Self-report of ADHD shows limited agreement with objective markers of persistence and remittance

• Verfasst von: Du Rietz, Ebba [VerfasserIn]
• Verfasst von: Brandeis, Daniel [VerfasserIn]
• Verfasst von: Banaschewski, Tobias [VerfasserIn]
• Titel: Self-report of ADHD shows limited agreement with objective markers of persistence and remittance
• Verf.angabe: Ebba Du Rietz, Celeste H. M. Cheung, Gráinne McLoughlin, Daniel Brandeis, Tobias Banaschewski, Philip Asherson, Jonna Kuntsi
• E-Jahr: 2016
• Jahr: November 2016
• Umfang: 9 S.
• Fussnoten: Gesehen am 16.05.2019 ; Available online 25 July 2016
• Titel Quelle: Enthalten in: Journal of psychiatric research
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1961
• Jahr Quelle: 2016
• Band/Heft Quelle: 82(2016), Seite 91-99
• ISSN Quelle: 1879-1379
• DOI: doi:10.1016/j.jpsychires.2016.07.020
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Actigraph
• Sach-SW: ADHD
• Sach-SW: Cognitive
• Sach-SW: EEG
• Sach-SW: Persistence
• Sach-SW: Self-report
• K10plus-PPN: 166584034X

Abstract

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.