Future Directions for Work on Refinement of ADHD Assessment in Young Adults

Sibley, Coxe, and Molina provide a thoughtful discussion of the implications of our study and highlight important future directions in this line of work. They helpfully amplify several themes that space did not allow discussion of in our article. In particular, they correctly emphasize the importance of theoretical as well as statistical considerations in model selection. We also agree that clinical tests of sensitivity and specificity, taking into account different base rates and types of samples, are essential before a final algorithm would be ready for dissemination. However, we are not convinced that such tests should be limited to populations of individuals with attention-deficit/hyperactivity disorder (ADHD). Rather, they should include those with and without diagnosed ADHD in order to provide comprehensive tests of reporter sensitivity and specificity across the entire continuum of ADHD symptomatology and in relation to different populations, including other disorders and typically developing populations.