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The Compensatory ADHD Behaviors Scale (CABS): Development and Initial Validation.

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This summary is machine-generated.

Adults with attention-deficit/hyperactivity disorder (ADHD) use compensatory behaviors to manage symptoms. The new Compensatory ADHD Behaviors Scale (CABS) shows these strategies are validly measured and linked to functional impairment.

Keywords:
attention-deficit/hyperactivity disorderexecutive functioningpsychometric propertiesscale development

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Area of Science:

  • Psychiatry
  • Neuroscience
  • Psychology

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) presents challenges in adults, impacting daily functioning.
  • Existing interventions focus on improving compensatory strategies, but a tool to measure these behaviors is lacking.
  • Compensatory behaviors are crucial for adults with ADHD to manage inattention and hyperactivity/impulsivity.

Purpose of the Study:

  • To determine the psychometric properties of the Compensatory ADHD Behaviors Scale (CABS).
  • To assess the validity of CABS in measuring compensatory behaviors in adults with ADHD.
  • To examine the relationship between compensatory behaviors and ADHD symptomatology, executive functioning, and functional impairment.

Main Methods:

  • Five hundred adult participants completed the CABS along with measures of ADHD symptomatology, executive functioning, functional impairment, and mood disorder symptoms.
  • Factor analyses were conducted to examine the structure of the CABS.
  • Correlational analyses and incremental validity analyses were performed to assess the scale's relationships with other variables.

Main Results:

  • The CABS demonstrated similar factor structures for scales assessing the use and effectiveness of compensatory behaviors, distinguishing between present- and future-oriented strategies.
  • Present-oriented compensatory behaviors were significantly associated with ADHD symptomatology, executive dysfunction, and functional impairment.
  • The effectiveness of present-oriented compensatory behaviors showed incremental validity in predicting functional impairment.

Conclusions:

  • The Compensatory ADHD Behaviors Scale (CABS) appears to be a valid measure for assessing compensatory strategies in adults with and without ADHD.
  • Compensatory strategies, particularly present-oriented ones, are significantly related to ADHD symptoms and functional impairment.
  • Measuring compensatory strategies may offer valuable insights into functional impairment associated with ADHD.