The Boston Qualitative Scoring System for the Rey-Osterrieth Complex Figure: A study of children with attention deficit hyperactivity disorder

Deborah Cahn-Weiner, Ann C. Marcotte, Robert A. Stern, James E. Arruda, Natacha A. Akshoomoff, Isabell C. Leshko

Research output: Contribution to journalArticle

14 Scopus citations


The Boston Qualitative Scoring System (BQSS) for the Rey-Osterrieth Complex Figure (ROCF) was utilized to examine the qualitative features of ROCF performance of children with Attention Deficit Hyperactivity Disorder (ADHD). Thirty-nine children with ADHD were compared to age-matched controls (n = 39) on their reproduction of the ROCF. ADHD children performed more poorly than did control children on measures of attention to detail, expansion, accuracy, and neatness. Sensitivity and specificity of individual BQSS measures for discriminating ADHD from control subjects were determined, and a logistic regression model was derived, yielding an overall sensitivity of 64% and specificity of 97% for the classification of ADHD. Eighty-one percent of all children were correctly classified. Cross-validation of this model on an independent sample of ADHD and control subjects revealed good predictive accuracy. These findings suggest that the BQSS may be a useful measure in the neuropsychological evaluation of children with suspected ADHD.

Original languageEnglish (US)
Pages (from-to)397-406
Number of pages10
JournalClinical Neuropsychologist
Issue number4
StatePublished - Dec 1 1996
Externally publishedYes


ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

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