Systematic review and meta-analysis: Screening tools for attention-deficit/hyperactivity disorder in children and adolescents

Objective: This systematic review and meta-analysis aimed to determine the accuracies of a broad range of screening tools for attention-deficit/hyperactivity disorder (ADHD) in children and adolescents, and to compare the diagnostic accuracy of tools between population-based and clinical/high-risk s...

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Autores: Mulraney, M. (Melissa)|||/items/6206bf82-50a9-4d87-974e-2f7fd92ee831, Arrondo, G. (Gonzalo)|||/items/6805aab6-8b42-4c8f-87ee-8de679a5d1df, Musullulu, H. (Hande)|||/items/50329f5d-06f5-4e71-93c5-7c7b1f96c0a8, Iturmendi-Sabater, I. (Iciar)|||/items/7b8bfc70-f25a-4415-92e8-62fc106bbc40, Cortese, S. (Samuele)|||/items/8db495b8-8574-4da7-881c-e47100f09f76, Westwood, S.J. (Samuel J.)|||/items/aadcc283-033d-4519-9b42-516d1149153e, Donno, F. (Federica)|||/items/19ec7f96-a258-430e-b4c9-3b0e0970a2c8, Banaschewski, T. (Tobias)|||/items/9b01705a-cc9c-4e42-8500-50f93c81f94d, Simonoff, E. (Emily)|||/items/d35b639e-8505-4ea5-9ef4-57df707115a7, Zuddas, A. (Alessandro)|||/items/79bfef3d-0bba-4384-8d0a-641aad3e28cf, Döpfner, M. (Manfred)|||/items/d7abf410-5b0f-455f-8925-faf03bed3cbb, Hinshaw, S.P. (Stephen P.)|||/items/b7cb78e0-99c8-4bca-a01e-4f8fef123f74, Coghill, D. (David)|||/items/f2b78a85-00ac-443b-bb5f-09769a63439b
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/111586
Acceso en línea:https://hdl.handle.net/10171/111586
Access Level:acceso abierto
Palabra clave:Attention-deficit/Hyperactivity disorder
Psychometrics
Rating scales
Screening
Descripción
Sumario:Objective: This systematic review and meta-analysis aimed to determine the accuracies of a broad range of screening tools for attention-deficit/hyperactivity disorder (ADHD) in children and adolescents, and to compare the diagnostic accuracy of tools between population-based and clinical/high-risk samples, and across reporters. Method: MEDLINE, PsycINFO, EMBASE, and PubMed were searched up until February 20, 2020, with no language restrictions. Studies reporting diagnostic accuracy of a screening tool against a diagnosis of ADHD in children and adolescents <18 years of age were eligible for inclusion. Meta-analyses were undertaken to provide pooled estimates of the area under the curve (AUC), and sensitivity and specificity of groups of measures. Results: A total of 75 studies published between 1985 and 2021 reporting on 41 screening tools that were grouped into 4 categories (Achenbach System of Empirically Based Assessment [ASEBA], DSM-IV symptom scales, SDQ, and Other Scales) were retained. The pooled AUC for studies using a combined ADHD symptoms score was 0.82 (95% CI = 0.78-0.86), although this varied considerably across reporters (0.67-0.92) and populations (CI = 0.60-0.95). None of the measures met minimal standards for acceptable sensitivity (0.8) and specificity (0.8). Conclusion: Most tools have excellent overall diagnostic accuracy as indicated by the AUC. However, a single measure completed by a single reporter is unlikely to have sufficient sensitivity and specificity for clinical use or population screening.

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