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Incremental clinical utility of continuous performance tests in childhood ADHD – an evidence-based assessment approach

Tallberg, Pia LU ; Råstam, Maria LU orcid ; Wenhov, Lena ; Eliasson, Glen and Gustafsson, Peik LU orcid (2019) In Scandinavian Journal of Psychology 60(1). p.26-35
Abstract

Despite extensive research on attention deficit hyperactivity disorder (ADHD), there are still uncertainties regarding the clinical utility of different ADHD assessment methods. This study aimed to examine the incremental clinical utility of Conners’ continuous performance test (CPT) II and QbTest in diagnostic assessments and treatment monitoring of attention deficit hyperactivity disorder (ADHD). Retrospective data from child and adolescent psychiatric records of two populations were studied. The diagnostic clinical utility of Conners’ CPT II and QbTest was analysed using receiver operator characteristics (ROC) and post-test probability in 80 children with and 38 without ADHD. Dose titrations of central stimulants in 56 children with... (More)

Despite extensive research on attention deficit hyperactivity disorder (ADHD), there are still uncertainties regarding the clinical utility of different ADHD assessment methods. This study aimed to examine the incremental clinical utility of Conners’ continuous performance test (CPT) II and QbTest in diagnostic assessments and treatment monitoring of attention deficit hyperactivity disorder (ADHD). Retrospective data from child and adolescent psychiatric records of two populations were studied. The diagnostic clinical utility of Conners’ CPT II and QbTest was analysed using receiver operator characteristics (ROC) and post-test probability in 80 children with and 38 without ADHD. Dose titrations of central stimulants in 56 children with ADHD were evaluated using QbTest and the Swanson, Nolan, Pelham, version IV (SNAP-IV) scale. Conners’ CPT II, but not QbTest, had incremental clinical utility in diagnostic assessment of children with ADHD when teacher and parent ratings were inconclusive. QbTest proved useful in titration of central stimulant treatment when parent ratings were inconclusive. Continuous performance tests were found to be clinically useful when rating scales were inconclusive.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
ADHD, assessment, central stimulants, child psychiatry, CPT, evidence-based
in
Scandinavian Journal of Psychology
volume
60
issue
1
pages
26 - 35
publisher
Wiley-Blackwell
external identifiers
  • scopus:85056991400
  • pmid:30452083
ISSN
0036-5564
DOI
10.1111/sjop.12499
language
English
LU publication?
yes
id
7db06f7f-3454-4e17-b5da-9db3ca9aa56c
date added to LUP
2018-12-04 11:57:15
date last changed
2024-06-26 04:15:21
@article{7db06f7f-3454-4e17-b5da-9db3ca9aa56c,
  abstract     = {{<p>Despite extensive research on attention deficit hyperactivity disorder (ADHD), there are still uncertainties regarding the clinical utility of different ADHD assessment methods. This study aimed to examine the incremental clinical utility of Conners’ continuous performance test (CPT) II and QbTest in diagnostic assessments and treatment monitoring of attention deficit hyperactivity disorder (ADHD). Retrospective data from child and adolescent psychiatric records of two populations were studied. The diagnostic clinical utility of Conners’ CPT II and QbTest was analysed using receiver operator characteristics (ROC) and post-test probability in 80 children with and 38 without ADHD. Dose titrations of central stimulants in 56 children with ADHD were evaluated using QbTest and the Swanson, Nolan, Pelham, version IV (SNAP-IV) scale. Conners’ CPT II, but not QbTest, had incremental clinical utility in diagnostic assessment of children with ADHD when teacher and parent ratings were inconclusive. QbTest proved useful in titration of central stimulant treatment when parent ratings were inconclusive. Continuous performance tests were found to be clinically useful when rating scales were inconclusive.</p>}},
  author       = {{Tallberg, Pia and Råstam, Maria and Wenhov, Lena and Eliasson, Glen and Gustafsson, Peik}},
  issn         = {{0036-5564}},
  keywords     = {{ADHD; assessment; central stimulants; child psychiatry; CPT; evidence-based}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{26--35}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Scandinavian Journal of Psychology}},
  title        = {{Incremental clinical utility of continuous performance tests in childhood ADHD – an evidence-based assessment approach}},
  url          = {{http://dx.doi.org/10.1111/sjop.12499}},
  doi          = {{10.1111/sjop.12499}},
  volume       = {{60}},
  year         = {{2019}},
}