Ten Items to Find Them All: Shortening Scales for the Screening of Executive Function in Children With Attention Deficit/Hyperactivity Disorder.

Background: Attention Deficit/Hyperactivity Disorder (ADHD) is the most common neurodevelopmental disorder. The affectation of executive functions is stressed in the most recent research on ADHD, and many tests are used to assess it in ADHD, but they are usually time- and effort-consuming. Methods:...

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Publicado en:Actas Espanolas de Psiquiatria Vol. 53; no. 3; pp. 546 - 557
Autores principales: Blasco-Fontecilla, Hilario, Bella-Fernández, Marcos
Formato: Artículo
Publicado: Maria Lopez-Ibor 2025
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Ten Items to Find Them All: Shortening Scales for the Screening of Executive Function in Children With Attention Deficit/Hyperactivity Disorder.
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        au:
          Blasco-Fontecilla, Hilario
          Bella-Fernández, Marcos
        affil:
          Instituto de Transferencia e Investigación (ITEI), Universidad Internacional de La Rioja (UNIR), 26006 Logroño, Spain
          Department of Psychiatry, Emooti, 28010 Madrid, Spain
          Center of Biomedical Network Research on Mental Health (CIBERSAM), 28029 Madrid, Spain
          Faculty of Health, Universidad Internacional de La Empresa (UNIE), 28015 Madrid, Spain
          Department of Psychology, Universidad Pontificia de Comillas, 28108 Alcobendas, Spain
      su:
        Classical test theory
        Executive function
        Item response theory
        Factor analysis
        Databases
      sug:
        subj:
          Classical test theory
          Executive function
          Item response theory
          Factor analysis
          Databases
      keyword:
        ADHD
        executive dysfunction
        screening
        test shortening
      ab: Background: Attention Deficit/Hyperactivity Disorder (ADHD) is the most common neurodevelopmental disorder. The affectation of executive functions is stressed in the most recent research on ADHD, and many tests are used to assess it in ADHD, but they are usually time- and effort-consuming. Methods: From a database of a total of 222 children with ADHD, 59 of them suffering executive dysfunction, we took the most widely used tests for executive functions in ADHD (Behavior Rating Inventory of Executive Function (BRIEF), Swanson, Noland, and Pelham (SNAP)-IV, and Conners' Parent Rating Scale (CPRS-R)) and applied several methods of test shortening: Item-total correlations from the Classical Test Theory, factor analysis and their subsequent factor loadings, elastic nets, and the Graded Response Model from the Item Response Theory models. Using the parameters or indicators provided by each of these methods, we selected the most discriminative items to develop a brief screening tool. Results: Our results show that different selection methods select different items. More importantly, we found that the shortened tests obtained this way are in general capable of discriminating between patients with and without ADHD. More precisely, all the shortened tests show high sensitivity, but relatively low specificity. Conclusions: Shortened tests can be used for screening purposes without having to administer full test versions.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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      custom: Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use.
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