ADHD Symptoms in Adolescents' Everyday Life: Fluctuations and Symptom Structure Within and Between Individuals

Johanna Schmid; Gertraud Stadler; Judith Dirk; Christiane Fiege; Caterina Gawrilow

doi:10.1177/1087054716629214

ADHD Symptoms in Adolescents' Everyday Life: Fluctuations and Symptom Structure Within and Between Individuals

Johanna Schmid^* (Corresponding Author), Gertraud Stadler, Judith Dirk, Christiane Fiege, Caterina Gawrilow

^*Corresponding author for this work

Applied Health Sciences

Research output: Contribution to journal › Article › peer-review

11 Citations (Scopus)

Abstract

OBJECTIVE: This study investigated whether self-reported ADHD symptoms fluctuate substantially within adolescents from day to day, and examined the underlying symptom factor structure on a within- and between-person level.

METHOD: Adolescents (N = 166) rated their ADHD symptoms over the phone on eight consecutive evenings (total ratings: n = 1,264).

RESULTS: ADHD symptoms showed substantial fluctuations within adolescents from day to day, as indicated by within-person standard deviations and intraclass correlation coefficients. Both a two-level factor model with three correlated factors (inattention, hyperactivity, impulsivity) and a two-level bifactor model with a general ADHD symptom factor and a specific inattention factor provided acceptable to good accounts of the structure underlying daily ADHD symptom ratings on the between- and the within-person level.

CONCLUSION: The study demonstrates that adolescents' ADHD symptoms fluctuate from day to day and highlights the need for intensive diagnostic processes with repeated symptom assessments and interventions that address symptom fluctuations.

Original language	English
Pages (from-to)	1169-1180
Number of pages	12
Journal	Journal of attention disorders
Volume	24
Issue number	8
Early online date	18 Feb 2016
DOIs	https://doi.org/10.1177/1087054716629214
Publication status	Published - 1 Jun 2020

Keywords

ADHD
factor structure
Intensive longitudinal study
ADHD symptoms
intensive longitudinal study

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title = "ADHD Symptoms in Adolescents' Everyday Life: Fluctuations and Symptom Structure Within and Between Individuals",

abstract = "OBJECTIVE: This study investigated whether self-reported ADHD symptoms fluctuate substantially within adolescents from day to day, and examined the underlying symptom factor structure on a within- and between-person level.METHOD: Adolescents (N = 166) rated their ADHD symptoms over the phone on eight consecutive evenings (total ratings: n = 1,264).RESULTS: ADHD symptoms showed substantial fluctuations within adolescents from day to day, as indicated by within-person standard deviations and intraclass correlation coefficients. Both a two-level factor model with three correlated factors (inattention, hyperactivity, impulsivity) and a two-level bifactor model with a general ADHD symptom factor and a specific inattention factor provided acceptable to good accounts of the structure underlying daily ADHD symptom ratings on the between- and the within-person level.CONCLUSION: The study demonstrates that adolescents' ADHD symptoms fluctuate from day to day and highlights the need for intensive diagnostic processes with repeated symptom assessments and interventions that address symptom fluctuations.",

keywords = "ADHD, factor structure, Intensive longitudinal study, ADHD symptoms, intensive longitudinal study",

author = "Johanna Schmid and Gertraud Stadler and Judith Dirk and Christiane Fiege and Caterina Gawrilow",

note = "Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by the Center for Individual Development and Adaptive Education of Children at Risk (IDeA), funded by the Federal State Government of Hessen (LOEWE initiative), and by the Robert Bosch Foundation, Stuttgart, Germany",

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doi = "10.1177/1087054716629214",

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AU - Schmid, Johanna

AU - Stadler, Gertraud

AU - Dirk, Judith

AU - Fiege, Christiane

AU - Gawrilow, Caterina

N1 - Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by the Center for Individual Development and Adaptive Education of Children at Risk (IDeA), funded by the Federal State Government of Hessen (LOEWE initiative), and by the Robert Bosch Foundation, Stuttgart, Germany

PY - 2020/6/1

Y1 - 2020/6/1

N2 - OBJECTIVE: This study investigated whether self-reported ADHD symptoms fluctuate substantially within adolescents from day to day, and examined the underlying symptom factor structure on a within- and between-person level.METHOD: Adolescents (N = 166) rated their ADHD symptoms over the phone on eight consecutive evenings (total ratings: n = 1,264).RESULTS: ADHD symptoms showed substantial fluctuations within adolescents from day to day, as indicated by within-person standard deviations and intraclass correlation coefficients. Both a two-level factor model with three correlated factors (inattention, hyperactivity, impulsivity) and a two-level bifactor model with a general ADHD symptom factor and a specific inattention factor provided acceptable to good accounts of the structure underlying daily ADHD symptom ratings on the between- and the within-person level.CONCLUSION: The study demonstrates that adolescents' ADHD symptoms fluctuate from day to day and highlights the need for intensive diagnostic processes with repeated symptom assessments and interventions that address symptom fluctuations.

AB - OBJECTIVE: This study investigated whether self-reported ADHD symptoms fluctuate substantially within adolescents from day to day, and examined the underlying symptom factor structure on a within- and between-person level.METHOD: Adolescents (N = 166) rated their ADHD symptoms over the phone on eight consecutive evenings (total ratings: n = 1,264).RESULTS: ADHD symptoms showed substantial fluctuations within adolescents from day to day, as indicated by within-person standard deviations and intraclass correlation coefficients. Both a two-level factor model with three correlated factors (inattention, hyperactivity, impulsivity) and a two-level bifactor model with a general ADHD symptom factor and a specific inattention factor provided acceptable to good accounts of the structure underlying daily ADHD symptom ratings on the between- and the within-person level.CONCLUSION: The study demonstrates that adolescents' ADHD symptoms fluctuate from day to day and highlights the need for intensive diagnostic processes with repeated symptom assessments and interventions that address symptom fluctuations.

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ADHD Symptoms in Adolescents' Everyday Life: Fluctuations and Symptom Structure Within and Between Individuals

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