Self-report of ADHD shows limited agreement with objective markers of persistence and remittance
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 ref...
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| Main Authors: | , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
November 2016
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| In: |
Journal of psychiatric research
Year: 2016, Volume: 82, Pages: 91-99 |
| ISSN: | 1879-1379 |
| DOI: | 10.1016/j.jpsychires.2016.07.020 |
| Online Access: | Verlag, Volltext: https://doi.org/10.1016/j.jpsychires.2016.07.020 Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0022395616301583 
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| Author Notes: | Ebba Du Rietz, Celeste H. M. Cheung, Gráinne McLoughlin, Daniel Brandeis, Tobias Banaschewski, Philip Asherson, Jonna Kuntsi |
| Summary: | 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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| Item Description: | Gesehen am 16.05.2019 Available online 25 July 2016 |
| Physical Description: | Online Resource |
| ISSN: | 1879-1379 |
| DOI: | 10.1016/j.jpsychires.2016.07.020 |