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Issue 931 coverADULT ATTENTION DEFICIT DISORDER: BRAIN MECHANISMS AND LIFE OUTCOMES Copyright © 2001 by the New York Academy of Sciences
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Articles by RICCIO, C. A.
Articles by REYNOLDS, C. R.
Annals of the New York Academy of Sciences 931:113-139 (2001)
© 2001 New York Academy of Sciences

Continuous Performance Tests Are Sensitive to ADHD in Adults but Lack Specificity

A Review and Critique for Differential Diagnosis

CYNTHIA A. RICCIO AND CECIL R. REYNOLDS

Department of Educational Psychology, Texas A & M University, College Station, Texas 77843-4225, USA

Address for correspondence: Cynthia A. Riccio, Ph.D., Department of Educational Psychology, Mail Stop 4225, Texas A&M University, College Station, TX 77843-4225. Voice: 979-862-4906.
criccio{at}acs.tamu.edu

Historically, the focus for Attention Deficit Hyperactivity Disorder (ADHD) has been on children, with considerable research and many opinions available in this area. More recently, the focus has been expanded to include ADHD in adults. Assessment of ADHD in adults is complicated by the high rate of co-occurring disorders as well as symptom overlap with a number of disorders. One popular family of measures for the assessment of attention and executive control is the continuous performance test (CPT). A review of the available research on CPTs reveals that they are quite sensitive to CNS dysfunction. This is both a strength and a limitation of CPTs in that multiple disorders can result in impaired performance on a CPT. The high sensitivity of CPTs is further complicated by the multiple variations of CPTs available, some of which may be more sensitive or demonstrate better specificity to ADHD in adults than others. If CPTs are to be used clinically, further research will be needed to answer the questions raised by this review.

Key Words: Continuous performance tests • Attention • Executive control • ADHD




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