The Attention and Executive Function Rating Inventory (ATTEX): Psychometric properties and clinical utility in diagnosing ADHD subtypes

Klenberg, L., Jämsä, S., Häyrinen, T., Lahti‐Nuuttila, P. & Korkman, M. (2010). The Attention and Executive Function Rating Inventory (ATTEX): Psychometric properties and clinical utility in diagnosing ADHD subtypes. Scandinavian Journal of Psychology, 51, 439–448. This study presents a new inventory, the Attention and Executive Function Rating Inventory (ATTEX), and examines the psychometric properties and the clinical utility of ATTEX in indentifying the attention deficit hyperactivity disorder combined type (ADHD‐C) and the ADHD predominantly inattentive type (ADHD‐I) in school environments. A normative sample of Finnish 7‐ to 15‐year‐old children and adolescents (N = 701) and a clinical sample consisting of children with ADHD‐C (N = 190) and ADHD‐I (N = 25) were examined with the ATTEX and the ADHD Rating Scale‐IV. The ATTEX and its scales had good internal consistency reliability (0.67–0.98) and criterion validity (0.68–0.95). Normative data was provided for the total normative sample and for boys and girls separately. Gender differences were noted in the ATTEX scores, boys having consistently higher scores on all ATTEX scales. The effect of age was significant only for one of the ten scales, the Motor hyperactivity scale, 7‐year‐olds having more problems of hyperactivity than 14‐year‐olds. Lower parent education level and the child’s learning difficulties were related to higher ratings of EF problems in ATTEX. When different cutoff scores for boys and girls were applied, ATTEX was sensitive in identifying children with attention deficit disorders. In addition, ATTEX was accurate in differentiating children with ADHD‐I from children with ADHD‐C. In this Finnish sample, ATTEX showed solid psychometric properties and could be used as a reliable tool in the diagnostic evaluation of ADHD‐C and ADHD‐I.     

Predictors of Multiple Suicide Attempts among Suicidal Black Adolescents

Psychopathology, social support, and interpersonal orientation were studied in relation to suicide attempt status in acutely suicidal, psychiatrically hospitalized Black adolescents and a matched sample of White adolescents. In the total sample, multiple attempters were differentiated by lower perceived support. Within the Black youth subsample, social comparison and positive stimulation from others differentiated multiple attempters from single attempters/ideators. Only suicidal ideation predicted multiple attempts among White youth and only higher interpersonal orientation predicted multiple suicide attempts within Black adolescents.     

Impulsivity Mediates the Relationship between Future Orientation and Juvenile Deviancy

Both future orientation and impulsivity are intrinsic parts of an adolescent’s self-control, and empirical evidence clearly establishes them as crucial features on the origin of juvenile deviant behavior. However, we do not yet fully understand how these variables relate in explaining deviant conduct. In the present study, we tested a mediation model between these variables among 126 Portuguese adolescents. Findings support the mediation model in analysis, namely that impulsivity fully mediates the effect of future orientation on deviant behavior. In conclusion, our results suggest that lesser future orientated youth develop impulsive behavior which, in turn, explains their higher deviant conduct.     

Sport stacking in auditory and visual attention of grade 3 learners

The effect of sport stacking on auditory and visual attention in 32 Grade 3 children was examined using a randomised, cross-over design. Children were randomly assigned to a sport stacking (n=16) or arts/crafts group (n=16) with these activities performed over 3 wk. (12 30-min. sessions, 4 per week). This was followed by a 3-wk. wash-out period after which there was a cross-over and the 3-wk. intervention repeated, with the sports stacking group performing arts/crafts and the arts/crafts group performing sports stacking. Performance on the Integrated Visual and Auditory Continuous Performance Test, a measure of auditory and visual attention, was assessed before and after each of the 3-wk. interventions for each group. Comparisons indicated that sport stacking resulted in significant improvement in high demand function and fine motor regulation, while it caused a significant reduction in low demand function. Auditory and visual attention adaptations to sport stacking may be specific to the high demand nature of the task.     

Stimulus format and working memory in fast and frugal strategy selection

The necessity of retrieving complex attribute information from long‐term memory has been shown to elevate processing costs and boost the use of simple decision heuristics. This effect was confined to verbal as opposed to pictorial attribute information. In a large‐scale experiment (N = 151), either verbal or pictorial information for inferences had to be retrieved from long‐term memory. Concurrent secondary tasks either interfered with the Central Executive, the Phonological Loop, or the Visuo‐Spatial Sketchpad. These are hypothetical components of working memory responsible for processing different information formats. Whereas the information format massively affected strategy selection, there was an additive rather than interactive effect of secondary task, suggesting enhanced retrieval costs irrespective of the information format. An additional analysis in terms of a similarity match as proposed by exemplar‐based models did not enhance the explanation of the data. Copyright © 2006 John Wiley & Sons, Ltd.     

The paradox of happiness: Why are we not doing what we know makes us happy?

Achieving and maintaining happiness can be difficult, especially when people are not engaging in the activities they know facilitate it. ‘Flow’ activities require clear rules, challenge, a high investment of energy, and have been shown to promote long-term happiness better than low investment, passive activities. Do people know this? In two studies, we found that, despite recognizing that flow activities are more likely to facilitate happiness, people nevertheless participated in passive leisure significantly more often in a typical week. Participants rated passive activities as being significantly more enjoyable, requiring less effort, and being less daunting to get started than flow activities. Participants’ engagement in flow activities was significantly predicted by how enjoyable the activities were perceived to be, whereas how daunting those activities were rated predicted non-engagement. Passive activity engagement was only significantly predicted by enjoyment. Suggestions for enabling people to rise above the barriers to flow activities are offered.