| Title | Systematic Review and Meta-analysis: Screening Tools for Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. |
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| Type | Journal article |
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| Authors | Mulraney, Melissa, Arrondo, Gonzalo, Musullulu, Hande, Iturmendi-Sabater, Iciar, Cortese, Samuele, Westwood, Samuel J, Donno, Federica, Banaschewski, Tobias, Simonoff, Emily, Zuddas, Alessandro, Döpfner, Manfred, Hinshaw, Stephen P and Coghill, David |
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| Abstract | This systematic review and meta-analysis aimed to (1) determine the accuracies of a broad range of screening tools for ADHD in children and adolescents and (2) compare the diagnostic accuracy of tools between population-based and clinical/high-risk samples, and across reporters. 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 <18 years 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. Seventy-five studies published between 1985 and 2021 reporting on 41 screening tools that were grouped into four categories (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 (0.60-0.95). None of the measures met minimal standards for acceptable sensitivity (0.8) and specificity (0.8). 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. [Abstract copyright: Copyright © 2021. Published by Elsevier Inc.] |
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| Keywords | screening |
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| attention-deficit/hyperactivity disorder |
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| psychometrics |
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| rating scales |
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| Journal | Journal of the American Academy of Child and Adolescent Psychiatry |
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| Journal citation | 61 (8), pp. 982-996 |
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| ISSN | 1527-5418 |
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| 0890-8567 |
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| Year | 2021 |
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| Publisher | American Academy of Child and Adolescent Psychiatry |
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| Digital Object Identifier (DOI) | https://doi.org/10.1016/j.jaac.2021.11.031 |
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| PubMed ID | 34958872 |
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| Publication dates |
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| Published online | 23 Dec 2021 |
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| Published | Aug 2022 |
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