Neuropsychological Functioning and Psychosocial Outcome in Adults with Attention-Deficit/Hyperactivity Disorder

被引:2
作者
Sobanski, Esther [1 ,2 ]
Sirtl, Alexandra [1 ]
Alm, Barbara [1 ]
Hennig, Oliver [1 ]
Banaschewski, Tobias [3 ]
机构
[1] Heidelberg Univ, Klin Fak Mannheim, Zentralinst Seel Gesundheit, Klin Psychiat & Psychotherapie, D-69115 Heidelberg, Germany
[2] AHG Klin Psychosomat, Bad Durkheim, Germany
[3] Heidelberg Univ, Klin Fak Mannheim, Zentralinst Seel Gesundheit, Klin Kinder & Jugendpsychiat & Psychotherapie, D-69115 Heidelberg, Germany
关键词
adult ADHD; attention deficit hyperactivity disorder; psychosocial impairment; neuropsychology; DEFICIT HYPERACTIVITY DISORDER; EXECUTIVE FUNCTION DEFICITS; SUSTAINED ATTENTION; ADHD; IMPAIRMENT; CHILDHOOD; CHILDREN; IMPACT; HETEROGENEITY; COMORBIDITY;
D O I
10.1024/1016-264X/a000129
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study explores the association of neuropsychological functioning with ADHD-symptoms and psychosocial functioning in a clinical sample of 131 adults with ADHD. Neuropsychological functioning was assessed with the computerized Test Battery of Attentional Performance (TAP). Overall psychosocial impairment was assessed with the Global Assessment of Functioning Scale (GAF). Neuropsychological performance was impaired in 39.6 % of the ADHD-patients meeting a predefined impairment criterion of a perfomance reduction of 1.5 standard deviations below normative controls in >= 2 TAP-subtests; 28.4 % of the patients showed regular performance in all neuropsychological tests. Severity of neuropsychological impairment was inversely correlated to severity of psychosocial impairment (GAF score; = -.24, p < .001) hut not to childhood or adult ADHD symptoms. Overall severity of neuropsychological impairment explained 10 % (p < .05) of variance of psychosocial impairment.
引用
收藏
页码:17 / 26
页数:10
相关论文
共 57 条
[1]   Functional and psychosocial impairment in adults with undiagnosed ADHD [J].
Able, Stephen L. ;
Johnston, Joseph A. ;
Adler, Lenard A. ;
Swindle, Ralph W. .
PSYCHOLOGICAL MEDICINE, 2007, 37 (01) :97-107
[2]  
[Anonymous], 2000, Z NEUROPSYCHOL, DOI DOI 10.1024//1016-264X.11.3
[3]  
[Anonymous], 1991, HAWIE-R: Hamburg-Wechsler Intelligenztest fr Erwachsene: Revision 1991
[4]  
[Anonymous], WEISS FUNCT IMP RAT
[5]  
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[6]   Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD [J].
Barkley, RA .
PSYCHOLOGICAL BULLETIN, 1997, 121 (01) :65-94
[7]   Time perception and reproduction in young adults with attention deficit hyperactivity disorder [J].
Barkley, RA ;
Murphy, KR ;
Bush, T .
NEUROPSYCHOLOGY, 2001, 15 (03) :351-360
[8]   Predicting Impairment in Major Life Activities and Occupational Functioning in Hyperactive Children as Adults: Self-Reported Executive Function (EF) Deficits Versus EF Tests [J].
Barkley, Russell A. ;
Fischer, Mariellen .
DEVELOPMENTAL NEUROPSYCHOLOGY, 2011, 36 (02) :137-161
[9]   Impairment in Occupational Functioning and Adult ADHD: The Predictive Utility of Executive Function (EF) Ratings Versus EF Tests [J].
Barkley, Russell A. ;
Murphy, Kevin R. .
ARCHIVES OF CLINICAL NEUROPSYCHOLOGY, 2010, 25 (03) :157-173
[10]   Functional impairments in adults with self-reports of diagnosed ADHD: A controlled study of 1001 adults in the community [J].
Biederman, J ;
Faraone, SV ;
Spencer, TJ ;
Mick, E ;
Monuteaux, MC ;
Aleardi, M .
JOURNAL OF CLINICAL PSYCHIATRY, 2006, 67 (04) :524-540