Validity of a reduced model of items of DSM-IV criteria according to the parents’ and teachers’ responses in the diagnostic of the attention deficit hyperactivity disorder (combined type)

  • Jose A. Lopez-Villalobos PSICOLOGO CLINICO. COMPLEJO ASISTENCIAL UNIVERSITARIO DE PALENCIA.SALUD MENTAL INFANTO JUVENIL. HOSPITAL SAN TELMO.(GRUPO INVESTIGACION CRONOBIOLOGIA / LPI UNIVERSIDAD). AVENIDA SAN TELMO S/N. 34004 PALENCIA
  • Jesús M. Andrés-De Llano Pediatría . Complejo Asistencial Universitario de Palencia
  • Juan Delgado-Sánchez-Mateos Profesor Universidad de Salamanca Facultad de Psicología. Departamento Psicología Básica, Psicobiología y Metodología
  • María T. Martinez-Rivera Pediatría . Valladolid
  • Mercedes Garrido-Redondo Pediatria. Valladolid
  • Luis Rodriguez-Molinero Pediatría . Valladolid
  • Isabel Serrano-Pintado Profesor Universidad de Salamanca Facultad de Psicología. Departamento Personalidad, Evaluación y Tratamientos Psicológicos.
  • Ana M. Sacristán-Martín Pediatría . Palencia.
Keywords: Attention Deficit Hyperactivity Disorder (ADHD), Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), Validity, ADHD Symptoms.

Abstract

Main Objective: To look for a reduced model of symptoms of the attention deficit hyperactivity disorder combined type (ADHD-C), that shows suitable levels of criterion validity for the diagnostic of the disease.

Methods: Epidemiological study. Sample of 1095 children between 6 and 16 years. First stage: psicometric study using ADHD RS-IV answered by parents (P) and teachers (T). ADHD is suspected when both questionnaires are over 90th percentile. Second stage: Clinical interview DISC-IV (DSM-IV) only in those selected cases to confirm ADHD-C. Logistic regression is implemented to find the most parsimonious model to predict ADHD-C.

Results: The model that predicts clinical ADHD-C consists of 8 of the 36 items of the ADHD RS-IV answered by P and T. If we consider the Odds Ratio obtained by regression, the items present a ranking of: 15 T> 1 P> 16 T> 12 P> 17 P> 10 P> 14 P> 4 T. The model has criterion validity for symptomatic ADHD-C (sensitivity: 97.9%. Specificity: 93.8%. Likelihood ratio: 16.02).

Conclusions: It is possible to reduce the list of symptoms of ADHD-C with good criterion validity, removing redundant items and keeping those that provide greater discrimination between ADHD-C and the general population.

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Published
08-08-2014
How to Cite
Lopez-Villalobos, J. A., Andrés-De Llano, J. M., Delgado-Sánchez-Mateos, J., Martinez-Rivera, M. T., Garrido-Redondo, M., Rodriguez-Molinero, L., Serrano-Pintado, I., & Sacristán-Martín, A. M. (2014). Validity of a reduced model of items of DSM-IV criteria according to the parents’ and teachers’ responses in the diagnostic of the attention deficit hyperactivity disorder (combined type). Anales De Psicología / Annals of Psychology, 30(3), 898-907. https://doi.org/10.6018/analesps.30.3.152561
Section
Clinical and Health Psychology