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Updated: Jun 21, 2026
13:09
Using Brain Activation (nir-HEG/Q-EEG) and Execution Measures (CPTs) in a ADHD Assessment Protocol
Published on: April 1, 2018
Cognitive versus behavioral ADHD phenotype: what is it all about?
F Perez-Alvarez1, C Serra-Amaya, C A Timoneda-Gallart
1Hospital Universitari Dr J Trueta, Department of Neuropediatrics, Girona, Spain. fperez.girona.ics@gencat.cat
Neuropediatrics
|July 30, 2009
Summary
The ADHD PASS assessment identified planning deficits in most ADHD patients. Treatment improved planning and remission, particularly with combined therapy, suggesting PASS assessment relevance.
Area of Science:
- Neuroscience
- Psychology
- Psychiatry
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder.
- Cognitive deficits, particularly in executive functions like planning, are common in ADHD.
- The ADHD PASS assessment tool aims to identify specific cognitive dysfunctions.
Purpose of the Study:
- To investigate the utility of the ADHD PASS assessment in characterizing cognitive profiles of ADHD patients.
- To evaluate the impact of different treatments (Concerta, humanistic psychology, combined) on cognitive functions and ADHD symptom remission.
- To explore the relationship between cognitive improvement and treatment outcomes.
Main Methods:
- 150 ADHD patients (combined and inattentive types) meeting DSM-IV-TR criteria, without comorbidity or prior treatment, were enrolled.
- Patients were categorized based on SNAP-IV scores and randomly assigned to treatment groups: Concerta, humanistic psychology, or combined.
- Cognitive functions were assessed using the DN:CAS battery and ADHD symptoms via SNAP-IV at baseline, 6, and 12 months. Cluster analysis and t-tests were employed.
Main Results:
- Cluster analysis revealed three distinct cognitive profiles: planning dysfunction (majority combined ADHD), successive processing dysfunction (majority inattentive ADHD), and no cognitive dysfunction.
- Significant improvement in planning deficits was observed at 12 months, particularly in the combined treatment group (Concerta + psychology).
- Treatment remission rates paralleled planning improvement, with the combined group showing the best outcomes, followed by Concerta alone, then psychology alone.
Conclusions:
- The ADHD PASS assessment effectively identified distinct cognitive profiles in ADHD patients.
- Treatment, especially combined therapy, can ameliorate planning deficits and improve remission rates in ADHD.
- The findings support the clinical relevance of the ADHD PASS assessment in guiding ADHD treatment strategies.
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