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Suchy Y, DesRuisseaux LA, Gereau Mora M, Brothers SL, Niermeyer MA. Conceptualization of the term "ecological validity" in neuropsychological research on executive function assessment: a systematic review and call to action. J Int Neuropsychol Soc 2024; 30:499-522. [PMID: 38251679 DOI: 10.1017/s1355617723000735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2024]
Abstract
OBJECTIVE "Ecological validity" (EV) is classically defined as test's ability to predict real-world functioning, either alone or together with test's similarity to real-world tasks. In neuropsychological literature on assessment of executive functions (EF), EV is conceptualized inconsistently, leading to misconceptions about the utility of tests. The goal of this systematic review was to examine how EV is conceptualized in studies of EF tests described as ecologically valid. METHOD MEDLINE and PsychINFO Databases were searched. PRISMA guidelines were observed. After applying inclusion and exclusion criteria, this search yielded 90 articles. Deductive content analysis was employed to determine how the term EV was used. RESULTS About 1/3 of the studies conceptualized EV as the test's ability to predict functional outcomes, 1/3 as both the ability to predict functional outcome and similarity to real-world tasks, and 1/3 were either unclear about the meaning of the term or relied on notions unrelated to classical definitions (e.g., similarity to real-world tasks alone, association with other tests, or the ability to discriminate between populations). CONCLUSIONS Conceptualizations of the term EV in literature on EF assessment vary grossly, subsuming the notions of criterion, construct, and face validity, as well as sensitivity/specificity. Such inconsistency makes it difficult to interpret clinical utility of tests that are described as ecologically valid. We call on the field to require that, at minimum, the term EV be clearly defined in all publications, or replaced with more concrete terminology (e.g., criterion validity).
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Affiliation(s)
- Yana Suchy
- Department of Psychology, University of Utah, Salt Lake City, UT, USA
| | | | | | | | - Madison A Niermeyer
- Department of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UT, USA
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Schaeffer MJ, Weerawardhena H, Becker S, Callahan BL. Capturing daily-life executive impairments in adults: Does the choice of neuropsychological tests matter? APPLIED NEUROPSYCHOLOGY. ADULT 2022:1-11. [PMID: 35979845 DOI: 10.1080/23279095.2022.2109970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Standardized executive functioning (EF) measures do not reliably capture EF-related difficulties reported in daily life. We aim to determine if an ecologically relevant neuropsychological battery is more strongly associated with self-reported everyday EF impairments than classically used tests. METHOD Fifty-nine adults aged 18-49 self-rated their EF abilities using the Barkley Deficits in EF Scale (BDEFS) and were randomly assigned to complete either a test battery composed of EF measures with hypothesized ecological relevance (Six Elements, Zoo Map, Hayling Sentence Completion, Iowa Gambling, and Auditory Startle Tasks) or one composed of traditional EF tasks (Card Sorting, Trail Making, Color-Word Interference, and Verbal Fluency). Associations were examined using linear regression. RESULTS There were no strong associations between BDEFS subscales and performance on either test battery. Only the regression model predicting Emotional Regulation from ecological tasks was significant. Iowa Gambling Task performance and corrugator muscle contraction in the Auditory Startle Task individually contributed significantly to the model, with small and moderate effect sizes respectively. CONCLUSION Results align with evidence that self-reported EF difficulties are not adequately captured by formal neuropsychological measures, even for performance-based measures which directly tap everyday constructs. Findings are interpreted cautiously in the context of a small, high-functioning sample.
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Affiliation(s)
| | - Himanthri Weerawardhena
- Department of Psychology, University of Calgary, Calgary, Canada
- Hotchkiss Brain Institute, Calgary, Canada
| | - Sara Becker
- Department of Psychology, University of Calgary, Calgary, Canada
- Hotchkiss Brain Institute, Calgary, Canada
| | - Brandy L Callahan
- Department of Psychology, University of Calgary, Calgary, Canada
- Hotchkiss Brain Institute, Calgary, Canada
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3
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Egset KS, Weider S, Stubberud J, Hjemdal O, Ruud E, Hjort MA, Eilertsen MEB, Sund AM, Røkke ME, Reinfjell T. Cognitive Rehabilitation for Neurocognitive Late Effects in Adult Survivors of Childhood Acute Lymphoblastic Leukemia: A Feasibility and Case-Series Study. Front Psychol 2021; 12:724960. [PMID: 34777103 PMCID: PMC8581253 DOI: 10.3389/fpsyg.2021.724960] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Accepted: 10/06/2021] [Indexed: 11/13/2022] Open
Abstract
Neurocognitive late effects following the diagnosis and treatment of childhood acute lymphoblastic leukemia (ALL) commonly include impaired executive functions (EFs), with negative consequences for one's health-related quality of life and mental health. However, interventions for EF impairments are scarce. Thus, the aims of this study were to (1) explore the feasibility and acceptability of the cognitive rehabilitation program Goal Management Training (GMT) and (2) examine whether GMT is associated with positive outcomes across cases of ALL survivors with EF complaints. Four participants (median age 31.5 years) underwent nine GMT modules in a total of five group sessions. Rehabilitation was focused on compensatory strategies to improve real-life EFs. Participants were evaluated at 2-week and 6-month follow-ups. Evaluation of feasibility and acceptability included adherence, a semi structured interview, self-reports, and safety. Additionally, therapists' experience with implementation was evaluated. Outcome measures included self-reports and neurocognitive tests of attention, EF, and processing speed. All participants completed GMT and rated the intervention as useful, suitable, and satisfactory. The reliable change index showed improved daily life EFs (two participants) and neurocognitive performance (three participants) at 6-month follow-up. Additionally, all participants improved on a "real-life" task involving EF. A future randomized controlled trial is recommended.
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Affiliation(s)
- Kaja Solland Egset
- Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
| | - Siri Weider
- Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
| | - Jan Stubberud
- Department of Psychology, University of Oslo, Oslo, Norway.,Department of Research, Lovisenberg Diakonale Hospital, Oslo, Norway
| | - Odin Hjemdal
- Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
| | - Ellen Ruud
- Department of Pediatric Medicine, Oslo University Hospital, Oslo, Norway.,Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Magnus Aassved Hjort
- Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.,Children's Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Mary-Elizabeth Bradley Eilertsen
- Department of Public Health and Nursing, Center for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway
| | - Anne Mari Sund
- Regional Centre for Child and Youth Mental Health and Child Welfare, Norwegian University of Science and Technology, Trondheim, Norway
| | - Magnhild Eitrem Røkke
- Kavli Institute for Systems Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway
| | - Trude Reinfjell
- Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
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Streimann K, Sisask M, Toros K. Children’s mental health in different contexts: Results from a multi-informant assessment of Estonian first-grade students. SCHOOL PSYCHOLOGY INTERNATIONAL 2021. [DOI: 10.1177/01430343211000414] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The current study sought to investigate the agreement between teachers and parents about the mental health of first-grade students, the factors that affected this agreement and the associations between measures completed by students, parents and teachers. The investigation used baseline data collected during the PAX Good Behavior Game (PAX GBG) effectiveness study in 42 Estonian schools (N = 708). Information was collected about externalizing and internalizing difficulties and prosocial behaviour, and about inhibitory control. Our research showed higher agreement between parents and teachers about externalizing behaviour and lower agreement regarding prosocial behavior and emotional problems. Inhibition was correlated with teacher-rated questionnaires, but not with parents’ responses. Sociodemographic factors influenced the agreement between teachers and parents somewhat differently. This study highlights the importance of a multi-informant approach in students’ mental health assessments, as some problems might be less observable in certain environments or by some respondents. The practical implications of these findings are discussed and suggestions are provided for the development of a school-based mental health screening system.
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Affiliation(s)
- Karin Streimann
- National Institute for Health Development, Tallinn, Estonia
- School of Governance, Law and Society, Tallinn University, Tallinn, Estonia
- School of Governance, Law and Society, Tallinn University, Tallinn, Estonia
| | - Merike Sisask
- School of Governance, Law and Society, Tallinn University, Tallinn, Estonia
- Estonian-Swedish Mental Health and Suicidology Institute, Tallinn, Estonia
- School of Governance, Law and Society, Tallinn University, Tallinn, Estonia
| | - Karmen Toros
- School of Governance, Law and Society, Tallinn University, Tallinn, Estonia
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5
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Onandia-Hinchado I, Pardo-Palenzuela N, Diaz-Orueta U. Cognitive characterization of adult attention deficit hyperactivity disorder by domains: a systematic review. J Neural Transm (Vienna) 2021; 128:893-937. [PMID: 33620582 DOI: 10.1007/s00702-021-02302-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 01/06/2021] [Indexed: 02/06/2023]
Abstract
Attention deficit hyperactivity disorder (ADHD) is reportedly the most frequent neurodevelopmental disorder diagnosed during childhood, and it is recognized as a common condition in adulthood. We review the evidence to help identify cognitive domains associated to deficits in adult ADHD. A systematic review with narrative synthesis was performed, assessing studies on adult ADHD, neuropsychology and research on involved cognitive domains in adults 18+ years old with an established diagnosis of ADHD, in seven electronic databases (PubMed, PsychInfo, WebOfScience, Embase, Scopus, OvidSPMedline, and Teseo), and Worldcat and OpenGrey grey literature databases. 93 studies were included for this review, encompassing findings from a total 5574 adults diagnosed only with ADHD, medication-naïve or non-medicated at the moment of the assessment and 4880 healthy controls. Adults diagnosed with ADHD may show, when compared to healthy controls, a cognitive profile characterized by deficits across all attention modalities, processing speed, executive function (mainly working memory and inhibition with emphasis on reward delay and interference control), verbal memory, reading skills, social cognition and arithmetic abilities. A cognitive characterization of adult ADHD by domains is established beyond the sole consideration of attention and executive function problems. Along with these, verbal memory, language (mainly reading), social cognition and arithmetic abilities may also contribute to a more comprehensive characterization of the cognitive profile in adult ADHD.
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Affiliation(s)
| | | | - Unai Diaz-Orueta
- Department of Psychology, Maynooth University, Room 3.11, John Hume Building, North Campus, Maynooth, Co. Kildare, Ireland.
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Mazursky-Horowitz H, Thomas SR, Woods KE, Chrabaszcz JS, Deater-Deckard K, Chronis-Tuscano A. Maternal Executive Functioning and Scaffolding in Families of Children with and without Parent-Reported ADHD. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2019; 46:463-475. [PMID: 28361338 DOI: 10.1007/s10802-017-0289-2] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Parental scaffolding robustly predicts child developmental outcomes, including improved self-regulation and peer relationships and fewer externalizing behaviors. However, few studies have examined parental characteristics associated with a parent's ability to scaffold. Executive functioning (EF) may be an important individual difference factor associated with maternal scaffolding that has yet to be examined empirically. Scaffolding may be particularly important for children with attention-deficit/hyperactivity disorder (ADHD) and disruptive behavior disorder (DBD) symptoms due to their core difficulties with inattention, disorganization, EF, and self-regulation, their need for greater parental structure, and higher-than-average rates of parental EF deficits. Yet, little research has examined child ADHD in relation to parental scaffolding. This cross-sectional study examined: (1) the association between maternal EF (as measured by the Hotel Test, Barkley's Deficits in Executive Functioning Scale, and Digit Span) and observed scaffolding, (2) the association between parent-reported child ADHD/DBD symptoms and scaffolding, and (3) the interaction between child ADHD/DBD symptoms and maternal EF in predicting scaffolding. In a sample of 84 mothers and their 5-10 year-old biological children (62% male) with and without parent-reported ADHD, we found that maternal EF, as measured by Digit Span and the Hotel Test, predicted observed maternal scaffolding. However, child ADHD/DBD symptoms did not significantly predict maternal scaffolding controlling for child age, maternal education, and maternal EF, nor did the interaction of maternal EF and parent-reported child ADHD/DBD symptoms. Working memory and task shifting may be key components of parental EF that could be targeted in interventions to improve parental scaffolding.
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Affiliation(s)
- Heather Mazursky-Horowitz
- Department of Psychology, University of Maryland, 2109K Biology-Psychology Building, 4094 Campus Drive, College Park, MD, 20742, USA.
| | - Sharon R Thomas
- Department of Psychology, University of Maryland, 2109K Biology-Psychology Building, 4094 Campus Drive, College Park, MD, 20742, USA
| | - Kelsey E Woods
- Department of Psychology, University of Maryland, 2109K Biology-Psychology Building, 4094 Campus Drive, College Park, MD, 20742, USA
| | - Jeffrey S Chrabaszcz
- Department of Social and Decision Sciences, Carnegie Mellon University, 5000 Forbes Avenue, BP 208, Pittsburgh, PA, 15213, USA
| | - Kirby Deater-Deckard
- Psychological and Brain Sciences, Tobin Hall, University of Massachusetts, 135 Hicks Way, Amherst, MA, 01003, USA
| | - Andrea Chronis-Tuscano
- Department of Psychology, University of Maryland, 2109K Biology-Psychology Building, 4094 Campus Drive, College Park, MD, 20742, USA
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7
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Social brain, social dysfunction and social withdrawal. Neurosci Biobehav Rev 2019; 97:10-33. [DOI: 10.1016/j.neubiorev.2018.09.012] [Citation(s) in RCA: 132] [Impact Index Per Article: 26.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Revised: 05/31/2018] [Accepted: 09/17/2018] [Indexed: 01/07/2023]
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8
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Working definitions, subjective and objective assessments and experimental paradigms in a study exploring social withdrawal in schizophrenia and Alzheimer’s disease. Neurosci Biobehav Rev 2019; 97:38-46. [DOI: 10.1016/j.neubiorev.2018.06.020] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Revised: 04/10/2018] [Accepted: 06/21/2018] [Indexed: 11/24/2022]
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9
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Barth B, Mayer-Carius K, Strehl U, Kelava A, Häußinger FB, Fallgatter AJ, Ehlis AC. Identification of neurophysiological biotypes in attention deficit hyperactivity disorder. Psychiatry Clin Neurosci 2018; 72:836-848. [PMID: 30084523 DOI: 10.1111/pcn.12773] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 07/23/2018] [Accepted: 07/31/2018] [Indexed: 11/26/2022]
Abstract
AIM Findings on neurophysiological alterations in attention deficit hyperactivity disorder (ADHD) have been proposed to underlie ADHD symptoms, with different etiological pathways for different patient biotypes. We aimed at determining whether neurophysiological deviations confirm distinct neurophysiological profiles in ADHD, thus providing direct evidence for the endophenotype concept. METHODS Neurophysiological biotypes were investigated in 87 adult patients with ADHD using cluster analysis. Parameters fed into the analysis comprised both hemodynamic and electrophysiological data. To validate results, the independent variables of the clusters were compared with healthy controls. RESULTS Cluster analysis yielded three neurophysiologically based ADHD biotypes showing: (i) above-average functioning in attention allocation; (ii) difficulties in attention allocation and inhibitory control but elevated frontal activation during a working memory task; and (iii) functional impairments in state regulation. CONCLUSION Classifying patients with ADHD into neurophysiological biotypes sheds light on etiological pathways, with implications for diagnostics and (individualized) treatment options.
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Affiliation(s)
- Beatrix Barth
- Psychophysiology and Optical Imaging, Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany.,Graduate School of Neural and Behavioral Sciences, University of Tübingen, Tübingen, Germany
| | - Kerstin Mayer-Carius
- Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany
| | - Ute Strehl
- Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany
| | | | - Florian Benedikt Häußinger
- Psychophysiology and Optical Imaging, Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany
| | - Andreas Jochen Fallgatter
- Psychophysiology and Optical Imaging, Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany.,Werner Reichardt Centre for Integrative Neuroscience, University of Tübingen, Tübingen, Germany.,LEAD Graduate School & Research Network, University of Tübingen, Tübingen, Germany
| | - Ann-Christine Ehlis
- Psychophysiology and Optical Imaging, Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany.,LEAD Graduate School & Research Network, University of Tübingen, Tübingen, Germany
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10
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Reimann Z, Miller JR, Dahle KM, Hooper AP, Young AM, Goates MC, Magnusson BM, Crandall A. Executive functions and health behaviors associated with the leading causes of death in the United States: A systematic review. J Health Psychol 2018; 25:186-196. [DOI: 10.1177/1359105318800829] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Research indicates that executive functioning may predict health behavior. This systematic review provides an overview of the relationship between domains of executive functioning and health behaviors associated with the leading causes of death in the United States. A total of 114 articles met the inclusion criteria (adult sample, published in English between 1990 and November 2016) and were reviewed and synthesized. Results indicated that although many studies had mixed findings, at least one executive function component was associated with every health behavior. Based on these results, health professionals should consider the role of executive functions in behavior change interventions.
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11
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Castagna PJ, Roye S, Calamia M. The Compensatory ADHD Behaviors Scale (CABS): Development and Initial Validation. Assessment 2018; 26:783-798. [PMID: 29754497 DOI: 10.1177/1073191118774841] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Several measures are available that assess inattention, hyperactivity/impulsivity, and executive functioning deficits. Treatments for adults with attention-deficit/hyperactivity disorder (ADHD) and skill-based academic interventions focus on improving compensatory strategies to ameliorate functional impairment; however, no measure exists that examines the compensatory behaviors adults utilize to compensate for the functional deficits associated with inattention and hyperactivity/impulsivity. The current study aimed to determine the psychometric properties of the Compensatory ADHD Behaviors Scale (CABS). Five-hundred participants (Mage = 36.83, SD = 11.57) completed measures of ADHD symptomatology, executive functioning, functional impairment, mood disorder symptoms, and the CABS. Analyses revealed that scales assessing both use and effectiveness of compensatory behaviors subscales had similar factor structures, reflecting present- and future-oriented behaviors. The present-, but not future-oriented, behaviors significantly related to ADHD symptomatology, executive dysfunction, and functional impairment; effectiveness of present-oriented compensatory behaviors demonstrated incremental validity in predicting impairment. Compensatory strategies may be a useful variable to measure when examining functional impairment associated with inattention and hyperactivity/impulsivity. The current study provides preliminary evidence of the ability of CABS to validly measure various strategies associated with (clinical and subclinical) ADHD symptomatology, executive functioning, and overall impairment.
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Affiliation(s)
| | - Scott Roye
- 1 Louisiana State University, Baton Rouge, LA, USA
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12
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Olk B, Dinu A, Zielinski DJ, Kopper R. Measuring visual search and distraction in immersive virtual reality. ROYAL SOCIETY OPEN SCIENCE 2018; 5:172331. [PMID: 29892418 PMCID: PMC5990815 DOI: 10.1098/rsos.172331] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Accepted: 03/27/2018] [Indexed: 05/27/2023]
Abstract
An important issue of psychological research is how experiments conducted in the laboratory or theories based on such experiments relate to human performance in daily life. Immersive virtual reality (VR) allows control over stimuli and conditions at increased ecological validity. The goal of the present study was to accomplish a transfer of traditional paradigms that assess attention and distraction to immersive VR. To further increase ecological validity we explored attentional effects with daily objects as stimuli instead of simple letters. Participants searched for a target among distractors on the countertop of a virtual kitchen. Target-distractor discriminability was varied and the displays were accompanied by a peripheral flanker that was congruent or incongruent to the target. Reaction time was slower when target-distractor discriminability was low and when flankers were incongruent. The results were replicated in a second experiment in which stimuli were presented on a computer screen in two dimensions. The study demonstrates the successful translation of traditional paradigms and manipulations into immersive VR and lays a foundation for future research on attention and distraction in VR. Further, we provide an outline for future studies that should use features of VR that are not available in traditional laboratory research.
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Affiliation(s)
- Bettina Olk
- Jacobs University Bremen, Campus Ring 1, 28759 Bremen, Germany
- HSD University of Applied Sciences, Waidmarkt 3 and 9, 50676 Cologne, Germany
| | - Alina Dinu
- Jacobs University Bremen, Campus Ring 1, 28759 Bremen, Germany
- Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20251 Hamburg, Germany
| | - David J. Zielinski
- Duke University, Pratt School of Engineering, FCiemas Building, 101 Science Dr., Durham, NC 27708-0271, USA
| | - Regis Kopper
- Duke University, Pratt School of Engineering, FCiemas Building, 101 Science Dr., Durham, NC 27708-0271, USA
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Tan A, Delgaty L, Steward K, Bunner M. Performance-based measures and behavioral ratings of executive function in diagnosing attention-deficit/hyperactivity disorder in children. ACTA ACUST UNITED AC 2018; 10:309-316. [DOI: 10.1007/s12402-018-0256-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2017] [Accepted: 04/09/2018] [Indexed: 10/17/2022]
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14
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Lesch KP. 'Shine bright like a diamond!': is research on high-functioning ADHD at last entering the mainstream? J Child Psychol Psychiatry 2018; 59:191-192. [PMID: 29442378 DOI: 10.1111/jcpp.12887] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The paper by Greven and colleagues (this issue) is intensifying discussion how research on attention-deficit/hyperactivity disorder (ADHD) can be moved away from the deficit-focused view to a concept, which is oriented towards resources a patient might be able to recruit to function at a high-level despite impairments. To promote understanding of high-functioning (HF)-ADHD, more longitudinal studies are required employing neuropsychologic, neuroimaging and neurobiologic approaches, with focus on compensatory mechanisms during fronto-striatal-amygdala maturation and adult plasticity as well as epigenetic modification marker screening strategies to identify homoeostatic processes of resilience in endophenotypic traits related to coping styles of target groups.
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Murawski C, Bossaerts P. How Humans Solve Complex Problems: The Case of the Knapsack Problem. Sci Rep 2016; 6:34851. [PMID: 27713516 PMCID: PMC5054396 DOI: 10.1038/srep34851] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2015] [Accepted: 09/16/2016] [Indexed: 11/22/2022] Open
Abstract
Life presents us with problems of varying complexity. Yet, complexity is not accounted for in theories of human decision-making. Here we study instances of the knapsack problem, a discrete optimisation problem commonly encountered at all levels of cognition, from attention gating to intellectual discovery. Complexity of this problem is well understood from the perspective of a mechanical device like a computer. We show experimentally that human performance too decreased with complexity as defined in computer science. Defying traditional economic principles, participants spent effort way beyond the point where marginal gain was positive, and economic performance increased with instance difficulty. Human attempts at solving the instances exhibited commonalities with algorithms developed for computers, although biological resource constraints–limited working and episodic memories–had noticeable impact. Consistent with the very nature of the knapsack problem, only a minority of participants found the solution–often quickly–but the ones who did appeared not to realise. Substantial heterogeneity emerged, suggesting why prizes and patents, schemes that incentivise intellectual discovery but discourage information sharing, have been found to be less effective than mechanisms that reveal private information, such as markets.
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Affiliation(s)
- Carsten Murawski
- Department of Finance, The University of Melbourne, Parkville, Victoria 3010, Australia
| | - Peter Bossaerts
- Department of Finance, The University of Melbourne, Parkville, Victoria 3010, Australia.,The Florey Institute of Neuroscience and Mental Health, Parkville, Victoria 3010, Australia
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Pesce M, Rizzuto A, La Fratta I, Tatangelo R, Campagna G, Iannasso M, Ferrone A, Franceschelli S, Speranza L, Patruno A, De Lutiis M, Felaco M, Grilli A. Super-oxide anion production and antioxidant enzymatic activities associated with the executive functions in peripheral blood mononuclear cells of healthy adult samples. Neurosci Res 2016; 106:23-8. [DOI: 10.1016/j.neures.2015.11.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2015] [Revised: 10/08/2015] [Accepted: 11/24/2015] [Indexed: 12/31/2022]
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17
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Evaluation of children with ADHD on the Ball-Search Field Task. Sci Rep 2016; 6:19664. [PMID: 26805450 PMCID: PMC4726146 DOI: 10.1038/srep19664] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2015] [Accepted: 11/10/2015] [Indexed: 12/04/2022] Open
Abstract
Searching, defined for the purpose of the present study as the displacement of an individual to locate resources, is a fundamental behavior of all mobile organisms. In humans this behavior underlies many aspects of everyday life, involving cognitive processes such as sustained attention, memory and inhibition. We explored the performance of 36 treatment-free children diagnosed with attention-deficit hyperactivity disorder (ADHD) and 132 children from a control school sample on the ecologically based ball-search field task (BSFT), which required them to locate and collect golf balls in a large outdoor area. Children of both groups enjoyed the task and were motivated to participate in it. However, performance showed that ADHD-diagnosed subjects were significantly less efficient in their searching. We suggest that the BSFT provides a promising basis for developing more complex ecologically-derived tests that might help to better identify particular cognitive processes and impairments associated with ADHD.
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Gonzalez-Gadea ML, Scheres A, Tobon CA, Damm J, Baez S, Huepe D, Marino J, Marder S, Manes F, Abrevaya S, Ibanez A. Stop Saying That It Is Wrong! Psychophysiological, Cognitive, and Metacognitive Markers of Children's Sensitivity to Punishment. PLoS One 2015. [PMID: 26218584 PMCID: PMC4517808 DOI: 10.1371/journal.pone.0133683] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Neurodevelopmental evidence suggests that children’s main decision-making strategy is to avoid options likely to induce punishment. However, the cognitive and affective factors contributing to children’s avoidance to high punishment frequency remain unknown. The present study explored psychophysiological, cognitive, and metacognitive processes associated with sensitivity to punishment frequency. We evaluated 54 participants (between 8 and 15 years old) with a modified Iowa Gambling Task for children (IGT-C) which included options with varying long-term profit and punishment frequencies. Skin conductance responses (SCRs) were recorded during this task. Additionally, we assessed IGT-C metacognitive knowledge, fluid intelligence, and executive functions. Participants exhibited behavioral avoidance and high anticipatory SCRs to options with high frequency of punishment. Moreover, age, IGT-C metacognitive knowledge, and inhibitory control were associated with individual differences in sensitivity to punishment frequency. Our results suggest that children’s preference for infrequently punished decisions is partially explained by psychophysiological signals as well as task complexity and development of cognitive control.
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Affiliation(s)
- Maria Luz Gonzalez-Gadea
- Institute of Cognitive Neurology (INECO), Buenos Aires, Argentina
- National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
- UDP-INECO Foundation Core on Neuroscience (UIFCoN), Faculty of Psychology, Diego Portales University, Santiago, Chile
| | - Anouk Scheres
- Behavioural Science Institute, Developmental Psychology, Radboud University, Nijmegen, The Netherlands
| | - Carlos Andres Tobon
- Grupo de Neurociencias de Antioquia, Facultad de Medicina, Universidad de Antioquia, Medellin, Colombia
- Grupo de Neuropsicología y Conducta, Facultad de Medicina, Universidad de Antioquia, Medellin, Colombia
| | | | - Sandra Baez
- Institute of Cognitive Neurology (INECO), Buenos Aires, Argentina
- National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
- UDP-INECO Foundation Core on Neuroscience (UIFCoN), Faculty of Psychology, Diego Portales University, Santiago, Chile
| | - David Huepe
- UDP-INECO Foundation Core on Neuroscience (UIFCoN), Faculty of Psychology, Diego Portales University, Santiago, Chile
- Laboratory of Cognitive and Social Neurosciences, Universidad Diego Portales, Santiago, Chile
| | - Julian Marino
- Laboratorio de Neuroimágenes, Universidad Nacional de Córdoba, Cordoba, Argentina
| | - Sandra Marder
- Comisión de Investigaciones Científicas de la Provincia de Buenos Aires y Facultad de Psicología (UNLP), La Plata, Argentina
| | - Facundo Manes
- Institute of Cognitive Neurology (INECO), Buenos Aires, Argentina
- National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
- UDP-INECO Foundation Core on Neuroscience (UIFCoN), Faculty of Psychology, Diego Portales University, Santiago, Chile
- Centre of Excellence in Cognition and its Disorders, Australian Research Council (ACR), Randwick, New South Wales, Australia
| | - Sofia Abrevaya
- Institute of Cognitive Neurology (INECO), Buenos Aires, Argentina
| | - Agustin Ibanez
- Institute of Cognitive Neurology (INECO), Buenos Aires, Argentina
- National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
- UDP-INECO Foundation Core on Neuroscience (UIFCoN), Faculty of Psychology, Diego Portales University, Santiago, Chile
- Centre of Excellence in Cognition and its Disorders, Australian Research Council (ACR), Randwick, New South Wales, Australia
- Universidad Autónoma del Caribe, Barranquilla, Colombia
- * E-mail:
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19
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Crandall A, Deater-Deckard K, Riley AW. Maternal emotion and cognitive control capacities and parenting: A conceptual framework. DEVELOPMENTAL REVIEW 2015; 36:105-126. [PMID: 26028796 PMCID: PMC4445866 DOI: 10.1016/j.dr.2015.01.004] [Citation(s) in RCA: 190] [Impact Index Per Article: 21.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
PURPOSE Emerging evidence suggests that maternal emotion and cognitive control capacities are critical to the development and maintenance of parenting practices and may be related to parents' ability to seek and use parenting help. The purpose of this paper is to present a cohesive conceptual framework on the intersection of maternal emotion and cognitive control capacities and parenting based on a review of literature. METHODS We conducted a comprehensive literature review of articles published between 2000 and February 2014 that addressed maternal emotion and cognitive control and parenting. The 35 articles identified were assigned a methodological quality score. RESULTS Low maternal emotion and cognitive control capacity is associated with increased risk of engaging in child maltreatment, whereas higher maternal emotion and cognitive regulation is associated with sensitive, involved parenting. Contextual factors, such as SES and household organization, play a complex and not clearly understood role on the association between maternal cognitive control and parenting. A conceptual framework was developed based on the results of the literature review. CONCLUSIONS The conceptual framework developed can be used to inform future research and practice. Longitudinal studies that assess the temporal relationship of maternal emotion and cognitive control and parenting are necessary to establish causality. Research that addresses how maternal emotion regulation and cognitive control capacities are related to mothers' enrollment and participation in parenting and early intervention programs is an important next step to strengthening policy and intervention work.
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Affiliation(s)
- AliceAnn Crandall
- Department of Population, Family and Reproductive Health, Johns Hopkins University School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, USA
| | - Kirby Deater-Deckard
- Department of Psychology, Virginia Tech, Blacksburg, VA 24061, USA
- Department of Psychiatry, Virginia Tech – Carilion School of Medicine, Roanoke, VA 24061, USA
| | - Anne W. Riley
- Department of Population, Family and Reproductive Health, Johns Hopkins University School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, USA
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20
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Cardoso CDO, Zimmermann N, Paraná CB, Gindri G, de Pereira APA, Fonseca RP. Brazilian adaptation of the Hotel Task: A tool for the ecological assessment of executive functions. Dement Neuropsychol 2015; 9:156-164. [PMID: 29213957 PMCID: PMC5619354 DOI: 10.1590/1980-57642015dn92000010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Over recent years, neuropsychological research has been increasingly concerned
with the need to develop more ecologically valid instruments for the assessment
of executive functions. The Hotel Task is one of the most widely used ecological
measures of executive functioning, and provides an assessment of planning,
organization, self-monitoring and cognitive flexibility.
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Affiliation(s)
| | - Nicolle Zimmermann
- Department of Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre RS, Brazil
| | | | - Gigiane Gindri
- Department of Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre RS, Brazil
| | | | - Rochele Paz Fonseca
- Department of Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre RS, Brazil
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21
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Kievit RA, Davis SW, Mitchell DJ, Taylor JR, Duncan J, Henson RNA. Distinct aspects of frontal lobe structure mediate age-related differences in fluid intelligence and multitasking. Nat Commun 2014; 5:5658. [PMID: 25519467 PMCID: PMC4284640 DOI: 10.1038/ncomms6658] [Citation(s) in RCA: 114] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2014] [Accepted: 10/24/2014] [Indexed: 12/25/2022] Open
Abstract
Ageing is characterized by declines on a variety of cognitive measures. These declines are often attributed to a general, unitary underlying cause, such as a reduction in executive function owing to atrophy of the prefrontal cortex. However, age-related changes are likely multifactorial, and the relationship between neural changes and cognitive measures is not well-understood. Here we address this in a large (N=567), population-based sample drawn from the Cambridge Centre for Ageing and Neuroscience (Cam-CAN) data. We relate fluid intelligence and multitasking to multiple brain measures, including grey matter in various prefrontal regions and white matter integrity connecting those regions. We show that multitasking and fluid intelligence are separable cognitive abilities, with differential sensitivities to age, which are mediated by distinct neural subsystems that show different prediction in older versus younger individuals. These results suggest that prefrontal ageing is a manifold process demanding multifaceted models of neurocognitive ageing.
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Affiliation(s)
- Rogier A Kievit
- MRC Cognition and Brain Sciences Unit, 15 Chaucer Road, Cambridge CB2 7EF, UK
| | - Simon W Davis
- Department of Psychology, University of Cambridge, Downing Street, Cambridge CB2 3EB, UK
| | - Daniel J Mitchell
- MRC Cognition and Brain Sciences Unit, 15 Chaucer Road, Cambridge CB2 7EF, UK
| | - Jason R Taylor
- 1] MRC Cognition and Brain Sciences Unit, 15 Chaucer Road, Cambridge CB2 7EF, UK [2] School of Psychological Sciences, The University of Manchester, Brunswick Street, Manchester M13 9PL, UK
| | - John Duncan
- MRC Cognition and Brain Sciences Unit, 15 Chaucer Road, Cambridge CB2 7EF, UK
| | | | - Richard N A Henson
- MRC Cognition and Brain Sciences Unit, 15 Chaucer Road, Cambridge CB2 7EF, UK
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22
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Gonzalez-Gadea ML, Herrera E, Parra M, Gomez Mendez P, Baez S, Manes F, Ibanez A. Emotion recognition and cognitive empathy deficits in adolescent offenders revealed by context-sensitive tasks. Front Hum Neurosci 2014; 8:850. [PMID: 25374529 PMCID: PMC4204464 DOI: 10.3389/fnhum.2014.00850] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2014] [Accepted: 10/03/2014] [Indexed: 11/16/2022] Open
Abstract
Emotion recognition and empathy abilities require the integration of contextual information in real-life scenarios. Previous reports have explored these domains in adolescent offenders (AOs) but have not used tasks that replicate everyday situations. In this study we included ecological measures with different levels of contextual dependence to evaluate emotion recognition and empathy in AOs relative to non-offenders, controlling for the effect of demographic variables. We also explored the influence of fluid intelligence (FI) and executive functions (EFs) in the prediction of relevant deficits in these domains. Our results showed that AOs exhibit deficits in context-sensitive measures of emotion recognition and cognitive empathy. Difficulties in these tasks were neither explained by demographic variables nor predicted by FI or EFs. However, performance on measures that included simpler stimuli or could be solved by explicit knowledge was either only partially affected by demographic variables or preserved in AOs. These findings indicate that AOs show contextual social-cognition impairments which are relatively independent of basic cognitive functioning and demographic variables.
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Affiliation(s)
- Maria Luz Gonzalez-Gadea
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive Neurology Buenos Aires, Argentina ; National Scientific and Technical Research Council Buenos Aires, Argentina ; UDP-INECO Foundation Core on Neuroscience, Diego Portales University Santiago, Chile
| | - Eduar Herrera
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive Neurology Buenos Aires, Argentina ; National Scientific and Technical Research Council Buenos Aires, Argentina ; Universidad Autonoma del Caribe Barranquilla, Colombia
| | - Mario Parra
- UDP-INECO Foundation Core on Neuroscience, Diego Portales University Santiago, Chile ; Human Cognitive Neuroscience, Psychology Department, University of Edinburgh Edinburgh, UK ; Scottish Dementia Clinical Research Network Perth, UK ; Neuropsy and Biomedical Unit, Health School, University Surcolombiana Neiva, Colombia
| | | | - Sandra Baez
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive Neurology Buenos Aires, Argentina ; National Scientific and Technical Research Council Buenos Aires, Argentina ; UDP-INECO Foundation Core on Neuroscience, Diego Portales University Santiago, Chile
| | - Facundo Manes
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive Neurology Buenos Aires, Argentina ; National Scientific and Technical Research Council Buenos Aires, Argentina ; UDP-INECO Foundation Core on Neuroscience, Diego Portales University Santiago, Chile ; Centre of Excellence in Cognition and its Disorders, Australian Research Council Sydney, NSW, Australia
| | - Agustin Ibanez
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive Neurology Buenos Aires, Argentina ; National Scientific and Technical Research Council Buenos Aires, Argentina ; UDP-INECO Foundation Core on Neuroscience, Diego Portales University Santiago, Chile ; Universidad Autonoma del Caribe Barranquilla, Colombia ; Centre of Excellence in Cognition and its Disorders, Australian Research Council Sydney, NSW, Australia
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23
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Thissen AJAM, Rommelse NNJ, Hoekstra PJ, Hartman C, Heslenfeld D, Luman M, van Lieshout M, Franke B, Oosterlaan J, Buitelaar JK. Attention deficit hyperactivity disorder (ADHD) and executive functioning in affected and unaffected adolescents and their parents: challenging the endophenotype construct. Psychol Med 2014; 44:881-892. [PMID: 23721667 DOI: 10.1017/s0033291713001153] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
BACKGROUND The results of twin and sibling studies suggest that executive functioning is a prime candidate endophenotype in attention deficit hyperactivity disorder (ADHD). However, studies have not assessed the co-segregation of executive function (EF) deficits from parents to offspring directly, and it is unclear whether executive functioning is an ADHD endophenotype in adolescents, given the substantial changes in prefrontal lobe functioning, EF and ADHD symptoms during adolescence. METHOD We recruited 259 ADHD and 98 control families with an offspring average age of 17.3 years. All participants were assessed for ADHD and EF [inhibition, verbal (VWM) and visuospatial working memory (VsWM)]. Data were analysed using generalized estimating equations (GEEs). RESULTS Parental ADHD was associated with offspring ADHD and parental EF was associated with offspring EF but there were no cross-associations (parental ADHD was not associated with offspring EF or vice versa). Similar results were found when siblings were compared. EF deficits were only found in affected adolescents and not in their unaffected siblings or (un)affected parents. CONCLUSIONS The core EFs proposed to be aetiologically related to ADHD, that is working memory and inhibition, seem to be aetiologically independent of ADHD in adolescence. EF deficits documented in childhood in unaffected siblings were no longer present in adolescence, suggesting that children 'grow out' of early EF deficits. This is the first study to document ADHD and EF in a large family sample with adolescent offspring. The results suggest that, after childhood, the majority of influences on ADHD are independent from those on EF. This has potential implications for current aetiological models of causality in ADHD.
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Affiliation(s)
- A J A M Thissen
- Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - N N J Rommelse
- Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - P J Hoekstra
- Department of Psychiatry, University Medical Centre Groningen, University of Groningen, The Netherlands
| | - C Hartman
- Department of Psychiatry, University Medical Centre Groningen, University of Groningen, The Netherlands
| | | | - M Luman
- VU University, Amsterdam, The Netherlands
| | | | - B Franke
- Departments of Human Genetics and Psychiatry, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
| | | | - J K Buitelaar
- Karakter Child and Adolescent Psychiatry University Centre, Nijmegen, The Netherlands
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Keogh E, Moore DJ, Duggan GB, Payne SJ, Eccleston C. The disruptive effects of pain on complex cognitive performance and executive control. PLoS One 2013; 8:e83272. [PMID: 24386168 PMCID: PMC3875458 DOI: 10.1371/journal.pone.0083272] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2013] [Accepted: 11/08/2013] [Indexed: 01/21/2023] Open
Abstract
Pain interferes and disrupts attention. What is less clear is how pain affects performance on complex tasks, and the strategies used to ensure optimal outcomes. The aim of the current study was to examine the effect of pain on higher-order executive control processes involved in managing complex tasks. Sixty-two adult volunteers (40 female) completed two computer-based tasks: a breakfast making task and a word generation puzzle. Both were complex, involving executive control functions, including goal-directed planning and switching. Half of those recruited performed the tasks under conditions of thermal heat pain, and half with no accompanying pain. Whilst pain did not affect central performance on either task, it did have indirect effects. For the breakfast task, pain resulted in a decreased ability to multitask, with performance decrements found on the secondary task. However, no effects of pain were found on the processes thought to underpin this task. For the word generation puzzle, pain did not affect task performance, but did alter subjective accounts of the processes used to complete the task; pain affected the perceived allocation of time to the task, as well as switching perceptions. Sex differences were also found. When studying higher-order cognitive processes, pain-related interference effects are varied, and may result in subtle or indirect changes in cognition.
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Affiliation(s)
- Edmund Keogh
- Department of Psychology, University of Bath, Bath, United Kingdom
- Centre for Pain Research, University of Bath, Bath, United Kingdom
- * E-mail:
| | - David J. Moore
- Centre for Pain Research, University of Bath, Bath, United Kingdom
| | | | - Stephen J. Payne
- Department of Computer Science, University of Bath, Bath, United Kingdom
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25
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Pose M, Cetkovich M, Gleichgerrcht E, Ibáñez A, Torralva T, Manes F. The overlap of symptomatic dimensions between frontotemporal dementia and several psychiatric disorders that appear in late adulthood. Int Rev Psychiatry 2013; 25:159-67. [PMID: 23611346 DOI: 10.3109/09540261.2013.769939] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Several factors make diagnosis of a possible behavioural variant of frontotemporal dementia (bvFTD) particularly challenging, especially the overlap of certain symptomatic dimensions such as apathy, disinhibition, depression, anhedonia, stereotyped behaviour, and psychosis between bvFTD and several psychiatric disorders that appear in late adulthood. We discuss the most frequent psychiatric conditions that can simulate early bvFTD symptoms, including late onset bipolar disorder, late onset schizophrenia-like psychosis, late onset depression, and attention deficit hyperactivity disorder in middle and older age.
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26
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Kim JH, Lee EH, Joung YS. The WHO Adult ADHD Self-Report Scale: Reliability and Validity of the Korean Version. Psychiatry Investig 2013; 10:41-6. [PMID: 23482673 PMCID: PMC3590429 DOI: 10.4306/pi.2013.10.1.41] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2012] [Revised: 08/27/2012] [Accepted: 10/09/2012] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE A self-report scale of adult attention-deficit/hyperactivity disorder, the World Health Organization (WHO) Adult ADHD Self-Report Scale (ASRS) was developed and demonstrated good psychometric properties. The purpose of the present study is to investigate the psychometric properties of the ASRS in Korean samples. METHODS The ASRS includes 18 questions regarding the frequency of recent DSM-IV Criterion A symptoms of adult ADHD. We examined the factor structure, internal consistency, and convergent validity of the ASRS in Korean samples. RESULTS The ASRS demonstrated good internal consistency and test-retest reliability. Correlations between the ASRS and other adult ADHD measures were high, providing evidence of convergent validity. A subsequent exploratory factor analysis indicated that a two-factor solution provided the best fit. CONCLUSION It is expected that this scale would be helpful in clinical settings and research in Korea.
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Affiliation(s)
- Ji-Hae Kim
- Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Eun-Ho Lee
- Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Yoo-Sook Joung
- Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
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