Objective: The current study assessed the utility of eye-movements measures, gathered while participants performed a commercially available Continuous Performance Test (CPT), to detect feigned ADHD-associated cognitive impairment.

Method: Healthy simulators ( = 37), ADHD patients ( = 33), and healthy controls ( = 36) performed an eye-tracker integrated MOXO-dCPT and a stand-alone validity indicator.

Results: Simulators gazed significantly longer at regions that were irrelevant for successful MOXO-dCPT performance compared to ADHD patients and healthy controls. This eye-movement measure, however, had lower sensitivity than traditional MOXO-dCPT indices.

Discussion: Gaze direction measures, gathered while performing a CPT, show initial promise as validity indicators. Traditional CPT measures, however, are more sensitive and therefore offer a more promising path for the establishment of CPT-based validity indicators. The current study is an initial exploration of the issue and further evaluation of both theoretical and practical aspects is mandated.

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http://dx.doi.org/10.1177/10870547211063643DOI Listing

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