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

Perez Algorta, Guillermo Daniel and Dodd, Alyson Lamont and Stringaris, Argyris and Youngstrom, Eric A. (2016) Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK:a ROC analysis. European Child and Adolescent Psychiatry, 25 (9). pp. 949-957. ISSN 1435-165X

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Abstract

BackgroundEarly, 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. MethodThe 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. ResultsAreas 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. ConclusionsThe 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:
Journal Article
Journal or Publication Title:
European Child and Adolescent Psychiatry
Additional Information:
© The Author(s) 2016. This article is published with open access at Springerlink.com
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/3200/3204
Subjects:
ID Code:
77431
Deposited By:
Deposited On:
20 Jan 2016 10:32
Refereed?:
Yes
Published?:
Published
Last Modified:
04 Jul 2020 03:02