Diagnostic utility of WISC-IV General Abilities Index and Cognitive Proficiency Index difference scores among children with ADHD

The Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV) General Abilities Index (GAI) and Cognitive Proficiency Index (CPI) have been advanced as possible diagnostic markers of Attention-Deficit Hyperactivity Disorder (ADHD). Diagnostic utility statistics were used to test the ability of GAI-CPI difference scores to identify children with ADHD. Participants included an ADHD sample (n = 78), a referred but non-diagnosed hospital sample (n = 66), and a simulated sample with virtually identical psychometric characteristics as the WISC-IV 2,200 child standardization sample. Receiver Operating Characteristic (ROC) analyses were computed to determine the utility of GAI-CPI difference scores to identify children with ADHD. The GAI-CPI discrepancy method had an AUC of .64, 95% CI [0.58, 0.71] for the ADHD sample compared to the simulated normative sample and an AUC of .46, 95% CI [0.37, 0.56] for the ADHD sample compared to the referred but non-diagnosed hospital sample. These AUC scores indicate that the GAI-CPI discrepancy method has low accuracy.