September 29, 2006American Journal of Psychiatry
Impact of Psychometrically Defined Deficits of Executive Functioning in Adults With Attention Deficit Hyperactivity Disorder
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Discussion
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Implication
Case-control study reveals executive functioning deficits exacerbate academic and socioeconomic impairment in adults with ADHD, highlighting the need for targeted cognitive screening.
Key Points
- To examine the association between psychometrically defined executive functioning deficits and real-world functional outcomes in adults with ADHD.
- Evaluated adults with DSM-IV-diagnosed ADHD (N=213) and matched comparison controls without ADHD (N=145).
- Defined executive functioning deficits as scoring at least 1.5 standard deviations below matched comparison subjects on two or more standardized executive functioning measures.
- Adults with ADHD exhibited significantly higher rates of executive functioning deficits than comparison subjects.
- Executive functioning deficits were significantly associated with lower academic achievement, regardless of ADHD diagnosis status.
- Subjects with ADHD and comorbid executive functioning deficits had significantly lower socioeconomic status and greater functional morbidity than those with ADHD alone.
Cite This Study
Joseph Biederman (2006) studied this question.