Parent–clinician agreement in rating the presence and severity of attention-deficit/hyperactivity disorder symptoms

Nobel, Ellen; Brunnekreef, J. Agnes; Schachar, Russell; Hoofdakker, Barbara J. van den; Hoekstra, Pieter J.

doi:10.1007/s12402-018-0267-8

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…The much higher percentage of possible ADHD children detected by Conners score in our study (57.14% scored above 70) may be due to the high sensitivity of CPRS-R in detecting ADHD but its relative poor specificity [29,32,33]. Clinician-based rating of ADHD symptoms based on a semi-structured parent interview was found to have superior sensitivity compared to parentfilled out CPRS-R questionnaires [29].…”

Section: Discussionmentioning

confidence: 49%

“…Therefore, our study needs to further evaluate these children and adolescents by a second informant, for example a teacher. Several studies (from Egypt and worldwide) have shown that parents report ADHD symptoms more frequently than teachers [19,20,[23][24][25][26][27][28][29] and that parents may not have age-appropriate behavioral expectations for their children causing overdiagnosis of ADHD. Parents were found to be more reliable in ratings of forgetfulness, whereas teachers were found to be more reliable reporters of deficits in sustained attention (teachers can quickly compare students and detect those poorly performing in a class task) [23,30].…”

Section: Discussionmentioning

confidence: 99%

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Attention-deficit hyperkinetic disorder among children and adolescents with type 1 diabetes: a cross-sectional study

Aly

AbdelAziz

Mousa

et al. 2022

Egypt Pediatric Association Gaz

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Background Type 1 diabetes is a common childhood disease that is affected by and affects every aspect in the life of the child or adolescent with diabetes. Data on attention-deficit hyperkinetic disorder (ADHD) among children and adolescents with type 1 diabetes is limited. The aim of this study was to assess the prevalence of ADHD among a cross-sectional sample of 70 children and adolescents with type 1 diabetes as compared to 70 matched controls and to assess the glycemic control of included patients. For a comprehensive evaluation, assessment was done using Pediatric Symptom Checklist (PSC, the 35 item), Diagnostic and Statistical Manual of Mental Disorders—the fifth edition (DSM-5) criteria, and Conners comprehensive behavior rating scale—revised for parents/caregivers. Glycemic control of all included patients was also evaluated by HbA1c %. Results A screening PSC score was significantly higher for children and adolescents with type 1 diabetes than controls (p < 0.001). Significantly larger number of cases with type 1 diabetes fulfilled DSM-5 criteria for inattentive or hyperactive or mixed type ADHD (14.3%, 17.1% and 18.6%, respectively) as compared to controls (4.3%, 5.7%, and 7.1% respectively, p < 0.05). Also, a significantly larger number (more than half, 57.14%) had a Conners score above 70, and the mean scores on Conners parent rating scale were also significantly higher for children with type 1 diabetes than controls (p < 0.001). Most of the included patients did not achieve adequate glycemic control (47.14% of patients were in poor control and only about one fifth achieved a HbA1c < 7.5%). Conclusion ADHD is more common among children and adolescents with type 1 diabetes than in healthy controls. It is important to perform psychiatric evaluation of children and adolescents with type 1 diabetes especially those in poor metabolic control to assess for associated neuro-behavioral disorders such as ADHD. This is crucial to be able to properly design insulin therapy for such a group of patients who may suffer hypo- or hyper-glycemia due to inattention, forgetfulness, or hyperactivity and to properly select educational material that take the easy distractibility of ADHD patients into account as well as to be able to properly manage such cases given the extra stresses entailed in having a diagnosis of diabetes.

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 99%

Attention-deficit hyperkinetic disorder among children and adolescents with type 1 diabetes: a cross-sectional study

Aly

AbdelAziz

Mousa

et al. 2022

Egypt Pediatric Association Gaz

View full text Add to dashboard Cite

show abstract

“…SNAP-IV is a well-known parent-based questionnaire, which is frequently used as a primary outcome measure in intervention studies (Filho et al, 2005;Nobel, Brunnekreef, Schachar, van den Hoofdakker, & Hoekstra, 2019). In this study, it indicated that the inattention rating of ADHD participants significantly improved based on the parent and teacher SNAP-IV after PE supplementation (Table 2).…”

Section: Neuropsychological Functionmentioning

confidence: 51%

Complementary effects of pine bark extract supplementation on inattention, impulsivity, and antioxidative status in children with attention‐deficit hyperactivity disorder: A double‐blinded randomized placebo‐controlled cross‐over study

Hsu

Hsieh

Chen

et al. 2021

Phytotherapy Research

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The purpose of this study was to investigate the complementary effects of polyphenolic compounds from pine bark extract (PE) as a strong antioxidative substrate on the symptoms of inattention and impulsivity in children with attention-deficit hyperactivity disorder (ADHD). This was a randomized, double-blind, crossover, placebo-controlled study that included two experimental units (4 weeks with PE supplementation and 4 weeks with placebo supplementation) separated by a 2-week washout period. ADHD participants were supplemented with 25 mg or 50 mg PE. We recruited 20 participants (17 boys and 3 girls) with a mean age of 10.0 ± 2.1 years. PE supplementation caused a significant reduction in the inattention and hyperactivity-impulsivity items of SNAP-IV. During the period of PE supplementation, the item of commissions in the Continuous Performance Test III (CPT III) significantly decreased, which was used to evaluate the symptoms of inattention and impulsivity. In addition, the erythrocytic reduced glutathione/oxidized glutathione ratio significantly increased, and the plasma TBARs level significantly decreased after 4 weeks of PE supplementation. However, there was no significant correlation between CPT III (commission) and antioxidative status indictors. PE supplementation may have potential effects of ameliorating inattention and impulsivity, and elevating the antioxidative status in children with ADHD. K E Y W O R D Sattention-deficit hyperactivity disorder, oxidative stress, pine bark extract | INTRODUCTIONAttention-deficit hyperactivity disorder (ADHD) is one of the most prevalent neurobiological disorders in the world and presents a complex, highly inheritable etiology (Polanczyk, Willcutt, Salum, Kieling, & Rohde, 2014). The global prevalence of ADHD in school-age children is 5.3%-7.1%, which varies according to different diagnostic tools, diagnostic criteria, and case samples (Thomas, Sanders, Doust, Beller, & Glasziou, 2015). On the other hand, Huang et al. used a National Health Insurance database and found that the prevalence of ADHD among Taiwanese school children was 7%-12% and was more common among boys (14.9%) than girls (4.5%) (Huang, Chu, Cheng, & Weng, 2014). This difference is partially because boys have explicit behaviors, which are more easily exhibited in early stages. Conversely, girls often show inattention, anxiety, and depression. It was reported that in around 60% of children with ADHD, the problems of inattention and hyperactivity continue to occur in adulthood (Barkley,

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“…The SNAP‐IV 18‐item scale is an abbreviated version of the SNAP Questionnaire (Swanson, 1992) which is frequently used as primary outcome measure in treatment studies (Nobel et al, 2019). Data were collected using the Persian version of SNAP‐IV Teacher and Parent 18‐Item Rating Scale.…”

Section: Methodsmentioning

confidence: 99%

Analyzing the network of parent‐rated ADHD symptoms before and 2 weeks after the onset of pharmaceutical treatment

Shabestari

Zendehrouh

Ahmadi

et al. 2023

Child Adoles Psych Nursing

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ProblemVia a network analysis approach, following 2 weeks of the medication Ritalin, the present study investigated the quality of symptom interactions and the pattern of behavior changes to identify locations of functional weaknesses in the network interactions of symptomology.MethodsRitalin® prescribed for 112 children (aged 4–14) with attention deficit hyperactivity disorder (ADHD) as diagnosed by five child and adolescent psychiatrists. Their parents completed Swanson, Nolan, and Pelham‐IV questionnaire (SNAP‐IV) before and after Ritalin® onset as the pre and post‐test, respectively. Then, the network analysis approach was used to discover the pattern of changes in symptom interactions.FindingsThe results indicated that in 2 weeks following its initiation, Ritalin significantly reduced restlessness and interactions between symptoms of impulsivity. “Inability to follow instructions” and “difficulty waiting their turn” symptoms were the most central symptoms of strength. Three symptoms, “Often has difficulty waiting their turn,” “runs and climbs in situations where it is inappropriate” and “does not follow through on instructions,” had the most expected influence. In the 14‐day period of investigation, Ritalin® was effective in breaking some interactions and components of ADHD, but no significant mitigation of other components of the detected symptomatology network.ConclusionFollow‐up investigations using network analysis can clarify the dynamics of the network changes after initiation of medications.

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Parent–clinician agreement in rating the presence and severity of attention-deficit/hyperactivity disorder symptoms

Cited by 5 publications

References 18 publications

Attention-deficit hyperkinetic disorder among children and adolescents with type 1 diabetes: a cross-sectional study

Attention-deficit hyperkinetic disorder among children and adolescents with type 1 diabetes: a cross-sectional study

Complementary effects of pine bark extract supplementation on inattention, impulsivity, and antioxidative status in children with attention‐deficit hyperactivity disorder: A double‐blinded randomized placebo‐controlled cross‐over study

Analyzing the network of parent‐rated ADHD symptoms before and 2 weeks after the onset of pharmaceutical treatment

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