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Diagnostic efficiency of the CASI-4 ADHD subscales in the LAMS studY: a ROC analysis

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Diagnostic efficiency of the CASI-4 ADHD subscales in the LAMS studY: a ROC analysis. / Perez Algorta, G; Youngstrom, E A; Van Meter, A et al.
In: ADHD Attention Deficit and Hyperactivity Disorders, Vol. 7, No. Suppl. 1, P-19-009, 05.2015, p. S76.

Research output: Contribution to Journal/Magazine › Meeting abstract › peer-review

Harvard

Perez Algorta, G, Youngstrom, EA, Van Meter, A, Arnold, LE, Fristad, MA, Horwitz, SM, Frazier, TW, Taylor, H & Findling, RL 2015, 'Diagnostic efficiency of the CASI-4 ADHD subscales in the LAMS studY: a ROC analysis', ADHD Attention Deficit and Hyperactivity Disorders, vol. 7, no. Suppl. 1, P-19-009, pp. S76. https://doi.org/10.1007/s12402-015-0169-y

APA

Perez Algorta, G., Youngstrom, E. A., Van Meter, A., Arnold, L. E., Fristad, M. A., Horwitz, S. M., Frazier, T. W., Taylor, H., & Findling, R. L. (2015). Diagnostic efficiency of the CASI-4 ADHD subscales in the LAMS studY: a ROC analysis. ADHD Attention Deficit and Hyperactivity Disorders, 7(Suppl. 1), S76. Article P-19-009. https://doi.org/10.1007/s12402-015-0169-y

Vancouver

Perez Algorta G, Youngstrom EA, Van Meter A, Arnold LE, Fristad MA, Horwitz SM et al. Diagnostic efficiency of the CASI-4 ADHD subscales in the LAMS studY: a ROC analysis. ADHD Attention Deficit and Hyperactivity Disorders. 2015 May;7(Suppl. 1):S76. P-19-009. doi: 10.1007/s12402-015-0169-y

Author

Perez Algorta, G ; Youngstrom, E A ; Van Meter, A et al. / Diagnostic efficiency of the CASI-4 ADHD subscales in the LAMS studY : a ROC analysis. In: ADHD Attention Deficit and Hyperactivity Disorders. 2015 ; Vol. 7, No. Suppl. 1. pp. S76.

Bibtex

@article{14d0af43e5ef4d2f9dbd68c59a732975,
title = "Diagnostic efficiency of the CASI-4 ADHD subscales in the LAMS studY: a ROC analysis",
abstract = "Objectives: We tested the diagnostic efficiency of the DSM-oriented Child and Adolescent Symptom Inventory (CASI-4) ADHD symptom subscales for screening ADHD Combined, Hyperactive-impulsive and Inattentive subtype in a pediatric outpatient sample. Methods: Participants were 707 first-time utilizer at nine outpatient mental health clinics aged 6.0-12.9 years (M = 9.36, SD = 1.90) who completed the baseline Longitudinal Assessment of Manic Symptoms study assessments. Consensus diagnoses were based on KSADS interviews of both youth and caregivers. Caregivers completed the CASI-4 ADHD subscales Inattention, Hyperactivity and Combined as predictors. To maximize clinical utility we report diagnostic likelihood ratios (DLRs). Results: Using receiver operating characteristic analysis, the Area under the Curve (AUC) for the Combined subscale was .79 (95 % CI .78 - .81) for screening ADHD-Combined. CASI-4 Hyperactivity subscale AUCs for screening ADHD-Hyperactive-impulsive and ADHD-Combined were .70 (95 % CI .66 - .76) and .82 (95 % CI .80- .84) respectively. CASI-4 Inattentive subscales AUCs for screening ADHD-Inattentive and ADHD-Combined were .77 (95 % CI .74 - .79) and .71 (95 % CI .69 - .73). ROC curve tests comparisons will be provided. A cut score of 40 + was identified as the optimal threshold (DLR of 3.7) for screening ADHD-Combined with the CASI-4 Combined in children ages 6-13 seen in outpatient settings. Conclusions: CASI-4 ADHD subscales are clinically useful to screen for ADHD symptoms in children because of their brevity and economy. However, clinicians should be cautious when interpreting results and should include other data to reach an accurate diagnosis.",
keywords = "Schedule for Affective Disorders and Schizophrenia, adolescent, adult, area under the curve, attention deficit disorder, caregiver, child, consensus, diagnosis, diseases, economic aspect, human, hyperactivity, interview, juvenile, mental health center, outpatient, receiver operating characteristic, screening",
author = "{Perez Algorta}, G and Youngstrom, {E A} and {Van Meter}, A and Arnold, {L E} and Fristad, {M A} and Horwitz, {S M} and Frazier, {T W} and H Taylor and Findling, {R L}",
year = "2015",
month = may,
doi = "10.1007/s12402-015-0169-y",
language = "English",
volume = "7",
pages = "S76",
journal = "ADHD Attention Deficit and Hyperactivity Disorders",
issn = "1866-6116",
publisher = "Springer Wien",
number = "Suppl. 1",

}

RIS

TY - JOUR

T1 - Diagnostic efficiency of the CASI-4 ADHD subscales in the LAMS studY

T2 - a ROC analysis

AU - Perez Algorta, G

AU - Youngstrom, E A

AU - Van Meter, A

AU - Arnold, L E

AU - Fristad, M A

AU - Horwitz, S M

AU - Frazier, T W

AU - Taylor, H

AU - Findling, R L

PY - 2015/5

Y1 - 2015/5

N2 - Objectives: We tested the diagnostic efficiency of the DSM-oriented Child and Adolescent Symptom Inventory (CASI-4) ADHD symptom subscales for screening ADHD Combined, Hyperactive-impulsive and Inattentive subtype in a pediatric outpatient sample. Methods: Participants were 707 first-time utilizer at nine outpatient mental health clinics aged 6.0-12.9 years (M = 9.36, SD = 1.90) who completed the baseline Longitudinal Assessment of Manic Symptoms study assessments. Consensus diagnoses were based on KSADS interviews of both youth and caregivers. Caregivers completed the CASI-4 ADHD subscales Inattention, Hyperactivity and Combined as predictors. To maximize clinical utility we report diagnostic likelihood ratios (DLRs). Results: Using receiver operating characteristic analysis, the Area under the Curve (AUC) for the Combined subscale was .79 (95 % CI .78 - .81) for screening ADHD-Combined. CASI-4 Hyperactivity subscale AUCs for screening ADHD-Hyperactive-impulsive and ADHD-Combined were .70 (95 % CI .66 - .76) and .82 (95 % CI .80- .84) respectively. CASI-4 Inattentive subscales AUCs for screening ADHD-Inattentive and ADHD-Combined were .77 (95 % CI .74 - .79) and .71 (95 % CI .69 - .73). ROC curve tests comparisons will be provided. A cut score of 40 + was identified as the optimal threshold (DLR of 3.7) for screening ADHD-Combined with the CASI-4 Combined in children ages 6-13 seen in outpatient settings. Conclusions: CASI-4 ADHD subscales are clinically useful to screen for ADHD symptoms in children because of their brevity and economy. However, clinicians should be cautious when interpreting results and should include other data to reach an accurate diagnosis.

AB - Objectives: We tested the diagnostic efficiency of the DSM-oriented Child and Adolescent Symptom Inventory (CASI-4) ADHD symptom subscales for screening ADHD Combined, Hyperactive-impulsive and Inattentive subtype in a pediatric outpatient sample. Methods: Participants were 707 first-time utilizer at nine outpatient mental health clinics aged 6.0-12.9 years (M = 9.36, SD = 1.90) who completed the baseline Longitudinal Assessment of Manic Symptoms study assessments. Consensus diagnoses were based on KSADS interviews of both youth and caregivers. Caregivers completed the CASI-4 ADHD subscales Inattention, Hyperactivity and Combined as predictors. To maximize clinical utility we report diagnostic likelihood ratios (DLRs). Results: Using receiver operating characteristic analysis, the Area under the Curve (AUC) for the Combined subscale was .79 (95 % CI .78 - .81) for screening ADHD-Combined. CASI-4 Hyperactivity subscale AUCs for screening ADHD-Hyperactive-impulsive and ADHD-Combined were .70 (95 % CI .66 - .76) and .82 (95 % CI .80- .84) respectively. CASI-4 Inattentive subscales AUCs for screening ADHD-Inattentive and ADHD-Combined were .77 (95 % CI .74 - .79) and .71 (95 % CI .69 - .73). ROC curve tests comparisons will be provided. A cut score of 40 + was identified as the optimal threshold (DLR of 3.7) for screening ADHD-Combined with the CASI-4 Combined in children ages 6-13 seen in outpatient settings. Conclusions: CASI-4 ADHD subscales are clinically useful to screen for ADHD symptoms in children because of their brevity and economy. However, clinicians should be cautious when interpreting results and should include other data to reach an accurate diagnosis.

KW - Schedule for Affective Disorders and Schizophrenia

KW - adolescent

KW - adult

KW - area under the curve

KW - attention deficit disorder

KW - caregiver

KW - child

KW - consensus

KW - diagnosis

KW - diseases

KW - economic aspect

KW - human

KW - hyperactivity

KW - interview

KW - juvenile

KW - mental health center

KW - outpatient

KW - receiver operating characteristic

KW - screening

U2 - 10.1007/s12402-015-0169-y

DO - 10.1007/s12402-015-0169-y

M3 - Meeting abstract

VL - 7

SP - S76

JO - ADHD Attention Deficit and Hyperactivity Disorders

JF - ADHD Attention Deficit and Hyperactivity Disorders

SN - 1866-6116

IS - Suppl. 1

M1 - P-19-009

ER -