Assessing adult ADHD: New research and perspectives

Lovett, Benjamin J.; Harrison, Allyson G.

doi:10.1080/13803395.2021.1950640

Cited by 18 publications

(23 citation statements)

References 31 publications

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“…The results of the present study suggest a need to incorporate SVT/PVT into clinical assessments of adult ADHD. Lovett and Harrison (2021) currently recommend the inclusion of SVT/PVT in the process of assessment for ADHD, independently of the assessment's aim to identify symptoms and their causality. It would appear inappropriate to limit such an assessment to the completion of self-report questionnaires such as the ADHS-LE.…”

Section: Discussionmentioning

confidence: 99%

Scores in Self-Report Questionnaires Assessing Adult ADHD Can Be Influenced by Negative Response Bias but Are Unrelated to Performance on Executive Function and Attention Tests

Bodenburg

Wendiggensen

Kasten

2022

Psychol. Inj. and Law

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Self-report questionnaires are in widespread use in the assessment of adults with suspected attention-deficit and hyperactivity disorder (ADHD). Notwithstanding the high degree of validity, these questionnaires are considered to possess, their stand-alone use in assessment for adult ADHD may result in false-positive diagnoses due to the risk of negative response bias. Most of the self-report questionnaires in typical use are based on the diagnostic systems DSM-5 or ICD-10. From a neuropsychological point of view, however, testing of various executive function abilities and attentional performance is important in the assessment of adult ADHD. The present study (N = 211) found no evidence linking executive function (working memory and inhibitory processes) and attentional performance (processing speed) to the results of a self-report questionnaire, the ADHS-LE. The number of failures on the three symptom or performance validity tests (SVT/PVT) used provided the sole, and significant, explanation for the response behavior reported on the ADHS-LE. Of these three SVT/PVTs (the German version of the Structured Inventory of Malingered Symptomatology, SIMS, the reliable digit span, and the standard deviation of simple reaction time), only the SIMS was found to be a significant predictor variable. In the clinical context of this study, 32.6% of subjects produced at least one invalid SVT/PVT result. The use of a more conservative criterion—failure on at least two of the three SVT/PVTs deemed to be feigning ADHD—reduced the proportion of participants generating invalid values to 5%.

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Section: Discussionmentioning

confidence: 99%

Scores in Self-Report Questionnaires Assessing Adult ADHD Can Be Influenced by Negative Response Bias but Are Unrelated to Performance on Executive Function and Attention Tests

Bodenburg

Wendiggensen

Kasten

2022

Psychol. Inj. and Law

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“…There is minimal research-based data regarding ADHD in adults due to its challenging data collection, requiring skills and techniques that clinicians may not routinely use when assessing other disorders or age groups. That is why some underlying mechanism is still unknown [ 29 ]. Not all clinicians agree on conducting such assessments, and a substantial proportion reports a lack of confidence in their ability to reach accurate diagnostic judgments [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…That is why some underlying mechanism is still unknown [ 29 ]. Not all clinicians agree on conducting such assessments, and a substantial proportion reports a lack of confidence in their ability to reach accurate diagnostic judgments [ 29 ]. The strength of this study is that it has mainly focused on the young adults and adult groups' digital device use and ADHD and CVS symptoms prevalence, which is a very new attempt for addressing mental and physical related problems among this population group.…”

Section: Discussionmentioning

confidence: 99%

Prevalence rate of attention deficit hyperactivity disorder (ADHD) and computer vision syndrome (CVS) symptoms predisposition among digital device users of Bangladesh

Islam

Rahman

Olive

et al. 2022

Middle East Curr Psychiatry

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Background Around 5.29% of the world population is suffering from ADHD, and 60 million people are suffering from CVS, with an increasing rate of prevalence of these disorders. This study aimed to determine the prevalence rate of ADHD and CVS symptoms among the Bangladeshi population. Results To assess the aim of the study, a cross-sectional survey was conducted online through stratified sampling, and 197 responses were collected from the participants. Our survey method follows these criteria where the ARSV1.1 standard questionnaire was followed for the ADHD questionnaire, and a self-administered questionnaire was established based on the symptoms of CVS. The male age ranges from 18–24 have the highest value of ADHD (34%) coincided with > 6 h digital device usage (51%), and the Stroop effect is significantly correlated with the ADHD score (0.498, p < 0.01). The Stroop effect value is also higher among the males aged 18–24, digital device users for > 6 h (48%). Conclusions With the advent of science, it is impossible to avoid digital devices as necessary. Notwithstanding, safe and appropriate use of digital media is a must for healthy living.

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“…ADHD onsets during childhood, but problems can persist throughout adulthood (APA, 2013). Indeed, adult ADHD is now widely recognized due to longitudinal research on children with ADHD aging into adulthood and subsequent changes reflected in the Diagnostic and Statistical Manual of Mental Disorders (currently, DSM-5) (Lange et al, 2010;Lovett & Harrison, 2021).The demand for ADHD assessment in adults has more than doubled in recent years (e.g., Oehrlein et al, 2016). This increased demand for ADHD testing in adults, in addition to rising need for mental health services in response to the COVID-19 pandemic (Byrne et al, 2021), could play a major role in the overreliance on self-report symptom inventories for diagnostic purposes.…”

mentioning

confidence: 99%

Self-Reported Adult ADHD Symptoms: Evidence Supporting Cautious Use in an Assessment-Seeking Sample

et al. 2023

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Objective: Self-report symptom inventories are commonly used in adult ADHD assessment, and research indicates they should be interpreted with caution. This study investigated one self-report symptom inventory for adult ADHD in a clinical sample. Method: Archival data were used to evaluate diagnostic utility of the Conners Adult ADHD Rating Scale—Self-Report: Long Version (CAARS-S:L) in a sample of 122 adults seeking ADHD assessment. Results: Overall, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) estimates for the ADHD Index and other CAARS-S:L scales demonstrated weak accuracy. Anxiety and depression were the most common diagnoses present when a false positive on the ADHD Index was observed. PPV and specificity for the ADHD Index were higher in males compared to females. Conclusion: The CAARS-S:L may be useful for screening purposes in some cases, but should not be the main method used for diagnostic purposes. Clinical implications of findings are discussed.

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Assessing adult ADHD: New research and perspectives

Cited by 18 publications

References 31 publications

Scores in Self-Report Questionnaires Assessing Adult ADHD Can Be Influenced by Negative Response Bias but Are Unrelated to Performance on Executive Function and Attention Tests

Scores in Self-Report Questionnaires Assessing Adult ADHD Can Be Influenced by Negative Response Bias but Are Unrelated to Performance on Executive Function and Attention Tests

Prevalence rate of attention deficit hyperactivity disorder (ADHD) and computer vision syndrome (CVS) symptoms predisposition among digital device users of Bangladesh

Self-Reported Adult ADHD Symptoms: Evidence Supporting Cautious Use in an Assessment-Seeking Sample

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