Objective: The aim of this study is to explore the connections within and between three measures of adult ADHD: the Behavior Rating Inventory of Executive Function–Adult Version (BRIEF-A)–Self-Report, Conners’ Adult ADHD Rating Scale–Investigator-Rated (CAARS-Inv), and Test of Variables of Attention (TOVA). Method: Data of 89 adults with ADHD (ages = 18-54, 46% females) who were assessed using these measures during pretreatment visits of a randomized study of metadoxine XR were analyzed. Results: The CAARS-Inv and TOVA did not correlate. The BRIEF-A correlated extensively with both the CAARS-Inv and TOVA, primarily via its Behavioral Regulation Index (BRI). The BRIEF-A Metacognition Index correlated with the CAARS-Inv inattentive score, while the BRI correlated with the CAARS-Inv hyperactive-impulsive score. Within the CAARS and TOVA, inattention and hyperactivity-impulsivity correlated weakly. Conclusion: The measures seem to capture different aspects of adult ADHD. While the CAARS-Inv addresses mainly the domain of symptoms, and the TOVA that of impairment, the BRIEF-A captures aspects of both.
AdlerL. A.FaraoneS. V.SpencerT. J.MichelsonD.ReimherrF. W.GlattS. J.. . . BiedermanJ. (2008). The reliability and validity of self- and investigator ratings of ADHD in adults. Journal of Attention Disorders, 11, 711-719.
2.
AdlerL. A.TanakaY.WilliamsD.TrzepaczP. T.GotoT.AllenA. J.. . . UpadhyayaH. P. (2014). Executive function in adults with attention-deficit/hyperactivity disorder during treatment with atomoxetine in a randomized, placebo-controlled, withdrawal study. Journal of Clinical Psychopharmacology, 34, 461-466. doi:10.1097/JCP.0000000000000138
3.
AllanD. M.LoniganC. J. (2015). Relations between response trajectories on the continuous performance test and teacher-rated problem behaviors in preschoolers. Psychological Assessment, 27, 678-688.
4.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
5.
American Psychiatric Association. (2013a). Attention-deficit/hyperactivity disorder. In Diagnostic and statistical manual of mental disorders (5th ed., p. 59). Arlington, VA: American Psychiatric Publishing.
6.
American Psychiatric Association. (2013b). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
7.
BarkleyR. A.CunninghamC. E.GordonM.FaraoneS. V.LewandowskiL.MurphyK. R. (2006). ADHD symptoms vs. impairment: Revisited. The ADHD Report: Special Issue—Focus on Assessment, 14(2), 1-9.
8.
BarnardH.RaoR.XuY.FroehlichT.EpsteinJ.LanphearB. P.YoltonK. (2015). Association of the Conners’ Kiddie Continuous Performance Test (K-CPT) performance and parent-report measures of behavior and executive functioning.Journal of Attention Disorders. Advance online publication. doi:10.1177/1087054715578271
9.
BrewisA. (2002). Social and biological measures of hyperactivity and inattention: Are they describing similar underlying constructs of child behavior?Social Biology, 49, 99-115.
10.
ConnersC. K.ErhardtD.SparrowE. (1999). Conners’ adult ADHD rating scales: CAARS. New York, NY: Multi-Health Systems.
11.
DanceyC.ReidyJ. (Eds.). (2004). Statistics without math for psychology: Using SPSS for Windows. New York, NY: Prentice Hall.
12.
De BruyckereK.BusheC.BartelC.BerggrenL.KanC. C.DittmannR. W. (2016). Relationships between functional outcomes and symptomatic improvement in atomoxetine-treated adult patients with attention-deficit/hyperactivity disorder: Post hoc analysis of an integrated database. CNS Drugs, 25, 1-18.
13.
DondersJ. (2002). The Behavior rating inventory of executive function: Introduction. Child Neuropsychology, 8, 229-230.
14.
DuPaulG. J.AnastopoulosA. D.SheltonT. L.GuevremontD. C.MeteviaL. (1992). Multimethod assessment of attention-deficit hyperactivity disorder: The diagnostic utility of clinic-based tests. Journal of Clinical Child Psychology, 21, 394-402.
15.
ForbesG. B. (1998). Clinical utility of the Test of variables of attention (TOVA) in the diagnosis of attention-deficit/hyperactivity disorder. Journal of Clinical Psychology, 54, 461-476.
GreenbergL. M.KindschiC. L.DupuyT. R.HughesS. J. (1994). Test of variables of attention continuous performance test. Los Alamitos, CA: The TOVATM Company.
18.
GreenbergL. M.WaldmantI. D. (1993). Developmental normative data on the Test of variables of attention (TOVA™). Journal of Child Psychology and Psychiatry, 34, 1019-1030.
19.
HaavikJ.HalmøyA.LundervoldA. J.FasmerO. B. (2010). Clinical assessment and diagnosis of adults with attention-deficit/hyperactivity disorder. Expert Review of Neurotherapeutics, 10, 1569-1580.
20.
HarrisonA. G.NayS.ArmstrongI. T. (2016). Diagnostic accuracy of the Conners’ adult ADHD rating scale in a postsecondary population. Journal of Attention Disorders. Advance online publication. doi:10.1177/1087054715625299.
21.
LaraC.FayyadJ.De GraafR.KesslerR. C.Aguilar-GaxiolaS.AngermeyerM.. . . JinR. (2009). Childhood predictors of adult attention-deficit/hyperactivity disorder: Results from the world health organization world mental health survey initiative. Biological Psychiatry, 65, 46-54.
22.
LearkR. A.WallaceD. R.FitzgeraldR. (2004). Test–retest reliability and standard error of measurement for the test of variables of attention (T.O.V.A.) with healthy school-age children. Assessment, 11, 285-289.
23.
McCandlessS.O’LaughlinL. (2007). The clinical utility of the Behavior rating inventory of executive function (BRIEF) in the diagnosis of ADHD. Journal of Attention Disorders, 10, 381-389.
24.
MillsteinR. B.WilensT. E.BiedermanJ.SpencerT. J. (1997). Presenting ADHD symptoms and subtypes in clinically referred adults with ADHD. Journal of Attention Disorders, 2, 159-166.
25.
NaglieriJ. A.GoldsteinS.DelauderB. Y.SchwebachA. (2005). Relationships between the WISC-III and the cognitive assessment system with Conners’ rating scales and continuous performance tests. Archives of Clinical Neuropsychology, 20, 385-401.
26.
RiccioC. A.ReynoldsC. R. (2001). Continuous performance tests are sensitive to ADHD in adults but lack specificity. Annals of the New York Academy of Sciences, 931, 113-139.
27.
RiccioC. A.ReynoldsC. R.LoweP.MooreJ. J. (2002). The continuous performance test: A window on the neural substrates for attention?Archives of Clinical Neuropsychology, 17, 235-272.
28.
Rotenberg-ShpigelmanS.RapaportR.SternA.Hartman-MaeirA. (2008). Content validity and internal consistency reliability of the behavior rating inventory of executive function-adult version (BRIEF-A) in Israeli adults with attention-deficit/hyperactivity disorder. Israeli Journal of Occupational Therapy, 17, 77-96.
29.
SadockB. J.SadockV. A.RuizP. (2014). Attention deficit/hyperactivity disorder. In SadockB. J.SadockV. A.RuizP. (Eds.), Kaplan and Sadock’s Synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed., p. 1171). Philadelphia, PA: Lippincott Williams & Wilkins.
30.
SchatzA. M.BallantyneA. O.TraunerD. A. (2001). Sensitivity and specificity of a computerized test of attention in the diagnosis of attention-deficit/hyperactivity disorder. Assessment, 8, 357-365.
31.
SimsD. M.LoniganC. J. (2012). Multi-method assessment of ADHD characteristics in preschool children: Relations between measures. Early Childhood Research Quarterly, 27, 329-337.
32.
SmythA. C.MeierS. T. (2016). Evaluating the psychometric properties of the Conners’ adult ADHD rating scales. Journal of Attention Disorders. Advance online publication. doi:1087054715624230
33.
TaylorA.DebS.UnwinG. (2011). Scales for the identification of adults with attention deficit hyperactivity disorder (ADHD): A systematic review. Research in Developmental Disabilities, 32, 924-938.
34.
ThaparA. K.ThaparA. (2003). Attention-deficit hyperactivity disorder. The British Journal of General Practice, 53(488), 225-230.
35.
WeislerR.AdlerL. A.RubinJ.DanielyY.ManorI. (2014). A phase 3, randomized, double-blind, placebo-controlled study of metadoxine extended release 1400mg compared with placebo once daily in 300 adults with ADHD. 61st Annual Meeting, AACAP.
