Differential diagnosis of ADHD: Are objective measures of attention, impulsivity, and activity level helpful?
- 1 October 1995
- journal article
- research article
- Published by Taylor & Francis in Child Neuropsychology
- Vol. 1 (2), 118-127
- https://doi.org/10.1080/09297049508402243
Abstract
The diagnostic utility of objective measures of inattention, impulsivity, and activity level was assessed by examining the classification of ADHD and non-ADHD patients, as well as normal children. Discriminant function analyses correctly classified 72.4% of subjects in the ADHD versus normal control comparison, and 66.2% in the ADHD versus non-ADHD comparison. Poor performance on objective measures was generally indicative of ADHD relative to normal controls, but “average” performance could not be used to rule out ADHD. Diagnostic classification indices were much lower in the ADHD versus non-ADHD patient discrimination. CPT-inattention scores had moderate sensitivity, but low specificity; CPT-impulsivity and actigraph scores had low sensitivity but high specificity. These findings are discussed in terms of the utility of these objective measures for assessing ADHD in clinical and nonclinical populations.Keywords
This publication has 20 references indexed in Scilit:
- Are tests of frontal lobe functions useful in the diagnosis of attention deficit disorders?The Clinical Neuropsychologist, 1994
- Teachers' ratings of disruptive behaviors: The influence of halo effectsJournal of Abnormal Child Psychology, 1993
- Discriminant Validity of Attention-Deficit Hyperactivity DisorderJournal of the American Academy of Child & Adolescent Psychiatry, 1993
- Clinical discriminations and neuropsychological tests: An appeal to bayes' theoremThe Clinical Neuropsychologist, 1993
- Specificity of Inattention, Impulsivity, and Hyperactivity to the Diagnosis of Attention-deficit Hyperactivity DisorderJournal of the American Academy of Child & Adolescent Psychiatry, 1992
- Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disordersAmerican Journal of Psychiatry, 1991
- The ecological validity of laboratory and analogue assessment methods of ADHD symptomsJournal of Abnormal Child Psychology, 1991
- The clinical assessment of attentionInternational Journal of Neuroscience, 1991
- The Response of Aggressive and Nonaggressive ADHD Children to Two Doses of MethylphenidateJournal of the American Academy of Child & Adolescent Psychiatry, 1989
- Normative data on Revised Conners Parent and Teacher Rating ScalesJournal of Abnormal Child Psychology, 1978