Is a Virtual Reality Test Able to Predict Current and Retrospective ADHD Symptoms in Adulthood and Adolescence?

Despite the persistence of attention deficit hyperactivity disorder (ADHD) into adulthood and adolescence, there are few objective, reliable instruments (based on patient performance) that have been shown to be able to predict current and retrospective ADHD symptoms. The present study aimed to explore whether a validated VR test called Nesplora Aquarium is able to predict ADHD symptoms in adults and adolescents, based on both current and retrospective self-reports. A non-clinical sample of 156 adults and adolescents (70 women and 86 men) between 16 and 54 years of age (M = 21.23, SD = 8.04) took part in the study. Virtual reality (VR) variables such as the number of correct answers, omission and commission errors, among others, were used to predict current and retrospective self-reported symptoms of ADHD using multiple regression models. Correct answers and omission errors in the VR test significantly predicted both current and retrospective ADHD symptoms. However, only the number of perseveration errors and gender were able to significantly predict retrospective ADHD symptoms. These findings suggest that inattention problems tend to remain after adolescence, while perseveration errors (which have been related to impulsive behavior) and gender differences tend to diminish.

[1]  C. Rodríguez,et al.  New virtual reality tool (Nesplora Aquarium) for assessing attention and working memory in adults: A normative study , 2019, Applied neuropsychology. Adult.

[2]  O. Dan,et al.  Reliability and Validity of the Online Continuous Performance Test Among Children , 2014, Assessment.

[3]  C. Rodríguez,et al.  Psychosocial Profiles of Adults with ADHD: A Comparative Study of Prison and Outpatient Psychiatric Samples , 2018, The European Journal of Psychology Applied to Legal Context.

[4]  Diana Adler,et al.  Using Multivariate Statistics , 2016 .

[5]  E. Willcutt.  The Prevalence of DSM-IV Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review , 2012, Neurotherapeutics.

[6]  S. Moritz,et al.  Self-reported symptoms of attention-deficit/hyperactivity disorder: rate of endorsement and association with neuropsychological performance in an adult psychiatric sample. , 2015, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[7]  M. Monuteaux,et al.  Neuropsychological functioning in nonreferred siblings of children with attention deficit/hyperactivity disorder. , 2000, Journal of abnormal psychology.

[8]  Olga V. Demler,et al.  The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population , 2005, Psychological Medicine.

[9]  Adrian Angold,et al.  Relations Between Continuous Performance Test Performance Measures and ADHD Behaviors , 2003, Journal of abnormal child psychology.

[10]  C. Roncero,et al.  [Validation of the Spanish version of the attention deficit hyperactivity disorder adult screening scale (ASRS v. 1.1): a novel scoring strategy]. , 2009, Revista de neurologia.

[11]  T. Parsons,et al.  Bimodal Virtual Reality Stroop for Assessing Distractor Inhibition in Autism Spectrum Disorders , 2016, Journal of autism and developmental disorders.

[12]  S. McKenzie,et al.  Stop and look! Evidence for a bias towards virtual navigation response strategies in children with ADHD symptoms , 2016, Behavioural Brain Research.

[13]  J. Ramos-Quiroga,et al.  Validación al español de la escala de cribado del trastorno por déficit de atención/hiperactividad en adultos (ASRS v. 1.1):: una nueva estrategia de puntuación , 2009 .

[14]  G. Salum,et al.  ADHD prevalence estimates across three decades: an updated systematic review and meta-regression analysis. , 2013, International journal of epidemiology.

[15]  R. Barkley,et al.  Impairment in occupational functioning and adult ADHD: the predictive utility of executive function (EF) ratings versus EF tests. , 2010, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[16]  G. Salmon,et al.  Attention deficit hyperactivity disorder. , 2018, British journal of hospital medicine.

[17]  Celestino Rodríguez,et al.  Efficacy of a Continuous Performance Test Based on Virtual Reality in the Diagnosis of ADHD and Its Clinical Presentations , 2018, Journal of attention disorders.

[18]  W. Bao,et al.  Twenty-Year Trends in Diagnosed Attention-Deficit/Hyperactivity Disorder Among US Children and Adolescents, 1997-2016 , 2018, JAMA network open.

[19]  P. Wender,et al.  The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. , 1993, The American journal of psychiatry.

[20]  Celestino Rodríguez,et al.  New and Future Challenges Concerning the Use of Virtual Reality Tools for Assessing ADHD , 2017, Current Developmental Disorders Reports.

[21]  O. Bueno,et al.  Performance patterns in Conners' CPT among children with attention deficit hyperactivity disorder and dyslexia. , 2012, Arquivos de neuro-psiquiatria.

[22]  G. R. Valladolid,et al.  Validación en población española adulta de la Wender-Utah Rating Scale para la evaluación retrospectiva de trastorno por déficit de atención e hiperactividad en la infancia , 2001 .

[23]  L. Adler,et al.  Administering and evaluating the results of the adult ADHD Self-Report Scale (ASRS) in adolescents. , 2011, The Journal of clinical psychiatry.