Abstract：
Few studies have summarized the literature relevant to the incremental validity of tools and procedures for the assessment of attention-deficit hyperactivity disorder (ADHD). The current project reviewed such studies published in the prior 18 years. Results from studies on the incremental validity of measures used in the assessment of ADHD were reviewed. Measures included symptom reports, clinical interviews, behavioral observation, continuous performance and other psychomotor tasks, intelligence tests, and measures of executive function. Twenty-nine published studies and two reviews were identified from 2004 to 2022. Incremental validity was determined using various statistics including R2, classification metrics, odds ratios, and post-test probabilities. Findings suggest that symptom reports from a collateral source and continuous performance test measures have incremental validity over self-reports and clinical interviews. Measures of intellectual and executive functioning did not show incremental validity in the diagnosis of ADHD. Findings are relevant to the practitioner, as they bear on the optimization of both the cost-effectiveness and the diagnostic accuracy of combined procedures in the assessment of ADHD.
摘要：
很少有研究总结了与评估注意力缺陷多动障碍（ADHD）的工具和程序的递增有效性相关的文献。当前项目审查了前18年发表的此类研究。审查了有关ADHD评估中使用的措施的增量有效性的研究结果。措施包括症状报告，临床访谈,行为观察,持续的表现和其他精神运动任务，智力测验,以及执行功能的衡量标准。从2004年到2022年，确定了29项已发表的研究和2项评论。增量有效性是使用各种统计数据确定的，包括R2、分类指标、赔率比,和后验概率。研究结果表明，与自我报告和临床访谈相比，来自附带来源的症状报告和连续绩效测试措施具有递增的有效性。智力和执行功能的测量在ADHD的诊断中没有显示出递增的有效性。研究结果与从业者相关，因为它们影响到ADHD评估中联合程序的成本效益和诊断准确性的优化。
