Cited by 413Attention Deficit Hyperactivity DisorderDevelopmental and Educational NeuropsychologyAutism Spectrum Disorder Research

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Predicting Impairment in Major Life Activities and Occupational Functioning in Hyperactive Children as Adults: Self-Reported Executive Function (EF) Deficits Versus EF Tests

Barkley, Russell A., Fischer, Mariellen·2011·Developmental Neuropsychology

DOI 10.1080/87565641.2010.549877

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Abstract

Hyperactivity in children, or attention deficit hyperactivity disorder (ADHD), is associated with impairments in various major life activities by adulthood, particularly occupational functioning. ADHD appears to involve deficits in executive functioning (EF). Prior studies have not examined the contribution of these deficits to adult impairment generally and occupational adjustment specifically in longitudinal studies of hyperactive/ADHD children. We did so assessing EF by both self-report and tests and using self and other-rated impairment in 10 domains of major life activities and 12 measures of occupational impairment. We studied hyperactive (H; N = 135) and community control children (C; N = 75) followed to adulthood (mean age 27 years). The H cases were subdivided into those whose ADHD did (ADHD-P) and did not persist (ADHD-NP) using modified DSM-IV criteria. Self-reported EF deficits were more severe on all five EF scales in the ADHD-P than both the ADHD-NP and C groups and on three scales in the ADHD-NP compared to C groups. Most ADHD-P cases fell in the clinically impaired range on self-reported EF as did a substantial minority of ADHD-NP cases but few were so classified on the EF tests. Impairments in occupational functioning were predicted by the EF ratings to a greater degree than by the EF tests. Most EF tests were unrelated to work history with the exception of the Five-Points Test. We conclude that EF ratings are better predictors of impairment in major life act…

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“…are believed to underlie many real-world skills (e.g., emotional regulation; Gyurak et al., 2012), life outcomes (e.g., career and academic success; Barkley & Fischer, 2011; Best et al., 2011), and psychological constructs (e.g., impulsivity; i.e., the inability to inhibit behavioral impulses or…”
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“Assessing EF in adolescents with cSLE is important because of its associations with quality of life, educational attainment, and self-management of medical care (Barkley & Fischer, 2011; Frazier et al., 2022; Gutiérrez-Colina et al., 2016; Steuer & McCauley, 2017; Tarazi et al., 2007).”

Authors: Barkley, R. A., & Fischer, M.
Affiliations: Medical University of South Carolina (US)
Medical College of Wisconsin (US)
Corresponding author: Barkley, Russell A.
Venue: Developmental Neuropsychology
Publisher: Informa UK Limited
Published: 2011-01-31
Volume: 36
Issue: 2
Pages: 137-161
ISSN: 1532-6942 (ISSN-L)
8756-5641
DOI: 10.1080/87565641.2010.549877
OpenAlex: W2116091704
Cited by: 413
References: 45
Citations by year: 2026: 14 · 2025: 26 · 2024: 19 · 2023: 23 · 2022: 35 · 2021: 32 · 2020: 41 · 2019: 27 · 2018: 28 · 2017: 21 · 2016: 29 · 2015: 31 · 2014: 34 · 2013: 26 · 2012: 14
FWCI: 18.60
Type: journal article
Language: en
Open access: closed
Locations: Developmental Neuropsychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (R01MH042181, MH42181)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Keywords: attention deficit hyperactivity disorder, executive dysfunction, major life activities, occupational functioning, hyperactive children, longitudinal follow-up, work history
MeSH terms: Activities of Daily Living, Adult, Attention Deficit Disorder with Hyperactivity, Cognition Disorders, Female, Humans, Inhibition, Psychological, Interview, Psychological, Longitudinal Studies, Male, Neuropsychological Tests, Occupations, Predictive Value of Tests, Psychiatric Status Rating Scales, Severity of Illness Index, Statistics as Topic, Executive Function, Self Report

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Predicting Impairment in Major Life Activities and Occupational Functioning in Hyperactive Children as Adults: Self-Reported Executive Function (EF) Deficits Versus EF Tests

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