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Executive Functioning Rating Scale as a Screening Tool for ADHD: Independent Validation of the BDEFS-CA
Amanda M O'Brien1, Lynette R Kivisto1, Shanna Deasley1
1University of Windsor, Ontario, Canada.
The Barkley Deficits of Executive Functioning Scale-Children and Adolescents (BDEFS-CA) is a valid tool for assessing executive dysfunction in children. It effectively screens for Attention-Deficit/Hyperactivity Disorder (ADHD).
Area of Science:
- Psychological assessment
- Child and adolescent psychiatry
- Neurodevelopmental disorders
Background:
- Executive functioning deficits are a core feature of Attention-Deficit/Hyperactivity Disorder (ADHD).
- The Barkley Deficits of Executive Functioning Scale-Children and Adolescents (BDEFS-CA) is a parent-report measure designed to assess these deficits.
Purpose of the Study:
- To independently examine the validity of the BDEFS-CA in children with ADHD and typically developing controls.
- To assess the BDEFS-CA's utility as a screening tool for ADHD.
Main Methods:
- Confirmatory factor analysis of the BDEFS-CA.
- Correlational analyses between BDEFS-CA and Conners 3 ratings.
- Receiver operating characteristic (ROC) curve analysis for diagnostic accuracy.
Main Results:
- The BDEFS-CA demonstrated strong construct, concurrent, and discriminant validity.
- The scale showed significant accuracy in differentiating between children with and without ADHD.
Conclusions:
- The BDEFS-CA is a valid and reliable measure for assessing executive dysfunction in children.
- Findings support the use of the BDEFS-CA as a screening tool for ADHD in clinical and research settings.
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