The Relationship Between Executive Function Deficits and DSM-5-Defined ADHD Symptoms

被引：96

作者：

Silverstein, Michael J. ^{[1
,2
]}

Faraone, Stephen V. ^{[6
,7
]}

Leon, Terry L. ^{[2
]}

Biederman, Joseph ^{[8
,9
,10
]}

Spencer, Thomas J. ^{[8
]}

Adler, Lenard A. ^{[3
,4
,5
]}

机构：

[1] Drexel Univ, Clin Psychol, Philadelphia, PA 19104 USA

[2] NYU, Sch Med, New York, NY USA

[3] NYU, Sch Med, Dept Psychiat, Adult ADHD Program, New York, NY USA

[4] NYU, Sch Med, Psychiat, New York, NY USA

[5] NYU, Sch Med, Child & Adolescent Psychiat, New York, NY USA

[6] SUNY Upstate Med Univ, Dept Psychiat & Neurosci, Syracuse, NY 13210 USA

[7] SUNY Upstate Med Univ, Dept Physiol, Syracuse, NY 13210 USA

[8] Massachusetts Gen Hosp, Clin & Res Program Pediat Psychopharmacol, Boston, MA 02114 USA

[9] Massachusetts Gen Hosp, Clin & Res Program Adult ADHD, Boston, MA 02114 USA

[10] Massachusetts Gen Hosp, Alan & Lorraine Bressler Clin & Res Program Autis, Boston, MA 02114 USA

来源：

JOURNAL OF ATTENTION DISORDERS | 2020年 / 24卷 / 01期

关键词：

ADHD; executive function; etiology; scale psychometrics; ATTENTION-DEFICIT/HYPERACTIVITY-DISORDER; REPORT SCALE ASRS; ADULT ADHD; DOUBLE-BLIND; HYPERACTIVITY DISORDER; OROS METHYLPHENIDATE; INFORMANT RATINGS; SCREENING SCALE; WORKING-MEMORY; PARALLEL-GROUP;

D O I：

10.1177/1087054718804347

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Objectives: To identify the relationship between the core Diagnostic and Statistical Manual of Mental Disorders (5th ed.) ADHD symptoms and executive function deficits (EFDs), to evaluate ADHD characteristics of those with executive dysfunction (ED), and to examine the predictive utility of the Adult ADHD Investigator Symptom Rating Scale (AISRS) in identifying those with adult ADHD and ED. Method: Two samples (referred and primary care practice) were pooled together for present analysis. Results: Final analysis included 297 respondents, 171 with adult ADHD. Spearman correlation coefficients and binary logistic regressions demonstrated that ADHD inattentive (IA) and hyperactive-impulsive (H-I) symptoms were moderately to strongly correlated with and highly predictive of EFDs. Receiver operating characteristic curve analysis showed that an AISRS DSM 18-item score of > 28 was most predictive of clinical ED. Conclusion: ADHD symptoms were strongly correlated with and predictive of EFDs, clinicians should screen adults with ADHD for EFDs and ADHD treatment providers should track EFD improvement in addition to DSM-5 ADHD symptoms.

引用

页码：41 / 51

页数：11