Normative Data for the Parent Rating of Evening and Morning Behavior Scale, Revised (PREMB-R) in Youth With and Without a History of Attention-Deficit/Hyperactivity Disorder (ADHD)

This poster was presented at the 30th annual  Psych Congress, held Sept. 16-19, 2017, in New Orleans, Louisiana.

Objectives: The validated Parent Rating of Evening and Morning Behavior Scale, Revised assesses at-home early morning (PREMB-R AM) and late afternoon/evening (PREMB-R PM) functioning in youth with ADHD. The objectives were to: (1) obtain normative data, and (2) determine whether ratings differentiate youth with and without ADHD, and are affected by age, gender, or comorbidities.

Methods: An online normative survey was conducted with 1200 representative U.S. primary caregivers of youth (6-17 years; n=50 per age/gender category) who never had ADHD, had a history of ADHD, or had currently untreated ADHD. Caregivers assessed their child's at-home functional impairments on the 3-item PREMB-R AM and 8-item PREMB-R PM, with each item rated from 0 (none) to 3 (a lot). Differences in total and item scores were determined by ANOVA with post-hoc comparisons and Chi-squared test, respectively.

Results: Of the 700 children (6-12y) and 500 adolescents (13-17y), 1079 had no history of ADHD, 41 had a history of ADHD, and 80 had currently untreated ADHD. PREMB-R AM/PM scores were significantly higher for children versus adolescents (P=0.042/P<0.001), and those with comorbidities (both P<0.001); however, there were no gender differences. Scores differed significantly between youth without ADHD, with a history of ADHD, and with currently untreated ADHD in PREMB-R AM (mean±SD: 2.27±2.13, 4.07±2.69, 4.19±2.39; P<0.001) and PREMB-R PM (mean±SD: 5.05±4.80, 10.27±6.70, 12.53±5.77; P<0.001), even after adjusting for comorbidity (P<0.001).

Conclusions: PREMB-R AM/PM discriminate between youth with and without a history of ADHD. Age and comorbidities, but not gender, had significant effects.