Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK: a ROC analysis

Algorta, Guillermo Perez, Dodd, Alyson, Stringaris, Argyris and Youngstrom, Eric (2016) Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK: a ROC analysis. European Child & Adolescent Psychiatry, 25 (9). pp. 949-957. ISSN 1018-8827

[img]
Preview
Text
ADHD paper.pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (529kB) | Preview
Official URL: http://dx.doi.org/10.1007/s00787-015-0815-0

Abstract

Background - 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.

Method - The British Child and Adolescent Mental Health Survey (N=18,232 youths 5 to 15 years old) included semi-structured interview DSM-IV diagnoses and parent-rated SDQ scores.

Results - Areas Under the Curve (AUCs) for SDQ subscales were good (0.81) to excellent (0.96) across sex and age groups. Hyperactive/Impulsive scores of 10+ increased odds of ADHD by 21.3x. For discriminating ADHD from other diagnoses, accuracy was fair (<0.70) to good (0.88); Hyperactive/Impulsive scores of 10+ increased odds of ADHD by 4.47x.

Conclusions - 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.

Item Type: Article
Uncontrolled Keywords: ADHD, Screening, Evidence-based assessment, AUC
Subjects: C800 Psychology
Department: Faculties > Health and Life Sciences > Psychology
Depositing User: Alyson Dodd
Date Deposited: 24 Jan 2017 14:11
Last Modified: 30 Oct 2017 14:15
URI: http://nrl.northumbria.ac.uk/id/eprint/29264

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics


Policies: NRL Policies | NRL University Deposit Policy | NRL Deposit Licence