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February 8, 2026Archives of Clinical Neuropsychology0 citationsOpen Access

Executive Function Performance in Bilingual and Monolingual Individuals with Attention Deficit Hyperactivity Disorder (ADHD): a Comparative Analysis of Cold (Inhibitory Control and Cognitive Flexibility) and Hot (Theory of Mind) Executive Functions

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HMHossein MehrafshanMiyoshi Kasei (Japan)MPMehdi PurmohammadUniversity of Alberta

Key Points

  • To compare executive functions in bilingual and monolingual individuals with ADHD and assess the effect of bilingualism.
  • Utilized language experience and proficiency questionnaire
  • Administered socio-economic status questionnaire (SES)
  • Employed Conners' Adult ADHD Rating Scale
  • Conducted Go/No-Go task and Wisconsin Card Sorting Task
  • Used Raven's Progressive Matrices and Reading the Mind in the Eyes Test
  • Individuals with ADHD displayed deficits in both hot and cold executive functions.
  • No significant difference in cold executive functions between bilingual and monolingual groups.
  • Bilingual individuals performed better in hot executive functions compared to monolinguals.
  • No significant interaction was found between bilingualism and ADHD in any executive function domain.

Abstract

Abstract Objective This research had three main objectives. The first objective was to compare the performance of individuals with ADHD and normal individuals in hot (theory of mind) and cold (cognitive flexibility and inhibitory control) executive functions. The second objective was to compare hot and cold executive functions in bilingual and monolingual individuals. The third objective of the study was to examine the interactive effect of bilingualism and ADHD on hot and cold executive functions. Methods To conduct the research, a variety of tools were employed, including the language experience and proficiency questionnaire, socio-economic status questionnaire (SES), Conners' Adult ADHD Rating Scale, Go/No-Go task, Wisconsin Card Sorting Task, Raven's Progressive Matrices, and The Reading the Mind in the Eyes Test. Results Individuals with ADHD showed deficits in both hot and cold executive functions. Another finding showed no significant difference between the bilingual and monolingual groups in cold executive functions, but there was a significant difference between the two groups in hot executive functions. Moreover, the results showed that bilingual and monolingual individuals with ADHD did not differ significantly in hot and cold executive functions. Conclusion Individuals with ADHD exhibited impairments in both cold and hot executive functions, whereas bilingualism was associated with better theory-of-mind performance but not with cold executive functions. Critically, no significant interaction between bilingualism and ADHD was observed for any executive function domain, indicating that bilingualism neither mitigated nor exacerbated ADHD-related deficits.

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Cite This Study

Mehrafshan et al. (2026) studied this question.

synapsesocial.com/papers/698827e20fc35cd7a8846df9https://doi.org/10.1093/arclin/acag008
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Unity and diversity of executive functions: Individual differences as a window on cognitive structure2016 · 1,848 citations
  2. 2High IQ May “Mask” the Diagnosis of ADHD by Compensating for Deficits in Executive Functions in Treatment-Naïve Adults With ADHD2014 · 75 citations
  3. 3Bilingual Children Referred for Psychiatric Services: Associations of Language Disorders, Language Skills, and Psychopathology2002 · 61 citations
  4. 4The Language Experience and Proficiency Questionnaire (LEAP-Q): Assessing Language Profiles in Bilinguals and Multilinguals2007 · 2,009 citations
  5. 5Working memory development in monolingual and bilingual children2012 · 535 citations