Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK: a ROC analysis
Diagnostic efficiency of the SDQ for parents to identify ADHD in the UK: a ROC analysis
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DOI：
10.1007/s00787-015-0815-0
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发表时间：
2016-09-01
影响因子：
6.4
通讯作者：
Youngstrom, Eric A.
中科院分区：
文献类型：
--
作者：
Algorta, Guillermo Perez;Dodd, Alyson Lamont;Youngstrom, Eric A.
早期，准确地识别ADHD可以改善结果，同时避免非ADHD青少年不必要的药物暴露，但这是具有挑战性的，特别是在初级保健中。本文的目的是使用具有全国代表性的样本来测试优势和困难问卷（SDQ），以制定临床使用的评分权重。英国儿童和青少年心理健康调查（N = 18,232名5-15岁的青少年）包括半结构化访谈DSM-IV诊断和家长评定的SDQ分数。SDQ子量表的曲线下面积在性别和年龄组中均为良好（0.81）至优秀（0.96）。多动/注意力不集中量表得分10+会使患多动症的几率增加21.3倍。在区分ADHD与其他诊断方面，准确度从一般（< 0.70）到良好（0.88）；多动/注意力不集中量表得分为10分以上，患多动症的几率增加4.47倍。SDQ是免费的，易于评分，提供了ADHD几率的临床有意义的变化，可以在循证医学框架下指导临床决策。
Early, accurate identification of ADHD would improve outcomes while avoiding unnecessary medication exposure for non-ADHD youths, but is challenging, especially in primary care. The aim of this paper is to test the Strengths and Difficulties Questionnaire (SDQ) using a nationally representative sample to develop scoring weights for clinical use. The British Child and Adolescent Mental Health Survey (N = 18,232 youths 5-15 years old) included semi-structured interview DSM-IV diagnoses and parent-rated SDQ scores. Areas under the curve for SDQ subscales were good (0.81) to excellent (0.96) across sex and age groups. Hyperactivity/inattention scale scores of 10+ increased odds of ADHD by 21.3x. For discriminating ADHD from other diagnoses, accuracy was fair (< 0.70) to good (0.88); Hyperactivity/inattention scale scores of 10+ increased odds of ADHD by 4.47x. The SDQ is free, easy to score, and provides clinically meaningful changes in odds of ADHD that can guide clinical decision-making in an evidence-based medicine framework.