The test of variables of attention (TOVA) is useful in the diagnosis of Japanese male children with attention deficit hyperactivity disorder

Wada, Naoko; Yamashita, Yushiro; Matsuishi, Toyojiro; Ohtani, Yasuyo; Kato, Hiroko

doi:10.1016/s0387-7604(00)00168-6

Cited by 45 publications

(29 citation statements)

References 7 publications

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“…While the literature on the predictive power and sensitivity/specificity of neuropsychological measures is mixed, several measures (e.g., go/no-go, Stroop, divided attention, and continuous performance tasks) have been shown to consistently differentiate children with ADHD from controls (Berlin et al 2004;Harris et al 1995;Kaufmann et al 2010;Wada et al 2000) and from children with other conditions (e.g., high functioning autism; Mahone et al 2006). Further, emerging research suggests that select neuropsychological test batteries may be even more sensitive and specific for diagnosis of ADHD than any one individual measure alone (Gupta et al 2011;Hale, et al 2009).…”

Section: Use Of Psychometric Tests In the Diagnosis Of Adhdmentioning

confidence: 99%

The Role of Neuropsychological Assessment in the Functional Outcomes of Children with ADHD

et al. 2011

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The value of evidence-based services is now recognized both within clinical communities and by the public at large. Increasingly, neuropsychologists must justify the necessity of often costly and time-consuming neuropsychological assessments in the diagnosis and treatment of common childhood disorders, such as Attention-deficit/Hyperactivity Disorder (ADHD). Published medical guidelines and prominent researchers, however, have argued against the need for formal neuropsychological assessment of ADHD. The present review examines the literature on developmental outcomes in childhood ADHD, with emphasis on the utility of formal neuropsychological assessment among children diagnosed and treated in primary care settings. The review yields three central findings: 1) adherence to published diagnostic guidelines for ADHD is poor among pediatric and primary care physicians; 2) ADHD most often co-exists with other disorders, thus diagnoses made without formal psychometric assessment can be incomplete or incorrect, ultimately increasing treatment costs; and, 3) untreated children with ADHD, and those who have untreated comorbidities, are at greater risk for poor outcomes in social, academic, vocational, and practical settings. The available literature suggests that neuropsychological assessment provides information that can potentially reduce risks for poor outcomes and improve quality of life among children with ADHD. Controlled studies directly examining the impact of neuropsychological assessments in improving outcomes among children with ADHD are needed.

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Section: Use Of Psychometric Tests In the Diagnosis Of Adhdmentioning

confidence: 99%

The Role of Neuropsychological Assessment in the Functional Outcomes of Children with ADHD

et al. 2011

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“…The current study used the visual version of the TOVA, a CPT that controls for some confounds of previous CPTs, such as the use of letters, working memory, and right-left discrimination and is therefore purportedly a "purer" measure of sustained attention (Greenberg & Waldman, 1993). To date, three studies have demonstrated its utility as a clinical tool, both in discriminating children with ADHD from normal controls (Schatz, Ballantyne, & Trauner, 2001;Wada, Yamashita, Matsuishi, Ohtani, & Kato, 2000) and from children with other clinical disorders (Forbes, 1998).…”

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Utility of a CPT in Diagnosing ADHD among a Representative Sample of High-Risk Children: A Cautionary Study

Preston

Fennell

Bussing

2005

Child Neuropsychology

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Continuous performance tests (CPTs) are widely used in the assessment and study of attention deficit hyperactivity disorder (ADHD). Although CPTs have reliably found differences between children with ADHD and normal controls, discriminating between children with ADHD and children with subclinical levels of behavioral or cognitive problems is a more clinically relevant and difficult endeavor. Additionally, most studies use convenience samples from clinical care settings that may not represent the ADHD population as a whole. The current study assessed the utility of a clinically used CPT, the Test of Variables of Attention (TOVA), in distinguishing between children with ADHD and children with subclinical levels of attention/behavior problems. Participants constituted a representative sample of elementary school students at high risk for ADHD, including 116 children with ADHD and 51 subclinical controls. Results found no significant differences between the ADHD and subclinical group on CPT variables, and CPT performance did not reliably predict group membership. Implications of the findings are discussed.

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“…The age distribution of subjects in this study was not specified. Wada, Yamashita, Matsuishi, Ohtani, and Kato (2000) compared 17 Japanese boys with ADHD, 6-12 years of age, with 19 control subjects, and observed age-related change in TOVA scores in the control group but not the ADHD group. Lin, Hsiao, and Chen (1999) studied a sample of 233 school children in Taiwan using a Sunshine Systems CPT and found a curvilinear improvement in performance between 6-12 years of age, with the greatest improvement seen at earlier ages.…”

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confidence: 99%

Cross-cultural study of the childhood developmental trajectory of attention and impulse control

Brewis¹,

Schmidt

Casas³

2003

International Journal of Behavioral Development

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The maturation lag model explains inattention and impulsivity in Attention Deficit Hyperactivity Disorder (ADHD) as delayed maturation along a normal developmental trajectory. The concept of a cross-culturally uniform developmental trajectory is tested by a comparison of the performance of 212 Mexican school children on the Test of Variable Attention (TOVA) with the performance of populations previously studied. An observed pattern of decreasing errors of omission (indicating improving ability to sustain attention) with increasing age did confirm the predictions of the existing developmental trajectory model, although the shape of this change was linear rather than curvilinear. A predicted age-related decrease in errors of commission (indicating improving impulse control) was not observed. Gender differences in attentional and impulse control measures among Mexican children, aged 6-12 years, were not significant, in contrast to the findings of previous US studies in which boys performed poorly compared with girls. Mexican children made significantly more errors of omission and commission than American children, indicating greater degrees of characteristic inattentive and impulsive behaviours in childhood. These results indicate that the assumption of a uniform developmental trajectory of these behaviours should be carefully considered before it is applied to understanding children's behaviour in culturally diverse settings.Extremely inattentive and impulsive behaviour in children is associated with Attention Deficit Hyperactivity Disorder (ADHD). However, impulsivity and inattention at lower levels are expected and common behaviour in most children, especially at younger ages. As they mature, children are believed to move along a trajectory toward increased attentional performance and impulse control, and these types of behaviour usually lessen or disappear with increasing age. The ''maturation lag'' theory proposes that the behaviour of children with ADHD may be explained by relative delays along this typical developmental trajectory for attention and impulse control, as compared with other children of the same age (

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The test of variables of attention (TOVA) is useful in the diagnosis of Japanese male children with attention deficit hyperactivity disorder

Cited by 45 publications

References 7 publications

The Role of Neuropsychological Assessment in the Functional Outcomes of Children with ADHD

The Role of Neuropsychological Assessment in the Functional Outcomes of Children with ADHD

Utility of a CPT in Diagnosing ADHD among a Representative Sample of High-Risk Children: A Cautionary Study

Cross-cultural study of the childhood developmental trajectory of attention and impulse control

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