|
KMID : 0368820200590020136
|
|
Journal of the Korean Neuropsychiatr Association
2020 Volume.59 No. 2 p.136 ~ p.141
|
|
|
The Korean Version of the Barkley Deficits in Executive Functioning Scale: Clinical Utility in Adult Attention-Deficit/Hyperactivity Disorder
|
|
Choi Jie-Seung
Lee Won-Hye
Ahn Ho-Won
Kim Ji-Hae
Joung Yoo-Sook
Lee Keun-Hee
Lee Jong-Il
|
|
|
Abstract
|
|
|
Objectives: To identify the clinical utility of the Korean version of the Barkley Deficits in Executive Functioning Scale (K-BDEFS) assessing executive functioning.
Methods: The patient group included 144 adult attention-deficit/hyperactivity disorder (ADHD) patients visiting the Adult ADHD Outpatient Clinic of the National Center for Mental Health. Adult ADHD Self-Report Scale version 1.1, Mini International Neuropsychiatric Interview, and K-BDEFS were used. The control subjects were 144 age, sex, and education-matched general adults who participated in the study of the validity of the K-BDEFS in Samsung Medical Center.
Results: An analysis of the mean total K-BDEFS score, executive functioning symptom count, and ADHD-executive function (EF) index score revealed a significant difference between the adult ADHD and control group (p<0.05). Five subscales of the K-BDEFS, which assess the specific domains of the executive function, revealed a significant difference between the ADHD group and control group (p<0.05). The area under curve (AUC) of the K-BDEFS total score, the EF symptom count, and the ADHD-EF index were 0.943, 0.949, and 0.908, respectively, in the analysis using the receiver operating characteristic curve. All AUC values were over 0.90. Therefore, KBDEFS is a reliable and valid screening instrument for diagnosing adult ADHD. In an assessment of the sensitivity and specificity of the cutoff scores, a cutoff of 183.5 points for the K-BDEFS total score, 26.5 points for the EF symptom count, and 23.5 points for the ADHD-EF index showed a reliable sensitivity and specificity above 80%.
Conclusion: To the best of the authors’ knowledge, this is the first study to examine the predictive validity and clinical utility of K-BDEFS in adult ADHD. The results suggest that the K-BDEFS could be used as a valid and reliable tool for the diagnosis and clinical intervention of adult ADHD.
|
|
|
KEYWORD
|
|
|
Adult attention-deficit/hyperactivity disorder (ADHD), Executive functions, Barkley Deficits in Executive Functioning Scale (BDEFS)
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|