Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Diagnostic Validity of the Comprehensive Attention Test in Patients With Attention-Deficit/Hyperactivity Disorder

  • Hyunju Lee (Seoul Brain Research Institute) ;
  • Hannah Huh (Seoul Brain Research Institute) ;
  • Woo Young Kim (Seoul Brain Research Institute) ;
  • Eun Kyoung Lee (Seoul Brain Research Institute) ;
  • Bum-Sung Choi (Department of Psychiatry, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Medical Research Institute) ;
  • Bongseog Kim (Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Hanik Yoo (Seoul Brain Research Institute)
  • Received : 2024.05.10
  • Accepted : 2024.06.25
  • Published : 2024.10.01
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Abstract

Objectives: This study verified the diagnostic validity of the Comprehensive Attention Test (CAT) for attention-deficit/hyperactivity disorder (ADHD). Methods: A total of 336 participants were recruited in this study, including 168 patients with ADHD and 168 control group participants who were one-to-one matched for sex and age. We measured selective attention (visual and auditory), sustained attention, interference-selective attention, divided attention, and working memory in the ADHD and control groups using the CAT. The sensitivity, specificity, positive predictive value, and negative predictive value of the CAT were calculated. Results: In this study, it was found that the sensitivity and specificity of the CAT were 0.879 and 0.846 in children, 0.855 and 0.838 in adolescents, and 0.800 and 0.733 in adults, respectively. Conclusion: These results indicate that the CAT has a high diagnostic validity for ADHD from childhood to adulthood,

Keywords

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5-TR). 5th ed. Arlington: American Psychiatric Association Publishing;2022. 
  2. Simon V, Czobor P, Balint S, Meszaros A, Bitter I. Prevalence and correlates of adult attention-deficit hyperactivity disorder: meta-analysis. Br J Psychiatry 2009;194:204-211. 
  3. Kim BN, Park EJ, Choi TY, Kwak YS, Shin MS, Hong SB. Prevalence and risk factors of psychiatric disorders in child and adolescent population - school-based research: final report of Korean mental health technology R&D project. Sejong: Ministry of Health and Welfare;2018. 
  4. Woo YS, Hong JW, Shim SH, Sung HM, Seo JS, Park SY, et al. Prevalence and comorbidities of adult attention-deficit/hyperactivity disorder in a community sample from Korea. Clin Psychopharmacol Neurosci 2023;21:798-807. 
  5. Biederman J. Attention-deficit/hyperactivity disorder: a life-span perspective. J Clin Psychiatry 1998;59(Suppl 7):4-16. 
  6. Faraone SV, Biederman J, Mick E. The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies. Psychol Med 2006;36:159-165. 
  7. Kim EJ, Kim Y, Seo WS, Lee SH, Park EJ, Bae SM, et al. The revised Korean practice parameter for the treatment of attention-deficit hyperactivity disorder (I) - Clinical presentation and comorbidity. J Korean Acad Child Adolesc Psychiatry 2017;28:46-57. 
  8. Ahn DH, Hong KE. Management of the child with attention-deficit hyperactivity disorders (ADHD). J Korean Acad Child Adolesc Psychiatry 1990;1:77-88. 
  9. Lee MS, Park SB, Kim GM, Kim HJ, Park S, Kim Y, et al. The revised Korean practice parameter for the treatment of attention-deficit hyperactivity disorder (II) - diagnosis and assessment. J Korean Acad Child Adolesc Psychiatry 2017;28:58-69. 
  10. Lee JY, Cho AR, Kim BS, Kim JH. Effects of intelligence ability on continuous performance test. J Korean Acad Child Adolesc Psychiatry 2006;17:163-169. 
  11. Greenberg LM, Kindschi CL. TOVA: clinical guide. Los Alamitos: Universal Attention Disorders;1996. 
  12. Conners CK. Conner's continuous performance test computer program 3.0. New York: Multi-Health System Inc;1995. 
  13. Gordon M. Instruction manual for the Gordon diagnostic system, model III-R. Dewitt: Gordon Diagnostic Systems;1991. 
  14. Shin MS, Cho S, Chun SY, Hong KE. A study of the development and standardization of ADHD diagnostic system. J Korean Acad Child Adolesc Psychiatry 2000;11:91-99. 
  15. Yoo H, Lee J, Kang SH, Park EH, Jung J, Kim BN, et al. Standardization of the comprehensive attention test for the Korean children and adolescents. J Korean Acad Child Adolesc Psychiatry 2009;20:68-75. 
  16. Kim YS, Cheon KA, Kim BN, Chang SA, Yoo HJ, Kim JW, et al. The reliability and validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version- Korean version (K-SADS-PL-K). Yonsei Med J 2004;45:81-89. 
  17. Gwak KJ, Oh SW, Kim CT. K-WISC-IV guide book for expert. Seoul: Hakjisa;2011. 
  18. Australian ADHD Guideline Development Group. Australian evidence-based clinical practice guideline for attention deficit hyperactivity disorder (ADHD). 1st ed. Melbourne: Australian ADHD Professionals Association;2022. 
  19. Seo JM, Lee JS, Kim SY, Kim HW. Diagnostic significance of comprehensive attention test in children and adolescents with attention-deficit hyperactivity disorder. J Korean Acad Child Adolesc Psychiatry 2011;22:246-252. 
  20. Schatz AM, Ballantyne AO, Trauner DA. Sensitivity and specificity of a computerized test of attention in the diagnosis of attention-deficit/hyperactivity disorder. Assessment 2001;8:357-365. 
  21. Perugini EM, Harvey EA, Lovejoy DW, Sandstrom K, Webb AH. The predictive power of combined neuropsychological measures for attention-deficit/hyperactivity disorder in children. Child Neuropsychol 2000;6:101-114. 
  22. El-Sayed E, van't Hooft I, Fried I, Larsson JO, Malmberg K, Rydelius PA. Measurements of attention deficits and impulsivity: a Swedish study of the Gordon Diagnostic System. Acta Paediatr 1999;88:1262-1268. 
  23. An Y, Song Y, Kang UG. A conceptual review on ADHD and adult ADHD (2): psychopathology, diagnostic and therapeutic implications of ADHD. J Korean Neuropsychiatr Assoc 2022;61:45-62. 
  24. Katzman MA, Bilkey TS, Chokka PR, Fallu A, Klassen LJ. Adult ADHD and comorbid disorders: clinical implications of a dimensional approach. BMC Psychiatry 2017;17:302. 
  25. Seo JC, Jon DI, Shim SH, Sung HM, Woo YS, Hong J, et al. Prevalence and comorbidities of attention deficit hyperactivity disorder among adults and children/adolescents in Korea. Clin Psychopharmacol Neurosci 2022;20:126-134. 
  26. Arrondo G, Mulraney M, Iturmendi-Sabater I, Musullulu H, Gambra L, Niculcea T, et al. Systematic review and meta-analysis: clinical utility of continuous performance tests for the identification of attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 2024;63:154-171. 
  27. Kim YG, Lee HY. Effects of computer-based attention program with eye movement for disabled children: case series. Korean J Occup Ther 2020;28:53-67. 
  28. Cortese S, Kelly C, Chabernaud C, Proal E, Di Martino A, Milham MP, et al. Toward systems neuroscience of ADHD: a meta-analysis of 55 fMRI studies. Am J Psychiatry 2012;169:1038-1055. 
  29. Keller AS, Leikauf JE, Holt-Gosselin B, Staveland BR, Williams LM. Paying attention to attention in depression. Transl Psychiatry 2019;9:279. 
  30. Thomas P, Goudemand M, Rousseaux M. Divided attention in major depression. Psychiatry Res 1998;81:309-322. 
  31. Martinussen R, Hayden J, Hogg-Johnson S, Tannock R. A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 2005;44:377-384.