Concordância entre observadores para o diagnóstico em adultos do trantorno de déficit de atenção/hiperatividade e transtorno de oposição desafiante utilizando o K-SADS-E

Abstract

Entrevistas estruturadas e semi-estruturadas têm sido amplamente utilizadas para o diagnóstico de transtornos psiquiátricos PA L AV R A S -C H AVE: K-SADS-E, transtorno de déficit de atenção/hiperatividade, transtorno de oposição desafiante, adultos, concordância entre avaliadores. Interrater reliability for diagnosis in adults of attention deficit hyperactivity disorder and oppositional defiant disorder using K-SADS-EABSTRACT -The diagnosis of attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in adults lacks adequate assessment instruments. The aim of this investigation is to evaluate the interrater reliability of the sections of K-SADS-E adapted for the diagnosis of these disorders among adults. The adaptations were limited to asking questions directly to the patient, investigation of a later onset of symptoms, and asking for adult specific symptoms. Six trained raters scored 16 recorded interviews. Kappa c o e fficients were 1.00 for ADHD diagnosis in the past, 0.91 for subtype in the past, 1.00 for ADHD diagnosis in the present, 0.95 for subtype in the present, 1.00 and 0.89 for ODD diagnosis in the past and present, respectively (all with p<0.001). These results reveal excellent agreement for the ADHD and ODD diagnosis in adults using the adapted form of the Portuguese version of K-SADS-E.KEY WORDS: K-SADS-E, attention deficit hyperactivity disorder, oppositional defiant disorder, adults, interrater reliability.

Abnormal Striatal BOLD Responses to Reward Anticipation and Reward Delivery in ADHD

“…The Attention Deficit Hyperactivity Disorder module of the Portuguese version of the Kiddie-Schedule for Affective Disorders and Schizophrenia-PL (KSADS-PL) [59] was used to assess 18 symptoms of ADHD listed in the DSM-IV and 5, and only symptoms causing impairments were considered to be present. Comorbidity (Mood Disorders, Anxiety Disorders, Substance-Related Disorders, Psychotic Disorders and Eating Disorders) was assessed using the Mini-International Neuropsychiatric Interview in Portuguese (M.I.N.I.)…”

“…[60]. The inter-rater reliabilities of the original (.64–.67) [61] and Portuguese (.91–1.00, with adults) versions of the KSADS-PL ADHD section [59] as well as of the M.I.N.I. (.88–1.00), and its agreement with the Composite International Diagnostic Interview (CIDI) (.36–.82) and Structured Clinical Interview (SCID) (.51–.84) [62] have been reported to be adequate.…”

Self-evaluated burden in adults with attention-deficit hyperactivity disorder (ADHD): a pilot study

“…This study was approved by the Ethics Committee on Research; informed consent was obtained from all participants. Clinical evaluation included a psychiatric interview by a trained professional and a semi-structured interview (K-SADS-PL, adapted for adults 8 ). All subjects completed the Adult ADHD Self-report Scale (ASRS 9 ).…”

Problemas de Conduta em Crianças e Adolescentes: Evidências no Brasil

“…Os procedimentos de busca e seleção de manuscritos encontram-se sumarizados na Figura 1, conforme as recomendações da Preferred Reporting Items for Systematic Reviews and Meta-Analyses (Liberati et al, 2009). Do total de 21 artigos recuperados, 13 foram considerados potencialmente relevantes após a leitura dos resumos (10 do SciELO: Andrade, Assumpção-Junior, Teixeira, & Fonseca, 2011; Barbieri, Jacquemin, & Alves, 2004;Cruzeiro et al, 2008;Dória, Antoniuk, Assumpção-Junior, Fajardo, & Ehlke, 2015;Grant & Odlaug, 2007;Grevet et al, 2005;Hodgins & Peden, 2007;Rocha & Rocha, 1992;Rodrigues, Sousa, & Carmo, 2010;Serra-Pinheiro, Guimarães, & Serrano, 2005; 3 da base PePSIC: Barreto et al, 2009;Ribeiro, 2016;Souza & Resende, 2012).…”