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  • Title: Influence of assessment instrument on ADHD diagnosis.
    Author: Posserud MB, Ullebø AK, Plessen KJ, Stormark KM, Gillberg C, Lundervold AJ.
    Journal: Eur Child Adolesc Psychiatry; 2014 Apr; 23(4):197-205. PubMed ID: 23824470.
    Abstract:
    We compared four instruments commonly used to screen for and diagnose Attention-Deficit/Hyperactivity Disorder (ADHD) in children. The Bergen Child Study included a DSM-IV ADHD symptom list and the Strengths and Difficulties Questionnaire (SDQ) as screen in Phase one. Phase two included the parent Development and Well-Being Assessment (DAWBA), whereas Phase three comprised in-depth clinical assessment, including the Schedule for Affective Disorders and Schizophrenia for School Aged Children (K-SADS). We compared ADHD as diagnosed by the four instruments in the children with normal intellectual functioning participating in all three phases (N = 234). The DSM-IV ADHD symptom list showed moderate agreement with all other instruments (κ = 0.53-0.57), whereas there was fair agreement between the K-SADS-DAWBA (κ = 0.31) and between SDQ-DAWBA (κ = 0.33). The DAWBA diagnosed fewer children with ADHD than did the other instruments. Implications for use of the instruments are discussed.
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