Psychometric properties of the Chinese version of the Quick Delay Questionnaire (C-QDQ) and ecological characteristics of reward-delay impulsivity of adults with ADHD

Abstract Background The Quick Delay Questionnaire (QDQ) is a short questionnaire designed to assess delay-related difficulties in adults. This study aimed to examine the reliability and validity of the Chinese version of the QDQ (C-QDQ) in Chinese adults, and explore the ecological characteristics o...

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Main Authors: Caili Chen, Shiyu Zhang, Haiheng Hong, Sunwei Qiu, Yi Zhou, Mengjie Zhao, Meirong Pan, Feifei Si, Min Dong, Haimei Li, Yufeng Wang, Lu Liu, Edmund J. S. Sonuga-Barke, Qiujin Qian
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-024-05706-2
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author Caili Chen
Shiyu Zhang
Haiheng Hong
Sunwei Qiu
Yi Zhou
Mengjie Zhao
Meirong Pan
Feifei Si
Min Dong
Haimei Li
Yufeng Wang
Lu Liu
Edmund J. S. Sonuga-Barke
Qiujin Qian
author_facet Caili Chen
Shiyu Zhang
Haiheng Hong
Sunwei Qiu
Yi Zhou
Mengjie Zhao
Meirong Pan
Feifei Si
Min Dong
Haimei Li
Yufeng Wang
Lu Liu
Edmund J. S. Sonuga-Barke
Qiujin Qian
author_sort Caili Chen
collection DOAJ
description Abstract Background The Quick Delay Questionnaire (QDQ) is a short questionnaire designed to assess delay-related difficulties in adults. This study aimed to examine the reliability and validity of the Chinese version of the QDQ (C-QDQ) in Chinese adults, and explore the ecological characteristics of delay-related impulsivity in Chinese adults with attention-deficit/hyperactivity disorder (ADHD). Methods Data was collected from 302 adults, including ADHD (n = 209) and healthy controls (HCs) (n = 93). All participants completed the C-QDQ. The convergent validity, internal consistency, retest reliability and confirmatory factor analysis (CFA) of the C-QDQ were analyzed. The correlations between C-QDQ and two laboratory measures of delay-related difficulties and Barratt Impulsiveness Scale-11 (BIS-11), the comparison of C-QDQ scores between ADHD subgroups and HCs were also analyzed. Results The Cronbach’s α of C-QDQ was between 0.83 and 0.89. The intraclass correlation coefficient of C-QDQ was between 0.80 and 0.83. The results of CFA of C-QDQ favoured the original two-factor model (delay aversion and delay discounting). Significant positive associations were found between C-QDQ scores and BIS-11 total score and performance on the laboratory measure of delay-related difficulties. Participants with ADHD had higher C-QDQ scores than HCs, and female ADHD reported higher scores on delay discounting subscale than male. ADHD-combined type (ADHD-C) reported higher scores on delay aversion subscale than ADHD-inattention type (ADHD-I). Conclusion The C-QDQ is a valid and reliable tool to measure delay-related responses that appears to have clinical utility. It can present the delay-related impulsivity of patients with ADHD. Compared to HCs, the level of reward-delay impulsivity was higher in ADHD.
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spelling doaj.art-713c4d2056a54b62a3e9bbbbe5248d0a2024-04-07T11:26:49ZengBMCBMC Psychiatry1471-244X2024-04-0124111210.1186/s12888-024-05706-2Psychometric properties of the Chinese version of the Quick Delay Questionnaire (C-QDQ) and ecological characteristics of reward-delay impulsivity of adults with ADHDCaili Chen0Shiyu Zhang1Haiheng Hong2Sunwei Qiu3Yi Zhou4Mengjie Zhao5Meirong Pan6Feifei Si7Min Dong8Haimei Li9Yufeng Wang10Lu Liu11Edmund J. S. Sonuga-Barke12Qiujin Qian13Peking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthPeking University Sixth Hospital/Institute of Mental HealthInstitute of Psychiatry, Psychology & Neuroscience, King’s College LondonPeking University Sixth Hospital/Institute of Mental HealthAbstract Background The Quick Delay Questionnaire (QDQ) is a short questionnaire designed to assess delay-related difficulties in adults. This study aimed to examine the reliability and validity of the Chinese version of the QDQ (C-QDQ) in Chinese adults, and explore the ecological characteristics of delay-related impulsivity in Chinese adults with attention-deficit/hyperactivity disorder (ADHD). Methods Data was collected from 302 adults, including ADHD (n = 209) and healthy controls (HCs) (n = 93). All participants completed the C-QDQ. The convergent validity, internal consistency, retest reliability and confirmatory factor analysis (CFA) of the C-QDQ were analyzed. The correlations between C-QDQ and two laboratory measures of delay-related difficulties and Barratt Impulsiveness Scale-11 (BIS-11), the comparison of C-QDQ scores between ADHD subgroups and HCs were also analyzed. Results The Cronbach’s α of C-QDQ was between 0.83 and 0.89. The intraclass correlation coefficient of C-QDQ was between 0.80 and 0.83. The results of CFA of C-QDQ favoured the original two-factor model (delay aversion and delay discounting). Significant positive associations were found between C-QDQ scores and BIS-11 total score and performance on the laboratory measure of delay-related difficulties. Participants with ADHD had higher C-QDQ scores than HCs, and female ADHD reported higher scores on delay discounting subscale than male. ADHD-combined type (ADHD-C) reported higher scores on delay aversion subscale than ADHD-inattention type (ADHD-I). Conclusion The C-QDQ is a valid and reliable tool to measure delay-related responses that appears to have clinical utility. It can present the delay-related impulsivity of patients with ADHD. Compared to HCs, the level of reward-delay impulsivity was higher in ADHD.https://doi.org/10.1186/s12888-024-05706-2attention-deficit/hyperactivity disorderDelay aversionDelay discountingReliabilityValidity
spellingShingle Caili Chen
Shiyu Zhang
Haiheng Hong
Sunwei Qiu
Yi Zhou
Mengjie Zhao
Meirong Pan
Feifei Si
Min Dong
Haimei Li
Yufeng Wang
Lu Liu
Edmund J. S. Sonuga-Barke
Qiujin Qian
Psychometric properties of the Chinese version of the Quick Delay Questionnaire (C-QDQ) and ecological characteristics of reward-delay impulsivity of adults with ADHD
BMC Psychiatry
attention-deficit/hyperactivity disorder
Delay aversion
Delay discounting
Reliability
Validity
title Psychometric properties of the Chinese version of the Quick Delay Questionnaire (C-QDQ) and ecological characteristics of reward-delay impulsivity of adults with ADHD
title_full Psychometric properties of the Chinese version of the Quick Delay Questionnaire (C-QDQ) and ecological characteristics of reward-delay impulsivity of adults with ADHD
title_fullStr Psychometric properties of the Chinese version of the Quick Delay Questionnaire (C-QDQ) and ecological characteristics of reward-delay impulsivity of adults with ADHD
title_full_unstemmed Psychometric properties of the Chinese version of the Quick Delay Questionnaire (C-QDQ) and ecological characteristics of reward-delay impulsivity of adults with ADHD
title_short Psychometric properties of the Chinese version of the Quick Delay Questionnaire (C-QDQ) and ecological characteristics of reward-delay impulsivity of adults with ADHD
title_sort psychometric properties of the chinese version of the quick delay questionnaire c qdq and ecological characteristics of reward delay impulsivity of adults with adhd
topic attention-deficit/hyperactivity disorder
Delay aversion
Delay discounting
Reliability
Validity
url https://doi.org/10.1186/s12888-024-05706-2
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