Intra-subject variability in attention-deficit hyperactivity disorder

Klein, Christoph; Wendling, Katharina; Huettner, Paul; Ruder, Hans; Peper, Martin (2006). Intra-subject variability in attention-deficit hyperactivity disorder. Biological psychiatry, 60(10), pp. 1088-97. New York, N.Y.: Elsevier 10.1016/j.biopsych.2006.04.003

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BACKGROUND: This study is based on a comprehensive survey of the neuropsychological attention-deficit hyperactivity disorder (ADHD) literature and presents the first psychometric analyses of different parameters of intra-subject variability (ISV) in patients with ADHD compared to healthy controls, using the Continuous Performance Test, a Go-NoGo task, a Stop Signal Task, as well as N-back tasks. METHODS: Data of 57 patients with ADHD and 53 age- and gender-matched controls were available for statistical analysis. Different parameters were used to describe central tendency (arithmetic mean, median), dispersion (standard deviation, coefficient of variation, consecutive variance), and shape (skewness, excess) of reaction time distributions, as well as errors (commissions and omissions). RESULTS: Group comparisons revealed by far the strongest effect sizes for measures of dispersion, followed by measures of central tendency, and by commission errors. Statistical control of ISV reduced group differences in the other measures substantially. One (patients) or two (controls) principal components explained up to 67% of the inter-individual differences in intra-individual variability. CONCLUSIONS: Results suggest that, across a variety of neuropsychological tests, measures of ISV contribute best to group discrimination, with limited incremental validity of measures of central tendency and errors. Furthermore, increased ISV might be a unitary construct in ADHD.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute of Legal Medicine > Forensic Psychiatric Services

UniBE Contributor:

Peper, Martin

ISSN:

0006-3223

ISBN:

16806097

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:51

Last Modified:

06 Dec 2013 13:44

Publisher DOI:

10.1016/j.biopsych.2006.04.003

PubMed ID:

16806097

Web of Science ID:

000241939200010

URI:

https://boris.unibe.ch/id/eprint/21745 (FactScience: 13506)

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