Cargando…

Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care

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 score...

Descripción completa

Detalles Bibliográficos
Autores principales: Olofsdotter, Susanne, Fernández-Quintana, Águeda, Sonnby, Karin, Vadlin, Sofia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asociacion Espanola de Psicologia Conductual 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10238844/
https://www.ncbi.nlm.nih.gov/pubmed/37273276
http://dx.doi.org/10.1016/j.ijchp.2023.100391
_version_ 1785053368445566976
author Olofsdotter, Susanne
Fernández-Quintana, Águeda
Sonnby, Karin
Vadlin, Sofia
author_facet Olofsdotter, Susanne
Fernández-Quintana, Águeda
Sonnby, Karin
Vadlin, Sofia
author_sort Olofsdotter, Susanne
collection PubMed
description 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.
format Online
Article
Text
id pubmed-10238844
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Asociacion Espanola de Psicologia Conductual
record_format MEDLINE/PubMed
spelling pubmed-102388442023-06-04 Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care Olofsdotter, Susanne Fernández-Quintana, Águeda Sonnby, Karin Vadlin, Sofia Int J Clin Health Psychol Original Article 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. Asociacion Espanola de Psicologia Conductual 2023 2023-05-25 /pmc/articles/PMC10238844/ /pubmed/37273276 http://dx.doi.org/10.1016/j.ijchp.2023.100391 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Olofsdotter, Susanne
Fernández-Quintana, Águeda
Sonnby, Karin
Vadlin, Sofia
Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care
title Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care
title_full Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care
title_fullStr Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care
title_full_unstemmed Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care
title_short Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care
title_sort clinical utility of new cut-off scores for the world health organization adhd self-report scale among adolescents in psychiatric outpatient care
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10238844/
https://www.ncbi.nlm.nih.gov/pubmed/37273276
http://dx.doi.org/10.1016/j.ijchp.2023.100391
work_keys_str_mv AT olofsdottersusanne clinicalutilityofnewcutoffscoresfortheworldhealthorganizationadhdselfreportscaleamongadolescentsinpsychiatricoutpatientcare
AT fernandezquintanaagueda clinicalutilityofnewcutoffscoresfortheworldhealthorganizationadhdselfreportscaleamongadolescentsinpsychiatricoutpatientcare
AT sonnbykarin clinicalutilityofnewcutoffscoresfortheworldhealthorganizationadhdselfreportscaleamongadolescentsinpsychiatricoutpatientcare
AT vadlinsofia clinicalutilityofnewcutoffscoresfortheworldhealthorganizationadhdselfreportscaleamongadolescentsinpsychiatricoutpatientcare