Abstract:
:Prior research supports the use of multiple types of evidence from multiple sources when assessing ADHD in adults. However, limited research has examined how to best integrate the resulting set of data into a well-supported diagnostic conclusion. Moreover, clients sometimes overreport symptoms or display low effort on performance tasks, further complicating the interpretation of assessment data. The present study examined self-ratings and observer (e.g., parent) ratings of symptoms as well as performance task data from 514 postsecondary students assessed for ADHD at a university-affiliated clinic. Observer ratings were more reliable than self-ratings and were more likely to be corroborated by other data. The 2 types of ratings showed moderate to large relationships with each other as continuous variables (.32 < r < .52) while agreement around categorical symptom cutoffs was slight or fair (.12 < κ < .32). Both types of ratings showed only small relationships with a performance test designed to assess ADHD symptoms. Approximately half of the cases in the sample had at least 1 piece of potentially noncredible data (suggesting potential symptom overreporting, inconsistent responding, or inadequate effort). Requiring ratings from multiple informants (as opposed to a single informant) of clinically significant symptoms for a diagnosis substantially reduced the effect of noncredible data, while also reducing the number of diagnoses by approximately half. Implications of these and other findings for practice and future research are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
journal_name
Psychol Assessjournal_title
Psychological assessmentauthors
Nelson JM,Lovett BJdoi
10.1037/pas0000702subject
Has Abstractpub_date
2019-06-01 00:00:00pages
793-804issue
6eissn
1040-3590issn
1939-134Xpii
2019-04757-001journal_volume
31pub_type
杂志文章abstract::J. Skeem and D. J. Cooke (2010) asserted that Hare and Neumann consider criminality to be an essential component of the psychopathy construct. The assertion, presented in the guise of a debate on the nature of psychopathy, is neither accurate nor consistent with the clinical and empirical literature on psychopathy to ...
journal_title:Psychological assessment
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journal_title:Psychological assessment
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journal_title:Psychological assessment
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journal_title:Psychological assessment
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journal_title:Psychological assessment
pub_type: 杂志文章
doi:10.1037/pas0000144
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journal_title:Psychological assessment
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journal_title:Psychological assessment
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doi:10.1037/pas0000445
更新日期:2017-06-01 00:00:00
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更新日期:2009-06-01 00:00:00
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journal_title:Psychological assessment
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doi:10.1037/a0033432
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journal_title:Psychological assessment
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