The present study evaluated the utility of the Behavioral Assessment of Dysexecutive Syndrome for Children for discerning differences in executive functioning between attention-deficit hyperactivity disorder (ADHD) children and normal controls and examined its associations with real-life executive function as rated by parent reports on the Dysexecutive Questionnaire for Children. Sixty-three children diagnosed with ADHD and 60 normal healthy peers were recruited for this study. All participants completed the Behavioral Assessment of Dysexecutive Syndrome for Children, while their parents completed the Dysexecutive Questionnaire for Children. Results revealed that the ADHD group exhibited significantly poorer performance than the controls on 3 subtests of the Behavioral Assessment of Dysexecutive Syndrome for Children (ie, Playing Cards Test, Water Test, and Zoo Map Test 2), as well as on the total Dysexecutive Questionnaire for Children. Significant correlation was found between the total Dysexecutive Questionnaire for Children and the 6-Part Test. Findings suggested that some subtests of the Behavioral Assessment of Dysexecutive Syndrome for Children were particularly useful for detecting real-life executive dysfunction in ADHD. Yet, further studies are needed to provide extended validity data.
EmslieHWilsonFCBurdenV. Behavioural Assessment of the Dysexecutive Syndrome in Children (BADS-C). London: Harcourt Assessment/The Psychological Corporation; 2003.
3.
NormanDAShalliceT. Attention to action: willed and automatice control of behavior. In: DavidsonRJSchwartzGEShapiroD, eds. Consciousness and Self-Regulation: Advances in Research and Theory, Vol. 4. New York: Plenum; 1986:1–18.
4.
BarkleyRA. Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychol Bull. 1997;121:65–94.
5.
RoyallDRLauterbachECCummingsJL. Executive control function: a review of its promise and challenges for clinical research. J Neuropsychiatry Clin Neurosci. 2002;14:377–405.
6.
ColletteFVan der LindenMLaureysS. Exploring the unity and diversity of the neural substrates of executive functioning. Human Brain Mapping. 2005;25:409–423.
7.
FriedmanNPMiyakeA. The relations among inhibition and interference control functions: a latent-variable analysis. J Exp Psychol. 2004;133:101–135.
8.
HuizingaMDolanCVvan der MolenMW. Age-related change in executive function: developmental trends and a latent variable analysis. Neuropsychologia. 2006;44:2017–2036.
9.
LehtoJEJuujärviPKooistraL. Dimensions of executive functioning: Evidence from children. Br J Dev Psychol. 2003;21:59–80.
10.
MiyakeAFriedmanNPEmersonMJ. The unity and diversity of executive functions and their contributions to complex “Frontal Lobe” tasks: a latent variable analysis. Cogn Psychol. 2000;41:49–100.
11.
GaronNBrysonSESmithIM. Executive function in preschoolers: a review using an integrative framework. Psychol Bull. 2008;134:31–60.
12.
WillcuttEGDoyleAENiggJT. Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psychiatry. 2005;57:1336–1346.
13.
PolanczykGde LimaMSHortaBL. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry. 2007;164:942–948.
14.
Americal Psychological Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC: American Psychiatric Association; 2000.
15.
BrownTE.Executive functions and attention deficit hyperactivity disorder: Implications of two conflicting views. Int J Disabil Dev Educ. 2006;53:35–46.
16.
HoughtonSDouglasGWestJ. Differential patterns of executive function in children with attention-deficit hyperactivity disorder according to gender and subtype. J Child Neurol. 1999;14:801–805.
17.
NiggJTBlaskeyLGHuang-PollockCL. Neuropsychological executive functions and DSM-IV ADHD subtypes. J Am Acad Child Adolesc Psychiatry. 2002;41:59–66.
18.
GeurtsHMVertéSOosterlaanJ.. ADHD subtypes: Do they differ in their executive functioning profile?Arch Clin Neuropsychol. 2005;20:457–477.
19.
ChhabildasNPenningtonBFWillcuttEG. A comparison of the neuropsychological profiles of the DSM-IV subtypes of ADHD. J Abnorm Child Psychol. 2001;29:529–540.
20.
WillcuttEGPenningtonBFOlsonRK. Neuropsychological analyses of comorbidity between reading disability and Attention Deficit Hyperactivity Disorder: In search of the common deficit. Dev Neuropsychol. 2005;27:35–78.
21.
JonsdottirSBoumaASergeantJA. Relationships between neuropsychological measures of executive function and behavioral measures of ADHD symptoms and comorbid behavior. Arch Clin Neuropsychol. 2006;21:383–394.
22.
HerveyASEpsteinJNCurryJF. Neuropsychology of adults with Attention-Deficit/Hyperactivity Disorder: a meta-analytic review. Neuropsychology. 2004;18:485–503.
23.
ToplakMEWestRFStanovichKE. Practitioner review: do performance-based measures and ratings of executive function assess the same construct?J Child Psychol Psychiatry. 2013;54:131–143.
24.
RothRMIsquithPKGioiaGA. Behavior Rating Inventory of Executive Function—Adult Version: Professional Mannual. Lutz, FL: Psychological Assessment Resources; 2005.
25.
GioiaGAIsquithPKGuySC. Behavior Rating Inventory of Executive Function. Child Neuropsychol. 2000;6:235–238.
26.
McCandlessSO' LaughlinL. The clinical utility of the Behavior Rating Inventory of Executive Function (BRIEF) in the diagnosis of ADHD. J Attenion Disord. 2007;10:381–389.
27.
ChanASCheungMCHanYMY. Executive function deficits and neural discordance in children with Autism Spectrum Disorders. Clin Neurophysiol. 2009;120:1107–1115.
28.
GilottyLKenworthyLSirianL. Adaptive skills and executive function in autism spectrum disorders. Child Neuropsychol. 2002;8:241–248.
29.
MangeotSArmstrongKColvinAN. Long-term executive function deficits in children with traumatic brain injuries: assessment using the Behavior Rating Inventory of Executive Function (BRIEF). Child Neuropsychol. 2002;8:271–284.
30.
BodnarLEPrahmeMCCuttingLE. Construct validity of parent ratings of inhibitory control. Child Neuropsychol. 2007;13:345–362.
31.
McAuleyTChenSGoosL. Is the behavior rating inventory of executive function more strongly associated with measures of impairment or executive function?J Int Neuropsychol Soc. 2010;16:495–505.
32.
VriezenERPigottSE. The relationship between parental report on the BRIEF and performance-based measures of executive function in children with moderate to severe traumatic brain injury. Child Neuropsychol. 2002;8:296–303.
33.
ChaytorNSchmitter-EdgecombeMBurrR. Improving the ecological validity of executive functioning assessment. Arch Clin Neuropsychol. 2006;21:217–227.
34.
WoodRLLiossiC. The ecological validity of executive tests in a severely brain injured sample. Arch Clin Neuropsychol. 2006;21:429–437.
35.
HeatonSKCheluneGJTalleyJL. Wisconsin Card Sorting Test manual: Revised and expanded. Odessa, FL: Psychological Assessment Resources; 1993.
36.
ShalliceT. Specific impairments of planning. Philos Trans R Soc Lond. 1982;298:199–209.
37.
StroopJR. Studies of interference in serial verbal reactions. J Exp Psychol. 1935;18:643–662.
38.
LoganGD. On the ability to inhibit thought and action: a users' guide to the stop signal paradigm. In: DagenbachDThomasH, eds. Inhibitory Processes in Attention, Memory, and Language. San Diego, CA: Academic Press; 1994:189–239.
GevinsACutilloB. Spatiotemporal dynamics of component processes in human working memory. Electroencephalogr Clin Neurophysiol. 1993;87:128–143.
41.
RogersRDMonsellS. Costs of a predictable switch between simple cognitive tasks. J Exp Psychol. 1995;124:207–231.
42.
NavonD. Forest before trees: the precedence of global features in visual perception. Cogn Psychol. 1977;9:353–383.
43.
SpectorABiedermanI. Mental set and mental shift revisited. Am J Psychol. 1976;89:669–679.
44.
EriksenCW. The flankers task and response competition: a useful tool for investigating a variety of cognitive problems. Visual Cogn. 1995;2:101–118.
45.
DeSchepperBTreismanA. Visual memory for novel shapes: implicit coding without attention. J Exp Psychol. 1996;22:27–47.
46.
TolanGATehanG. Determinants of short-term forgetting: decay, retroactive interference or proactive interference?Int J Psychol. 1999;34:285–292.
47.
BurgessPWAldermanNForbesC. The case for the development and use of “ecologically valid” measures of executive function in experimental and clinical neuropsychology. J Int Neuropsychologic Soc. 2006;12:194–209.
48.
KenworthyLYerysBEAnthonyLG. Understanding executive control in autism spectrum disorders in the lab and in the real world. Neuropsychol Rev. 2008;18:320–338.
SuchyY. Executive functioning: overview, assessment, and research issues for non-neuropsychologists. Ann Behav Med. 2009;37:106–116.
51.
WhiteSJBurgessPWHillEL. Impairments on “open-ended” executive function tests in autism. Autism Res. 2009;2:138–147.
52.
WilsonBAAldermanNBurgessPW. Behavioural Assessment of the Dysexecutive Syndrom. St Edmunds, UK: Thames Valley Test Company; 1996.
53.
WilsonBAEvansJJEmslieH. The development of an ecologically valid test for assessing patients with a dysexecutive syndrome. Neuropsychologic Rehabil. 1998;8:213–228.
54.
Paelecke-HabermannYPohlJLeplowB. Attention and executive functions in remitted major depression patients. J Affect Disord. 2005;89:125–135.
55.
KatzNTadmorIFelzenB. The Behavioural Assessment of the Dysexecutive Syndrome (BADS) in schizophrenia and its relation to functional outcomes. Neuropsychologic Rehabil. 2007;17:192–205.
56.
Verdejo-GarcíaAPérez-GarcíaM. Profile of executive deficits in cocaine and heroin polysubstance users: common and differential effects on separate executive components. Psychopharmacology. 2007;190:517–530.
57.
KameiSHaraMSerizawaK. Executive dysfunction using behavioral assessment of the dysexecutive syndrome in Parkinson's disease. Movement Disord. 2008;23:566–573.
Engel-YegerBJosmanNRosenblumS. Behavioural Assessment of the Dysexecutive Syndrome for Children (BADS-C): an examination of construct validity. Neuropsychologic Rehabil. 2009;19:662–676.
60.
WillnerPBaileyRParryR. Evaluation of executive functioning in people with intellectual disabilities. J Intellect Disabil Res. 2010;54:366–379.
61.
ShimoniMEngel-YegerBTiroshE. Executive dysfunctions among boys with Attention Deficit Hyperactivity Disorder (ADHD): performance-based test and parents report. Res Dev Disabil. 2012;33:858–865.
62.
BaronIS. Behavioural Assessment of the Dysexecutive Syndrome for Children (BADS-C) by EmslieHWilsonFCBurdenV. London: Harcourt Assessment/The Psychological Corporation. BADS (-C) may be good. Child Neuropsychol. 2007;13:539–542.
63.
GeisingerKF. Cross-cultural normative assessment: translation and adaptation issues influencing the normative interpretation of assessment instruments. Psychologic Assess. 1994;6:304–312.
