Rey-Osterrieth Complex Figure performance in adults with Attention DeficitHyperactivity Disorder: A validation study of the Boston Qualitative Scoring System

Rey-Osterrieth Complex Figure (ROCF) productions from 18 adults with Attent ion Deficit Hyperactivity Disorder (ADHD) were compared to 18 matched contr ols using the Boston Qualitative Scoring System (BQSS). ADHD adults showed impairment in measures of configural accuracy, planning, and neatness. A lo gistic regression model resulted in 75% sensitivity and 81% specificity in discriminating ADHD from control subjects. In contrast, there was no signif icant difference on the traditional ROCF 36-point score, and the sensitivit y and specificity for the 36-point score were lower (68% and 71%, respectiv ely). These findings suggest persisting executive dysfunction in adults wit h ADHD that can be detected in ROCF productions. Thus, the BQSS may be a us eful tool contributing to the neuropsychological evaluation of adults with ADHD.