Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care

• Susanne Olofsdotter ^[1] ; Agueda Fernandez-Quintana ^[1] ; Karin Sonnby ^[1] ; Sofia Vadlin ^[1]
  1. [1] Uppsala University

     Uppsala University

     Uppsala domkyrkoförs., Suecia

     
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 23, Nº. 4, 2023, págs. 141-150
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2023.100391
• Enlaces
  • Texto completo (pdf)
• Resumen

  • Previous analyses of the proposed cut-off score for the 18-item World Health Organization ADHD Self-Report Scale (ASRS-18) among psychiatrically referred adolescents have shown limited clinical utility. This prospective study examined the diagnostic accuracy and clinical utility of new cut-off scores of the ASRS-18 in a consecutive sample of 111 Swedish adolescent psychiatric outpatients. Using the Kiddie Schedule of Affective Disorders and Schizophrenia (K-SADS) as the reference standard and based on predefined sensitivity and specificity criteria, multiple new general and sex-specific cut-off scores were evaluated. Results showed that clinical utility was greater for sex-specific cut-off scores than for general cut-off scores. The greatest change in pre-test to post-test probability of ADHD diagnosis was observed with a balanced, high-specificity diagnostic cut-off score for girls, where the probability of ADHD increased from 40% pre-test to 82% post-test. The proposed new cut-off levels for the ASRS-18 are useful for the detection and identification of ADHD among adolescents in general psychiatric outpatient settings.

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