An Analysis of the Barkley Deficits in Executive Functioning Scale in a College Population: Does It Predict Symptoms of ADHD Better Than a Visual-Search Task?

Abstract

Objective: Executive functioning (EF) deficits have been associated with ADHD. However, disagreement exists concerning the extent to which cognitive tests of EF accurately reflect a diagnosis of ADHD. Barkley developed the Barkley Deficits in Executive Functioning Scale (BDEFS) by categorizing the meta-construct of EF into five subdomains. This study investigated the incremental validity of the BDEFS in predicting symptoms of ADHD compared with a visual-search task. We also investigated patterns among the five BDEFS domains. Method: One hundred and sixteen college students completed a visual-search task and the BDEFS and reported on their symptoms of ADHD. Results: (a) BDEFS total scores significantly predicted total ADHD symptoms, whereas the visual-search task failed to predict ADHD symptoms. (b) The BDEFS demonstrated significant correlations with symptoms of ADHD in expected patterns. Conclusion: This study provides evidence of validity for the BDEFS in a college sample.

Keywords

ADHD executive functioning BDEFS college students

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References

Anderson

Northam

E. J.

Mikiewicz

(2002). Relationships between cognitive and behavioral measures of executive functioning in children with brain disease. Child Neuropsychology, 8, 231-240. doi:0929-7049/02/0804-231

Ardila

Surloff

(2007). Dysexcutive sydromes. San Diego, CA: MedLink.

Barkley

R. A.

(1997). Inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65-94.

Barkley

R. A.

(2001). ADHD and the nature of self-control. New York, NY: Guilford. (Original work published 1997)

Barkley

R. A.

Murphy

K. R.

(2010). Impairment in occupational functioning and adult ADHD: The predictive utility of executive function (EF) ratings versus EF tests. Archives of Clinical Neuropsychology, 25, 157-173.

Barkley

R. A.

(2011a). Barkley Adult ADHD Rating Scale (BAARS-IV). New York, NY: Guilford.

Barkley

R. A.

(2011b). Barkley Deficits in Executive Functioning Scale (BDEFS). New York, NY: Guilford.

Barkley

R. A.

(2011c, November). Executive functioning and self-regulation in Adults with ADHD: Nature, assessment and treatment. Symposium at Children and Adults with ADHD (CHADD) Conference, Orlando, FL.

Barkley

R. A.

Murphy

K. R.

(2011). The nature of executive function (EF) deficits in daily life activities in adults with ADHD and their relationship to performance on EF Tests. Journal of Psychopathology and Behavioral Assessment, 33, 137-158.

10.

Barkley

R. A.

(2012a). Distinguishing sluggish cognitive tempo from attention-deficit/hyperactivity disorder in adults. Journal of abnormal psychology, 121, 978-990. doi:10.1037/a0023961

11.

Barkley

R. A.

(2012b). Executive functions: What they are, how they work, and why they evolved. New York, NY: Guilford.

12.

Burgess

P. W.

Shallice

(1996). Response suppression, initiation and strategy use following frontal lobe lesions. Neuropsychologia, 34, 263-272.

13.

Carlson

Mann

(2002). Sluggish cognitive tempo predicts a different pattern of impairment in the attention deficit hyperactivity disorder, predominantly inattentive type. Journal of Clinical Child & Adolescent Psychology, 31, 123-129.

14.

Castellanos

Sonuga-Barke

Milham

Tannock

(2006). Characterizing cognition in ADHD: Beyond executive dysfunction. Trends in Cognitive Science, 10, 117-123.

15.

Chun

M. M.

Potter

M. C.

(1995). A two-stage model for multiple target detection in rapid serial visual presentation. Journal of Experimental Psychology: Human Perception and Performance, 21, 109-127.

16.

Conners

C. K.

(1995). Conners’ continuous performance test. Toronto, Ontario, Canada: Multi-Health Systems.

17.

Denckla

M. B.

(1996). A theory and model of executive function: A neuropsychological perspective. In Lyon

G. R.

Krasnegor

N. A.

(Eds.), Attention, memory, and executive function (pp. 263-278). Baltimore, MD: Brookes.

18.

Dias

Mattos

Coutinho

Segenreich

Saboya

Ayrao

(2008). Agreement rates between parent and self-report on past ADHD symptoms in an adult clinical sample. Journal of Attention Disorders, 12, 70-75.

19.

DuPaul

G. J.

Weyandt

L. L.

O’Dell

S. M.

Varejao

(2009). College students with ADHD. Journal of Attention Disorders, 13, 234-250.

20.

Eslinger

P. J.

(1996). Conceptualizing, describing, and measuring components of executive function: A summary. In Lyon

G. R.

Krasnegor

N. A.

(Eds.), Attention, memory, and executive function (pp. 367-395). Baltimore, MD: Brookes.

21.

Fisk

J. E.

Sharp

C. A.

(2004). Age-related impairment in executive functioning: Updating, inhibition, shifting, and access. Journal of Clinical and Experimental Neuropsychology, 26, 874-890.

22.

Folk

C. L.

Leber

A. B.

Egeth

H. E.

(2002). Made you blink! contingent attentional capture produces a spatial blink. Perception & Psychophysics, 64, 741-753.

23.

Frazier

T. W.

Demareem

H. A.

Youngstrom

E. A.

(2004). Meta-analysis of intellectual and neuropsychological test performance in attention-deficit/hyperactivity disorder. Neuropsychology, 18, 543-555.

24.

Frick

P. J.

Lahey

B. B.

Applegate

Kerdyck

Ollendick

Hynd

G. W.

. . .Waldman

(1994). DSM-IV field trials for the disruptive behavior disorders: Symptom utility estimates. Journal of the American Academy of Child & Adolescent Psychiatry, 33, 529-539.

25.

Fuster

(1997). The prefrontal cortex (3rd ed.). Philadelphia, PA: Lippincott-Raven.

26.

Garner

Marceaux

Mrug

Patterson

Hodgens

(2010). Dimensions and correlates of attention deficit/hyperactivity disorder and sluggish cognitive tempo. Journal of Abnormal Psychology, 38, 1097-1107.

27.

Glutting

J. J.

Youngstrom

E. A.

Watkins

M. W.

(2005). ADHD and college students: Exploratory and confirmatory factor structures with student and parent data. Psychological Assessment, 17, 44-55.

28.

Goldberg

(2001). The executive brain. New York, NY: Oxford University Press.

29.

Gordon

(1983). The Gordon diagnostic system. De Witt, NY: Gordon Systems.

30.

Greenberg

L. M.

(1991). TOVA™ interpretation manual. Minneapolis, MN: Author

31.

Hartman

Willcutt

Rhee

Pennington

(2004). The relation between sluggish cognitive tempo and DSM-IV ADHD. Journal of Abnormal Child Psychology, 32, 491-503.

32.

Heaton

(1981). Wisconsin card sorting test: Manual. Odessa, Ukraine: Psychological Assessment Resources.

33.

Hollingsworth

D. E.

McAuliffe

S. P.

Knowlton

B. J.

(2001). Temporal allocation of visual attention in adult attention deficit hyperactivity disorder. Journal of Cognitive Neuroscience, 13, 298-305. doi:http://dx.doi.org/10.1162/08989290151137359

34.

Jurado

M. B.

Rosselli

(2007). The elusive nature of executive functions: A review of our current understanding. Neuropsychology Review, 17, 213-233.

35.

Lahey

B. B.

Pelham

W. E.

Schaughency

E. A.

Atkins

M. S.

Murphy

Hynd

. . .Lorys-Vernon

(1988). Dimensions and types of attention deficit disorder. American Academy of Child & Adolescent Psychiatry, 27, 330-335.

36.

Lewis

R. F.

Kelland

D. Z.

Kupke

(1990). A normative study of the repeatable cognitive-perceptual-motor battery. Archives of Clinical Neuropsychology, 5, 201-214.

37.

Lezak

M. D.

(1983). Neuropsychological assessment (2nd ed.). New York, NY: Oxford University Press.

38.

Lezak

M. D.

Howieson

D. B.

Loring

D. W.

(2004). Neuropsychological Assessment (4th ed.). New York, NY: Oxford University Press.

39.

C. R.

Chen

Lin

Yang

(2005). Attentional blink in adolescents with varying levels of impulsivity. Journal of Psychiatric Research, 39, 197-205. doi:http://dx.doi.org/10.1016/j.jpsychires.2004.06.003

40.

C. R.

Lin

Chang

Hung

(2004). A psychophysical measure of attention deficit in children with attention-Deficit/Hyperactivity disorder. Journal of Abnormal Psychology, 113, 228-236. doi:http://dx.doi.org/10.1037/0021-843X.113.2.228

41.

Luria

A. R.

(1980). Higher cortical functions in man (2nd ed.). New York, NY: Basic.

42.

Marchetta

Hurks

DeSonneville

Krabbendam Jolles

(2008). Sustained and focused attention deficits in adult ADHD. Journal of Attention Disorders, 11, 664-676.

43.

Mason

D. J.

Humphreys

G. W.

Kent

(2005). Insights into the control of attentional set in ADHD using the attentional blink paradigm. Journal of Child Psychology and Psychiatry, 46, 1345-1353. doi:http://dx.doi.org/10.1111/j.1469-7610.2005.01428.x

44.

Miyake

Friedman

N. P.

Emerson

M. J.

Witzki

A. H.

Howerter

(2000). The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: A latent variable analysis. Cognitive Psychology, 41, 49-100.

45.

Pennington

B. F.

Ozonoff

(1996). Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry, 37, 51-87.

46.

Prevatt

Yelland

(2015). An empirical evaluation of ADHD coaching in college students. Journal of Attention Disorders, 19, 666-677. doi:10.117711087054713480036

47.

Quay

H. C.

(1997). Inhibition and attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology: An Official Publication of the International Society for Research in Child and Adolescent Psychopathology, 25, 7-13.

48.

Reitan

R. M.

Wolfson

(1985). The Halstead–Reitan Neuropsycholgical Test Battery: Therapy and clinical interpretation. Tucson, AZ: Neuropsychological Press.

49.

Shallice

Burgess

P. W.

(1991). Deficits in strategy application following frontal lobe damage in man. Brain, 114, 727-741.

50.

Shallice

Evans

M. E.

(1978). The involvement of the frontal lobes in cognitive estimation. Cortex, 14, 294-303.

51.

Shapiro

K. L.

Raymond

J. E.

Arnell

K. M.

(1994). Attention to visual pattern information produces the attentional blink in RSVP. Journal of Experimental Psychology: Human Perception and Performance, 20, 357-371.

52.

Stroop

J. R.

(1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology, 18, 643-662.

53.

Stuss

D. T.

Knight

R. T.

(2002). Principles of frontal lobe function. New York, NY: Oxford University Press.

54.

Tannock

(1998). Attention deficit hyperactivity disorder: Advances in cognitive, neurobiological, and genetic research. Journal of Child Psychology and Psychiatry, 39, 65-99.

55.

Trenerry

M. R.

Crosson

DeBoe

Lebere

W. R.

(1989). Stroop neuropsychological screening test. Odessa, FL: Psychological Assessment Resources.

56.

Ward

Duncan

(1996). The slow time-course of visual attention. Cognitive Psychology, 30, 79-109.

57.

Wechsler

(2009). Wechsler Adult Intelligence Scale (4th ed.). San Antonio, TX: Psychological Corporation.

58.

Welsh

M. C.

Pennington

B. F.

(1988). Assessing frontal lobe functioning in children: Views from developmental psychology. Developmental Neuropsychology, 4, 199-230.

59.

Willcutt

E. G.

Doyle

A. E.

Nigg

J. T.

Faraone

S. V.

Pennington

B. F.

(2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological psychiatry, 57, 1336-1346.