Effort Allocation in Children With ADHD: Abnormal Decision-Making or Poor Execution?

Yael Winter, Hilla Ben-Pazi, Yehuda Pollak*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Objective: Effort allocation is a multi-faceted process driving both the decision to choose a high effort–high reward alternative over a low effort–low reward alternative, and the execution of this decision by recruiting sufficient effort. The objectives of our study were to examine whether children with ADHD would (a) show different reward–effort cost trade-off, and (b) have difficulty executing their decision. Method: 50 children, aged 9 to 15, with and without ADHD, had to choose between high effort–high reward and low effort–low reward alternatives using a handheld dynamometer and to execute their choice. Results: Children with ADHD and controls made similar number of high-effort choices (p =.806). However, children with ADHD executed their high-effort choices less frequently compared with controls (p =.029). Conclusion: These findings suggest that children with ADHD are not characterized by different effort–reward trade-off but rather by difficulties in recruiting effort for their preferences implementation.

Original languageAmerican English
Pages (from-to)1240-1250
Number of pages11
JournalJournal of Attention Disorders
Issue number11
StatePublished - 1 Sep 2019

Bibliographical note

Publisher Copyright:
© The Author(s) 2016.


  • ADHD
  • decision-making
  • effort allocation
  • reward


Dive into the research topics of 'Effort Allocation in Children With ADHD: Abnormal Decision-Making or Poor Execution?'. Together they form a unique fingerprint.

Cite this