Screening for the ADHD Phenotype Using the Strengths and Difficulties Questionnaire in a Clinical Sample of Newly Referred Children and Adolescents

Carballo, Juan J.; Rodríguez-Blanco, Lucía; García-Nieto, Rebeca; Baca‐García, Enrique

doi:10.1177/1087054714561858

Cited by 13 publications

(18 citation statements)

References 39 publications

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“…The SDQ is available at no cost in multiple (>80) languages and has ability to screen for other problems. Potential drawbacks of the SDQ include lower sensitivity for the inattentive presentation of ADHD, 52,53 which is often more prevalent in epilepsy populations. 14,16,54 However, this weakness was not reflected in the studies reviewed here where the combined subtype was more prevalent, and thus may be contributing to the strong ability of the SDQ to perform well.…”

Section: What Screening Tools Should Be Used and How Should Adhd Bementioning

confidence: 99%

Systematic review of the screening, diagnosis, and management of ADHD in children with epilepsy. Consensus paper of the Task Force on Comorbidities of the ILAE Pediatric Commission

et al. 2018

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Attention-deficit/hyperactivity disorder (ADHD) is a common and challenging comorbidity affecting many children with epilepsy. A working group under the International League Against Epilepsy (ILAE) Pediatric Commission identified key questions on the identification and management of ADHD in children with epilepsy. Systematic reviews of the evidence to support approaches to these questions were collated and graded using criteria from the American Academy of Neurology Practice Parameter. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) requirements were followed, with PROSPERO registration (CRD42018094617). No increased risk of ADHD in boys with epilepsy compared to girls with epilepsy was found (Level A). Valproate use in pregnancy is associated with inattentiveness and hyperactivity in offspring (1 class I study), and children with intellectual and developmental disabilities are at increased risk of ADHD (Level A). Impact of early seizure onset on development of ADHD was unclear (Level U), but more evident with poor seizure control (Level B). ADHD screening should be performed from 6 years of age, or at diagnosis, and repeated annually (Level U) and reevaluated after change of antiepileptic drug (AED) (Level U). Diagnosis should involve health practitioners with expert training in ADHD (Level U). Use of the Strength and Difficulties Questionnaire screening tool is supported (Level B). Formal cognitive testing is strongly recommended in children with epilepsy who are struggling at school (Level U). Behavioral problems are more likely with polytherapy than monotherapy (Level C). Valproate can exacerbate attentional issues in children with childhood absence epilepsy (Level A). Methylphenidate is tolerated and effective in children with epilepsy (Level B). Limited evidence supports that atomoxetine is tolerated (Level C). Multidisciplinary involvement in transition and adult ADHD clinics is essential (Level U). In conclusion, although recommendations could be proposed for some of the study questions, this systematic review highlighted the need for more comprehensive and targeted large-population prospective studies.

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Section: What Screening Tools Should Be Used and How Should Adhd Bementioning

confidence: 99%

Systematic review of the screening, diagnosis, and management of ADHD in children with epilepsy. Consensus paper of the Task Force on Comorbidities of the ILAE Pediatric Commission

et al. 2018

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“…Screening studies suggest a cut-off of 8/10 as providing the best ADHD diagnostic accuracy (Carballo et al, 2014). Using a cut-off of 8, we separated the HR ASD group into a HR/ASD-HI group (n=26), including children whose probands scored below 8 (average=5.19; SD=1.7) and a HR/ASD+HI group (n=20), when probands …”

Section: Assessing Hyperactivity/inattention-riskmentioning

confidence: 99%

Early Visual Foraging in Relationship to Familial Risk for Autism and Hyperactivity/Inattention

et al. 2015

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Objective: Information foraging is atypical in both autism spectrum disorders (ASDs) and ADHD; however, while ASD is associated with restricted exploration and preference for sameness, ADHD is characterized by hyperactivity and increased novelty seeking. Here, we ask whether similar biases are present in visual foraging in younger siblings of children with a diagnosis of ASD with or without additional high levels of hyperactivity and inattention. Method: Fifty-four low-risk controls (LR) and 50 high-risk siblings (HR) took part in an eye-tracking study at 8 and 14 months and at 3 years of age. Results: At 8 months, siblings of children with ASD and low levels of hyperactivity/inattention (HR/ASD-HI) were more likely to return to previously visited areas in the visual scene than were LR and siblings of children with ASD and high levels of hyperactivity/inattention (HR/ASD+HI). Conclusion: We show that visual foraging is atypical in infants at-risk for ASD. We also reveal a paradoxical effect, in that additional family risk for ADHD core symptoms mitigates the effect of ASD risk on visual information foraging.

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“…7,8 The HI subscale consists of 5 items about hyperactivity-impulsivity and inattention, and has been put forward as a good screener for ADHD in schoolchildren, in both epidemiological 9 and clinical studies. 10,11 Psychometric SDQ studies in preschool children are still limited, but satisfactory internal consistencies for the parent and teacher SDQ HI subscales have been reported. [12][13][14][15][16][17][18] We identified 4 studies that included preschoolers and investigated the screening accuracy of the SDQ HI subscale for ADHD.…”

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confidence: 99%

“…[12][13][14][15][16][17][18] We identified 4 studies that included preschoolers and investigated the screening accuracy of the SDQ HI subscale for ADHD. 10,15,19,20 Two community studies (n ¼ 18,232, age range 5-15 years; n ¼ 1341, age 3 years) 15,20 concluded that the parent SDQ HI subscale discriminated well between children with and without ADHD. A longitudinal study (age range 5-7 years) found that HI subscale scores !6 and reported impact by parents and teachers gave about a 20-fold increased risk of subsequent ADHD.…”

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confidence: 99%

“…19 In addition, a clinical study of children aged 3-17 years found that parent SDQ HI ratings for preschoolers had screening ability for ADHD similar to that for older children, but was limited by the inclusion of few preschoolers (n ¼ 31). 10 In schoolchildren, the discriminative property of the SDQ HI subscale has been found to be as strong for teachers as for parents. 7 For preschoolers, data are limited on the utility of collecting teacher SDQ ratings.…”

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confidence: 99%

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Attention-Deficit/Hyperactivity Disorder in Preschoolers: The Accuracy of a Short Screener

Øvergaard

Oerbeck

Friis

et al. 2018

Journal of the American Academy of Child & Adolescent Psych

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Screening for the ADHD Phenotype Using the Strengths and Difficulties Questionnaire in a Clinical Sample of Newly Referred Children and Adolescents

Abstract: Our study supports the use of the SDQ in the screening for ADHD. However, not all ADHD subtypes are equally screened.

Cited by 13 publications

References 39 publications

Systematic review of the screening, diagnosis, and management of ADHD in children with epilepsy. Consensus paper of the Task Force on Comorbidities of the ILAE Pediatric Commission

Systematic review of the screening, diagnosis, and management of ADHD in children with epilepsy. Consensus paper of the Task Force on Comorbidities of the ILAE Pediatric Commission

Early Visual Foraging in Relationship to Familial Risk for Autism and Hyperactivity/Inattention

Attention-Deficit/Hyperactivity Disorder in Preschoolers: The Accuracy of a Short Screener

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