Systematic Review and Meta-analysis: Screening Tools for Attention-Deficit/Hyperactivity Disorder in Children and Adolescents.

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 2021. Systematic Review and Meta-analysis: Screening Tools for Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. Journal of the American Academy of Child and Adolescent Psychiatry. 61 (8), pp. 982-996. https://doi.org/10.1016/j.jaac.2021.11.031

TitleSystematic Review and Meta-analysis: Screening Tools for Attention-Deficit/Hyperactivity Disorder in Children and Adolescents.
TypeJournal article
AuthorsMulraney, 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
AbstractThis 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.]
Keywordsscreening
attention-deficit/hyperactivity disorder
psychometrics
rating scales
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Journal citation61 (8), pp. 982-996
ISSN1527-5418
0890-8567
Year2021
PublisherAmerican Academy of Child and Adolescent Psychiatry
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jaac.2021.11.031
PubMed ID34958872
Publication dates
Published online23 Dec 2021
PublishedAug 2022

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