@entity2915 in @entity1 , or @entity71 ( @entity71 ), is associated with impairments in various major life activities by adulthood, particularly occupational functioning. @entity71 appears to @entity51 in executive functioning (EF). Prior studies have not examined the contribution of these deficits to @entity73 generally and occupational adjustment specifically in longitudinal studies of hyperactive/ @entity71 @entity1 . We did so assessing EF by both self-report and tests and using self and other-rated impairment in 10 domains of major life activities and 12 measures of @entity73 . We studied hyperactive (H; N = 135) and community control @entity1 (C; N = 75) followed to adulthood (mean age 27 years). The H cases were subdivided into those whose @entity71 did ( @entity71 ) and did not persist ( @entity71 ) using modified DSM-IV criteria. Self-reported @entity71 were more severe on all five EF scales in the @entity71 than both the @entity71 and C groups and on three scales in the @entity71 compared to C groups. Most @entity71 cases fell in the clinically impaired range on self-reported EF as did a substantial minority of @entity71 cases but few were so classified on the EF tests. Impairments in occupational functioning were predicted by the EF ratings to a greater degree than by the EF tests. Most EF tests were unrelated to work history with the exception of the Five-Points Test. We conclude that EF ratings are better predictors of impairment in major life activities generally and occupational functioning specifically at adult follow-up than are EF tests. We hypothesize that this paradox arises from each method assessing different levels of a hierarchically organized EF meta-construct briefly discussed herein.

Predicting impairment in major life activities and occupational functioning in hyperactive XXXX as adults: self-reported executive function (EF) deficits versus EF tests.

@entity1 :: ('9606', 'Species') :: ['children'] @entity73 :: ('MESH:D003072', 'Disease') :: ['occupational impairment', 'adult impairment'] @entity71 :: ('MESH:D001289', 'Disease') :: ['EF deficits', 'ADHD-P', 'ADHD', 'ADHD-NP', 'attention deficit hyperactivity disorder'] @entity51 :: ('MESH:D009461', 'Disease') :: ['involve deficits'] @entity2915 :: ('MESH:D006948', 'Disease') :: ['Hyperactivity']
@entity1 :: (9606,Species) :: ['children']
