This study examined the relationships between self-reported ADHD symptoms, self-reported anxiety, and continuous performance test (CPT) performance.
Method:
128 postsecondary students referred for clinical evaluation for possible ADHD and related conditions completed the Conners Adult ADHD Rating Scale, the Behavior Assessment Scale for Children, Third Edition, and either of two CPTs.
Results:
Multiple regression models found that when self-reported anxiety and CPT performance were used to simultaneously predict self-reported ADHD symptoms, CPT performance was not a significant predictor, whereas self-reported anxiety was. This finding was replicated across two different subsamples that took different CPTs.
Conclusion:
Self-reported anxiety and ADHD symptoms are strongly related, but neither of these variables is significantly related to CPT performance. Implications for clinical practice and future research are discussed.
AlexanderS. J.HarrisonA. G. (2011). Cognitive responses to stress, anxiety, and depression and their relationship to ADHD symptoms in first year psychology students. Journal of Attention Disorders, 17(1), 29–37. https://doi.org/10.1177/1087054711413071
BaggioS.HaslerR.GiacominiV.El-MasriH.WeibelS.PerroudN.DeiberM. P. (2020). Does the continuous performance test predict ADHD symptoms severity and ADHD presentation in adults?Journal of Attention Disorders, 24(6), 840–848.
4.
BarkleyR. A. (1991). The ecological validity of laboratory and analogue assessment methods of ADHD symptoms. Journal of Abnormal Child Psychology, 19, 148–178. https://doi.org/10.1007/BF00909976
5.
BarkleyR. A.MurphyK. (2011). The nature of executive function (EF) deficits in daily life activities with ADHD and their relationship to performance on EF tests. Journal of Psychopathology and Behavioral Assessment, 33, 137–158. https://doi.org/10.1007/s10862-011-9217-x
FredriksenM.DahlA. A.MartinsenE. W.KlungsøyrO.HaavikJ.PeleikisD. E. (2014). Effectiveness of one-year pharmacological treatment of adult attention-deficit hyperactivity disorder (ADHD): An open-label prospective study of time in treatment, dose, side-effects, and comorbidity. European Neuropsychopharmacology, 24(12), 1873–1884.
8.
GroganK.GormleyC. I.RooneyB.WhelanR.KiiskiH.NaughtonM.BramhamJ. (2017). Differential diagnosis and comorbidity of ADHD and anxiety in adults. British Journal of Clinical Psychology, 57(1), 99–115. https://doi.org/10.1111/bjc.12156
9.
HarrisonA. G.AlexanderS. J.ArmstrongI. T. (2013). Higher reported levels of depression, stress, and anxiety are associated with increased endorsement of ADHD symptoms by postsecondary students. Canadian Journal of School Psychology, 28(3), 243–260. https://doi.org/10.1177/0829573513480616
10.
HomackS. R.ReynoldsC. R. (2005). Continuous performance testing in the differential diagnosis of ADHD. The ADHD Report: Special Issue—Focus on Assessment, 13(5), 5–9.
11.
JarrettM. A. (2016). Attention-deficit hyperactivity disorder (ADHD) symptoms, anxiety symptoms, and executive functioning in emerging adults. Psychological Assessment, 28(2), 245–250. https://doi.org/10.1037/pas0000190
12.
KamradtJ. M.UllspergerJ. M.NikolasM. A. (2014). Executive function assessment and adult attention-deficit/hyperactivity disorder: Tasks versus ratings on the Barkley deficits in executive functioning scale. Psychological Assessment, 26(4), 1095–1105. https://doi.org/10.1037/pas0000006
13.
KoyuncuA.AyanT.GuliyevE. I.ErbilginS.DeveciE. (2022). ADHD and anxiety disorder comorbidity in children and adults: Diagnostic and therapeutic challenges. Current Psychiatry Reports, 24, 129–140. https://doi.org/10.1007/s11920-022-01324-5
LiW.ZhaoZ.ChenD.PengY.LuZ. (2022). Prevalence and associated factors of depression and anxiety symptoms among college students: A systematic review and meta-analysis. Journal of Child Psychology and Psychiatry, 63(11), 1222–1230.
16.
NelsonJ. M.LovettB. J. (2019). Assessing ADHD in college students: Integrating multiple evidence sources with symptom and performance validity data. Psychological Assessment, 31(6), 793–804. https://doi.org/10.1037/pas0000702
17.
O’RourkeS. R.BrayA. C.AnastopoulosA. D. (2020). Anxiety symptoms and disorders in college students with ADHD. Journal of Attention Disorders, 24(12), 1764–1774. https://doi.org/10.1177/1087054716685837
18.
PagánA. F.HuizarY. P.SchmidtA. T. (2023). Conners continuous performance test and adult ADHD: A systematic literature review. Journal of Attention Disorders, 27(3), 231–249. https://doi.org/10.1177/10870547221142455
ReynoldsC. R.KamphausR. W. (2004). Behavior assessment system for children (2nd ed.). Pearson.
21.
SandfordJ. A.AntonS. E. (2014). IVA-2 integrated visual and auditory continuous performance test [Computer Software]. BrainTrain, Inc.
22.
ShermanE. M. S.TanJ. E.HrabokM. (2022). A compendium of neuropsychological tests: Fundamentals of neuropsychological assessment and test reviews for clinical practice (4th ed.). Oxford University Press.
23.
SibleyM. H.SwansonJ. M.ArnoldL. E.HechtmanL. T.OwensE. B.StehliA.AbikoffH.HinshawS. P.MolinaB. S. G.MitchellJ. T.JensenP. S.HowardA. L.LakesK. D.SternK. (2017). Defining ADHD symptom persistence in adulthood: Optimizing sensitivity and specificity. Journal of Child Psychology and Psychiatry, 58(6), 655–662.
24.
SolantoM. V.EtefiaK.MarksD. J. (2014). The utility of self-report measures and the continuous performance test in the diagnosis of ADHD in adults. CNS Spectrums, 9(9), 649–659. https://doi.org/10.1017/S1092852900001929
25.
StaffA. I.OosterlaanJ.Van der OordS.HoekstraP. J.VertessenK.de VriesR.van den HoofdakkerB. J.LumanM. (2021). The validity of teacher rating scales for the assessment of ADHD symptoms in the classroom: A systematic review and meta-analysis. Journal of Attention Disorders, 25(11), 1578–1593.
26.
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(2), 131–143. https://doi.org/10.1111/jcpp.12001
27.
WeisR.TillC. H.EricksonC. P. (2019). ADHD assessment in college students: Psychologists’ adherence to DSM-5 criteria and multi-method/multi-informant assessment. Journal of Psychoeducational Assessment, 37(2), 209–225.
28.
XerxaY.RescorlaL. A.van der EndeJ.HillegersM. H.VerhulstF. C.TiemeierH. (2021). From parent to child to parent: Associations between parent and offspring psychopathology. Child Development, 92(1), 291–307.
