Universität zu Köln

von Wirth, Elena, Mandler, Janet, Breuer, Dieter and Doepfner, Manfred . The Accuracy of Retrospective Recall of Childhood ADHD: Results from a Longitudinal Study. J. Psychopathol. Behav. Assess.. NEW YORK: SPRINGER/PLENUM PUBLISHERS. ISSN 1573-3505

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Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a childhood-onset condition that may continue into adulthood. When assessing adult patients, clinicians usually rely on retrospective reports of childhood symptoms to evaluate the age-of-onset criterion. Since inaccurate symptom recall may impede the diagnosis and treatment of ADHD, knowledge about the factors influencing retrospective reports is needed. This longitudinal study investigated (a) the accuracy of retrospective symptom ratings by adult participants with a childhood diagnosis of ADHD (self-ratings) and parents or significant others (proxy ratings), and (b) the influence of current ADHD symptom severity and ADHD-associated impairments on retrospective symptom ratings. Participants (N = 55) were members of the Cologne Adaptive Multimodal Treatment (CAMT) study who had been referred and treated for ADHD in childhood and were reassessed in adulthood (average age 27 years). Participants' retrospective self-ratings were substantially lower than, and did not correlate with, parents' ADHD symptom ratings provided at study entry, while retrospective symptom ratings provided by proxy respondents correlated moderately with parents' childhood ratings. In addition, participants were more likely to underreport childhood symptoms (79%) and more frequently denied the presence of three or more childhood symptoms (17%) compared to proxy respondents (65% underreporting, 10% false-negative recall). Proxy respondents' symptom recall was best predicted by childhood ADHD, while participants' symptom recall was best predicted by current ADHD symptom severity. ADHD-associated impairments were not correlated with symptom recall after controlling for childhood ADHD. Together, these findings suggest a recall bias in adult patients and question the validity of retrospective reports, even in clinical samples.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code von Wirth, Elena UNSPECIFIED UNSPECIFIED UNSPECIFIED Mandler, Janet UNSPECIFIED UNSPECIFIED UNSPECIFIED Breuer, Dieter UNSPECIFIED UNSPECIFIED UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-308568
DOI:	10.1007/s10862-020-09852-1
Journal or Publication Title:	J. Psychopathol. Behav. Assess.
Publisher:	SPRINGER/PLENUM PUBLISHERS
Place of Publication:	NEW YORK
ISSN:	1573-3505
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ATTENTION-DEFICIT/HYPERACTIVITY-DISORDER; DEFICIT HYPERACTIVITY DISORDER; OF-ONSET CRITERION; YOUNG ADULTHOOD; SELF-REPORT; SYMPTOMS; AGE; DEFINITION; CHILDREN; RATINGS Multiple languages Psychology, Clinical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/30856