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			<titleStmt><title level='a'>Characteristics of &lt;scp&gt;ADHD&lt;/scp&gt; Related to Executive Function: Differential Predictions for Creativity‐Related Traits</title></titleStmt>
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				<publisher>John Wiley &amp; Sons, Inc</publisher>
				<date>06/01/2020</date>
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				<bibl> 
					<idno type="par_id">10494802</idno>
					<idno type="doi">10.1002/jocb.370</idno>
					<title level='j'>The Journal of Creative Behavior</title>
<idno>0022-0175</idno>
<biblScope unit="volume">54</biblScope>
<biblScope unit="issue">2</biblScope>					

					<author>Christa L. Taylor</author><author>Arash E. Zaghi</author><author>James C. Kaufman</author><author>Sally M. Reis</author><author>Joseph S. Renzulli</author>
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			<abstract><ab><![CDATA[<title>ABSTRACT</title> <p>Although the relationship between creativity and<styled-content style='fixed-case'>ADHD</styled-content>is uncertain, recent studies examining how dimensionally assessed characteristics of<styled-content style='fixed-case'>ADHD</styled-content>relate to creativity and divergent thinking in adults suggest an occasional positive, linear relationship between the constructs. However, the executive functions proposed to underlie characteristics of<styled-content style='fixed-case'>ADHD</styled-content>have not been examined in relation to creativity. This study was conducted to determine how different characteristics of<styled-content style='fixed-case'>ADHD</styled-content>related to executive functioning (as assessed by the Brown<styled-content style='fixed-case'>ADD</styled-content>Scales) predict different components of figural divergent thinking, intellectual risk‐taking, and creative self‐efficacy. Undergraduate engineering students (<italic>N</italic>=<italic></italic>60) completed the Brown<styled-content style='fixed-case'>ADD</styled-content>Scales, a figural divergent thinking task, and self‐report measures of intellectual risk‐taking and creative self‐efficacy. A series of multivariate regression models demonstrated that several components of divergent thinking (i.e., fluency, originality, and resistance to closure) were predicted by different characteristics of<styled-content style='fixed-case'>ADHD</styled-content>. Although fluency was predicted by affect only and originality was predicted by activation only, resistance to closure was predicted by activation, effort, and attention. Additionally, intellectual risk‐taking was predicted by memory, effort, and activation, whereas creative self‐efficacy was predicted by effort. The implications of these results relating to the relationship between<styled-content style='fixed-case'>ADHD</styled-content>and creativity, as well as for engineering undergraduate education are discussed.</p>]]></ab></abstract>
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<div xmlns="http://www.tei-c.org/ns/1.0"><p>It has been estimated that 2.5% of adults in most cultures experience clinically significant symptoms of Attention Deficit Hyperactivity Disorder (ADHD), a neuropsychological condition characterized by a persistent pattern of inattention, hyperactivity, and/or impulsivity <ref type="bibr">(American Psychiatric Association, 2013)</ref>. Adults with ADHD exhibit less hyperactivity compared to children, but may continue to experience other behavioral manifestations, such as restlessness, inattention, poor planning, and impulsivity <ref type="bibr">(Barkley, 1997;</ref><ref type="bibr">Barkley, Murphy &amp; Kwasnik, 1996)</ref>. The idea that behavioral manifestations of ADHD are a result of impaired executive function (i.e., management of cognitive functions) has gained support over the last few decades <ref type="bibr">(Barkley, 1997;</ref><ref type="bibr">Brown, Reichel &amp; Quinlan, 2009;</ref><ref type="bibr">Hervey, Epstein &amp; Curry, 2004;</ref><ref type="bibr">Schachar, Mota, Logan, Tannock &amp; Klim, 2000;</ref><ref type="bibr">Willcutt, Doyle, Nigg, Faraone &amp; Pennington, 2005)</ref>. This body of research suggests that individuals with ADHD may experience difficulty in several distinct areas (e.g., affect regulation and sustaining energy; <ref type="bibr">Brown, 2002)</ref>. However, some suggest that ADHD-related characteristics may also be related to positive outcomes, such as creativity (e.g., <ref type="bibr">Abraham, 2014;</ref><ref type="bibr">Cramond, 1994;</ref><ref type="bibr">Healey &amp; Rucklidge, 2005)</ref>.</p><p>Although creativity is broadly defined as "the interaction among aptitude, process, and environment by which an individual or group produces a perceptible product that is both novel and useful as defined within a social context." <ref type="bibr">(Plucker, Beghetto &amp; Dow, 2004, p. 90)</ref>, theoretical accounts of how creativity might relate to ADHD have primarily focused on the creative process (i.e., the mental processes by which creativity occurs; e.g., <ref type="bibr">Abraham, 2014)</ref>. Some associative theories of creativity suggest that creative ideas are the product of novel combinations of existing concepts in semantic memory <ref type="bibr">(Ward, Smith &amp; Vaid, 1997)</ref>, wherein less obviously related (i.e., more conceptually distant) concepts result in more creative ideas <ref type="bibr">(Benedek, K&#8364; onen &amp; Neubauer, 2012)</ref>. The lack of attention and distractibility associated with ADHD may reflect a widened attentional focus, thereby enabling more of the unique combinations resulting in creative ideas <ref type="bibr">(Abraham, Windmann, Siefen, Daum &amp; G&#8364; unt&#8364; urk&#8364; un, 2006)</ref>. For example, when <ref type="bibr">White and Shah (2016)</ref> asked students to say the first word that came to mind in response to a stimulus word, across 25 trials, words provided by students with ADHD were significantly more semantically distant (i.e., more remotely related) from the stimulus word than words provided by students without ADHD. Latent disinhibition, or the inability to screen out previously irrelevant stimuli, may increase the number of unrelated elements in awareness at any point in time and has been found to be associated with enhanced creative achievement in those with high IQ <ref type="bibr">(Carson, 2014;</ref><ref type="bibr">Carson, Peterson &amp; Higgins, 2003;</ref><ref type="bibr">K eri, 2011)</ref>. Additionally, trait characteristics associated with ADHD, including risk-taking and enhanced self-efficacy <ref type="bibr">(Barkley, 1997;</ref><ref type="bibr">Owens, Goldfine, Evangelista, Hoza &amp; Kaiser, 2007)</ref>, may also relate to the creative process <ref type="bibr">(Abraham et al., 2006;</ref><ref type="bibr">Cramond, 1994;</ref><ref type="bibr">Tyagi, Hanoch, Hall, Runco &amp; Denham, 2017)</ref>.</p><p>Trait characteristics common to both ADHD and creativity (i.e., greater risk-taking and self-efficacy) may be manifested in beneficial forms, such as intellectual risk-taking and creative self-efficacy <ref type="bibr">(Beghetto, 2006</ref><ref type="bibr">(Beghetto, , 2009))</ref>. Just as the propensity for individuals with ADHD to engage in greater risk-taking behavior than those without <ref type="bibr">(Barkley, 1997;</ref><ref type="bibr">M&#8364; antyl&#8364; a, Still, Gullberg &amp; Del Missier, 2012;</ref><ref type="bibr">Toplak, Jain &amp; Tannock, 2005;</ref><ref type="bibr">Verheul et al., 2015)</ref> results in risky driving, sex, and health behaviors <ref type="bibr">(Shoham, Sonuga-Barke, Aloni, Yaniv &amp; Pollak, 2016)</ref>, it may also underlie more beneficial forms of risk-taking, such as intellectual risk-taking. Intellectual risk-taking refers to ". . .engaging in adaptive learning behaviors. . . that place the learner at risk of making mistakes or appearing less competent than others." <ref type="bibr">(Beghetto, 2009, p. 210)</ref>. For instance, electing to work on difficult problems risks the possibility of failure and sharing tentative ideas and/or asking questions may result in an individual who appears foolish in front of others <ref type="bibr">(Beghetto, 2009;</ref><ref type="bibr">Tierney &amp; Farmer, 2002)</ref>. Individuals with ADHD have exhibited greater positive illusory bias (i.e., self-perceived-relative to demonstrated-competence; <ref type="bibr">Owens et al., 2007;</ref><ref type="bibr">Prevatt et al., 2012)</ref>. In the context of creativity, positive illusory bias may be advantageous, as creative self-efficacy, or ones' belief in his or her ability to produce creative products, positively influences creative expression <ref type="bibr">(Beghetto, 2006)</ref>. Certainly, higher creative self-efficacy indicates the value placed on creativity, which may lead to more accurate creative selfjudgments <ref type="bibr">(Kaufman &amp; Beghetto, 2013;</ref><ref type="bibr">Kaufman, Beghetto &amp; Watson, 2016)</ref>. Understanding how traits such as intellectual risk-taking and creative self-efficacy relate to ADHD may provide a greater understanding of adaptive behaviors related to ADHD, as well as help to clarify the mechanisms underlying the tentative relationship between ADHD and creativity.</p><p>Although the relationship between ADHD and creativity is uncertain, 1 several recent studies have found enhanced creativity in adults with-versus without-an ADHD diagnosis. For example, <ref type="bibr">White and</ref><ref type="bibr">Shah (2006, White &amp;</ref><ref type="bibr">Shah, 2016)</ref> found enhanced divergent thinking ability in undergraduate college students diagnosed with ADHD, as opposed to comparison groups with no history of ADHD. In one study, students with ADHD significantly outperformed those without on all components (fluency, flexibility, and originality) of an alternate uses task, a divergent thinking task that asks participants to provide as many uses as possible for common objects (e.g., a newspaper or brick; <ref type="bibr">White &amp; Shah, 2016)</ref>. In a later study, a different sample of undergraduate students with ADHD received significantly greater flexibility, novelty, and originality scores than students without when given 20 min to design an innovative cell phone device <ref type="bibr">(White &amp; Shah, 2016)</ref>. <ref type="bibr">White and Shah (2011)</ref> also found that students with ADHD scored significantly higher on the Creative Achievement Scale (CAQ; <ref type="bibr">Carson, Peterson, &amp; Higgins, 2005)</ref>, which assesses self-reported creative achievement across 10 domains, and verbal originality on the Abbreviated Torrance Tests for Adults (ATTA; <ref type="bibr">Goff &amp; Torrance, 2002)</ref>. A relationship between ADHD and creativity has also been found in research examining ADHD characteristics in non-clinical adult samples <ref type="bibr">(Boot, Nevicka &amp; Baas, 2017;</ref><ref type="bibr">Zabelina, Condon &amp; Beeman, 2014)</ref>.</p><p>Studies examining how dimensional characteristics associated with ADHD relate to creativity have found significant correlations between the two constructs. <ref type="bibr">Zabelina et al. (2014)</ref> found that scores on the Adult ADHD Self-Report Scale <ref type="bibr">(Kessler et al., 2005)</ref> were significantly and positively correlated with scores on the CAQ, in a sample of adults with no diagnosis of ADHD. A more recent study <ref type="bibr">(Boot et al., 2017)</ref> examined characteristics of ADHD in college students using the ADHD DSM-IV rating scale for adults 1 A recent meta-analysis <ref type="bibr">(Paek, Abdulla &amp; Cramond, 2016)</ref> found a significant negative correlation between ADHD and creativity, indicating that participants with an ADHD diagnosis scored lower on assessments of creativity than those without. However, that meta-analysis did not differentiate between studies conducted with children and adults. Studies comparing the creativity of children and adolescents with-versus without-ADHD diagnosis have reported relatively mixed results <ref type="bibr">(Abraham et al., 2006;</ref><ref type="bibr">Cramond, 1994;</ref><ref type="bibr">Healey &amp; Rucklidge, 2005;</ref><ref type="bibr">Shaw &amp; Brown, 1990</ref><ref type="bibr">, 1991)</ref>, but are beyond the scope of this study. <ref type="bibr">(Sandra Kooij et al., 2005)</ref>. <ref type="bibr">Boot et al. (2017)</ref> found that symptoms of ADHD (particularly those related to hyperactivity-impulsivity) positively predicted self-reported creative behavior, self-reported creative achievement, and originality on a problem construction task (in which participants were asked to redefine an everyday problem at varying levels of usefulness and originality). Furthermore, all relationships were linear, suggesting that ADHD characteristics may be associated with creativity in students who do not meet full criteria for the disorder (see also <ref type="bibr">Zabelina et al., 2014)</ref>. In addition, the increasing severity of symptoms in those diagnosed with ADHD may not result in a decline in creative ability (possibly as a result of protective factors likely to be present in a college sample, such as high IQ and working memory; <ref type="bibr">Carson et al., 2003)</ref>. Given that indicators of creativity may relate to ADHD and its associated characteristics in different ways, examining how individual differences in the characteristics of ADHD relate to creativity may provide greater information about the mechanisms underlying this relationship.</p><p>In addition, samples included in past studies that have examined dimensional characteristics of ADHD and creativity have been drawn either from the general population or psychology college students. There is relatively little empirical work examining how creativity relates to individual differences in those pursuing STEM fields, yet creativity may be vital for this population. For instance, the scale of the problems that engineers face, including restoring and improving our nation's aging infrastructure, security of cyberspace, and preventing nuclear terror <ref type="bibr">(DHS, 2013</ref><ref type="bibr">(DHS, , 2014;;</ref><ref type="bibr">Zaghi et al., 2016)</ref>, requires flexible and innovative thinking <ref type="bibr">(Cropley, 2015b)</ref>. Because these problems are ever-changing, creativity is vital for success, as engineers must frequently come up with solutions to never-before encountered problems <ref type="bibr">(Brunhaver, Korte, Barley &amp; Sheppard, 2017;</ref><ref type="bibr">Cropley, 2015a;</ref><ref type="bibr">National Academy of Engineering, 1995</ref><ref type="bibr">, 2005)</ref>. Although creativity is often sought by employers of future engineers <ref type="bibr">(Passow &amp; Passow, 2017)</ref>, engineering education programs may not teach or reward creativity <ref type="bibr">(Taylor, Zaghi, Kaufman, Reis, &amp; Renzulli, under review)</ref>. This discrepancy suggests that understanding the individual differences that contribute to the creativity of engineering students is critical.</p><p>This study seeks to determine how different traits of ADHD related to executive functioning (i.e., impairment in activation, attention, affect, effort, and memory; <ref type="bibr">Brown, 1996)</ref> predict different subconstructs of figural divergent thinking (i.e., fluency, originality, elaboration, abstractness of titles, and resistance to closure; <ref type="bibr">Torrance, 2008)</ref>, intellectual risk-taking, and creative self-efficacy in engineering students. Consistent with recent research finding positive relations between creativity and dimensional assessments of ADHD characteristics (e.g., <ref type="bibr">Boot et al., 2017;</ref><ref type="bibr">Zabelina et al., 2014)</ref>, it is expected that divergent thinking scores will be positively associated with ADHD subscale scores and that ADHD subscale scores will predict the various components of divergent thinking. However, the exact nature of the relationship between various components of ADHD and the criterion variables is not predicted beyond the general expectation that the strength of the associations and the structure of the regression models will vary. Given the relation between ADHD and risk-taking <ref type="bibr">(Barkley, 1997)</ref>, and ADHD and self-efficacy <ref type="bibr">(Owens et al., 2007)</ref>, it is expected that ADHD scores will be positively associated with and predict intellectual risk-taking and creative self-efficacy. METHOD PARTICIPANTS Sixty undergraduate students majoring in engineering at a public northeastern university participated in the study. Three participants were excluded from analyses because they had not declared a major (N = 1) or were dismissed from their major (N = 2). This resulted in 57 participants (37 males, 20 females), ranging in age from 18 to 28 (M = 20.35, SD = 2.04). Sixteen of the participants reported that they had been previously diagnosed with ADHD and 10 of these participants were taking medication for their diagnosed ADHD. The distribution of majors was: 12 Mechanical Engineering, 12 Computer Science and Engineering, 9 Biomedical Engineering, 7 Electrical Engineering, 7 Civil and Environmental Engineering, 6 Chemical Engineering, and 4 multiple engineering fields or closely related sub-disciplines. The study was approved by the university's Institutional Review Board.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>MATERIALS Brown ADD Scales</head><p>The Brown ADD Scales for Adults <ref type="bibr">(Brown, 1996)</ref> is a self-report measure of ADHD symptoms associated with executive functioning. Respondents are asked to report how often they experience 40 different symptoms on a 4-point scale: 0 (never), 1 (once a week or less), 2 (twice a week), or 3 (almost daily). Although total scale scores (i.e., sum of all items) are used for diagnostic screening, scores for five subscales (activation, attention, effort, affect, and memory) can also be obtained by summing the associated items.</p><p>Activation refers to a lack of volition and problems with organization and prioritizing, which can lead to excessive procrastination. Affect reflects problems related to mood regulation, including sensitivity to criticism, frequently experiencing negative affect, and loss of motivation. Attention refers to difficulty shifting and sustaining attention in daily tasks, which can lead to excessive day dreaming, distractibility, and losing track of time. Effort refers to problems maintaining energy, alertness, and consistent performance. Memory refers to the problems with memory that contribute to frequent forgetfulness in daily routines and excessive difficulty in recalling learned material.</p><p>Items on the scales primarily correspond to symptoms of what the DSM-5 delineates as the inattentive subtype (e.g., problems with sustaining attention, organization, and memory), rather than the hyperactiveimpulsive subtype (e.g., problems with waiting one's turn or being still) of ADHD. However, the scale does contain items assessing impulsivity. According to the DSM-5, inattentive and hyperactive-impulsive symptoms may occur separately or in tandem, whereas Brown suggests that both sets of symptoms arise from impaired executive function (i.e., management of cognitive functions; <ref type="bibr">Brown et al., 2009)</ref>. Furthermore, the scale assesses affect regulation, which is not included as a symptom of ADHD in the DSM-5.</p><p>Inter-scale reliability for the Brown ADD Scales was excellent for the total scale (Cronbach's a = .96) and ranged from satisfactory to good for subscales: activation (a = .85), attention (a = .90), effort (a = .87), affect (a = .74), memory (a = .75).</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Torrance tests of creative thinking</head><p>The Torrance Tests of Creative Thinking-Figural Form A (TTCT-Figural; <ref type="bibr">Torrance, 2008)</ref> was used to assess creative potential, as visual (as opposed to verbal) creativity may be more relevant to engineering design. Participants were asked to complete three 10-min drawing activities (e.g., creating a picture from a series of lines) that were then scored for fluency (number of responses), originality (statistical infrequency of responses), elaboration (the detail of responses), resistance to premature closure (lack of constraint of responses), and the abstractness of the titles created for each response. The response booklets were scored by a professionally trained rater at Scholastic Testing Services. Because possible scores on the subcomponents of the TTCT vary, raw scores were used in this study. Reliability for the TTCT-Visual subtests was satisfactory (Cronbach's a = .73).</p><p>Creative Self-efficacy Scale Self-belief in ones' ability to produce creative products was assessed using a modified version of the Creative Self-Efficacy Scale (CSE; <ref type="bibr">Beghetto, 2006)</ref>. Consistent with recommendations to tailor efficacy measures to the domain under investigation <ref type="bibr">(Tierney &amp; Farmer, 2002)</ref>, wording of the items was modified to target creative self-efficacy in engineering courses specifically. Participants responded on a scale from one (not at all true) to five (very true) to each of five items (e.g., I am good at coming up with new ways of finding solutions to engineering related problems and I am good at coming up with my own engineering related experiments). CSE scores were obtained by summing responses for all items. Inter-scale reliability for the CSE was satisfactory (Cronbach's a = .78).</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Intellectual Risk-taking Scale</head><p>The extent to which participants engage in adaptive learning behaviors that may cause them to make mistakes or appear less competent to others, was assessed using a modified version of the Intellectual Risk-Taking Scale (IRT; <ref type="bibr">Beghetto, 2009)</ref>. Examples of the kinds of behaviors that indicate intellectual risk-taking include sharing tentative ideas, asking questions, and trying new and different things <ref type="bibr">(Beghetto, Kaufman &amp; Baxter, 2011)</ref>. The wording on the scale was revised to target these behaviors in engineering students specifically. Participants responded on a 5-point scale from one (not at all true) to five (very true) to six questions (e.g., I like doing new things in engineering classes even if I am not very good at them and I will try to do new things in engineering classes even if I am not sure how,). IRT scores were obtained by summing all items. The IRT Scale demonstrated Cronbach's a = .67, which although considered in the "low range," is acceptable to use in analysis <ref type="bibr">(Murphy &amp; Davidshofer, 1988)</ref>. PROCEDURE Participants were recruited using an email distributed through both the School of Engineering and the University Center for Students with Disabilities, as well as flyers disseminated in large engineering course lectures. Students who responded to recruitment efforts met with the primary investigator, who explained the purpose of the study 2 and obtained informed consent. Participants were then asked for contact information, whether they had ever been diagnosed with ADHD, and, if so, if they were currently taking medication for their ADHD. Participants were given the option of completing the Brown ADD Scales using the standard administration method of having the researcher read the questions to them and record their answers, or completing the scales themselves. The majority of participants opted to have the questions read to them by the researcher. 3 All participants received the standard report for the scale, generated by the scoring assistant software, following their participation. Participants returned on a different day to complete the assessments related to creativity in a private office with the primary investigator. Participants first completed the CSE, followed by the IRT. The TTCT-Figural was then administered according to the testing instruction manual. Following the completion of the TTCT, participants again completed the CSE and IRT. 4,5   </p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>RESULTS</head></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>PRELIMINARY ANALYSES</head><p>The distributions for all variables met the assumption of normality according to the Shapiro-Wilk test (p &lt; .01), the standard scores of skewness and kurtosis (score divided by standard error; <ref type="bibr">Tabachnick &amp; Fidell, 2007)</ref>, and a visual inspection of histograms and P-P plots, with the exception of the attention subscale of the Brown ADD scales. Because the distribution for attention was moderately, negatively skewed, the reflected square root (reflected back for interpretation) is used in all subsequent analyses. <ref type="foot">6</ref> The transformed variable met the assumption of normality for all criteria. No outliers (SD &gt; AE3.5 from the mean) were detected for any variable.</p><p>A dependent samples t-test found no significant differences between pre-TTCT and post-TTCT scores on the CSE scale, t (45) = &#192;1.12, p = .27, and IRT scale, t (45) = &#192;.93, p = .36. Furthermore, several participants (N = 5) only completed the pre-measures due to time constraints. Therefore, only participants' scores on the CSE and IRT obtained prior to the TTCT were used in subsequent analyses. No significant gender differences were found for any variable in a series of independent samples t-tests, using Bonferonni corrected a = .004. List-wise deletion was used in all analyses. Descriptive statistics and correlations may be seen in Table <ref type="table">1</ref>.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>REGRESSION MODELS</head><p>A series of forward and backward selection Multiple Regressions (MR) were performed to model the relationship between the subscales of ADHD and each of the components of divergent thinking. Given that all correlations between ADHD subscales and abstractness of titles and elaboration were non-significant and &#8804;.2, MR analyses were limited to the fluency, originality, and resistance to closure components of divergent thinking, intellectual risk-taking, and creative self-efficacy. Forward selection MR models begin with the single most significant predictor, converging on a final model by iteratively testing excluded variables and adding the single variable with the lowest p-value under .05 to the model, until all variables significant at p &lt; .05 when included in the model are added. Because intercorrelations between the predictor variables can affect the order in which variables are added and the addition of a new predictor can result in an alreadyincluded predictor dropping in significance, backward selection MR was also conducted. Backward MR models include all predictors in the initial model, converging on a final model by iteratively removing the single predictor with the highest p-value and re-evaluating the model at each stage until all remaining p-values are &lt;.10. All regression models met all assumptions for MR.</p><p>Forward and backward selection MR with ADHD subscales and age as predictors of fluency indicated an identical model as the best fit, with affect included as the only significant predictor of fluency, 2 Due to the sensitive nature of the topic and to include participants with clinically diagnosed ADHD (recruited through the CSD), the purpose of the study was disclosed to participants.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>3</head><p>Participants whose oral response indicated potential misunderstanding of the question (e.g., prolonged hesitation or inconsistent response) were given the opportunity to review their responses to ensure accuracy.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>4</head><p>Participants were also asked about their academic experiences via an online interview (following the end of the semester) to gain insight into the challenges that students with ADHD face in engineering programs and academic records were provided by the university's Office of the Registrar (summarized in <ref type="bibr">Taylor et al., under review)</ref>.   = .14 (Table <ref type="table">2</ref>). Likewise, forward and backward selection MR with ADHD subscales as predictors of originality indicated an identical model as the best fit, with activation included as the only significant predictor of originality, F(1, 51) = 5.14, p &lt; .05. R 2 = .09, R 2 adj: = .07. Forward and backward selection MR with ADHD subscales and age as predictors of resistance to closure indicated different models. The forward selection MR included attention as the only significant predictor of resistance to closure (no other variables entered the model), F(1, 51) = 10.70, p &lt; .05. R 2 = .17, R 2 adj: = .16. However, the final model using backward selection MR included activation, effort, and attention as predictors, F(3, 49) = 6.79, p &lt; .01. R 2 = .29, R 2 adj: = .25, with activation and effort as the only significant predictors. Sensitivity analyses, conducted with the untransformed attention variable, demonstrated identical final models with forward and backward MR, including only activation (b = .78, p &lt; .01) and effort (b = &#192;.48, p &lt; .05) as significant predictors, F(2, 50) = 8.21, p &lt; .01. R 2 = .25, R 2 adj: = .22. Multiple Regressions conducted with ADHD subscales and age as predictors of intellectual risk-taking also indicated different models. Forward selection MR included memory as the only significant predictor of IRT (no other variables entered the model), F(1, 49) = 21.08, p &lt; .01. R 2 = .30, R 2 adj: = .29, whereas backward selection MR included memory, effort, and activation as predictors in the best fit model, F(3, 47) = 10.99, p &lt; .01. R 2 = .41, R 2 adj: = .38. MR conducted with ADHD subscales and age as predictors of creative self-efficacy also indicated different models. Forward selection MR included effort as the only significant predictor of CSE (no other variables entered the model), F(1, 49) = 5.14, p &lt; .05. R 2 = .10, R 2 adj: = .08, whereas backward selection MR included effort and affect as predictors in the best fit model, F(2, 48) = 4.57, p &lt; .05. R 2 = .16, R 2 adj: = .13.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>DISCUSSION</head><p>This study sought to examine how behavioral characteristics of ADHD relate to and differentially predict components of divergent thinking. Results revealed that some of the different components of divergent thinking (i.e., fluency, originality, and resistance to closure) were predicted by distinct characteristics related to ADHD. Although fluency demonstrated significant and moderate zero-order correlations with the activation, affect, and effort subscales, only affect (i.e., problems regulating emotion and related motivation) was found to significantly predict fluency. Originality was only significantly correlated with-and predicted by activation, characterized by difficulties with organizing, prioritizing, and volition. Resistance to closure was significantly and moderately correlated with the attention, activation, and affect subscales, and best predicted by the linear combination of activation and effort, wherein difficulties related to activation, along with strengths related to effort predicted greater resistance to closure. We further examined how the characteristics of ADHD relate to two traits that may represent an adaptive advantage: intellectual risk-taking and creative self-efficacy. Effort and memory weaknesses and activation strengths were found to predict intellectual risk-taking, whereas difficulties with effort was the only significant predictor of creative self-efficacy.</p><p>Results demonstrated that characteristics related to ADHD predicted components of figural divergent thinking in distinct ways. High affect scores, reflecting difficulty regulating emotion and the frequent experience of negative emotion, predicted fluency. This relationship is consistent with suggestions that emotional lability may contribute to enhanced creativity (see <ref type="bibr">Srivastava &amp; Ketter, 2010)</ref>. Indeed, creativity has often been posited to be linked to mood disorder, characterized by dysregulation of affect, though two recent meta-analyses suggest that this relationship may be more nuanced than previously thought (Baas, Nijstad,  <ref type="bibr">Boot &amp; De Dreu, 2016;</ref><ref type="bibr">Taylor, 2017)</ref>. The finding that difficulty with organization and starting tasks (i.e., high activation) positively predicted originality may suggest an underlying disorganization of thought. A recent study <ref type="bibr">(Kim &amp; Zhong, 2017)</ref> found that presenting information in an organized versus disorganized manner (e.g., Legos grouped by shape and color as opposed to mixed in one box; Exp. 3) influenced originality, wherein disorganization enhanced cognitive flexibility, resulting in more original creations.</p><p>Alternatively, it may be that individuals develop enhanced originality and novel ways of thinking as a means of overcoming the difficulties that disorganization and excessive difficulty starting work are likely to cause in their daily lives. <ref type="bibr">Milioni et al. (2017)</ref> suggest that this "creative compensation" may explain their finding that executive functioning impairments were less evident on lab tests of executive function in individuals with ADHD and high IQ, as opposed to those with more average IQ scores. Enhanced resistance to closure was predicted by low effort subscale scores, in addition to high activation scores, possibly because resisting closure requires greater cognitive resources <ref type="bibr">(Chirumbolo, Livi, Mannetti, Pierro &amp; Kruglanski, 2004)</ref>. Indeed, mental fatigue and time pressure may prohibit individuals from resisting premature closure <ref type="bibr">(Webster &amp; Kruglanski, 1994;</ref><ref type="bibr">Webster, Richter &amp; Kruglanski, 1996)</ref>. Therefore, individuals who are alert and persistent may be more likely to create open figures when they are also high in activation, either because their disorganization and procrastination is associated with originality, or else because it simply ensures that they do not go back to complete the figures they began.</p><p>There may also be a straightforward explanation for the combination of ADHD subscale scores that predicted intellectual risk-taking (i.e., effort and memory weaknesses along with activation strengths). Items on the IRT scale assess classroom behaviors that may be necessitated by difficulties with memory and effort and require a lack of procrastination to engage in (e.g., "I ask questions in engineering classes even if other students will think I am not as smart as them."). It is noteworthy that the IRT was not associated with the components of figural divergent thinking most suggestive of creative potential (e.g., originality), given that risk-taking is frequently suggested to be heightened in creative individuals. However, it is possible that such an association may have been found if the IRT did not focus on classroom behaviors, as the association between risk-taking and creativity may be domain specific <ref type="bibr">(Ivcevic &amp; Mayer, 2006;</ref><ref type="bibr">Tyagi et al., 2017)</ref>. Likewise, although it may seem unusual that creative self-efficacy was not correlated with any component of creative potential, creative self-concept may not always be an accurate assessment of an individuals' creative ability <ref type="bibr">(Kaufman &amp; Beghetto, 2013;</ref><ref type="bibr">Kaufman, Evans &amp; Baer, 2010)</ref>. Effort was the only significant predictor of creative self-efficacy, suggesting that difficulty sustaining energy predicts the degree to which people believe they are creative in engineering courses. Including affect in the model added a moderate amount of explained variance, suggesting that a more positive, stable mood may be beneficial to the creative self-belief of those low in energy and persistence.</p><p>The results of this study have several implications for further investigations regarding the relationship between creativity and ADHD. Similar to recent studies by <ref type="bibr">Boot et al. (2017)</ref> and <ref type="bibr">Zabelina et al. (2014)</ref>, we found that symptoms of ADHD are positively associated with indicators of creativity. However, our results differ somewhat from those found by <ref type="bibr">Boot et al. (2017)</ref>, who found that creativity's relationship with ADHD was primarily due to hyperactive-impulsive characteristics, rather than inattention characteristics. This study demonstrates a positive relationship between several components of figural divergent thinking and subscales of the Brown ADD Scales <ref type="bibr">(Brown, 1996)</ref>, which primarily assess symptoms more relevant to the inattention characteristics of ADHD. Given that Boot et al. utilized verbal divergent thinking measures, and that inattention characteristics have been associated with verbal memory deficits (see <ref type="bibr">Schoechlin &amp; Engel, 2005)</ref>, the characteristics of ADHD related to inattention may be more accurately assessed with figural, rather than verbal, divergent thinking measures. It is also possible there is an interaction between different domains (such as verbal and figural) in the relationship between creativity and ADHD (e.g., <ref type="bibr">Baer &amp; Kaufman, 2017)</ref>. It is important to note that these associations do not imply that creative individuals are necessarily more likely to have ADHD, nor are students with ADHD necessarily creative <ref type="bibr">(Healey, 2014)</ref>. Our sample may have limited generalizability for those with ADHD. Indeed, the relationship between ADHD characteristics and creative potential may be due to a variable not addressed in our study, such as normative personality characteristics (see <ref type="bibr">Silvia &amp; Kaufman, 2010)</ref>.</p><p>The results of the study may also have important implications for how engineering is taught. Although creativity is increasingly recognized as a vital skill for success in the field of engineering <ref type="bibr">(Brunhaver et al., 2017;</ref><ref type="bibr">Cropley, 2015a;</ref><ref type="bibr">National Academy of Engineering, 1995</ref><ref type="bibr">, 2005;</ref><ref type="bibr">Passow &amp; Passow, 2017)</ref>, recent research suggests that traditional engineering education programs may not encourage or reward creative efforts <ref type="bibr">(Atwood &amp; Pretz, 2016;</ref><ref type="bibr">Daly, Mosyjowski, &amp; Seifert, 2016;</ref><ref type="bibr">Kazerounian &amp; Foley, 2007;</ref><ref type="bibr">Nazzal, 2015)</ref>.</p><p>The lack of inclusion of opportunities for the infusion of creativity in engineering programs may negatively influence the recruitment and retention of creative individuals in such programs <ref type="bibr">(Bernold, Spurlin, &amp; Anson, 2007;</ref><ref type="bibr">Ohland et al., 2008;</ref><ref type="bibr">Seymour, Hewitt, &amp; Friend, 1997)</ref>. Given the associations found between creative potential and characteristics of ADHD, this study may also explain, in part, why students with ADHD are underrepresented in engineering programs <ref type="bibr">(Sparks, Javorsky &amp; Philips, 2004)</ref>. Some evidence suggests that diversity in gender, sexual orientation, and ethnicity improve the productivity and creativity of teams <ref type="bibr">(H&#8364; ulsheger, Anderson, &amp; Salgado, 2009;</ref><ref type="bibr">Milliken &amp; Martins, 2016;</ref><ref type="bibr">Payne, 1990)</ref>. However, neurodiversity 7 may also have the potential to support creative, productive teams of engineers, by increasing the number of different approaches and ways of thinking in the field.</p><p>Several limitations exist in this study and these will be addressed in future research. The study was not blinded, as participants were asked about their ADHD diagnostic status and were provided information regarding their scores on the Brown scales before completing other measures. Furthermore, response bias may have been present in this study. Due to the sensitive nature of some of the ADHD-related questions, the purpose of the study and exact nature of the procedures were disclosed to participants as part of obtaining informed consent. Although this may have influenced self-report scores on the Brown ADD scales, the influence of these issues on divergent thinking scores may have been mitigated, given that creative potential was assessed with a measure of ability (rather than self-report) and scored by an outside rater. Future research should control for these issues to the greatest extent possible. Because this study used only the figural form of the TTCT to assess creative potential, the results may not be generalizable to other creativity indicators or domains. Indeed, the use of multiple measures of creative performance across domains should also be explored. The sample size was modest, limiting power and precluding more extensive analyses. Accordingly, non-significant results should be viewed as inconclusive. Inter-scale reliability for the CSE and IRT scales were lower than expected. Both scales have demonstrated good reliability (i.e., &#8805;.8) in previous studies, with samples of children and adolescents <ref type="bibr">(Beghetto, 2006</ref><ref type="bibr">(Beghetto, , 2009;;</ref><ref type="bibr">Beghetto &amp; Baxter, 2012;</ref><ref type="bibr">Beghetto et al., 2011)</ref>, suggesting that either modifying the questions or using the scales with an adult sample may have affected reliability. Furthermore, IQ was not assessed in our sample, yet it has been suggested that it may serve as a protective factor for those with some forms of executive functioning deficits, such as decreased latent inhibition <ref type="bibr">(Carson et al., 2003;</ref><ref type="bibr">Carson, 2014)</ref>. Although it seems reasonable to assume that a sample of college students in a competitive engineering program meet the requisite levels of intelligence, as measured by IQ, to serve as a protective factor, our understanding of how ADHD characteristics influence divergent thinking would be improved by future research examining the role of IQ. Although these issues limit our conclusions somewhat, creativity in engineering remains an understudied area and this study is the first to examine how ADHD characteristics influence the divergent thinking of engineering students.</p></div><note xmlns="http://www.tei-c.org/ns/1.0" place="foot" xml:id="foot_0"><p>The Journal of Creative Behavior, Vol. 54, Iss. 2, pp. 350-362 &#169; 2018 Creative Education Foundation &#211; DOI: 10.1002/jocb.370</p></note>
			<note xmlns="http://www.tei-c.org/ns/1.0" place="foot" xml:id="foot_1"><p>21626057, 2020, 2, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/jocb.370 by University Of Connecticut, Wiley Online Library on [11/03/2024]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License</p></note>
			<note xmlns="http://www.tei-c.org/ns/1.0" place="foot" n="5" xml:id="foot_2"><p>The CSE and IRT administered following the TTCT were to test additional hypotheses not described in the current manuscript. These hypotheses, which were not linked to the primary purpose of the study and suggested that scores on the CSE and IRT would be enhanced following the TTCT activities, were not supported.</p></note>
			<note xmlns="http://www.tei-c.org/ns/1.0" place="foot" n="6" xml:id="foot_3"><p>Sensitivity analyses indicated that the transformation had a negligible influence on all subsequent regression models, except the model including resistance to closure as the criterion (see below).</p></note>
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