Interrater agreement on behavioral executive function measures in adolescents with Attention Deficit Hyperactivity Disorder

Abstract

Background/Objective Though most children with Attention Deficit Hyperactivity Disorder (ADHD) show difficulties in behavioral measures of executive functions (EF), few studies have examined interrater agreement in these measures.Objective: To analyze the agreement between parents, teachers and self-reports of behavioral EF in adolescents with ADHD and controls. Method: A sample of 118 adolescents (75 with ADHD and 43 controls) was rated by parents, teachers and the adolescents themselves using the Comprehensive Executive Function Inventory. The intraclass correlation coefficient (ICC) and Bland and Altman methods were used to evaluate agreement. Results: The ICC between parents, teachers and self-report was poor or moderate in the group with ADHD; in the control group the agreement was fair to good. The Bland and Altman graphs show that, in the control group, most of the scores are below to the clinical cut-off point, while in the group with ADHD they are above. Conclusions: Agreement between all raters was low. Parents, teachers and adolescents agreed on the absence of deficits in behavioral EF in the control group, and on the presence of deficits in the group with ADHD, although they did not agree on the frequency of these deficits.

Medication Adherence in Adolescents with Psychiatric Disorders

“…For instance, studies investigating the quality of life in children with mental disorders found that parents often assess their children's attitudes and beliefs diff erently than the children themselves, especially when questioned about psychosocial circumstances like school and social and emotional experiences (Galloway & Newman, 2017;Lee et al, 2019). Other examples include a study that found low interrater agreement between parents and their adolescent children on behavioral executive function measures or ADHD symptoms (Krieger et al, 2019).…”

Estrés familiar y funciones ejecutivas en niños con TDAH de 8 a 12 años de un centro especializado de la ciudad de Cuenca - Ecuador

“…Es determinante comprender la función de la familia, el sistema de valores, la función de normas, regulación, estructura, la plenitud de las relaciones familiares con el entorno (Presentación-Herrero et al, 2006). Entre los factores a considerar para contrarrestar el funcionamiento mental se encuentra determinado además por adaptabilidad, para lo cual es necesario conocer los riesgos y las posibilidades de acrecentar esta vulnerabilidad, donde el niño se encuentra y para lo cual existe una tendencia a asimilar patologías con problemas de conducta, es decir, las normas y reglas mal establecidas o ausentes son las que aumentan de manera inconsciente esta presencia de criterios, donde se manifiestan en ocasiones con prácticas autoritarias y hostiles de crianza, abuso verbal y físico (Krieger et al, 2019).…”

Normal executive attention but abnormal orienting attention in individuals with sluggish cognitive tempo

“…Dysfunction in attention, one of the key symptoms of SCT, plays a critical role in cognitive deficits affecting the impairment in several domains of life activities of individuals with SCT. An extensive body of research on ADHD, which is most relevant to attentional problem, has focused on the executive function problem and widely ranging cognitive impairments such as response inhibition and response variability in general ( Bauermeister et al, 2012 , Krieger et al, 2019 , Ruiz-Herrera et al, 2020 , Willcutt et al, 2014 ).…”