Mulraney, Melissa ORCID: 0000-0003-1953-6481, Arrondo, Gonzalo ORCID: 0000-0003-3085-8959, Musullulu, Hande ORCID: 0000-0002-1658-0199, Iturmendi-Sabater, Iciar ORCID: 0000-0002-7239-3435, Cortese, Samuele ORCID: 0000-0001-5877-8075, Westwood, Samuel J., Donno, Federica, Banaschewski, Tobias ORCID: 0000-0003-4595-1144, Simonoff, Emily ORCID: 0000-0002-5450-0823, Zuddas, Alessandro, Dopfner, Manfred, Hinshaw, Stephen P. and Coghill, David (2022). Systematic Review and Meta-analysis: Screening Tools for Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. J. Am. Acad. Child Adolesc. Psychiatr., 61 (8). S. 982 - 997. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1527-5418

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Abstract

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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Mulraney, MelissaUNSPECIFIEDorcid.org/0000-0003-1953-6481UNSPECIFIED
Arrondo, GonzaloUNSPECIFIEDorcid.org/0000-0003-3085-8959UNSPECIFIED
Musullulu, HandeUNSPECIFIEDorcid.org/0000-0002-1658-0199UNSPECIFIED
Iturmendi-Sabater, IciarUNSPECIFIEDorcid.org/0000-0002-7239-3435UNSPECIFIED
Cortese, SamueleUNSPECIFIEDorcid.org/0000-0001-5877-8075UNSPECIFIED
Westwood, Samuel J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Donno, FedericaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Banaschewski, TobiasUNSPECIFIEDorcid.org/0000-0003-4595-1144UNSPECIFIED
Simonoff, EmilyUNSPECIFIEDorcid.org/0000-0002-5450-0823UNSPECIFIED
Zuddas, AlessandroUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dopfner, ManfredUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hinshaw, Stephen P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Coghill, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-696208
DOI: 10.1016/j.jaac.2021.11.031
Journal or Publication Title: J. Am. Acad. Child Adolesc. Psychiatr.
Volume: 61
Number: 8
Page Range: S. 982 - 997
Date: 2022
Publisher: ELSEVIER SCIENCE INC
Place of Publication: NEW YORK
ISSN: 1527-5418
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
DEFICIT HYPERACTIVITY DISORDER; ADHD; IMPAIRMENT; VALIDATION; IMPACTMultiple languages
Psychology, Developmental; Pediatrics; PsychiatryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69620

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