Behavioral Assessment of Core ADHD Symptoms Using the QbTest

J Atten Disord. 2015 Dec;19(12):1034-45. doi: 10.1177/1087054712472981. Epub 2013 Feb 4.

Abstract

Objective: Hyperactivity, one of the core symptoms of ADHD, has been mostly neglected in neuropsychological assessment of childhood ADHD. The neuropsychological Quantified behavior Test (QbTest) separately assesses all three core symptoms of ADHD on a behavioral level. Factor structure of the QbTest and its concurrent and discriminant validity are presented.

Method: An exploratory factor analysis (n = 828 children) was performed. In a second sample (n = 102 children) a Multi-Trait-Multi-Method (MTMM) approach was used for validity analyses.

Results: A three factorial model explained 76 % of the total variance, with the resulting QbTest factors significantly influenced by age and gender. The MTMM approach yielded promising results for discriminant, yet inconsistent findings for concurrent validity between the QbTest and another attention test as well as for Conners' Parent and Teacher Rating Scales.

Conclusion: Results indicate that the QbTest may be helpful for the behavioral assessment of childhood ADHD, yet further studies on its psychometric quality and clinical utility are needed.

Keywords: ADHD; Quantified behavior Test (QbTest); assessment; continuous performance test (CPT).

MeSH terms

  • Adolescent
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Attention*
  • Child
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Hyperkinesis
  • Male
  • Neuropsychological Tests*
  • Parents
  • Psychometrics / methods*
  • Sensitivity and Specificity
  • Severity of Illness Index