Adi Stern, Adina Maeir; Validating the Measurement of Executive Functions in an Occupational Context for Adults With Attention Deficit Hyperactivity Disorder. Am J Occup Ther 2014;68(6):719–728. https://doi.org/10.5014/ajot.2014.012419
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© 2019 American Occupational Therapy Association
OBJECTIVE. The objectives of this study were to better understand the cognitive profile of adults with attention deficit hyperactivity disorder (ADHD), their occupational performance, and their quality of life (QoL) and to examine the validity of a cognitive–functional evaluation (CFE) battery for these adults.
METHOD. Eighty-one adults with ADHD and 58 without ADHD completed ADHD symptom ratings, the Behavior Rating Inventory of Executive Function–Adult Version, and the Adult ADHD Quality-of-Life Scale. An occupational performance interview was administered to the ADHD group.
RESULTS. A broad range of occupational concerns were reported. We found significant differences between groups on all measures. In the ADHD group, we found medium significant correlations among the measures.
CONCLUSION. Adults with ADHD experience cognitive and functional difficulties in their daily lives associated with QoL. The results support the use of a CFE battery that has been shown to be sensitive and specific for these adults.
The BRIEF–A and COPM are valid measures for identifying cognitive–functional challenges in adults with ADHD.
The AAQoL is a valid measure for assessing QoL in adults with ADHD.
The BRIEF–A, COPM, and AAQoL are suggested as a clinically useful battery to guide occupational therapy interventions and can serve as valuable outcome measures for future occupational therapy intervention efficacy studies for adults with ADHD.
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