Diagnostic Utility of Conners Continuous Performance Test-3 for Attention Deficit/Hyperactivity Disorder: A Systematic Review

J Atten Disord. 2024 Apr;28(6):992-1007. doi: 10.1177/10870547231223727. Epub 2024 Feb 5.

Abstract

Objective: To review the literature on the utility of the Conners CPT-3 in persons with ADHD.

Methods: A systematic review was conducted. Six databases were searched using inclusion criteria: research studies, year 2000+, English, and ages 8+. Two raters independently screened 1,480 title/abstracts and subsequently reviewed 399 full texts. Data extraction and critical appraisal were conducted. Reflective thematic analysis through inductive coding identified qualitative themes.

Results: Thirteen studies met inclusion criteria with five themes identified. Five studies found CPT-3 was a weak or poor predictor of ADHD diagnosis while two found it was an adequate predictor. Two studies found CPT-3 could differentiate clients with comorbid ADHD/anxiety from ADHD or ADHD from obsessive-compulsive disorder. One found CPT-3 could not differentiate ADHD from ASD or comorbid ADHD/ASD.

Conclusions: Results revealed CPT-3 as a standalone measure is a weak or poor predictor of ADHD. Multiple measures for evaluating persons with ADHD are recommended.

Keywords: Conners Continuous Performance Test 3; attention deficit/hyperactivity disorder; diagnosis; systematic review.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Attention Deficit Disorder with Hyperactivity* / diagnosis
  • Attention Deficit Disorder with Hyperactivity* / psychology
  • Child
  • Humans
  • Neuropsychological Tests