; however, several theories indicate a temporal processing deficit as the underlying cause of DD. So far, research examined the influence of temporal cues on concurrent speech sound categorization in DD, but effects of temporal information from a context (e.g., speaking rate) on the perception of subsequent sounds (i.e., "rate normalization") have not been considered. This study examined whether individuals with DD are capable of implicitly extracting temporal information embedded in context and use it for phoneme categorization to the same extent as healthy readers. Method Fifteen individuals diagnosed with DD and 16 healthy readers, all native speakers of Hebrew, listened to context sentences followed by target words. They had to indicate whether the target word sounded more like taam ("taste"; a long-vowel response) or tam ("naïve"; a short-vowel response). Temporal information of the context was manipulated (slow vs. fast speaking rate sentences) as well as the vowel duration of the target in a 5-step continuum. Results Listeners with DD did use the rate context to inform their decisions but to a significantly lesser extent than healthy listeners. In addition, their categorization of the vowel duration continuum was somewhat less distinct than that of the control group. Conclusions Individuals with DD are impaired not only in tasks involving direct temporal processing, as shown in previous studies but also in the use of temporal information of a context that impacts the perception of subsequent target words. This inability to fully utilize rate normalization processes may influence the formation of abstract phonological representations in individuals with DD.
Subject(s)
Dyslexia/physiopathology , Mental Processes/physiology , Speech/physiology , Adult , Case-Control Studies , Humans , Language , Phonetics , Psychomotor Performance/physiology , Reading , Speech Perception/physiology , Speech Production Measurement/methodsABSTRACT
Learning to decipher acoustically distorted speech serves as a test case for the study of language-related skill acquisition in persons with developmental dyslexia (DD). Deciphering this type of input is rarely learned explicitly and does not yield conscious insights. Problems in implicit and procedural skill learning have been proposed as possible causes of DD. Here we examined the learning of time-compressed (accelerated) speech and its generalization to novel materials among young adults with DD compared to typical readers (TD). All participants completed a training session that involved judging the semantic plausibility of sentences, during which the level of time-compression was changed using an adaptive (staircase) procedure according to each participant's performance. In the test, phase learning (test on same items) and generalization (test on new items and same items spoken by a new speaker) were assessed. Both groups showed robust gains after training. Moreover, after training, the initial disadvantage of the DD group was no longer significant. After training, both groups experienced relative difficulties in deciphering learned tokens spoken by a different voice, though participants with DD were less able to generalize the gains to deciphering new tokens. Thus, DD individuals benefited from repeated experience with time-compressed speech no less than typical readers, but their evolving skill was apparently more dependent on the specific characteristics of the tokens. Atypical generalization, which indicates that perceptual learning is contingent on lower-level features of the input though does not necessarily point to impaired learning potential per se, may explain some of the contradictory findings in published studies of speech perception in DD.
Subject(s)
Dyslexia/psychology , Learning , Speech Perception , Acoustic Stimulation/methods , Adult , Female , Humans , Judgment , Male , Pattern Recognition, Physiological , Psychological Tests , Reading , Semantics , Speech , Time Factors , Young AdultABSTRACT
Attention deficit hyperactivity disorder (ADHD) has been associated primarily with executive function deficits. Emerging findings suggest, however, that procedural learning may be compromised as well. To this effect, we recently showed that feedback-based procedural learning is selectively impaired in ADHD, results that coincide with dopaminergic alterations associated with ADHD. Key questions, however, remain unresolved, among which are the learning conditions that may improve procedural learning in ADHD. Here we examined feedback-based probabilistic learning during conditions that engage procedural and declarative learning systems to different degrees, depending on feedback timing. ADHD and control participants carried out a probabilistic learning task in which they were required to learn to associate between cues and outcomes, where outcomes were presented either immediately or with a short/long delays. Whereas performance in probabilistic learning in ADHD participants was comparable to controls in delayed feedback conditions, during both learning and test phases, their performance diminished when feedback was immediate. Furthermore, ADHD symptom severity was negatively correlated with the ability to learn from immediate feedback. These results suggest that feedback-based probabilistic learning can be improved in ADHD, provided appropriate conditions. By shifting the load from midbrain/striatal systems to declarative memory mechanisms, behavioral performance in ADHD populations can be remediated.