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- Title
ADHD Symptoms in Adolescents' Everyday Life: Fluctuations and Symptom Structure Within and Between Individuals.
- Authors
Schmid, Johanna; Stadler, Gertraud; Dirk, Judith; Fiege, Christiane; Gawrilow, Caterina
- Abstract
Objective: This study investigated whether self-reported ADHD symptoms fluctuate substantially within adolescents from day to day, and examined the underlying symptom factor structure on a within- and between-person level. Method: Adolescents (N = 166) rated their ADHD symptoms over the phone on eight consecutive evenings (total ratings: n = 1,264). Results: ADHD symptoms showed substantial fluctuations within adolescents from day to day, as indicated by within-person standard deviations and intraclass correlation coefficients. Both a two-level factor model with three correlated factors (inattention, hyperactivity, impulsivity) and a two-level bifactor model with a general ADHD symptom factor and a specific inattention factor provided acceptable to good accounts of the structure underlying daily ADHD symptom ratings on the between- and the within-person level. Conclusion: The study demonstrates that adolescents' ADHD symptoms fluctuate from day to day and highlights the need for intensive diagnostic processes with repeated symptom assessments and interventions that address symptom fluctuations.
- Subjects
ATTENTION-deficit hyperactivity disorder; BEHAVIOR disorders in adolescence; SYMPTOMS; LONGITUDINAL method; IMPULSE (Psychology); AMERICAN Psychiatric Association; RESEARCH; RESEARCH methodology; BEHAVIOR; COGNITION; EVALUATION research; MEDICAL cooperation; COMPARATIVE studies; PSYCHOMOTOR disorders
- Publication
Journal of Attention Disorders, 2020, Vol 24, Issue 8, p1169
- ISSN
1087-0547
- Publication type
journal article
- DOI
10.1177/1087054716629214