{"title":"BRIEF2 ERI在检测ADHD相关合并症中的临床应用:对临床转诊学龄儿童的回顾性队列分析","authors":"William A Piña-Anastasiadis, Liz O'Laughlin","doi":"10.1080/09297049.2025.2559896","DOIUrl":null,"url":null,"abstract":"<p><p>The majority of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) meet the criteria for at least one comorbid diagnosis. Prior literature has suggested that the assessment of emotion regulation may be helpful in the differential diagnosis of ADHD comorbidity. Thus, a primary goal of this study was to examine the clinical utility of the Behavior Rating Inventory of Executive Function, Second Edition (BRIEF2) <i>Emotion Regulation Index (ERI)</i> in detecting symptoms commonly comorbid with ADHD (i.e. disruptive and internalizing behaviors). This study also considered the extent to which the <i>ERI</i> may contribute to the overall detection of ADHD and comorbid symptoms, as compared to the BRIEF2 <i>Behavior Regulation Index (BRI)</i> and <i>Cognitive Regulation Index (CRI)</i>. Archival data representing 211 male (<i>n</i> = 151) and female (<i>n</i> = 60) children ages 5 to 12 (<i>M</i> = 8.00, <i>SD</i> = 1.63) seen through a university-based ADHD Evaluation Clinic were used. Parent and teacher ratings were analyzed separately. Results revealed that the BRIEF2 <i>ERI</i> reliably detected the presence of ADHD comorbid symptomatology across informants. However, unlike select findings from the <i>BRI</i> and <i>CRI</i>, the <i>ERI</i> and its associated clinical scales did not differentiate between types of comorbidities. Overall, current data suggests that the <i>ERI</i> may make only a small contribution beyond what is already explained by the other two indexes on the BRIEF2 in the assessment of ADHD comorbidity. Nonetheless, from a transdiagnostic perspective, the BRIEF2 <i>ERI</i> clinical scales may provide helpful information for clinicians to help guide assessment and treatment recommendations.</p>","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":" ","pages":"1-17"},"PeriodicalIF":1.9000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The clinical utility of the BRIEF2 <i>ERI</i> in detecting comorbid conditions associated with ADHD: a retrospective cohort analysis of clinically referred school-aged children.\",\"authors\":\"William A Piña-Anastasiadis, Liz O'Laughlin\",\"doi\":\"10.1080/09297049.2025.2559896\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The majority of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) meet the criteria for at least one comorbid diagnosis. Prior literature has suggested that the assessment of emotion regulation may be helpful in the differential diagnosis of ADHD comorbidity. Thus, a primary goal of this study was to examine the clinical utility of the Behavior Rating Inventory of Executive Function, Second Edition (BRIEF2) <i>Emotion Regulation Index (ERI)</i> in detecting symptoms commonly comorbid with ADHD (i.e. disruptive and internalizing behaviors). This study also considered the extent to which the <i>ERI</i> may contribute to the overall detection of ADHD and comorbid symptoms, as compared to the BRIEF2 <i>Behavior Regulation Index (BRI)</i> and <i>Cognitive Regulation Index (CRI)</i>. Archival data representing 211 male (<i>n</i> = 151) and female (<i>n</i> = 60) children ages 5 to 12 (<i>M</i> = 8.00, <i>SD</i> = 1.63) seen through a university-based ADHD Evaluation Clinic were used. Parent and teacher ratings were analyzed separately. Results revealed that the BRIEF2 <i>ERI</i> reliably detected the presence of ADHD comorbid symptomatology across informants. However, unlike select findings from the <i>BRI</i> and <i>CRI</i>, the <i>ERI</i> and its associated clinical scales did not differentiate between types of comorbidities. Overall, current data suggests that the <i>ERI</i> may make only a small contribution beyond what is already explained by the other two indexes on the BRIEF2 in the assessment of ADHD comorbidity. Nonetheless, from a transdiagnostic perspective, the BRIEF2 <i>ERI</i> clinical scales may provide helpful information for clinicians to help guide assessment and treatment recommendations.</p>\",\"PeriodicalId\":9789,\"journal\":{\"name\":\"Child Neuropsychology\",\"volume\":\" \",\"pages\":\"1-17\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-09-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Child Neuropsychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/09297049.2025.2559896\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Neuropsychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/09297049.2025.2559896","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
The clinical utility of the BRIEF2 ERI in detecting comorbid conditions associated with ADHD: a retrospective cohort analysis of clinically referred school-aged children.
The majority of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) meet the criteria for at least one comorbid diagnosis. Prior literature has suggested that the assessment of emotion regulation may be helpful in the differential diagnosis of ADHD comorbidity. Thus, a primary goal of this study was to examine the clinical utility of the Behavior Rating Inventory of Executive Function, Second Edition (BRIEF2) Emotion Regulation Index (ERI) in detecting symptoms commonly comorbid with ADHD (i.e. disruptive and internalizing behaviors). This study also considered the extent to which the ERI may contribute to the overall detection of ADHD and comorbid symptoms, as compared to the BRIEF2 Behavior Regulation Index (BRI) and Cognitive Regulation Index (CRI). Archival data representing 211 male (n = 151) and female (n = 60) children ages 5 to 12 (M = 8.00, SD = 1.63) seen through a university-based ADHD Evaluation Clinic were used. Parent and teacher ratings were analyzed separately. Results revealed that the BRIEF2 ERI reliably detected the presence of ADHD comorbid symptomatology across informants. However, unlike select findings from the BRI and CRI, the ERI and its associated clinical scales did not differentiate between types of comorbidities. Overall, current data suggests that the ERI may make only a small contribution beyond what is already explained by the other two indexes on the BRIEF2 in the assessment of ADHD comorbidity. Nonetheless, from a transdiagnostic perspective, the BRIEF2 ERI clinical scales may provide helpful information for clinicians to help guide assessment and treatment recommendations.
期刊介绍:
The purposes of Child Neuropsychology are to:
publish research on the neuropsychological effects of disorders which affect brain functioning in children and adolescents,
publish research on the neuropsychological dimensions of development in childhood and adolescence and
promote the integration of theory, method and research findings in child/developmental neuropsychology.
The primary emphasis of Child Neuropsychology is to publish original empirical research. Theoretical and methodological papers and theoretically relevant case studies are welcome. Critical reviews of topics pertinent to child/developmental neuropsychology are encouraged.
Emphases of interest include the following: information processing mechanisms; the impact of injury or disease on neuropsychological functioning; behavioral cognitive and pharmacological approaches to treatment/intervention; psychosocial correlates of neuropsychological dysfunction; definitive normative, reliability, and validity studies of psychometric and other procedures used in the neuropsychological assessment of children and adolescents. Articles on both normal and dysfunctional development that are relevant to the aforementioned dimensions are welcome. Multiple approaches (e.g., basic, applied, clinical) and multiple methodologies (e.g., cross-sectional, longitudinal, experimental, multivariate, correlational) are appropriate. Books, media, and software reviews will be published.