Incremental validity of neuropsychological assessment in the identification and treatment of youth with ADHD

Alison E. Pritchard, Taylor Koriakin, Lisa A. Jacobson, E. Mark Mahone

Research output: Contribution to journalArticle

Abstract

Comprehensive neuropsychological assessments for youth with ADHD allow for thorough consideration of co-occurring disorders and provide targeted recommendations for treating ADHD and comorbid conditions. This study offers a preliminary evaluation of the added value (compared to routine care) associated with neuropsychological assessment in the identification and treatment of ADHD in youth ages 3-17 years. First we describe a novel measure developed to evaluate broad-based outcomes for youth with ADHD following neuropsychological assessment. Next we compare parent ratings of child symptoms and quality of life between two groups of youth with ADHD: those who have recently received neuropsychological assessments (NP+), and those who have not (NP-). Participants were surveyed again 5 months after baseline to assess changes in symptoms, quality of life, and service utilization. While both groups experienced significant improvements in behavioral/emotional symptoms, the NP+ group had greater initiation of parent behavior management training and special education services and greater initiation of medication management over the follow-up period, compared with the NP-group. Satisfaction with neuropsychological assessment was high overall but slightly decreased over the course of the follow-up period. The findings offer preliminary support for the incremental efficacy of neuropsychological evaluation in the diagnosis and management of ADHD.

Original languageEnglish (US)
Pages (from-to)26-48
Number of pages23
JournalClinical Neuropsychologist
Volume28
Issue number1
DOIs
StatePublished - Jan 2 2014

Keywords

  • ADHD
  • Efficacy
  • Neuropsychological
  • Outcome
  • Quality of life
  • Testing
  • Utility

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

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