Initial Examination of the BRIEF2 in Clinically Referred Children With and Without ADHD Symptoms

Lisa A. Jacobson, Alison E. Pritchard, Taylor A. Koriakin, Kelly E. Jones, Ernest M Mahone

Research output: Contribution to journalArticlepeer-review


Objective: Clinical utility of the Behavior Rating Inventory of Executive Function, Second Edition (BRIEF2) was examined in 1,381 clinically referred youth (62.5% male, 5 to 18 years) with and without ADHD symptoms. Method: Participants included children with restricted inattentive symptoms (IA only), restricted hyperactivity/impulsivity symptoms (HI only), symptoms in both domains (Combined), and non-ADHD clinical comparison. Results: Greater hyperactivity (Combined, HI only) was associated with higher Behavior Regulation (BRI) and Emotion Regulation (ERI) scores, whereas greater inattentiveness (IA only, Combined) was associated with higher Cognitive Regulation scores. Effect sizes were largest for Inhibit, Working Memory, and Organization of Materials scales; these scales discriminated children with and without ADHD symptoms and restricted inattentive and hyperactive presentations. Conclusion: The BRIEF2 distinguishes associated features of ADHD and the day-to-day executive impact. Sensitivity was consistently poorer than specificity. The referred nature of the sample and examination of restricted presentations suggest additional work is needed to examine whether ERI and BRI are dissociable.

Original languageEnglish (US)
Pages (from-to)1775-1784
Number of pages10
JournalJournal of Attention Disorders
Issue number12
StatePublished - Oct 1 2020


  • attention
  • executive function
  • rating scales
  • self-regulation
  • validity

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

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