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Unraveling the optimum latent structure of Attention-Deficit/Hyperactivity Disorder: Evidence supporting ICD and HiTOP frameworks
Journal article   Open access   Peer reviewed

Unraveling the optimum latent structure of Attention-Deficit/Hyperactivity Disorder: Evidence supporting ICD and HiTOP frameworks

R. Gomez, L. Liu, R. Krueger, V. Stavropoulos, J. Downs, D. Preece, S. Houghton and W. Chen
Frontiers in Psychiatry, Vol.12, Art. 666326
2021
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Abstract

Attention Deficit/hyperactivity disorder (ADHD) is conceptualized differently in the Diagnostic and Statistical Manual (DSM-5), the International Classification of Diseases-10 (ICD-10), and the Hierarchical Taxonomy of Psychopathology (HiTOP) frameworks. This study applied independent cluster confirmatory factor analysis (ICM-CFA), exploratory structure equation model with target rotation (ESEM), and the S-1 bi-factor CFA approaches to evaluate seven ADHD models yielded by different combinations of these taxonomic frameworks. Parents and teachers of a community sample of children (between 6 and 12 years of age) completed the Disruptive Behavior Rating Scale (for ADHD symptoms) and the Strengths and Difficulties Questionnaire (for validation). Our findings for both parent and teacher ratings provided the most support for the S-1 bi-factor CFA model comprised of (i) a g-factor based on ICD-10 impulsivity symptoms as the reference indicators and (ii) inattention and hyperactivity as specific factors. However, the hyperactivity-specific factor lacked clarity and reliability. Thus, our findings indicate that ADHD is best viewed as a disorder primarily reflecting impulsivity, though with a separable inattention (but no hyperactivity) component, i.e., “ADID (attention deficit/impulsivity disorder).” This model aligns with the HiTOP proposals.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.136 Autism & Development Disorders
1.136.641 ADHD
Web Of Science research areas
Psychiatry
ESI research areas
Psychiatry/Psychology
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