1. Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK: a ROC analysis.
- Author
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Algorta, Guillermo, Dodd, Alyson, Stringaris, Argyris, and Youngstrom, Eric
- Subjects
ATTENTION-deficit hyperactivity disorder ,PSYCHIATRIC diagnosis ,QUESTIONNAIRES ,CHI-squared test ,CONFIDENCE intervals ,INTERVIEWING ,RESEARCH methodology ,CLASSIFICATION of mental disorders ,PARENTS ,PROBABILITY theory ,STATISTICS ,MATHEMATICAL variables ,DATA analysis ,RECEIVER operating characteristic curves ,RESEARCH methodology evaluation ,DATA analysis software ,DESCRIPTIVE statistics ,ODDS ratio - Abstract
Early, accurate identification of ADHD would improve outcomes while avoiding unnecessary medication exposure for non-ADHD youths, but is challenging, especially in primary care. The aim of this paper is to test the Strengths and Difficulties Questionnaire (SDQ) using a nationally representative sample to develop scoring weights for clinical use. The British Child and Adolescent Mental Health Survey ( N = 18,232 youths 5-15 years old) included semi-structured interview DSM-IV diagnoses and parent-rated SDQ scores. Areas under the curve for SDQ subscales were good (0.81) to excellent (0.96) across sex and age groups. Hyperactivity/inattention scale scores of 10+ increased odds of ADHD by 21.3×. For discriminating ADHD from other diagnoses, accuracy was fair (<0.70) to good (0.88); Hyperactivity/inattention scale scores of 10+ increased odds of ADHD by 4.47×. The SDQ is free, easy to score, and provides clinically meaningful changes in odds of ADHD that can guide clinical decision-making in an evidence-based medicine framework. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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