Screening for the attention deficit hyperactivity disorder phenotype using the strength and difficulties questionnaire

Eur Child Adolesc Psychiatry. 2011 Sep;20(9):451-8. doi: 10.1007/s00787-011-0198-9. Epub 2011 Jul 21.

Abstract

The strengths and difficulties questionnaire (SDQ) is a broad-band child mental health instrument, which has been reported to be a good screener for the ADHD phenotype. Questionnaires containing the SDQ and the 18 SNAP-IV items corresponding to the DSM-IV ADHD symptoms were completed by parents and teachers for 66% (N = 6,233) of all 7- to 9-year-olds in the city of Bergen, Norway, 2002. Screening properties of the five-item SDQ hyperactivity-inattention subscale for the DSM-IV ADHD phenotype were examined. Using the DSM-IV ADHD phenotype based on both informants as the gold standard (5.2% of the sample), the receiver operating characteristics (ROC) analyses demonstrated an area under the curve of 0.91 (95% CI: 0.90-0.92) for parent and 0.95 (95% CI: 0.94-0.95) for teacher SDQ hyperactivity-inattention subscale ratings. The SDQ hyperactivity-inattention predictive algorithm identified 74% of those with the ADHD combined subtype as possible or probable cases, but only 22% of those with the inattentive subtype. The 5-item long SDQ hyperactivity-inattention subscale is a shorter substitute for the 18-item ADHD symptom list. The SDQ predictive algorithm had an acceptable sensitivity for the ADHD combined subtype, but low sensitivity for the ADHD inattentive and the ADHD hyperactive subtypes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Child
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Mass Screening / methods*
  • Mental Health
  • Norway
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Surveys and Questionnaires