Abstract
Aktuelle Modelle zur Ätiopathogenese der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) postulieren vor allem Defizite in den exekutiven Funktionen sowie motivationale Störungen als zentrale neuropsychologische Komponenten bei den betroffenen Patienten. Um die kognitiven und exekutiven Defizite der ADHS zu erfassen, finden derzeitig vor allem im englischen Sprachraum Testverfahren Anwendung, die auf der PASS-Theorie basieren. Durch die Erfassung der dynamischen kognitiven Prozesse Planungsfähigkeit und Aufmerksamkeit sowie sequenzielle und simultane Informationsverarbeitung zeigt sich die PASS-Theorie sensibel bezüglich der spezifischen kognitiven Probleme und exekutiven Defizite von Kindern mit Störungen der Aufmerksamkeit oder Hyperaktivität. Die Übersicht setzt sich ausführlich mit den neuropsychologischen Grundlagen der ADHS auseinander und stellt entsprechende diagnostische Verfahren vor. Die Rolle aktueller, auf der PASS-Theorie basierender Testverfahren für den diagnostischen Prozess und daraus resultierende Implikationen für den klinischen Alltag werden diskutiert.
Current models of the etiopathogenesis of attention-deficit/hyperactivity disorder (ADHD) postulate that executive function deficits and motivational dysfunctions are the essential neuropsychological constituents in affected patients. Measures to assess the cognitive and executive deficits specific to ADHD based on PASS theory are being applied increasingly in the English-speaking area. PASS theory has been shown to be sensitive to the specific cognitive problems and executive deficits of children with ADHD by assessing the following dynamic cognitive processes: planning, attention, and simultaneous and successive processing. This review describes in detail the neuropsychological fundamentals of ADHD and presents corresponding diagnostic measures. The role of current measures based on PASS theory in regard to the diagnostic process and resulting implications for clinical everyday life are discussed.
Literatur
2008). Interference control in attention-deficit/hyperactivity disorder: Differential Stroop effects for colour-naming versus counting. Journal of Neural Transmission, 115, 241 – 247.
(1985). Farbe-Wort-Interferenztest (FWIT) nach J. Stroop. Göttingen: Hogrefe.
(2007). Annotation: What electrical brain activity tells us about brain function that other techniques cannot tell us: a child psychiatric perspective. Journal of Child Psychology and Psychiatry, 48, 415 – 435.
(2004). Questioning inhibitory control as the specific deficit of ADHD – evidence from brain electrical activity. Journal of Neural Transmission, 111, 841 – 864.
(1997). ADHD and the nature of self-control. New York: Guilford.
(2006). Attention deficit hyperactivity disorder (3rd ed.). New York: Guilford.
(2001). Executive functioning, temporal discounting, and sense of time in adolescents with attention deficit hyperactivity disorder and oppositional defiant disorder. Journal of Abnormal Child Psychology, 29, 541 – 556.
(2002). The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. Journal of Abnormal Psychology, 111, 279 – 289.
(2006). Identifying new symptoms for diagnosing ADHD in adulthood. The ADHD Report, 14, 7 – 11.
(1994). Multilingual Aphasia Examination (3rd ed.). Iowa City, IA: AJA Associates.
(2005). Executive functioning in adult ADHD: a meta-analytic review. Psychological Medicine, 35, 1097 – 1108.
(2000). The neurodevelopmental frontostriatal disorders: Evolutionary adaptiveness and anomalous lateralization. Brain and Language, 73, 297 – 320.
(2006). The analysis of 51 genes in DSM-IV combined type attention deficit hyperactivity disorder: Association signals in DRD4, DAT1 and 16 other genes. Molecular Psychiatry, 11, 934 – 953.
(1999). Anterior cingulate cortex dysfunction in attention-deficit/hyperactivity disorder revealed by fMRI and the counting stroop. Society of Biological Psychiatry, 45, 1524 – 1552.
(2007). Trends in medication treatment for ADHD. Journal of Attention Disorders, 10, 335 – 342.
(2001). A comparison of the neuropsychological profiles of the DSM-IV subtypes of ADHD. Journal of Abnormal Child Psychology, 29, 529 – 540.
(1997). Working memory updating to visual verbal stimuli: A high resolution ERP study. In , Brain topography today (pp. 173 – 178). Tokio: Elsevier.
(1995). Connersʼ Continuous Performance Test. Toronto: MHS.
(2003). Decision-making in disinhibited adolescents and adults: Insensitivity to future consequences or driven by immediate reward? Personality and Individual Differences, 35, 1625 – 1641.
(2005). Aufmerksamkeitsdefizit/Hyperaktivitätsstörung (ADHS): Wie valide sind die Subtypen? Kindheit und Entwicklung, 14, 244 – 254.
(2008). Memory tests in subgroups of adult attention deficit hyperactivity disorder reveals simultaneous capacity deficit. International Journal of Neuroscience, 118, 569 – 591.
(2008). Aufmerksamkeitsdefizit-/Hyperaktivitätsstörungen (ADHS). In , Lehrbuch der Klinischen Kinderpsychologie (6., vollst. veränd. Aufl.; S. 257 – 276). Göttingen: Hogrefe.
(2004). Altered response control and anterior cingulate function in attention-deficit/hyperactivity disorder boys. Clinical Neurophysiology, 115, 973 – 981.
(2005). Molecular genetics of attention deficit hyperactivity disorder. Biological Psychiatry, 57, 1313 – 1323.
(2003). The worldwide prevalence of ADHD: is it an American condition? World Psychiatry, 2, 104 – 113.
(2007). Aufmerksamkeit. In , Kognitive Entwicklungsneuropsychologie (S. 153 – 176). Hogrefe: Göttingen.
(2008). Motor coordination problems in children and adolescents with ADHD rated by parents and teachers: effects of age and gender. Journal of Neural Transmission, 115, 211 – 220.
(2004). The relations among inhibition and interference control functions: A latent-variable analysis. Journal of Experimental Psychology: General, 133, 101 – 135.
(2000). Zoo-Spiel. Ein Test zur Planungsfähigkeit bei Grundschulkindern. Göttingen: Beltz.
(1999). Messung der kognitiven Leistungsfähigkeit mit Hilfe von kognitiven Funktionstests – Untersuchungen mit Labyrinthaufgaben. Fortschritte der Neurologie und Psychiatrie, 67, 64 – 69.
(1994). Working memory dysfunction in schizophrenia. Journal of Neuropsychiatry and Clinical Neuroscience, 6, 348 – 357.
(2006). The role of intellectual processes in the DSM-V diagnosis of ADHD. Journal of Attention Disorders, 10, 3 – 8.
(2008). The school neuropsychology of ADHD: Theory, assessment, and intervention. Psychology in the Schools, 45, 859 – 874.
(2003). Underlying processes in the poor response inhibition of children with ADHD. Journal of Attention Disorders, 6, 111 – 122.
(1993). Wisconsin Card Sorting Test (WCST) (2. Aufl.). Göttingen: Hogrefe.
(1993). Developmental normative data on the test of variables of attention (T.O.V.A.). Journal of Child Psychology and Psychiatry, 34, 1019 – 1030.
(2008). Imaging the genetics of executive function. Biological Psychology, 79, 30 – 43.
(2004). Wirken sich unterschiedliche Verstärkerbedingungen bei Kindern mit Aufmerksamkeitsdefizit-/Hyperaktivitätsstörungen auf psychophysiologische Kennwerte aus? Kindheit und Entwicklung, 13, 148 – 157.
(2005). Performance of children diagnosed with ADHD on selected planning and reconstitution tests. Applied Neuropsychology, 12, 106 – 119.
(1991). Localization of lesions by neuropsychological testing. Epilepsia, 32, 41 – 52.
(2007). Aufmerksamkeitsstörungen bei Kindern. Langzeiteffekte des neuropsychologischen Gruppenprogramms ATTENTIONER. Kindheit und Entwicklung, 16, 40 – 49.
(1977). Design fluency: The invention of nonsense drawings after focal cortical lesions. Neuropsychologia, 15, 653 – 674.
(2008). Nicotinic receptors, nucleus accumbens and attention deficit hyperactivity disorder. Bulletin of Clinical Psychopharmocology, 18, 122 – 129.
(2007). Evaluation informatisée des capacités cognitives et attentionnelles (K-CLASSIC). Paris: ECPA.
(2007). Psychopathie im Kindesalter. Kindheit und Entwicklung, 16, 260 – 266.
(2007). Aufmerksamkeitsstörungen im Kindesalter. Erkenntnisse funktioneller Magnetresonanztomographie. Kindheit und Entwicklung, 16, 7 – 15.
(2004). Neuropsychological assessment (4th ed.). Oxford: Oxford University Press.
(2001). Differentiation of attention-deficit/hyperactivity disorder subtypes: application of a neuropsychological model of attention. Journal of Clinical and Experimental Neuropsychology, 23, 317 – 330.
(2005). Utility of the PASS theory and Cognitive Assessment System for Dutch children with and without ADHD. Journal of Learning Disabilities, 38, 434 – 439.
(1966). Human brain and psychological processes. New York: Harper et Row.
(1970/2001). Die höheren kortikalen Funktionen des Menschen und ihre Störungen bei örtlichen Hirnschädigungen. Berlin: Deutscher Verlag der Wissenschaften.
(2008). Contrasting deficits on executive functions between ADHD and reading disabled children. Journal of Child Psychology and Psychiatry, 49, 543 – 552.
(2002). Putamen lesions and the development of attention-deficit/hyperactivity symptomatology. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 563 – 571.
(2006). WISC-IV and WISC-III Profiles in children with ADHD. Journal of Attention Disorders, 9, 486 – 493.
(1971). Interhemispheric differences in the localization of psychological processes in man. British Medical Bulletin, 27, 272 – 277.
(2003). Funktionen und Modelle der selektiven Aufmerksamkeit. In , Neuropsychologie (S. 231 – 257). Berlin: Springer.
(1999). Essentials of CAS assessment. New York: Wiley.
(2003). Nonverbal ability test individual administration. San Antonio: Harcourt Assessment.
(1997). The PASS cognitive processing theory. In , Handbook on testing (pp. 138 – 163). London: Greenwood.
(2005). Planning, Attention, Simultaneous, Successive (PASS) theory: A revision of the concept of intelligence. In , Contemporary intellectual assessment (2nd ed., pp. 136 – 182). New York: Guilford.
(2005). Relationship between the WISC-III and the Cognitive Assessment System with Connersʼ rating scales and continuous performance tests. Archives of Clinical Neuropsychology, 20, 385 – 401.
(2003). Performance of children with attention deficit hyperactivity disorder and anxiety/depression on the WISC-III and Cognitive Assessment System (CAS). Journal of Psychoeducational Assessment, 21, 32 – 42.
(2003). Helping children learn: Instructional handouts for use in school and at home. Baltimore: Brookes.
(2004). Construct validity of the PASS theory and CAS: Correlations with achievement. Journal of Educational Psychology, 96, 174 – 181.
(2004). Assessment of ADHD and reading disabilities using the PASS theory and cognitive assessment system. Journal of Psychoeducational Assessment, 22, 93 – 105.
(2007). Wahrnehmung und Kognition. In , Medizinische Psychologie und Medizinische Soziologie (S. 163 – 187). Stuttgart: Wissenschaftliche Verlagsgemeinschaft.
(2001). Is ADHD a disinhibitory disorder? Psychological Bulletin, 127, 571 – 598.
(2005). Causal heterogeneity in attention-deficit/hyperactivity disorder: Do we need neuropsychologically impaired subtypes? Biological Psychiatry, 57, 1224 – 1230.
(2005). Which executive function deficits are associated with AD/HD, ODD/CD and comorbid AD/HD + ODD/CD? Journal of Abnormal Child Psychology, 33, 69 – 85.
(1996). Executive functions and developmental psychopathology, Journal of Child Psychology and Psychiatry, 37, 51 – 87.
(2000). The predictive power of combined neuropsychological measures for attention deficit/hyperactivity disorder in children. Child Neuropsychology, 6, 101 – 114.
(2006). Neuropsychologische Diagnostik und Therapie von Aufmerksamkeits- und Gedächtnisstörungen im Kindesalter. Verhaltenstherapie, 16, 112 – 120.
(2008). HAWIK-IV. Kindheit und Entwicklung, 17, 71 – 75.
(1997). Inhibition and attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 5, 7 – 13.
(2008). Executive functions in preschool children with aggressive behavior: Impairments in inhibitory control. Journal of Abnormal Child Psychology, 36, 1097 – 1107.
(2008). Working memory deficits in boys with attention-deficit/hyperactivity disorder (ADHD): The contribution of central executive and subsystem processes. Journal of Abnormal Child Psychology, 36, 825 – 837.
(1985). The Halstead-Reitan Neuropsychological Test Battery: Theory and interpretation. Tucson, AZ: Neuropsychology Press.
(1964). Lʼexamen clinique en psychologie. Paris: Presses Universitaires de France.
(2000). Clinical applications of continuous performance tests. Chichester: Wiley.
(2008a). Neuropsychological measures probably facilitate heritability research of ADHD. Archives of Clinical Neuropsychology, 23, 579 – 591.
(2008b). Deficits in visuo-spatial working memory, inhibition and oculomotor control in boys with ADHD and their non-affected brothers. Journal of Neural Transmission, 115, 249 – 260.
(1956). A continuous performance test of brain damage. Journal of Consulting Psychology, 20, 343 – 350.
(2006). Neuropsychological subtypes of attention deficit hyperactivity disorder. Australian Journal of Psychology, 58, 230 – 231.
(1998). Altered reinforcement mechanisms in attention-deficit/hyperactivity disorders. Behavioural Brain Research, 94, 61 – 71.
(2001). Response inhibition in children with DSM-IV subtypes of AD/HD and related disruptive disorders: The role of reward. Child Neuropsychology, 7, 172 – 189.
(2006). Komorbidität der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) im Erwachsenenalter. Perspektiven für die Diagnostik mit dem Screeningverfahren BAS-E. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 54, 123 – 132.
(2008). Entwicklungspsychopathologie der ADHS. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 56, 265 – 274.
(2002). Neuropsychological performance in DSM-IV ADHD subtypes: An exploratory study with untreated adolescents. Canadian Journal of Psychiatry, 47, 863 – 869.
(2006). Leistung und Leistungsdiagnostik. Heidelberg: Springer.
(2005). Structural brain imaging of attention-deficit/hyperactivity disorder. Biological Psychiatry, 57, 1263 – 1272.
(2008). Executive functioning in children with attention-deficit/hyperactivity disorder: Combined type with and without a stimulant medication history. Neuropsychology, 22, 329 – 340.
(2002). Executive functioning in AD/HD and associated disorders. International Journal of Psychophysiology, 45, 50-50.
(2002). How specific is a deficit of executive functioning for attention-deficit/hyperactivity disorder? Behavioural Brain Research, 130, 3 – 28.
(2005). Modeling Attention-Deficit/Hyperactivity Disorder: A critical appraisal of the cognitive-energetic model. Biological Psychiatry, 57, 1248 – 1255.
(1999). Information processing and energetic factors in attention deficit hyperactivity disorder. In , Handbook of disruptive behavior disorders (pp. 75 – 104). New York: Cambridge University Press.
(2002). Evidence for a pure time perception deficit in children with ADHD. Journal of Child Psychology and Psychiatry, 43, 529 – 542.
(2002). Psychological heterogeneity in AD/HD – a dual pathway model of behaviour and cognition. Behavioural Brain Research, 130, 29 – 36.
(2008). Executive dysfunction and delay aversion in attention deficit hyperactivity disorder: Nosologic and diagnostic implications. Child and Adolescent Psychiatric Clinics of North America, 17, 367 – 384.
(2007). Further evidence of dopamine transporter dysregulation in ADHD: A controlled PET imaging study using altropane. Biological Psychiatry, 62, 1059 – 1061.
(1969, 1977). Neurosensory Center Comprehensive Examination for Aphasia (NCCEA). Victoria: University of Victoria Neuropsychology Laboratory.
(2008). Very low birth weight and behavioral symptoms of attention deficit hyperactivity disorder in young adulthood: The Helsinki study of very low birth weight adults. American Journal of Psychiatry, 165, 1345 – 1353.
(2007). Do delay aversion and executive function deficits make distinct contributions to the functional impact of ADHD symptoms? A study of early academic skill deficits. Journal of Child Psychology and Psychiatry, 48, 1061 – 1070.
(2008). Phonological short-term memory and central executive processing in attention-deficit/hyperactivity disorder with/without dyslexia – evidence of cognitive overlap. Journal of Neural Transmission, 115, 227 – 234.
(2005). Time perception. Modality and duration effects in attention-deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 33, 639 – 654.
(2004). Turm von London – Deutsche Version TL-D. Göttingen: Hogrefe.
(2008). Neuropsychological assessment of attention in adults with different subtypes of attention-deficit/hyperactivity disorder. Journal of Neural Transmission, 115, 269 – 278.
(2007). Vigilance and sustained attention in children and adults with ADHD. Journal of Neural Transmission, 114, 74 – 75.
(2006). Magnetic resonance imaging volumetric analysis of the putamen in children with ADHD: Combined type versus control. Journal of Attention Disorder, 10, 171 – 180.
(2005a). The neuropsychology of ADHD: Validity of the executive function hypothesis. In , Attention deficit hyperactivity disorder: From genes to patients (pp. 185 – 213). Totowa: Humana.
(2005b). Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological Psychiatry, 57, 1336 – 1346.
(2001). A comparison of the cognitive deficits in reading disability and attention-deficit/hyperactivity disorder. Journal of Abnormal Psychology, 110, 157 – 172.
(2008). Working toward a neurobiological account of ADHD: Commentary on Gail Tripp and Jeff Wickensʼ dopamine transfer deficit. Journal of Child Psychology and Psychiatry, 49, 705 – 711.
(1994). Internationale Klassifikation psychischer Störungen. ICD-10. Bern: Huber.
. (2002). A test battery for attentional performance. In , Applied neuropsychology of attention. Theory, diagnosis and rehabilitation (pp. 110 – 151). London: Psychology Press.
(