[논문]Assessing ADHD symptoms in children and adults: evaluating the role of objective measures

Emser, Theresa S.; Johnston, Blair A.; Steele, J. Douglas; Kooij, Sandra; Thorell, Lisa; Christiansen, Hanna

doi:10.1186/s12993-018-0143-x

Assessing ADHD symptoms in children and adults: evaluating the role of objective measures 원문보기

Behavioral and brain functions BBF, v.14 no.1, 2018년, pp.11 -

Emser, Theresa S. (Clinical Child and Adolescent Psychology, Department of Psychology, Philipps University Marburg, Gutenbergstr. 18, 35037 Marburg, Germany) , Johnston, Blair A. (Division of Neuroscience, Medical Research Institute, Ninewells Hospital and Medical School, University of Dundee, Dundee, DD1 9SY UK) , Steele, J. Douglas (School of Medicine (Neuroscience), University of Dundee, Dundee, DD1 9SY UK) , Kooij, Sandra (PsyQ, Psycho-medical Programs, Expertise Center Adult ADHD, Jan van Nassaustraat 125, 2596 BS The Hague, The Netherlands) , Thorell, Lisa (Department of Clinical Neuroscience, Karolinska Institutet, Tomtebodavä) , Christiansen, Hanna (gen 18A, 5th floor, 171 77 Stockholm, Sweden)

Abstract ▼ AI-Helper

BackgroundDiagnostic guidelines recommend using a variety of methods to assess and diagnose ADHD. Applying subjective measures always incorporates risks such as informant biases or large differences between ratings obtained from diverse sources. Furthermore, it has been demonstrated that ratings and tests seem to assess somewhat different constructs. The use of objective measures might thus yield valuable information for diagnosing ADHD. This study aims at evaluating the role of objective measures when trying to distinguish between individuals with ADHD and controls. Our sample consisted of children (n = 60) and adults (n = 76) diagnosed with ADHD and matched controls who completed self- and observer ratings as well as objective tasks. Diagnosis was primarily based on clinical interviews. A popular pattern recognition approach, support vector machines, was used to predict the diagnosis.ResultsWe observed relatively high accuracy of 79% (adults) and 78% (children) applying solely objective measures. Predicting an ADHD diagnosis using both subjective and objective measures exceeded the accuracy of objective measures for both adults (89.5%) and children (86.7%), with the subjective variables proving to be the most relevant.ConclusionsWe argue that objective measures are more robust against rater bias and errors inherent in subjective measures and may be more replicable. Considering the high accuracy of objective measures only, we found in our study, we think that they should be incorporated in diagnostic procedures for assessing ADHD.

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참고문헌 (84)

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Assessing ADHD symptoms in children and adults: evaluating the role of objective measures 원문보기

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