Susceptibility to Task-irrelevant Auditory Distractors in Relation to Visual Working Memory in Children With and Without ADHD

Objective Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder in children and is often associated with increased distractibility. Previous research has reported that susceptibility to task-irrelevant visual distractions is associated with visual working memory (WM) capacity. However, how neural responses to task-irrelevant auditory distractors are related to visual WM capacity in children with and without ADHD remains poorly understood. Methods In this study, we collected electroencephalography (EEG) signals from 72 children with ADHD and 88 typically developing (TD) children across two experiments, during which they performed visual tasks of varying difficulty while task-irrelevant auditory distractors were presented. The mismatch negativity (MMN) amplitude was measured as a neural index of susceptibility to auditory distractors, and the K score was assessed as a behavioral indicator of visual WM capacity. Results TD children showed opposite patterns across the two experiments: under low audiovisual competition, those with higher visual working memory capacity were more susceptible to task-irrelevant sounds, whereas under high competition, children with lower capacity showed greater susceptibility to distraction. In contrast, children with ADHD showed a stable association, with lower visual WM capacity consistently predicting higher susceptibility to task-irrelevant auditory distractors regardless of competition level. Conclusions These findings provide novel evidence that susceptibility to task-irrelevant auditory distraction is closely related to visual WM capacity in both children with and without ADHD, but the patterns of this relationship differ between typical and atypical neurodevelopment and are modulated by audiovisual competition.