Construction and validation of an ADHD screening tool for preschool childrenA study with Spanish population

  1. Rodríguez-Becerra, Manuel 1
  2. Fernández-Mateos, Luz María 1
  3. Jenaro-Río, Cristina 2
  1. 1 Facultad de Educación. Universidad Pontificia de Salamanca.
  2. 2 Facultad de Psicología, Universidad de Salamanca.
Revista:
Revista Evaluar

ISSN: 1667-4545

Ano de publicación: 2019

Volume: 19

Número: 2

Tipo: Artigo

DOI: 10.35670/1667-4545.V19.N2.25081 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Revista Evaluar

Obxectivos de Desenvolvemento Sustentable

Resumo

Most cases of ADHD occur in children under five, and this situation calls for screening tools with high sensitivity and specificity for early age. This study presents the ADHD-3P, a new screening tool developed with Spanish population for preschool children. From an initial pool of 151 items, face validity analyses, followed by item analyses and analysis of the scale, were carried out. A 27-item scale (α = .95) composed of three factors: hyperactivity (α = .92), inattention (α = .92), and other symptoms (α = .81) resulted from the analyses. Discriminant power was high (89.7% for ADHD, and 88.3% for non-ADHD). Diagnostic performance was evaluated through Receiver-Operating Characteristic curves, and excellent sensitivity (92.86%) and specificity (89.86%) were obtained. In sum, the ADHD-3P is a promising tool to be used by parents, teachers, and pediatricians.

Referencias bibliográficas

  • Abdekhodaie, Z., Tabatabaei, S. M., & Gholizadeh, M. (2012). The investigation of ADHD prevalence in kindergarten children in northeast Iran and a determination of the criterion validity of Conners’ Questionnaire via clinical interview. Research in Developmental Disabilities, 33(2), 357-361. doi: 10.1016/j.ridd.2011.10.006
  • Alda, J. A., & Serrano-Troncoso, E. (2013). Trastorno por déficit de atención con hiperactividad: Concordancia entre la impresión clínica y el cuestionario de cribado SNAP-IV (Estudio CONCOR). Actas Españolas de Psiquiatría, 41(2), 76-83. Retrieved from https://www.actaspsiquiatria.es
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. DSM-5 (5th ed.). Washington, DC: American Psychiatric Association. doi: 10.1176/appi.books.9780890425596
  • Berrocal, M., Peskin, V., Weiss, N., Schuler, J., Monge, S., McGough, J. J., ... Mathews, C. A. (2011). Prevalencia y tamizaje del trastorno por déficit de atención con hiperactividad en Costa Rica. Vertex, Revista de Psiquiatría, 22(99), 337-342. Retrieved from http://www.polemos.com.ar/vertex.php
  • Betts, D. J. (2003). Developing a projective drawing test: Experiences with the Face Stimulus Assessment (FSA). Art Therapy: Journal of the American Art Therapy Association, 20(2), 77-82. doi: 10.1080/07421656.2003.10129393
  • Brownlie, E., Lazare, K., & Beitchman, J. (2012). Validating a self-report screen for ADHD in early adulthood using childhood parent and teacher ratings. Journal of Attention Disorders, 16(6), 467-477. doi: 10.1177/1087054711398902
  • Bussing, R., Fernandez, M., Harwood, M., Wei Hou, Garvan, C. W., Eyberg, S. M., & Swanson, J. M. (2008). Parent and teacher SNAP-IV ratings of attention deficit hyperactivity disorder symptoms: Psychometric properties and normative ratings from a school district sample. Assessment, 15(3), 317-328. doi: 10.1177/1073191107313888
  • Comité Internacional para el Desarrollo y Estudio del Cuestionario para Escolares y Adolescentes Latinoamericanos con Trastorno por Déficit de Atención con Hiperactividad (CEAL-TDAH). (2009). Cuestionario para Escolares y Adolescentes Latinoamericanos con Trastorno por Déficit de Atención con Hiperactividad (CEAL-TDAH). Construcción, descripción del instrumento y datos sociodemográficos y clínicos de la muestra. Salud Mental, 32(Supl. 1), 55-62. Retrieved from http://revistasaludmental.mx
  • Cornelio-Nieto, J. O., Borbolla-Sala, M. E., & García-Valdovinos, S. (2010). Population-based diagnostic study to compare the DSM-IV and the Questionnaire for screening Latin American schoolchildren and adolescents for attention deficit hyperactivity disorder. Revista de Neurología, 50(3), 119-123. doi: 10.33588/rn.50S03.2010012
  • Costa-Dias, T. G., Kieling, C., Graeff-Martins, A. S., Moriyama, T. S., Rohde, L. A., & Polanczyk, G. V. (2013). Developments and challenges in the diagnosis and treatment of ADHD. Revista Brasileira de Psiquiatria, 35(1), 40-50. doi: 10.1590/1516-4446-2013-S103
  • Danner, D., Blasius, J., Breyer, B., Eifler, S., Menold, N., Paulhus, D. L. , … Ziegler, M. (2016). Current challenges, new developments, and future directions in scale construction. European Journal of Psychological Assessment, 32(3), 175-180. doi: 10.1027/1015-5759/a000375
  • Davari-Ashtiani, R., Jazayeri, F., Arabgol, F., Razjouyan, K., & Khademi, M. (2014). Psychometric properties of Persian version of Conners’ Adult Attention Deficit/Hyperactivity Disorder Rating Scale (screening form-self reporting). Iranian Journal of Psychiatry and Clinical Psychology, 20(3), 243-251.
  • Deb, S., Dhaliwal, A. J., & Roy, M. (2008). The usefulness of Conners’ Rating Scales-Revised in screening for attention deficit hyperactivity disorder in children with intellectual disabilities and borderline intelligence. Journal of Intellectual Disability Research, 52(11), 950-965. doi: 10.1111/j.1365-2788.2007.01035.x
  • Dumenci, L., McConaughy, S. H., & Achenbach, T. M. (2004). A hierarchical three-factor model of inattention hyperactivity-impulsivity derived from the attention problems syndrome of the teacher’s report form. School Psychology Review, 33(2), 287-301. Retrieved from https://www.nasponline.org/
  • Efstratopoulou, M., Simons, J., & Janssen, R. (2013). Concordance among physical educators’, teachers’, and parents’ perceptions of attention problems in children. Journal of Attention Disorders, 17(5), 437-443. doi: 10.1177/1087054711431698
  • Erhart, M., Döpfner, M., & Ravens-Sieberer, U. (2008). Psychometric properties of two ADHD questionnaires: Comparing the Conners’ scale and the FBBHKS in the general population of German children and adolescents - Results of the BELLA study. European Child & Adolescent Psychiatry, 17(1), 106-115. doi: 10.1007/s00787-008-1012-1
  • Field, A. P. (2000). Discovering statistics using SPSS for Windows. London, England: Sage.
  • Freelon, D. G. (2010). ReCal: Intercoder reliability calculation as a web service. International Journal of Internet Science, 5(1), 20-33. Retrieved from http://www.ijis.net
  • Goodwin, L. D., & Leech, N. L. (2003). The meaning of validity in the new standards for educational and psychological testing: Implications for measurement courses. Measurement and Evaluation in Counseling and Development, 36(3), 181-191. doi: 10.1080/07481756.2003.11909741
  • Hillemeier, M. M., Foster, E. M., Heinrichs, B., & Heier, B. (2007). Racial differences in parental reports of attention-deficit/hyperactivity disorder behaviors. Journal of Developmental and Behavioral Pediatrics, 28(5), 353-361. doi: 10.1097/DBP.0b013e31811ff8b8
  • Holmberg, K., Sundelin, C., & Hjern, A. (2013). Screening for attention-deficit/ hyperactivity disorder (ADHD): Can high-risk children be identified in first grade? Child: Care, Health and Development, 39(2), 268-276. doi: 10.1111/j.1365-2214.2012.01382.x
  • Hurtig, T., Taanila, A., Moilanen, I., Nordström, T., & Ebeling, H. (2012). Suicidal and self-harm behaviour associated with adolescent attention deficit hyperactivity disorder-A study in the Northern Finland birth cohort 1986. Nordic Journal of Psychiatry, 66(5), 320-28. doi: 10.3109/08039488.2011.644806
  • Kieling, R. R., Kieling, C., Aguiar, A. P., Costa, A. C., Dorneles, B. V., & Rohde, L. A. (2014). Searching for the best approach to assess teachers’ perception of inattention and hyperactivity problems at school. European Child & Adolescent Psychiatry, 23(6), 451-459. doi: 10.1007/s00787-013-0466-y
  • Kim, J., Kim, G., & Seo, S. (2014). Validation of the FSA as screening tool for children with ADHD. The Arts in Psychotherapy, 41(4), 413-423. doi: 10.1016/j.aip.2014.04.006
  • Kooij, S. J. J., Bejerot, S., Blackwell, A., Caci, H., Casas-Brugué, M., Carpentier, P. J., … Asherson, P. (2010). European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD. BMC Psychiatry, 10, 1-24. doi: 10.1186/1471-244x-10-67
  • Lampert, T. L., Polanczyk, G., Tramontina, S., Mardini, V., & Rohde, L. A. (2004). Diagnostic performance of the CBCL-Attention Problem Scale as a screening measure in a sample of Brazilian children with ADHD. Journal of Attention Disorders, 8(2), 63-71. doi: 10.1177/108705470400800204
  • Levin-Decanini, T., Connolly, S. D., Simpson, D., Suarez, L., & Jacob, S. (2013). Comparison of behavioral profiles for anxiety-related comorbidities including ADHD and selective mutism in children. Depression and Anxiety, 30(9), 857-864. doi: 10.1002/da.22094
  • Mikami, A. Y., Griggs, M. S., Lerner, M. D., Emeh, C. C., Reuland, M. M., Jack, A., & Anthony, M. R. (2013). A randomized trial of a classroom intervention to increase peers’ social inclusion of children with attention-deficit/hyperactivity disorder. Journal of Consulting and Clinical Psychology, 81(1), 100-112. doi: 10.1037/a0029654
  • Mulraney, M., Schilpzand, E. J., Hazell, P., Nicholson, J. M., Anderson, V., Efron, D. E., & Silk, T. J. (2016). Comorbidity and correlates of disruptive mood dysregulation disorder in 6-8-year-old children with ADHD. European Child & Adolescent Psychiatry, 25(3), 321-330. doi: 10.1007/s00787-015-0738-9
  • Netemeyer, R. G., Bearden, W. O., & Sharma, S. (2003). Scaling Procedures: Issues and Applications. Thousand Oaks, CA: Sage. doi: 10.4135/9781412985772
  • Newman, E., & Reddy, L. A. (2017). Diagnostic utility of the Pediatric Attention Disorders Diagnostic Screener. Journal of Attention Disorders, 21(5), 372-380. doi: 10.1177/1087054714526431
  • Norvilitis, J. M., Ingersoll, T., Zhang, J., & Jia, S. (2008). Self-reported symptoms of ADHD among college students in China and the United States. Journal of Attention Disorders, 11(5), 558-567. doi: 10.1177/1087054707308496
  • Overgaard, K. R., Aase, H., Torgersen, S., & Zeiner, P. (2016). Co-occurrence of ADHD and anxiety in preschool children. Journal of Attention Disorders, 20(7), 573-580. doi: 10.1177/1087054712463063
  • Posserud, M. B., Ullebø, A. K., Plessen, K. J., Stormark, K. M., Gillberg, C., & Lundervold, A. J. (2014). Influence of assessment instrument on ADHD diagnosis. European Child and Adolescent Psychiatry, 23(4), 197-205. doi: 10.1007/s00787-013-0442-6
  • Potter, A. S., Dunbar, G., Mazzulla, E., Hosford, D., & Newhouse, P. A. (2014). AZD3480, a novel nicotinic receptor agonist, for the treatment of attention-deficit/hyperactivity disorder in adults. Biological Psychiatry, 75(3), 207-214. doi: 10.1016/j.biopsych.2013.06.002
  • Power, T. J., Costigan, T. E., Leff, S. S., Eiraldi, R. B., & Landau, S. (2001). Assessing ADHD across settings: Contributions of behavioral assessment to categorical decision making. Journal of Clinical Child Psychology, 30(3), 399-412. doi: 10.1207/s15374424jccp3003_11
  • Raiker, J. S., Freeman, A. J., Perez-Algorta, G., Frazier, T. W., Findling, R. L., & Youngstrom, E. A. (2017). Accuracy of Achenbach scales in the screening of attention-deficit/hyperactivity disorder in a community mental health clinic. Journal of the American Academy of Child & Adolescent Psychiatry, 56(5), 401-409. doi: 10.1016/j.jaac.2017.02.007
  • Re, A. M., & Cornoldi, C. (2009). Two new rating scales for assessment of ADHD symptoms in Italian preschool children: A comparison between parent and teacher ratings. Journal of Attention Disorders, 12(6), 532-539. doi: 10.1177/1087054708323001
  • Reyes-Sandoval, A. M., & Acuña, L. (2012). Juicios de maestros sobre las conductas características del trastorno por déficit de atención e hiperactividad. Revista Latinoamericana de Psicología, 44(3), 65-82. Retrieved from https://editorial.konradlorenz.edu.co/rlp.html
  • Rowland, A. S., Umbach, D. M., Catoe, K. E., Stallone, L., Long, S., Rabiner, D., … Sandler, D. P. (2001). Studying the epidemiology of attention-deficit hyperactivity disorder: Screening methods and pilot results. The Canadian Journal of Psychiatry, 46(10), 931-940. doi: 10.1177/070674370104601005
  • Sayal, K., Letch, N., & El Abd, S. (2008). Evaluation of screening in children referred for an ADHD assessment. Child and Adolescent Mental Health, 13(1), 41-46. doi: 10.1111/j.1475-3588.2007.00463.x
  • Sikirica, V., Flood, E., Dietrich, C. N., Quintero, J., Harpin, V., Hodgkins, P., ... Haim-Erder, M. (2015). Unmet needs associated with attention deficit/hyperactivity disorder in eight European countries as reported by caregivers and adolescents: Results from qualitative research. The Patient-Centered Outcomes Research, 8(3), 269-281. doi: 10.1007/s40271-014-0083-y
  • Spencer, T. J., Biederman, J., & Mick, E. (2007). Attention-deficit/hyperactivity disorder: Diagnosis, lifespan, comorbidities and neurobiology. Journal of Pediatric Psychology, 32(6), 631-642. doi: 10.1093/jpepsy/jsm005
  • Sprafkin, J., Gadow, K. D., & Nolan, E. E. (2001). The utility of a DSM-IV-Referenced screening instrument for attention-deficit/hyperactivity disorder. Journal of Emotional and Behavioral Disorders, 9(3), 182-191. doi: 10.1177/106342660100900304
  • Swanson, J. M., Kraemer, H. C., Hinshaw, S. P., Arnold, L. E., Conners, C. K., Abikoff, H. B., ... Wu, M. (2001). Clinical relevance of the primary findings of the MTA: Success rates based on severity of ADHD and ODD symptoms at the end of treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 40(2), 168-179. doi: 10.1097/00004583-200102000-00011
  • Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Upper Saddle River, NJ: Pearson Allyn & Bacon.
  • Vaquerizo-Madrid, J. (2005). Hiperactividad en el niño preescolar: Descripción clínica. Revista de Neurología, 40(1), 25-32. doi: 10.33588/rn.40S01.2005037
  • Wehmeier, P. M., Schacht, A., & Barkley, R. A. (2010). Social and emotional impairment in children and adolescents with ADHD and the impact on quality of life. Journal of Adolescent Health, 46(3), 209-217. doi: 10.1016/j.jadohealth.2009.09.009
  • Willkut, E. G. (2012). The prevalence of DSM IV attention-deficit/hyperactivity disorder: A meta-analytic review. Neurotherapeutics, 9(3), 490-499. doi: 10.1007/s13311-012-0135-8
  • Wolraich, M. L., Lambert, E. W., Bickman, L., Simmons, T., Doffing, M. A., & Worley, K. A. (2004). Assessing the impact of parent and teacher agreement on diagnosing attention-deficit hyperactivity disorder. Journal of Developmental and Behavioral Pediatrics, 25(1), 41-47. doi: 10.1097/00004703-200402000-00007
  • World Health Organization. (2010). International Classification of Diseases, 10th revision. Geneva, Switzerland: World Health Organization.
  • World Health Organization. (2018). International Statistical Classification of Diseases and Related Health Problems, ICD-11. Geneva, Switzerland: World Health Organization.
  • Ziegler, M. (2014). Stop and state your intentions! Let’s not forget the ABC of test construction. European Journal of Psychological Assessment, 30(4), 239-242.