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Inattention symptoms and the diagnosis of comorbid attention-deficit/hyperactivity disorder among youth with generalized anxiety disorder
Institution:1. Center for Anxiety and Related Disorders, Boston University, 648 Beacon Street, 6th Floor, Boston, MA 02215, United States;2. Florida International University, Department of Psychology, 11200 S.W. 8th Street, Miami, FL 33199, United States;1. Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA;2. Ralph H. Johnson VA Medical Center, Charleston, SC, USA;3. Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA;4. McGuire VA Medical Center, Richmond, VA, USA;5. Center for Addictions, Personality, and Emotion Research, University of Maryland, College Park, MD, USA;1. Australian Centre for Posttraumatic Mental Health and Department of Psychiatry, University of Melbourne, Melbourne, VIC, Australia;2. School of Public Health, La Trobe University, Melbourne, VIC, Australia;3. Department of Psychiatry, University of Melbourne, Melbourne, VIC, Australia;4. Department of Psychology, University of Toledo, Toledo, OH, USA;5. Veterans’ Psychiatry Unit, Austin Health, Heidelberg, VIC, Australia;6. Swinburne University of Technology, Faculty of Life and Social Sciences, Hawthorn, VIC, Australia;7. Department of Psychology and Social Behavior, University of California, Irvine, Irvine, CA, USA;8. School of Psychology, University of New South Wales, Sydney, NSW, Australia;9. Australian Institute for Primary Care & Ageing, La Trobe University, Melbourne, VIC, Australia;1. Department of Psychiatry, University of Pennsylvania, PA, USA;2. Department of Psychology, National Taiwan University, Taipei, Taiwan;1. Centre for the Psychology of Learning and Experimental Psychopathology, University of Leuven, Belgium;2. Department of Medical Social Sciences, Northwestern University, Chicago, IL, United States;3. School for Mental Health and Neuroscience, Maastricht University, The Netherlands;1. Providence Medical Group, United States;2. North Texas Veteran Affairs Health Care System, United States;3. University of Texas Southwestern Medical Center, United States
Abstract:Generalized anxiety disorder (GAD) and attention-deficit/hyperactivity disorder (ADHD) commonly co-occur in childhood. Inattention symptoms can be hallmarks of both conditions, however assessment tools of inattention may not effectively distinguish between the two conditions. The present study used receiver operating characteristic (ROC) analyses to examine the high-end specificity of the Attention Problems Scale of the Child Behavior Checklist (CBCL) for detecting comorbid ADHD among youth with GAD (N = 46). Results support the utility of the Attention Problems Scale for accurately distinguishing between the two groups (AUC = .84, SE = .06). Specifically, a cut score of 63 achieved the most favorable values across diagnostic utility indices; 74% of GAD youth with ADHD scored above this cutoff and 91% of GAD youth without ADHD scored below this cutoff. Findings provide support for the use of the CBCL Attention Problems Scale to supplement diagnostic interviews and identify inattention associated with ADHD among GAD youth.
Keywords:Attention-deficit/hyperactivity disorder  Child Behavior Checklist  Generalized anxiety disorder  High-end specificity  Inattention
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