title: Commentary: Objective aids for the assessment of ADHD - further clarification of what FDA approval for marketing means and why NEBA might help clinicians. A response to Arns et al. (2016).
abstract: Neuropsychiatric EEG-Based ADHD Assessment Aid (NEBA) is an EEG-based device designed to aid in the diagnostic process for ADHD by identifying individuals less likely to have ADHD by virtue of a lower theta/beta ratio. In using NEBA as an example, the Arns et al. commentary misstates the purpose of NEBA, which is to widen the differential rather than to make the diagnosis. Arns et al. caution about missing an ADHD diagnosis, but fail to mention the impact of overdiagnosis. If we are to advance our knowledge of the etiology and pathophysiology of ADHD, as well as develop tailored treatments and ultimately improve outcomes for ADHD, then biomarkers and objective assessment aids such as NEBA are needed to improve and refine diagnostic accuracy beyond symptom description and clinical history.
authors.affiliation: Department of Psychiatry and Behavioral Science and Pediatrics, University of Washington, Seattle, WA, USA.|Department of Psychiatry and Behavioral Medicine, Seattle Children's Hospital, Seattle, WA, USA.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Stein
authors.affiliation: Department of Research and Development, NEBA Health, Augusta, GA, USA.|Department of Psychiatry and Health Behavior, Georgia Regents University, Augusta, GA, USA.
authors.forename: Steven M
authors.initials: SM
authors.lastname: Snyder
authors.affiliation: Children's Specialized Hospital, Toms River, NJ, USA.|Robert Wood Johnson School of Medicine, Piscataway, NJ, USA.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Rugino
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
authors.forename: Mady
authors.initials: M
authors.lastname: Hornig
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity; D004569:Electroencephalography; D006801:Humans; D040541:Marketing