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A review of the clinical utility of systematic behavioral observations in attention deficit hyperactivity disorder (ADHD)


Minder, Franziska; Zuberer, Agnieszka; Brandeis, Daniel; Drechsler, Renate (2018). A review of the clinical utility of systematic behavioral observations in attention deficit hyperactivity disorder (ADHD). Child Psychiatry & Human Development, 49(4):572-606.

Abstract

This review evaluates the clinical utility of tools for systematic behavioral observation in different settings for children and adolescents with ADHD. A comprehensive search yielded 135 relevant results since 1990. Observations from naturalistic settings were grouped into observations of classroom behavior (n = 58) and of social interactions (n = 25). Laboratory observations were subdivided into four contexts: independent play (n = 9), test session (n = 27), parent interaction (n = 11), and peer interaction (n = 5). Clinically relevant aspects of reliability and validity of employed instruments are reviewed. The results confirm the usefulness of systematic observations. However, no procedure can be recommended as a stand-alone diagnostic method. Psychometric properties are often unsatisfactory, which reduces the validity of observational methods, particularly for measuring treatment outcome. Further efforts are needed to improve the specificity of observational methods with regard to the discrimination of comorbidities and other disorders.

Abstract

This review evaluates the clinical utility of tools for systematic behavioral observation in different settings for children and adolescents with ADHD. A comprehensive search yielded 135 relevant results since 1990. Observations from naturalistic settings were grouped into observations of classroom behavior (n = 58) and of social interactions (n = 25). Laboratory observations were subdivided into four contexts: independent play (n = 9), test session (n = 27), parent interaction (n = 11), and peer interaction (n = 5). Clinically relevant aspects of reliability and validity of employed instruments are reviewed. The results confirm the usefulness of systematic observations. However, no procedure can be recommended as a stand-alone diagnostic method. Psychometric properties are often unsatisfactory, which reduces the validity of observational methods, particularly for measuring treatment outcome. Further efforts are needed to improve the specificity of observational methods with regard to the discrimination of comorbidities and other disorders.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Psychiatric University Hospital Zurich > Center for Child and Adolescent Psychiatry
04 Faculty of Medicine > Neuroscience Center Zurich
04 Faculty of Medicine > Center for Integrative Human Physiology
06 Faculty of Arts > Institute of Psychology
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:DoktoratPsych
Language:English
Date:2018
Deposited On:11 Jan 2018 12:55
Last Modified:15 Jul 2018 05:39
Publisher:Springer
ISSN:0009-398X
OA Status:Closed
Publisher DOI:https://doi.org/10.1007/s10578-017-0776-2
PubMed ID:29214372
Project Information:
  • : FunderSNSF
  • : Grant ID320030_149411
  • : Project TitleNeurofeedback and computerized cognitive training in different settings for children and adolescents with ADHD

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