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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

01-06-2007 | Original Paper

Estimates of the Validity and Utility of the Conners’ Continuous Performance Test in the Assessment of Inattentive and/or Hyperactive-Impulsive Behaviors in Children

Auteurs: Mark C. Edwards, Eunice S. Gardner, John J. Chelonis, Eldon G. Schulz, Rebecca A. Flake, Pamela F. Diaz

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 3/2007

Abstract

This study evaluated the validity and classification utility of the Conners’ Continuous Performance Test (CCPT) in the assessment of inattentive and hyperactive-impulsive behaviors in children. Significant, positive correlations between the CCPT parameters and behavioral ratings of ADHD behaviors were hypothesized. In addition, it was hypothesized that the CCPT parameters would perform better than a random test (chance) and show fair to moderate utility of classification across the different indices. Participants were 104 children between 6 and 12 years of age who were referred for evaluation of attention problems. The first hypothesis was not supported. There were no significant, positive correlations between the CCPT parameters and parent and teacher ratings of inattentive and hyperactive-impulsive behaviors. The second hypothesis was only partially supported. The CCPT Overall Index and the Omission Errors (84th percentile cutoff) performed better than a random test; however, the utility of the CCPT Overall Index only ranged from poor to slight. Receiver operating characteristic analyses showed the accuracy of the CCPT to be low. The implications and limitations of this study and future research directions are discussed.

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Achenbach, T. M. (1991a). Manual for the child behavior checklist/4-18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.

Achenbach, T. M. (1991b). Manual for the teacher report form and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.

American Academy of Child and Adolescent Psychiatry. (1991). Practice parameters for the assessment and treatment of attention-deficit hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 30(3), I–III.

American Board of Pediatrics. (2000). Clinical practice guideline: Diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder. Pediatrics, 105(5), 1158–1170.CrossRef

American Psychiatric Association. (1994). Diagnostic and statistical manual for mental disorders (4th edn.). Washington, DC: Author.

Aylward, G. P., Verhulst, S. J., & Bell, S. (1990). Individual and combined effects of attention deficit and learning disabilities on computerized ADHD assessment. Journal of Psychoeducational Assessment, 8, 497–508.CrossRef

Ballard, J. C. (1996). Computerized assessment of sustained attention: Interactive effects of task demand, noise, and anxiety. Journal of Clinical and Experimental Neuropsychology, 18(6), 864–882.PubMed

Barkley, R. A. (1991). The ecological validity of laboratory and analogue assessment methods of ADHD symptoms. Journal of Abnormal Child Psychology, 19(2), 149–178.PubMedCrossRef

Barkley, R. A. (1997). ADHD and the nature of self-control. New York: Guilford Press

Barkley, R. A. (2006). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (3rd ed.). New York: Guilford Press.

Cohen, J. (1988). Statistical power and analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

Columbia University DISC Development Group. (2000). C-DISC 4 for windows: User manual.

Conners, C. K. (1994). Conner’s continuous performance test. Toronto, Canada: Multi-Health Systems.

Corkum, P. V., & Siegel, L. S. (1993). Is the continuous performance task a valuable research tool for use with children with attention-deficit-hyperactivity disorder? Journal of Child Psychology and Psychiatry, 34, 1217–1239.PubMedCrossRef

Conners, C. K. (1994). The Conners continuous performance test. Toronto, Canada: Multi-Health Systems.

Conners, C. K. (1997). Conners’ rating scales. Toronto, Canada: Multi-Health Systems.

DuPaul, G. J., Anastopoulus, A. D., Shelton, T. L., Guevremont, D. C., & Metevia, L. (1992). Multimethod assessment of attention deficit hyperactivity disorder: The diagnostic utility of clinic based tests. Journal of Clinical Child Psychology, 21(4), 394–402.CrossRef

Dupuy, T. R., & Greenberg, L. M. (1993). TOVA manual. Minneaplois, MN: Lawrence M. Greenberg.

Epstein, J. N., Conners, C. K., Sitarenios, G., & Erhardt, D. (1998). Continuous performance test results of adults with attention deficit hyperactivity disorder. The Clinical Neuropsychologist, 12(2), 155–168.

Epstein, J. N., Erkanli, A., Conners, C. K., Klaric, J., Costello, J. E., & Angold, A. (2003). Relations between continuous performance test performance measures and ADHD behaviors. Journal of Abnormal Child Psychology, 31(5), 543–554.PubMedCrossRef

Forbes, G. B. (1998). Clinical utility of the test of variables of attention (TOVA) in the diagnosis of attention-deficit/hyperactivity disorder. Journal of Clinical Psychology, 54(4), 461–476.PubMedCrossRef

Furlong, M. J. (1998). Review of the child behavior checklist. In The thirteenth mental measurements yearbook. Retrieved October 27, 2006, from EBSCOHost Mental Measurements Yearbook database.

Gadow, K. D., & Sprafkin, J. (1997). Child symptom inventory-4. Stony Brook, NY: Checkmate Plus.

Gordon, M. (1986). Instruction manual for the Gordon diagnostic system. DeWitt, NY: Gordon Diagnostic Systems.

Halperin, J. M., Matter, K., Bedi, G., Sharma,V., & Newcorn, J. H. (1992). Specificity of inattention, impulsivity, and hyperactivity to the diagnosis of attention-deficit hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 429–436.

Halperin, J. M., Sharma, V., Greenblatt, E., & Schwartz, S. (1991). Assessment of the continuous performance test: Reliability and validity in the nonreferred sample. Psychological Assessment, 3(4), 603–608.

Halperin, J. M., Wolf, L. E., Greenblatt, E., & Young, G. (1991). Subtype analysis of commission errors on the continuous performance test in children. Developmental Neuropsychology, 7(2), 207–217.

Jensen, P., & Watanabe, H. (1999). Sherlock Holmes and child psychopathology assessment approaches: The case of the false-positive. Journal of Child and Adolescent Psychiatry, 38(2), 138–146.CrossRef

Kaufman, A. D., & Kaufman, N. L. (1990). Kaufman brief intelligence test manual (KBIT). Circle Pines, MN: American Guidance Service.

Klee, S. H., & Garfinkel, B. D. (1983). The computerized performance task: a new measure of inattention. Journal of Abnormal Child Psychology, 11, 487–495.PubMedCrossRef

Koelega, H. S. (1995). Is the continuous performance task useful in research with ADHD children? Comment on a review. Journal of Child Psychology and Psychiatry, 36(8), 1477–1485.

Kraemer, H. C. (1992). Evaluating medical tests. Thousand Oaks: Sage Publications.

Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRef

Losier, B. J., McGrath, P. J., & Klein, R. M. (1996). Error patterns on the Continuous Performance Test in non-medicated and medicated samples of children with and without ADHD: A meta-analytic review. Journal of Child Psychology and Psychiatry, 37(8), 971–987.PubMedCrossRef

McGee, R. A., Clark, S. E., & Symons, D. K. (2000). Does the Conners’ continuous performance test aid in ADHD diagnosis? Journal of Abnormal Child Psychology, 28(5), 415–424.PubMedCrossRef

Nichols, S. L., & Waschbusch, D. A. (2004). A review of the validity of laboratory cognitive tasks used to assess symptoms of ADHD. Child Psychiatry and Human Development, 34(4), 297–315.PubMedCrossRef

O’Brien, J. D., Halperin, J. M., Newcorn, J. H., Sharma, V., Wolf, L., & Morganstein, A. (1992). Psychometric differentiation of conduct disorder and attention deficit disorder with hyperactivity. Journal of the American Academy of Child and Adolescent Psychiatry, 24, 429–436.

O’Dougherty, M., Nuechterlein, K. H., & Drew, B. (1984). Hyperactive and hypoxic children: Signal detection, sustained attention, and behavior. Journal of Abnormal Psychology, 93, 178–191.PubMedCrossRef

Pelham, W. E., Fabiano, G. A., & Massetti, G. M. (2005). Evidence-based assessment of attention deficit hyperactivity disorder in children and adolescents. Journal of Clinical Child Psychology, 34(3), 449–476.CrossRef

Pfiffner, L. J., McBurnett, K., Lahey, B. B., Loeber, R., Green, S., Frick, P. J., & Rathouz, P. J. (1999). Association of parental psychopathology to the comorbid disorders of boys with attention deficit-hyperactivity disorder. Journal of Consulting and Clinical Psychology, 67(6), 881–893.PubMedCrossRef

Rapport, M. D., Chung, K., Shore, G., Denney, C. B., & Isaacs, P. (2000). Upgrading the science and technology of assessment and diagnosis: Laboratory and clinic-based assessment of children with ADHD. Journal of Clinical Child Psychology, 29(4), 555–568.PubMedCrossRef

Rosvold, H. E., Mirsky, A. F., Sarason, I., Bransome, E. D., Jr., & Beck L. H. (1956). A continuous performance test of brain damage. Journal of Consulting Psychology, 20(5), 343–350.

Rovet, J. F., & Hepworth, S. L. (2001). Dissociating attention deficits in children with ADHD and congenital hypothyroidism using multiple CPTs. Journal of Child Psychology and Psychiatry, 42(8), 1049–1056.PubMedCrossRef

Schatz, A. M., Ballantyne, A. O., & Trauner, D. A. (2001). Sensitivity and specificity of a computerized test of attention in the diagnosis of attention-deficit/hyperactivity disorder. Assessment, 8(4), 357–365.PubMedCrossRef

Shapiro, S. K., & Garfinkel, B. D. (1986). The occurrence of behavior disorders in children: The interdependence of attention deficit and conduct disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 25, 809–819.CrossRef

Szatmari, P., Offord, D. R., & Boyle, M. H. (1989). Ontario Child Health Study: Prevalence of attention deficit disorder with hyperactivity. Journal of Consulting and Clinical Psychology, 30, 219–230.

Trommer, B. L., Hoeppner, J. B., Lorber, R., & Armstrong, K. (1988). Pitfalls in the use of a continuous performance test as a diagnostic tool in attention deficit disorder. Developmental and Behavioral Pediatrics, 9(6), 339–345.

Vance, B., & Fuller, G. B. (1995). Relation of scores on WISC-III and WRAT-3 for a sample of referred children and youth. Psychological Reports, 76(2), 371–374.PubMed

Wilens T. E., Biederman, J., Brown, S., Tanquay, S., Monuteaux, M. C., Blake, C., & Spencer, T. J. (2002). Psychiatric comorbidity and functioning in clinically referred preschool children and school-age youths with ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 41(3), 262–268.CrossRef

Wilkinson, G. S. (1993). Wide range achievement test (3rd ed.). Wilmington, DE: Wide Range.

Zahn, T. P., Kruesi, M. J. P., & Rapoport, J. L. (1991). Reaction time indices of attention deficits in boys with disruptive disorders. Journal of Abnormal Child Psychology, 19, 233–252.PubMedCrossRef

Titel: Estimates of the Validity and Utility of the Conners’ Continuous Performance Test in the Assessment of Inattentive and/or Hyperactive-Impulsive Behaviors in Children
Auteurs: Mark C. Edwards
Eunice S. Gardner
John J. Chelonis
Eldon G. Schulz
Rebecca A. Flake
Pamela F. Diaz
Publicatiedatum: 01-06-2007
Uitgeverij: Kluwer Academic Publishers-Plenum Publishers
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 3/2007
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-007-9098-3

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