Defining ADHD symptom persistence in adulthood: optimizing sensitivity and specificity.
J Child Psychol Psychiatry
; 58(6): 655-662, 2017 Jun.
Article
en En
| MEDLINE
| ID: mdl-27642116
ABSTRACT
OBJECTIVE:
Longitudinal studies of children diagnosed with ADHD report widely ranging ADHD persistence rates in adulthood (5-75%). This study documents how information source (parent vs. self-report), method (rating scale vs. interview), and symptom threshold (DSM vs. norm-based) influence reported ADHD persistence rates in adulthood.METHOD:
Five hundred seventy-nine children were diagnosed with DSM-IV ADHD-Combined Type at baseline (ages 7.0-9.9 years) 289 classmates served as a local normative comparison group (LNCG), 476 and 241 of whom respectively were evaluated in adulthood (Mean Age = 24.7). Parent and self-reports of symptoms and impairment on rating scales and structured interviews were used to investigate ADHD persistence in adulthood.RESULTS:
Persistence rates were higher when using parent rather than self-reports, structured interviews rather than rating scales (for self-report but not parent report), and a norm-based (NB) threshold of 4 symptoms rather than DSM criteria. Receiver-Operating Characteristics (ROC) analyses revealed that sensitivity and specificity were optimized by combining parent and self-reports on a rating scale and applying a NB threshold.CONCLUSION:
The interview format optimizes young adult self-reporting when parent reports are not available. However, the combination of parent and self-reports from rating scales, using an 'or' rule and a NB threshold optimized the balance between sensitivity and specificity. With this definition, 60% of the ADHD group demonstrated symptom persistence and 41% met both symptom and impairment criteria in adulthood.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Padres
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Escalas de Valoración Psiquiátrica
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Trastorno por Déficit de Atención con Hiperactividad
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Autoinforme
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Entrevista Psicológica
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prevalence_studies
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Qualitative_research
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Risk_factors_studies
Límite:
Adult
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Child
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Humans
Idioma:
En
Revista:
J Child Psychol Psychiatry
Año:
2017
Tipo del documento:
Article
País de afiliación:
Estados Unidos