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

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Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK : a ROC analysis. / Perez Algorta, Guillermo Daniel; Dodd, Alyson Lamont; Stringaris, Argyris et al.

In: European Child and Adolescent Psychiatry, Vol. 25, No. 9, 09.2016, p. 949-957.

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Perez Algorta, GD, Dodd, AL, Stringaris, A & Youngstrom, EA 2016, 'Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK: a ROC analysis', European Child and Adolescent Psychiatry, vol. 25, no. 9, pp. 949-957. https://doi.org/10.1007/s00787-015-0815-0

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Perez Algorta GD, Dodd AL, Stringaris A, Youngstrom EA. Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK: a ROC analysis. European Child and Adolescent Psychiatry. 2016 Sep;25(9):949-957. Epub 2016 Jan 14. doi: 10.1007/s00787-015-0815-0

Author

Perez Algorta, Guillermo Daniel ; Dodd, Alyson Lamont ; Stringaris, Argyris et al. / Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK : a ROC analysis. In: European Child and Adolescent Psychiatry. 2016 ; Vol. 25, No. 9. pp. 949-957.

Bibtex

@article{0cb9f84aa73a4c25b76419321646aae3,
title = "Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK: a ROC analysis",
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.",
keywords = "ADHD, Screening, Evidence-based assessment, AUC",
author = "{Perez Algorta}, {Guillermo Daniel} and Dodd, {Alyson Lamont} and Argyris Stringaris and Youngstrom, {Eric A.}",
note = "{\textcopyright} The Author(s) 2016. This article is published with open access at Springerlink.com",
year = "2016",
month = sep,
doi = "10.1007/s00787-015-0815-0",
language = "English",
volume = "25",
pages = "949--957",
journal = "European Child and Adolescent Psychiatry",
issn = "1018-8827",
publisher = "D. Steinkopff-Verlag",
number = "9",

}

RIS

TY - JOUR

T1 - Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK

T2 - a ROC analysis

AU - Perez Algorta, Guillermo Daniel

AU - Dodd, Alyson Lamont

AU - Stringaris, Argyris

AU - Youngstrom, Eric A.

N1 - © The Author(s) 2016. This article is published with open access at Springerlink.com

PY - 2016/9

Y1 - 2016/9

N2 - 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.

AB - 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.

KW - ADHD

KW - Screening

KW - Evidence-based assessment

KW - AUC

U2 - 10.1007/s00787-015-0815-0

DO - 10.1007/s00787-015-0815-0

M3 - Journal article

VL - 25

SP - 949

EP - 957

JO - European Child and Adolescent Psychiatry

JF - European Child and Adolescent Psychiatry

SN - 1018-8827

IS - 9

ER -