Self-Reported Executive Function Deficits in a Community Sample of Adults with Attention Deficit Hyperactivity Disorder

注意力不足過動症社區成人的自陳執行功能缺失

張文彬(Wen-Pin Chang)

《職能治療學會雜誌》 29卷2期 (2011/12) Pp. 21-40

https://doi.org/10.6594/JTOTA.2011.29(2).02

摘要

The purposes of this study were twofold: (1) to examine self-reported problems with executive function in adults who have attention deficit hyperactivity disorder (ADHD), using the Behavior Rating Inventory of Executive Function-Adult version (BRIEF-A); and (2) to determine whether the BRIEF-A can discriminate between adults with and without ADHD. Two groups of college students between the ages of 18 and 30 participated in this study. The control group consisted of 32 adults who reported no known disorders (mean age: 23.7 ± 3.7). The ADHD group was composed of 36 adults who reported having an ADHD diagnosis via either psychiatrists or psychologists (mean age: 23.7 ± 3.7). The multivariate analysis of variance indicated that adults who had ADHD had significantly more self-reported executive function problems compared to healthy counterparts (Wilks' λ= .44, F(12,55) = 5.77, p ＜ .0005, η^2p = .56). The discriminant function analyses revealed that the BRIEF-A could appropriately classify adults with and without ADHD with 77.9% accuracy. This study showed that adults who have ADHD continue to experience difficulties in executive function, and that the BRIEF-A shows good discriminant validity in this population.

關鍵字

執行功能 ； 注意力不足過動症 ； 成人 ； 區辨功能分析

並列摘要

The purposes of this study were twofold: (1) to examine self-reported problems with executive function in adults who have attention deficit hyperactivity disorder (ADHD), using the Behavior Rating Inventory of Executive Function-Adult version (BRIEF-A); and (2) to determine whether the BRIEF-A can discriminate between adults with and without ADHD. Two groups of college students between the ages of 18 and 30 participated in this study. The control group consisted of 32 adults who reported no known disorders (mean age: 23.7 ± 3.7). The ADHD group was composed of 36 adults who reported having an ADHD diagnosis via either psychiatrists or psychologists (mean age: 23.7 ± 3.7). The multivariate analysis of variance indicated that adults who had ADHD had significantly more self-reported executive function problems compared to healthy counterparts (Wilks' λ= .44, F(12,55) = 5.77, p ＜ .0005, η^2p = .56). The discriminant function analyses revealed that the BRIEF-A could appropriately classify adults with and without ADHD with 77.9% accuracy. This study showed that adults who have ADHD continue to experience difficulties in executive function, and that the BRIEF-A shows good discriminant validity in this population.

並列關鍵字

Executive function ； Attention deficit hyperactivity disorder ； Adults ； Discriminant function analysis