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

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• 作者：Ebba Du Rietz^a ; ^{ebba.du_rietz@kcl.ac.uk" class="auth_mail" title="E-mail the corresponding author} ; Celeste H.M. Cheung^b ; ^{celeste.cheung@kcl.ac.uk" class="auth_mail" title="E-mail the corresponding author} ; Grá ; inne McLoughlin^a ; ^{grainne.mcloughlin@kcl.ac.uk" class="auth_mail" title="E-mail the corresponding author} ; Daniel Brandeis^c ; ^d ; ^e ; ^f ; ^{brandeis@kjpd.uzh.ch" class="auth_mail" title="E-mail the corresponding author} ; Tobias Banaschewski^c ; ^{tobias.banaschewski@zi-mannheim.de" class="auth_mail" title="E-mail the corresponding author} ; Philip Asherson^a ; ^{philip.asherson@kcl.ac.uk" class="auth_mail" title="E-mail the corresponding author} ; Jonna Kuntsi^a ; ^{jonna.kuntsi@kcl.ac.uk" class="auth_mail" title="E-mail the corresponding author}
• 关键词：ADHD ; Cognitive ; EEG ; Persistence ; Self-report ; Actigraph
• 刊名：Journal of Psychiatric Research
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：82
• 期：Complete
• 页码：91-99
• 全文大小：304 K

文摘

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.