Although both the Continuous Performance Test (CPT) and behavior rating scales are used in both practice and research to assess inattentive and hyperactive/impulsive behaviors, the correlations between performance on the CPT and teachers' ratings are typically only small-to-moderate. This study examined trajectories of performance on a low target-frequency visual CPT in a sample of preschool children and how these trajectories were associated with teacher-ratings of problem behaviors (i.e., inattention, hyperactivity/impulsivity [H/I], and oppositional/defiant behavior). Participants included 399 preschool children (Mean age = 56 months; 49.4% female; 73.7% White/Caucasian). An ADHD-rating scale was completed by teachers, and the CPT was completed by the preschoolers. Results showed that children's performance across four temporal blocks on the CPT was not stable across the duration of the task, with error rates generally increasing from initial to later blocks. The predictive relations of teacher-rated problem behaviors to performance trajectories on the CPT were examined using growth curve models. Higher rates of teacher-reported inattention and H/I were uniquely associated with higher rates of initial omission errors and initial commission errors, respectively. Higher rates of teacher-reported overall problem behaviors were associated with increasing rates of omission but not commission errors during the CPT; however, the relation was not specific to one type of problem behavior. The results of this study indicate that the pattern of errors on the CPT in preschool samples is complex and may be determined by multiple behavioral factors. These findings have implications for the interpretation of CPT performance in young children.
KeywordsContinuous Performance Test; Teacher-Ratings; Inattention; Hyperactivity/Impulsivity; Oppositional Defiant Behaviors Behavioral rating forms and cognitive tasks, such as continuous performance tests (CPTs), are two methods that are used in both research and applied settings for assessing children's Inquiries concerning this work can be sent to either Darcey Allan (dallan@psy.fsu.edu) or Christopher J. Lonigan (lonigan@psy.fsu.edu), Department of Psychology, Florida State University, 1107 W. Call Street, Tallahassee FL 32306-4301.
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Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript inattention and hyperactivity/impulsivity (H/I). Although these methods presumably measure the same underlying constructs, the correlations between behavior ratings and CPT performance are typically small (Egeland, Johansen, & Ueland, 2009;McGee, Clark, & Symons, 2000). The reasons for these weak relations are unclear. Research explicating the specific ways in which direct measures and behavior-ratings of problem behaviors do and do not converge is needed to provide a stronger foundation for the use of these measures to operationalize inattention and H/I. Such research may be used to guide the valid use of the CPT in both clinical practice and research.To d...