Upgrading the science and technology of assessment and diagnosis: Laboratory and clinic-based assessment of children with ADHD

    Authors

    M. D. Rapport; K. M. Chung; G. Shore; C. B. Denney;P. Isaacs

    Comments

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    Abbreviated Journal Title

    J. Clin. Child Psychol.

    Keywords

    ATTENTION-DEFICIT DISORDER; HYPERACTIVITY DISORDER; METHYLPHENIDATE; SETTINGS; DRUG; Psychology, Clinical; Psychology, Developmental

    Abstract

    Reviews the usefulness of clinic-based and laboratory-based instruments and paradigms for diagnosing attention deficit hyperactivity disorder (ADHD) and monitoring treatment effects. Extant literature examining the performance of normal children and those with ADHD on an extensive range of neurocognitive tests, tasks and experimental paradigms indicates that particular types of instruments may be more reliable than others with respect to detecting between-group differences. We review task parameters that may distinguish the more reliable from less reliable instruments. The value of clinic-based and laboratory-based instruments for monitoring treatment response in children with ADHD is questionable when evaluated in the context of ecologically relevant variables such as classroom behavior and academic functioning. We present a general conceptual model to highlight conceptual issues relevant to designing clinic-based and laboratory-based instruments for the purposes of diagnosing and monitoring treatment effects in children with ADHD. Application of the model to currently conceptualized core variables indicates that attention and impulsivity-hyperactivity may represent correlative rather than core features of the disorder: We discuss implications of these findings for designing the next generation of clinic-based and laboratory-based instruments.

    Journal Title

    Journal of Clinical Child Psychology

    Volume

    29

    Issue/Number

    4

    Publication Date

    1-1-2000

    Document Type

    Article

    Language

    English

    First Page

    555

    Last Page

    568

    WOS Identifier

    WOS:000165278000007

    ISSN

    0047-228X

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