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

心理信息 荟萃分析 注意缺陷多动障碍 梅德林 医学 人口 林地 接收机工作特性 诊断准确性 儿科 临床心理学 精神科 内科学 政治学 环境卫生 法学
作者
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
出处
期刊:Journal of the American Academy of Child and Adolescent Psychiatry [Elsevier BV]
卷期号:61 (8): 982-996 被引量:32
标识
DOI:10.1016/j.jaac.2021.11.031
摘要

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.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.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).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.
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