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Fidgeting

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Summary

  • Fidgeting may not mean inattention. In ADHD, harder tasks tend to bring more movement, often with higher accuracy.
  • Fidgeting need not be suppressed. Researchers advise against overcorrecting it during mentally demanding learning tasks.
  • More movement while losing track may mean mind wandering; attention then needs to return to the task.

The more thinking a task needs, the more people with ADHD move

Research-backed

Fidgeting in attention-deficit/hyperactivity disorder (ADHD) is not limited to boredom. As tasks require more remembering and processing in the mind, children and adults with ADHD move increasingly more than others(Lea et al., 2018; Soto et al., 2024). This also applies when children must suppress a response(Soto et al., 2024).

A meta-analysis of 63 studies estimated the chance of greater movement in someone with ADHD than someone without it: about 84% in the hardest mental tasks, versus about 60% in easy tasks (approximate values)(Kofler et al., 2016).

More movement may therefore reflect mental effort rather than not listening. Some movement is unrelated to the task and remains elevated throughout(Soto et al., 2024).

People with ADHD often answer more accurately when moving more

Proposed in research

Boys with ADHD aged 8–12 performed better in memory tasks when they moved more, but overall still below their peers. Children without ADHD performed slightly worse when moving more(Sarver et al., 2015).

A study tracking movement for each question found stronger foot movement during correct answers in adolescents with ADHD aged 10–17(Hartanto et al., 2016). Among 70 adults with ADHD, movement was also greater during correct answers(Son et al., 2024).

Researchers suggest this movement may help maintain alertness and steady attention(Hartanto et al., 2016; Son et al., 2024). Optimal stimulation theory offers the same explanation. Better performance while moving more does not mean deliberately moving more will improve performance.

Fidgeting need not be suppressed during mentally demanding learning

Proposed in research

In learning tasks that rely on memory, such as taking notes while listening or silently remembering a string of numbers, effort spent suppressing natural fidgeting may not help.

Researchers who found better memory-task performance when children with ADHD moved more therefore advise against overcorrecting their movement in these tasks(Sarver et al., 2015).

More movement with losing track may mean mind wandering

Proposed in research

Fidgeting also accompanies mind wandering. In a task pressing a key to a beat, adults from the general population fidgeted noticeably more during deep mind wandering(Seli et al., 2014). Adults from the general population who were more prone to inattention and spontaneous mind wandering also reported more fidgeting(Carriere et al., 2013).

Movement alone makes it hard to distinguish focus from mind wandering; keeping up with the content matters. More movement combined with forgetting what was just read or heard may mean mind wandering. Attention can then be brought back.

Evidence

References (8)
  1. Cohort studyWorking Memory and Motor Activity: A Comparison Across Attention-Deficit/Hyperactivity Disorder, Generalized Anxiety Disorder, and Healthy Control GroupsLea SE, Alderson RM, Patros CHG, Tarle SJ, Arrington EF, Grant DM (2018). Behavior Therapy
  2. Cohort studyIs hyperactivity in children with attention deficit/hyperactivity disorder (ADHD) a functional response to demands on specific executive functions or cognitive demands in general?Soto EF, Black K, Kofler MJ (2024). Neuropsychology
  3. Meta-analysisIs hyperactivity ubiquitous in ADHD or dependent on environmental demands? Evidence from meta-analysisKofler MJ, Raiker JS, Sarver DE, Wells EL, Soto EF (2016). Clinical Psychology Review
  4. Cohort studyHyperactivity in Attention-Deficit/Hyperactivity Disorder (ADHD): Impairing Deficit or Compensatory Behavior?Sarver DE, Rapport MD, Kofler MJ, Raiker JS, Friedman LM (2015). Journal of Abnormal Child Psychology
  5. Cohort studyA trial-by-trial analysis reveals more intense physical activity is associated with better cognitive control performance in attention-deficit/hyperactivity disorderHartanto TA, Krafft CE, Iosif AM, Schweitzer JB (2016). Child Neuropsychology
  6. Cohort studyA quantitative analysis of fidgeting in ADHD and its relation to performance and sustained attention on a cognitive taskSon HM, Calub CA, Fan B, Dixon JF, Rezaei S, Borden J, Schweitzer JB, Liu X (2024). Frontiers in Psychiatry
  7. Cohort studyRestless mind, restless bodySeli P, Carriere JSA, Thomson DR, Cheyne JA, Martens KAE, Smilek D (2014). Journal of Experimental Psychology: Learning, Memory, and Cognition
  8. Cohort studyWandering in both mind and body: individual differences in mind wandering and inattention predict fidgetingCarriere JSA, Seli P, Smilek D (2013). Canadian Journal of Experimental Psychology