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External Validation of Bifactor Model of ADHD: Explaining Heterogeneity in Psychiatric Comorbidity,Cognitive Control,and Personality Trait Profiles Within DSM-IV ADHD
Authors:Michelle M Martel  Bethan Roberts  Monica Gremillion  Alexander von Eye  Joel T Nigg
Institution:(1) Psychology Department, University of New Orleans, 2005 Geology & Psychology Building, 2000 Lakeshore Drive, New Orleans, LA 70148, USA;(2) Psychology Department, Michigan State University, East Lansing, USA;(3) Psychiatry Department, Oregon Health and Science University, Oregon, USA
Abstract:The current paper provides external validation of the bifactor model of ADHD by examining associations between ADHD latent factor/profile scores and external validation indices. 548 children (321 boys; 302 with ADHD), 6 to 18 years old, recruited from the community participated in a comprehensive diagnostic procedure. Mothers completed the Child Behavior Checklist, Early Adolescent Temperament Questionnaire, and California Q-Sort. Children completed the Stop and Trail-Making Task. Specific inattention was associated with depression/withdrawal, slower cognitive task performance, introversion, agreeableness, and high reactive control; specific hyperactivity-impulsivity was associated with rule-breaking/aggressive behavior, social problems, errors during set-shifting, extraversion, disagreeableness, and low reactive control. It is concluded that the bifactor model provides better explanation of heterogeneity within ADHD than DSM-IV ADHD symptom counts or subtypes.
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