Universität zu Köln

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:	Creators Email ORCID ORCID Put Code Mulraney, Melissa UNSPECIFIED orcid.org/0000-0003-1953-6481 UNSPECIFIED Arrondo, Gonzalo UNSPECIFIED orcid.org/0000-0003-3085-8959 UNSPECIFIED Musullulu, Hande UNSPECIFIED orcid.org/0000-0002-1658-0199 UNSPECIFIED Iturmendi-Sabater, Iciar UNSPECIFIED orcid.org/0000-0002-7239-3435 UNSPECIFIED Cortese, Samuele UNSPECIFIED orcid.org/0000-0001-5877-8075 UNSPECIFIED Westwood, Samuel J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Donno, Federica UNSPECIFIED UNSPECIFIED UNSPECIFIED Banaschewski, Tobias UNSPECIFIED orcid.org/0000-0003-4595-1144 UNSPECIFIED Simonoff, Emily UNSPECIFIED orcid.org/0000-0002-5450-0823 UNSPECIFIED Zuddas, Alessandro UNSPECIFIED UNSPECIFIED UNSPECIFIED Dopfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED Hinshaw, Stephen P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Coghill, David UNSPECIFIED UNSPECIFIED UNSPECIFIED
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:	Keywords Language DEFICIT HYPERACTIVITY DISORDER; ADHD; IMPAIRMENT; VALIDATION; IMPACT Multiple languages Psychology, Developmental; Pediatrics; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69620