Multiple informant average integration of ADHD symptom ratings predictive of concurrent and longitudinal impairment.

2021 ◽  
Author(s):  
Michelle M. Martel ◽  
Ashley G. Eng ◽  
Pevitr S. Bansal ◽  
Tess E. Smith ◽  
Anjeli R. Elkins ◽  
...  
Keyword(s):  
Adhd Symptom ◽  
Symptom Ratings

scholarly journals The Accuracy of Retrospective Recall of Childhood ADHD: Results from a Longitudinal Study

2020 ◽  
Author(s):  
Elena von Wirth ◽  
Janet Mandler ◽  
Dieter Breuer ◽  
Manfred Döpfner
Keyword(s):  
Longitudinal Study ◽  
Adhd Symptom ◽  
Symptom Severity ◽  
False Negative ◽  
Adult Patients ◽  
Clinical Samples ◽  
Childhood Adhd ◽  
Retrospective Reports ◽  
Symptom Ratings ◽  
Symptom Recall

AbstractAttention-deficit/hyperactivity disorder (ADHD) is a childhood-onset condition that may continue into adulthood. When assessing adult patients, clinicians usually rely on retrospective reports of childhood symptoms to evaluate the age-of-onset criterion. Since inaccurate symptom recall may impede the diagnosis and treatment of ADHD, knowledge about the factors influencing retrospective reports is needed. This longitudinal study investigated (a) the accuracy of retrospective symptom ratings by adult participants with a childhood diagnosis of ADHD (self-ratings) and parents or significant others (proxy ratings), and (b) the influence of current ADHD symptom severity and ADHD-associated impairments on retrospective symptom ratings. Participants (N = 55) were members of the Cologne Adaptive Multimodal Treatment (CAMT) study who had been referred and treated for ADHD in childhood and were reassessed in adulthood (average age 27 years). Participants’ retrospective self-ratings were substantially lower than, and did not correlate with, parents’ ADHD symptom ratings provided at study entry, while retrospective symptom ratings provided by proxy respondents correlated moderately with parents’ childhood ratings. In addition, participants were more likely to underreport childhood symptoms (79%) and more frequently denied the presence of three or more childhood symptoms (17%) compared to proxy respondents (65% underreporting, 10% false-negative recall). Proxy respondents’ symptom recall was best predicted by childhood ADHD, while participants’ symptom recall was best predicted by current ADHD symptom severity. ADHD-associated impairments were not correlated with symptom recall after controlling for childhood ADHD. Together, these findings suggest a recall bias in adult patients and question the validity of retrospective reports, even in clinical samples.

Impact of Maternal and Child Race on Maternal Ratings of ADHD Symptoms in Black and White Boys

2015 ◽  
Vol 22 (13) ◽  
pp. 1246-1254 ◽  
Author(s):  
Charles Barrett ◽  
George J. DuPaul
Keyword(s):  
Adhd Symptom ◽  
Maternal Age ◽  
Rating Scale ◽  
Free Play ◽  
Black Mothers ◽  
Adhd Symptoms ◽  
Black And White ◽  
White Mothers ◽  
Symptom Ratings ◽  
Assessment Measures

Objective: Examine the influence of maternal and child race on ADHD symptom ratings. Method: Participants were Black ( n = 63) and White ( n = 68) mothers randomly assigned to view a 13-min videotape of either a Black or White boy displaying similar levels of ADHD-related behaviors during free play and meal situations. Mothers then completed an ADHD rating scale. Results: With maternal age and socioeconomic status (SES) as covariates, Black mothers provided significantly higher ratings of inattentive and hyperactive–impulsive symptoms than did White mothers regardless of child race. The effect of child race was not statistically significant. Conclusions: Maternal race appears to be more important than child race in accounting for differences in ADHD symptom ratings between Black and White boys. It is critical to understand variables related to these differences and develop assessment measures that lead to equivalent, accurate diagnostic decisions across racial subgroups.

scholarly journals A Network Analysis of Developmental Change in ADHD Symptom Structure From Preschool to Adulthood

2016 ◽  
Vol 4 (6) ◽  
pp. 988-1001 ◽  
Author(s):  
Michelle M. Martel ◽  
Cheri A. Levinson ◽  
Julia K. Langer ◽  
Joel T. Nigg
Keyword(s):  
Network Analysis ◽  
Adhd Symptom ◽  
Developmental Change ◽  
Age Groups ◽  
Diagnostic Process ◽  
Diagnostic Systems ◽  
Hyperactivity Disorder ◽  
Symptom Ratings ◽  
Core Symptoms ◽  
Adhd Symptomatology

Although there is substantial support for the validity of the diagnosis of attention-deficit/hyperactivity disorder (ADHD), there is considerable disagreement about how to best capture developmental changes in the expression of ADHD symptomatology. This article examines the associations among the 18 individual ADHD symptoms using a novel network analysis approach, from preschool to adulthood. The 1,420 participants were grouped into four age brackets: preschool (ages 3–6, n = 109), childhood (ages 6–12, n = 548), adolescence (ages 13–17, n = 357), and young adulthood (ages 18–36, n = 406). All participants completed a multistage, multi-informant diagnostic process, and self and informant symptom ratings were obtained. Network analysis indicated ADHD symptom structure became more differentiated over development. Two symptoms, often easily distracted and difficulty sustaining attention, appeared as central, or core, symptoms across all age groups. Thus, a small number of core symptoms may warrant extra weighting in future diagnostic systems.

DSM-IV Related ADHD Symptom Ratings by Professional Caretakers in Residential Treatment Centres

2001 ◽  
Vol 42 (3) ◽  
pp. 341-346 ◽  
Author(s):  
E. M. Scholte ◽  
I. A. van Berckelaer-Onnes ◽  
J. D. van der Ploeg
Keyword(s):  
Residential Treatment ◽  
Adhd Symptom ◽  
Symptom Ratings ◽  
Dsm Iv

ADHD Symptoms in Adolescents’ Everyday Life: Fluctuations and Symptom Structure Within and Between Individuals

2016 ◽  
Vol 24 (8) ◽  
pp. 1169-1180 ◽  
Author(s):  
Johanna Schmid ◽  
Gertraud Stadler ◽  
Judith Dirk ◽  
Christiane Fiege ◽  
Caterina Gawrilow
Keyword(s):  
Factor Structure ◽  
Adhd Symptom ◽  
Factor Model ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Adhd Symptoms ◽  
Intraclass Correlation Coefficients ◽  
Symptom Ratings ◽  
Level Method ◽  
Correlated Factors

Objective: This study investigated whether self-reported ADHD symptoms fluctuate substantially within adolescents from day to day, and examined the underlying symptom factor structure on a within- and between-person level. Method: Adolescents ( N = 166) rated their ADHD symptoms over the phone on eight consecutive evenings (total ratings: n = 1,264). Results: ADHD symptoms showed substantial fluctuations within adolescents from day to day, as indicated by within-person standard deviations and intraclass correlation coefficients. Both a two-level factor model with three correlated factors (inattention, hyperactivity, impulsivity) and a two-level bifactor model with a general ADHD symptom factor and a specific inattention factor provided acceptable to good accounts of the structure underlying daily ADHD symptom ratings on the between- and the within-person level. Conclusion: The study demonstrates that adolescents’ ADHD symptoms fluctuate from day to day and highlights the need for intensive diagnostic processes with repeated symptom assessments and interventions that address symptom fluctuations.

scholarly journals Factors Influencing Agreement in Symptom Ratings By Lung Cancer Patients and Their Significant Others

2007 ◽  
Vol 33 (2) ◽  
pp. 146-155 ◽  
Author(s):  
Agneta Wennman-Larsen ◽  
Carol Tishelman ◽  
Yvonne Wengström ◽  
Petter Gustavsson
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Significant Others ◽  
Lung Cancer Patients ◽  
Factors Influencing ◽  
Symptom Ratings

scholarly journals Integration of symptom ratings from multiple informants in ADHD diagnosis: A psychometric model with clinical utility.

2015 ◽  
Vol 27 (3) ◽  
pp. 1060-1071 ◽  
Author(s):  
Michelle M. Martel ◽  
Ulrich Schimmack ◽  
Molly Nikolas ◽  
Joel T. Nigg
Keyword(s):  
Clinical Utility ◽  
Multiple Informants ◽  
Adhd Diagnosis ◽  
Symptom Ratings ◽  
Psychometric Model
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