Research output: Contribution to journal › Article › peer-review
Ebba Du Rietz, Celeste H M Cheung, Gráinne McLoughlin, Daniel Brandeis, Tobias Banaschewski, Philip Asherson, Jonna Kuntsi
Original language | English |
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Pages (from-to) | 91-99 |
Number of pages | 9 |
Journal | Journal of psychiatric research |
Volume | 82 |
Early online date | 25 Jul 2016 |
DOIs | |
Accepted/In press | 21 Jul 2016 |
E-pub ahead of print | 25 Jul 2016 |
Published | 25 Jul 2016 |
Self-report of ADHD shows limited_RIETZ_Accepted21July2016_GREEN AAM
1_s2.0_S0022395616301583_main.pdf, 429 KB, application/pdf
Uploaded date:26 Jul 2016
Version:Accepted author manuscript
Licence:CC BY-NC-ND
Self-report of ADHD_DU RIETZ_Accepted 21July2016_GOLD VoR (CC BY)
Self_report_of_ADHD_DU_RIETZ_Accepted_21July2016_GOLD_VoR_CC_BY_.pdf, 305 KB, application/pdf
Uploaded date:22 Sep 2016
Version:Final published version
Licence:CC BY
OBJECTIVE: A controversial issue is whether self-report of symptoms and impairment is sufficient for diagnosis of attention-deficit/hyperactivity disorder (ADHD) in adolescents and adults in the absence of other informants, such as parents. The present study investigated how well self-report is reflected by cognitive-neurophysiological and actigraph measures, which we have previously shown to discriminate between ADHD persisters, remitters and controls using parent-report (Cheung et al., 2015; Brit J Psychiat http://dx.doi.org/10.1192/bjp.bp.114.145185).
METHOD: Parent- and self-reported ADHD symptoms and impairment, together with cognitive, electroencephalogram (EEG) frequency, event-related potential (ERP) and actigraph measures were obtained from 108 adolescents and young adults with childhood ADHD and 167 controls.
RESULTS: Participants reported lower levels of ADHD symptoms and impairments than parents (p < 0.05) and the ADHD persistence rate based on self-report was low at 44%, compared to the persistence rate of 79% previously reported based on parent-report. Regression analyses showed that the objective measures distinguished poorly between ADHD persistent and remittent groups based on self-report, in contrast to findings based on parent-report (Cheung et al., 2015), although the measures differentiated well between ADHD persisters and controls. Correlation analyses revealed that self-reported impairment significantly correlated with fewer of the objective measures, despite parent- and self-reported symptoms showing similar correlations with the measures.
CONCLUSIONS: The findings show that self-reported ADHD outcome is not as well reflected by cognitive-neurophysiological and movement correlates as we previously found for parent-reported ADHD.
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