Restricted accessResearch articleFirst published online 2021-2
Multimethod Assessment of Attention,Executive Functions,and Motor Skills in Children With and Without ADHD: Children’s Performance and Parents’ Perceptions
Objective: We examined whether children with attention-deficit/hyperactivity disorder (ADHD) differ from children without ADHD in attention, executive functions, and motor skills and whether measures of parents’ perceptions and children’s performance reveal comparable results. Method: About 52 children with ADHD and 52 children without ADHD aged 6 to 13 years completed performance-based measures of attention, executive functions, and motor skills. Parents completed questionnaires to rate their children’s skills. Results: Parent questionnaires but not performance-based measures revealed higher inattention and lower executive function skills in children with ADHD compared to controls. For motor skills, both measurement methods revealed lower mean values and a higher number of children showing an impairment in the ADHD group. Parent-reported difficulties but not performance-based measures were related to the presence of an ADHD diagnosis. Conclusion: Our findings suggest that considering both parent questionnaires and performance-based measures will lead to a comprehensive picture of a child’s strengths and difficulties.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
3.
AndersonV. A.AndersonP.NorthamE.JacobsR.MikiewiczO. (2002). Relationships between cognitive and behavioral measures of executive function in children with brain disease. Child Neuropsychology: A Journal on Normal and Abnormal Development in Childhood and Adolescence, 8, 231-240. doi:10.1076/chin.8.4.231.13509
4.
BarkleyR. A. (1995). Taking charge of ADHD: The complete, authoritative guide for parents. New York, NY: Guilford Press.
5.
BarkleyR. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65-94. doi:10.1037/0033-2909.121.1.65
6.
BestJ. R.MillerP. H.NaglieriJ. A. (2011). Relations between executive function and academic achievement from ages 5 to 17 in a large, representative national sample. Learning and Individual Differences, 21, 327-336. doi:10.1016/j.lindif.2011.01.007
7.
CayeA.MachadoJ. D.RohdeL. A. (2017). Evaluating parental disagreement in ADHD diagnosis: Can we rely on a single report from home?Journal of Attention Disorders, 2, 561-566. doi:10.1177/1087054713504134
8.
ClaesdotterE.CervinM.ÅkerlundS.RåstamM.LindvallM. (2018). The effects of ADHD on cognitive performance. Nordic Journal of Psychiatry, 72, 158-163. doi:10.1080/08039488.2017.1402951
9.
DasekingM.PetermannU. (2007). Neue diagnostische Verfahren Intelligenzdiagnostik mit dem HAWIK-IV [Assessment of intelligence with the HAWIK-IV]. Kindheit Und Entwicklung, 16, 250-259. doi:10.1026/0942-5403.16.4.250
10.
DrechslerR.SteinhausenH. C. (2013). Verhaltensinventar zur Beurteilung exekutiver Funktionen BRIEF. Deutschsprachige Adaption des Behavior Rating Inventory of Executive Function [BRIEF. Behavior Rating Inventory of Executive Function. German Adaptation]. Bern, Switzerland: Huber.
11.
DuhigA. M.RenkK.EpsteinM. K.PharesV. (2000). Interparental agreement on internalizing, externalizing and total behavior problems: A meta-analysis. Clinical Psychology: Science and Practice, 7, 435-453. doi:10.1093/clipsy.7.4.435
12.
Du RietzE.CheungC. H. M.McLoughlinG.BrandeisD.BanaschewskiT.AshersonP.KuntsiJ. (2016). Self-report of ADHD shows limited agreement with objective markers of persistence and remittance. Journal of Psychiatric Research, 82, 91-99. doi:10.1016/j.jpsychires.2016.07.020
13.
FliersE.RommelseN.VermeulenS. H.AltinkM.BuschgensC. J.FaraoneS. V.. . . BuitelaarJ. K. (2008). Motor coordination problems in children and adolescents with ADHD rated by parents and teachers: Effects of age and gender. Journal of Neural Transmission, 115, 211-220. doi:10.1007/s00702-007-0827-0
14.
FrayP.RobbinsT. W.SahakianB. J. (1996). Neuropsychiatric applications of CANTAB. International Journal of Geriatric Psychiatry, 11, 329-336. doi:10.1002/(SICI)1099-1166(199604)11:4%3C329::AID-GPS453%3E3.0.CO;2-6
15.
FriedR.Hirshfeld-BeckerD.PettyC.BatchelderH.BiedermanJ. (2015). How informative is the CANTAB to assess executive functioning in children with ADHD? A controlled study. Journal of Attention Disorders, 20, 1-8. doi:10.1177/1087054712457038
16.
GauS. S.ShangC. (2010). Executive functions as endophenotypes in ADHD: Evidence from the Cambridge Neuropsychological Test Battery (CANTAB). The Journal of Child Psychology and Psychiatry, 7, 838-849. doi:10.1111/j.1469-7610.2010.02215.x
17.
GioiaG. A.IsquithP. K.GuyS. C.KenworthyL. (2000). Test review: Behavior Rating Inventory of Executive Function. Child Neuropsychology: A Journal on Normal and Abnormal Development in Childhood and Adolescence, 6, 235-238. doi:10.1076/chin.6.3.235.3152
18.
GioiaG. A.IsquithP. K.KenworthyL.BartonR. M. (2002). Profiles of everyday executive function in acquired and developmental disorders. Child Neuropsychology: A Journal on Normal and Abnormal Development in Childhood and Adolescence, 8, 121-137. doi:10.1076/chin.8.2.121.8727
19.
GrobA.Hagmann-von ArxP. (2018). Intelligence and Development Scales–2. Intelligenz- und Entwicklungsskalen für Kinder und Jugendliche (IDS-2) [IDS-2. Intelligence and Development Scales for Children and Adolescents]. Bern, Switzerland: Hogrefe.
20.
HendersonS. E.SugdenD. A. (1992). Movement assessment battery for children. Kent, UK: The Psychological Corporation.
21.
HerveyA. S.EpsteinJ. N.CurryJ. F. (2004). Neuropsychology of adults with attention-deficit/hyperactivity disorder: A meta-analytic review. Neuropsychology, 18, 485-503. doi:10.1037/0894-4105.18.3.485
22.
Kennedy-BehrA.WilsonB. N.RodgerS.MickanS. (2013). Cross-cultural adaptation of the Developmental Coordination Disorder Questionnaire 2007 for German-speaking countries: DCDQ-G. Neuropediatrics, 44, 245-251. doi:10.1055/s-0033-1347936
23.
LevyJ. D.KronenbergerW. G.DunnD. W. (2017). Development of a very brief measure of ADHD: The CHAOS scale. Journal of Attention Disorders, 2, 575-586. doi:10.1177/1087054713497792
24.
LidzbaK.ChristiansenH.DrechslerR. (2013). Conners Skalen zu Aufmerksamkeit und Verhalten-3. Deutschsprachige Adaptation der Conners 3rd edition von Keith Conners [German adaptation and normalization of the Conners-3 questionnaires]. Bern, Switzerland: Huber.
25.
LoeI. M.FeldmanH. M. (2007). Academic and educational outcomes of children with ADHD. Ambulatory Pediatrics: The Official Journal of the Ambulatory Pediatric Association, 7, 82-90. doi:10.1016/j.ambp.2006.05.005
26.
LucianaM. (2003). Practitioner review: Computerized assessment of neuropsychological function in children: Clinical and research applications of the Cambridge Neuropsychological Testing Automated Battery (CANTAB). The Journal of Child Psychology and Psychiatry, 44, 649-663. doi:10.1111/1469-7610.00152
27.
MaedgenJ. W.CarlsonC. L. (2000). Social functioning and emotional regulation in the attention deficit hyperactivity disorder subtypes. Journal of Clinical Child Psychology, 29, 30-42. doi:10.1207/S15374424jccp2901
28.
MartinussenR.HaydenJ.Hogg-JohnsonS.TannockR. (2005). A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 377-384. doi:10.1097/01.chi.0000153228.72591.73
29.
McAuleyT.ChenS.GoosL.SchacharR.CrosbieJ. (2010). Is the Behavior Rating Inventory of Executive Function more strongly associated with measures of impairment or executive function?Journal of the International Neuropsychological Society, 16, 495-505. doi:10.1017/S1355617710000093
30.
MoffittT. E.ArseneaultL.BelskyD.DicksonN.HancoxR. J.HarringtonH.. . . CaspiA. (2011). A gradient of childhood self-control predicts health, wealth, and public safety. Proceedings of the National Academy of Sciences of the United States of America, 108, 2693-2698. doi:10.1073/pnas.1010076108
31.
PetermannF. (2008). Movement Assessment Battery for Children (2nd ed.). Frankfurt, Germany: Pearson Assessment.
32.
PetermannF.PetermannU. (Eds.). (2011). Wechsler Intelligence Scale for Children (WISC-IV). Frankfurt, Germany: Pearson Assessment.
33.
PiekJ. P.PitcherT. M.HayD. A. (1999). Motor coordination and kinaesthesis in boys with attention deficit-hyperactivity disorder. Developmental Medicine & Child Neurology, 41, 159-165. doi:10.1111/j.1469-8749.1999.tb00575.x
34.
PierrehumbertB.BaderM.ThévozS.KinalA.HalfonO. (2006). Hyperactivity and attention problems in a Swiss sample of school-aged children: Effects of school achievement, child gender, and informants. Journal of Attention Disorders, 10, 65-76. doi:10.1177/1087054705286050
35.
PolanczykG. B.SilvadeLimaM.HortaB. L.BiedermanJ.RohdeL. A. (2007). The worldwide prevalence of ADHD: A systematic review and metaregression analysis. American Journal of Psychiatry, 164, 942-948. doi:10.1176/ajp.2007.164.6.942
36.
RasmussenP.GillbergC. (2000). Natural outcome of ADHD with developmental coordination disorder at age 22 years: A controlled, longitudinal, community-based study. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 1424-1431. doi:10.1097/00004583-200011000-00017
37.
RinskyJ. R.HinshawS. P. (2011). Linkages between childhood executive functioning and adolescent social functioning and psychopathology in girls with ADHD. Child Neuropsychology: A Journal on Normal and Abnormal Development in Childhood and Adolescence, 17, 368-390. doi:10.1080/09297049.2010.544649
38.
SalwinaW.IsmailW.BaharudinA.RuzyaneiN.JaafarN.MidinM. (2013). Attention deficit hyperactivity disorder symptoms reporting in Malaysian adolescents: Do adolescents, parents and teachers agree with each other?Asian Journal of Psychiatry, 6, 483-487. doi:10.1016/j.ajp.2013.05.001
Subcommittee on Attention-Deficit/Hyperactivity Disorder Steering Committee on Quality Improvement and Management. (2011). ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 128, 1007-1022. doi:10.1542/peds.2011-2654
41.
SyväojaH. J.TammelinT. H.AhonenT.RäsänenP.TolvanenA.KankaanpääA.KantomaaM. T. (2015). Internal consistency and stability of the CANTAB neuropsychological test battery in children. Psychological Assessment, 27, 698-709. doi:10.1037/a0038485
42.
ThompsonK. (2007). Medicines for mental health: The ultimate guide to psychiatric medication. North Charleston, SC: Book Surge.
43.
ToplakM. E.WestR. F.StanovichK. E. (2013). Practitioner review: Do performance-based measures and ratings of executive function assess the same construct?The Journal of Child Psychology and Psychiatry, 54, 131-143. doi:10.1111/jcpp.12001
44.
WalshawP. D.AlloyL. B.SabbF. W. (2010). Executive function in pediatric bipolar disorder and attention-deficit hyperactivity disorder: In search of distinct phenotypic profiles. Neuropsychology Review, 20, 103-120. doi:10.1007/s11065-009-9126-x
45.
WillcuttE. G.DoyleA. E.NiggJ. T.FaraoneS. V.PenningtonB. F. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological Psychiatry, 57, 1336-1346. doi:10.1016/j.biopsych.2005.02.006
46.
World Health Organization. (1990). The international statistical classification of diseases and related health problems (10th ed.). Geneva, Switzerland: Author.
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