Prediction Is Preserved but Long-Timescale Benefits Are Reduced in ADHD

Abstract

Attention-deficit/hyperactivity disorder (ADHD) has been associated with atypical temporal processing across multiple cognitive domains. However, most evidence derives from simplified paradigms that isolate timing from spatial behaviour. Here, we examine how temporal prediction operates within a continuous, dynamic visual environment. Using the Dynamic Visual Search (DVS) task, we embedded spatiotemporal regularities into a sustained stream of visual events, allowing observers to implicitly learn and anticipate predictable targets. Continuous mouse tracking provided a fine-grained measure of action planning beyond discrete reaction time and accuracy metrics. Young adults diagnosed with ADHD (N=40) were compared to matched neurotypical controls (N=38). Both groups benefited from target predictability and reduced distractor load, indicating intact early spatiotemporal learning in ADHD. Across the duration of the task, however, the groups diverged. Neurotypical participants showed progressive increases in behavioural benefits from prediction, accompanied by increasingly direct and efficient mouse trajectories. In contrast, individuals with ADHD reached a plateau in prediction benefits midway through the experiment. Their performance remained stable, with minimal evidence of resource depletion, but did not show further optimisation based on learned regularities. These findings suggest that while prediction formation is preserved in ADHD, its progressive utilisation across longer timescales is attenuated. Rather than reflecting a primary deficit in learning or sustained attention, ADHD may involve altered long-timescale integration or weighting of predictive information in dynamic environments.