Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care
Int. j. clin. health psychol. (Internet)
; 23(4)oct.-dic. 2023. tab, graf
Article
em En
| IBECS
| ID: ibc-226363
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Previous analyses of the proposed cut-off score for the 18-item World Health Organization ADHD Self-Report Scale (ASRS-18) among psychiatrically referred adolescents have shown limited clinical utility. This prospective study examined the diagnostic accuracy and clinical utility of new cut-off scores of the ASRS-18 in a consecutive sample of 111 Swedish adolescent psychiatric outpatients. Using the Kiddie Schedule of Affective Disorders and Schizophrenia (K-SADS) as the reference standard and based on predefined sensitivity and specificity criteria, multiple new general and sex-specific cut-off scores were evaluated. Results showed that clinical utility was greater for sex-specific cut-off scores than for general cut-off scores. The greatest change in pre-test to post-test probability of ADHD diagnosis was observed with a balanced, high-specificity diagnostic cut-off score for girls, where the probability of ADHD increased from 40% pre-test to 82% post-test. The proposed new cut-off levels for the ASRS-18 are useful for the detection and identification of ADHD among adolescents in general psychiatric outpatient settings. (AU)
Palavras-chave
Texto completo:
1
Coleções:
06-national
/
ES
Base de dados:
IBECS
Assunto principal:
Transtorno do Deficit de Atenção com Hiperatividade
/
Psiquiatria do Adolescente
Limite:
Adolescent
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Female
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Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Int. j. clin. health psychol. (Internet)
Ano de publicação:
2023
Tipo de documento:
Article