Intraindividual Variability in Attention-Deficit/Hyperactivity Disorder: An Ex-Gaussian Approach.

Higher intraindividual variability (IIV) of response times is consistently noted in children with attention-deficit/hyperactivity disorder (ADHD). The current study investigated whether an ex-Gaussian estimate of IIV in children ages 6–13 years-old could differentiate between children with and witho...

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Publicado en:Child Psychiatry & Human Development Vol. 57; no. 2; pp. 504 - 516
Autores principales: Ali, Sheliza, Karr, Justin E., MacDonald, Stuart W. S., Macoun, Sarah J.
Formato: Artículo
Publicado: Springer Nature Apr2026
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Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        10.1007/s10578-024-01722-1
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        atl: Intraindividual Variability in Attention-Deficit/Hyperactivity Disorder: An Ex-Gaussian Approach.
      aug:
        au:
          Ali, Sheliza
          Karr, Justin E.
          MacDonald, Stuart W. S.
          Macoun, Sarah J.
        affil:
          https://ror.org/02k3smh20 Department of Neurology, University of Kentucky, Lexington, KY, USA
          https://ror.org/02k3smh20 Department of Psychology, University of Kentucky, Lexington, KY, USA
          https://ror.org/01zf2fw60 Department of Psychology, University of Victoria, Victoria, BC, USA
      su:
        Attention-deficit hyperactivity disorder
        Variability (Psychometrics)
        Diagnosis
        Continuous performance test
        Cognitive processing speed
        Response inhibition
        Statistical models
        Behavioral assessment
      sug:
        subj:
          Attention-deficit hyperactivity disorder
          Variability (Psychometrics)
          Diagnosis
          Continuous performance test
          Cognitive processing speed
          Response inhibition
          Statistical models
          Behavioral assessment
      keyword:
        Attention
        Attention deficit/hyperactivity disorder
        Intraindividual variability
        Psychology and Cognitive Sciences Psychology Medical and Health Sciences Public Health and Health Services
        Response time
        Attention
        Attention deficit/hyperactivity disorder
        Intraindividual variability
        Psychology and Cognitive Sciences Psychology Medical and Health Sciences Public Health and Health Services
        Response time
      ab: Higher intraindividual variability (IIV) of response times is consistently noted in children with attention-deficit/hyperactivity disorder (ADHD). The current study investigated whether an ex-Gaussian estimate of IIV in children ages 6–13 years-old could differentiate between children with and without ADHD. Children completed a computerized go/no-go task to estimate trial-by-trial IIV and a continuous performance test (CPT) to estimate inattention and hyperactivity/impulsivity. Parents completed questionnaires assessing inattention and hyperactive/impulsive behaviors. IIV, commission errors, and attention problems as rated by parents were significantly greater in the ADHD group. Groups did not differ on errors of omission, but IIV was predictive of omission errors and parent ratings of inattention and hyperactivity/impulsivity. IIV predicted group membership (ADHD vs Control) whereas errors of omission did not. However, IIV did not improve diagnostic accuracy when parent ratings were used, such that parent ratings were superior at determining diagnosis. Current results support the use of IIV, based on the ex-Gaussian approach, as an objective measure of attention problems over omission errors on sustained attention CPT-type tasks. Additionally, while parent ratings of attention impairment remain the best predictor of ADHD diagnostic status, IIV may be helpful in determining when further assessment is required in the absence of those ratings.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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