Richard Pettersson1, Staffan Söderström1, Kent W Nilsson2. 1. 1 Neuropsychological Clinic, County Hospital, Västerås, Sweden. 2. 2 Centre for clinical research, Uppsala University, County council of Västmanland, County Hospital, Västerås, Sweden.
Abstract
OBJECTIVE: The objective of this study is to investigate the discriminative validity of neuropsychological tests and diagnostic assessment instruments in diagnosing adult ADHD in a clinical psychiatric population. METHOD: Of 108 patients, 60 were diagnosed with ADHD. The Diagnostic Interview for ADHD in adults (DIVA 2.0) and Adult ADHD Self-Report Scale (ASRS) v.1.1 together with eight neuropsychological tests were investigated. RESULTS: All instruments showed poor discriminative ability except for the DIVA, which showed a relatively good ability to discriminate between the groups (sensitivity = 90.0; specificity = 72.9). A logistic regression analysis model with the DIVA and measures of inattention, impulsivity, and activity from continuous performance tests (CPTs) showed a sensitivity of 90.0 and a specificity of 83.3. CONCLUSION: Neuropsychological tests have a poor ability to discriminate between patients diagnosed with ADHD and patients not diagnosed with ADHD, but variables from CPT tests can contribute to increasing the specificity by 10% if used in combination with the DIVA.
OBJECTIVE: The objective of this study is to investigate the discriminative validity of neuropsychological tests and diagnostic assessment instruments in diagnosing adult ADHD in a clinical psychiatric population. METHOD: Of 108 patients, 60 were diagnosed with ADHD. The Diagnostic Interview for ADHD in adults (DIVA 2.0) and Adult ADHD Self-Report Scale (ASRS) v.1.1 together with eight neuropsychological tests were investigated. RESULTS: All instruments showed poor discriminative ability except for the DIVA, which showed a relatively good ability to discriminate between the groups (sensitivity = 90.0; specificity = 72.9). A logistic regression analysis model with the DIVA and measures of inattention, impulsivity, and activity from continuous performance tests (CPTs) showed a sensitivity of 90.0 and a specificity of 83.3. CONCLUSION: Neuropsychological tests have a poor ability to discriminate between patients diagnosed with ADHD and patients not diagnosed with ADHD, but variables from CPT tests can contribute to increasing the specificity by 10% if used in combination with the DIVA.
Authors: Anselm B M Fuermaier; Lara Tucha; Nana Guo; Christian Mette; Bernhard W Müller; Norbert Scherbaum; Oliver Tucha Journal: Int J Environ Res Public Health Date: 2022-04-25 Impact factor: 4.614
Authors: Susan Young; Gisli Gudjonsson; Prathiba Chitsabesan; Bill Colley; Emad Farrag; Andrew Forrester; Jack Hollingdale; Keira Kim; Alexandra Lewis; Sarah Maginn; Peter Mason; Sarah Ryan; Jade Smith; Emma Woodhouse; Philip Asherson Journal: BMC Psychiatry Date: 2018-09-04 Impact factor: 3.630