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Systematic review and meta-analysis: screening tools for attention-deficit/hyperactivity disorder in children and adolescents

Objective - This systematic review and meta-analysis aimed to determine the accuracies of a broad range of screening tools for attention-deficit/hyperactivity disorder (ADHD) in children and adolescents, and to compare the diagnostic accuracy of tools between population-based and clinical/high-risk...

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Main Authors: Mulraney, Melissa (Author) , Arrondo, Gonzalo (Author) , Musullulu, Hande (Author) , Iturmendi-Sabater, Iciar (Author) , Cortese, Samuele (Author) , Westwood, Samuel J. (Author) , Donno, Federica (Author) , Banaschewski, Tobias (Author) , Simonoff, Emily (Author) , Zuddas, Alessandro (Author) , Döpfner, Manfred (Author) , Hinshaw, Stephen P. (Author) , Coghill, David (Author)
Format: Article (Journal)
Language:English
Published: [August 2022]
In: Journal of the American Academy of Child and Adolescent Psychiatry
Year: 2022, Volume: 61, Issue: 8, Pages: 982-996
ISSN:1527-5418
DOI:10.1016/j.jaac.2021.11.031
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jaac.2021.11.031
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0890856721020840
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Author Notes:Melissa Mulraney, Gonzalo Arrondo, Hande Musullulu, Iciar Iturmendi-Sabater, Samuele Cortese, Samuel J. Westwood, Federica Donno, Tobias Banaschewski, Emily Simonoff, Alessandro Zuddas, Manfred Döpfner, Stephen P. Hinshaw, David Coghill
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Summary:Objective - This systematic review and meta-analysis aimed to determine the accuracies of a broad range of screening tools for attention-deficit/hyperactivity disorder (ADHD) in children and adolescents, and to compare the diagnostic accuracy of tools between population-based and clinical/high-risk samples, and across reporters. - Method - 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 and adolescents <18 years of age 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. - Results - A total of 75 studies published between 1985 and 2021 reporting on 41 screening tools that were grouped into 4 categories (Achenbach System of Empirically Based Assessment [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 (CI = 0.60−0.95). None of the measures met minimal standards for acceptable sensitivity (0.8) and specificity (0.8). - Conclusion - 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.
Item Description:Gesehen am 16.11.2022
Physical Description:Online Resource
ISSN:1527-5418
DOI:10.1016/j.jaac.2021.11.031

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