Validez de los criterios DSM-IV según respuesta de los padres en el diagnóstico del trastorno por déficit de atención con hiperactividad

  1. López Villalobos, José Antonio
  2. Rodríguez Molinero, Luis
  3. Sacristán Martín, Ana María
  4. Garrido Redondo, Mercedes
  5. Martínez Rivera, María Teresa
  6. Andrés de Llano, Jesús María
Journal:
Revista de la Asociación Española de Neuropsiquiatría

ISSN: 0211-5735

Year of publication: 2011

Volume: 31

Issue: 110

Pages: 272-283

Type: Article

DOI: 10.4321/S0211-57352011000200007 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista de la Asociación Española de Neuropsiquiatría

Abstract

Introduction. Objective: To study the validity of each of the items DSM-IV for the diagnosis of the Attention Deficit Hyperactivity Disorder (ADHD), and to look for a reduced model of items that allows predicting ADHD. Subjects and methods: We use the information of an epidemiological study on ADHD with a sample of 1095 children. 6.6 % are ADHD cases. ADHD cases are defined according to ADHD RS-IV and clinical criteria DSM-IV. Controls are defined by exclusion. Results: The model of logistic regression that better predicts the inattentive phenotype is composed by the items of the ADHD RS-IV (parents� version) 1, 3, 9, 15 and 17 (Sensitivity: 96.7%, Specificity: 81.5%); the hyperactive / impulsive phenotype by the items 2, 4, 10, 12, 14 and 16 (Sensitivity: 96.6%, Specificity: 81%) and the combined phenotype by the items 9, 10, 12, 14 and 15 (Sensitivity: 100%, Specificity: 82.6%). A reduction of 66 % of the items in the combined phenotype is detected. Conclusions: It is possible to reduce the list of ADHD symptoms with suitable levels of validity and all the items should not have the same weight at the moment of making diagnostic decisions.

Bibliographic References

  • (1) American Psychiatric Association. Manual diagnóstico y estadístico de los trastornos mentales. Barcelona: Masson; 2002.
  • (2) Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 2007 Jun; 164(6):942-8.
  • (3) Rodríguez L, López-Villalobos JA, Garrido M, Sacristán AM, Martínez MT, Ruiz F. Estudio psicométrico-clínico de prevalencia y comorbilidad del trastorno por déficit de atención con hiperactividad en Castilla y León (España). Rev Pediatr Aten Primaria 2009; 11: 251-70.
  • (4) Barkley RA. Attention deficit hyperactivity disorder: a handbook for diagnosis and treatment. 3 ed. New York: Guilford Press; 2006.
  • (5) Barkley RA. Avances en el diagnóstico y la subclasificación del trastorno por déficit de atención/hiperactividad: qué puede pasar en el futuro respecto al DSM-V. Rev Neurol 2009; 48: S101-S106.
  • (6) Lubke GH, Muthen B, Moilanen IK, McGough JJ, Loo SK, Swanson JM. Subtypes versus severity differences in attention-deficit/ hyperactivity disorder in a northern Finnish birth cohort. J Am Acad Child Adolesc Psychiatry 2007; 46: 1584-93.
  • (7) McGough JJ, Barkley RA. Diagnostic controversies in adult ADHD. Am J Psychiatry 2004; 161: 1948-56.
  • (8) Barkley RA, Murphy KR y Fischer M. ADHD in adults: what the science says. New York: Guilford Press; 2008.
  • (9) Frick PJ, Lahey BB, Applegate B, Kerdyck L, Ollendick T, Hynd GW. DSM-IV field trials for the disruptive behavior disorders: Symptom utility estimates. J Am Acad Child Adolesc Psychiatry 1994; 33: 529-39.
  • (10) Achenbach TM. Advancing assessment of children and adolescents: commentary on evidence-based assessment of child and adolescent disorders. J Clin Child Adolesc Psychol 2005; 4: 541-7.
  • (11) Cardo E, Bustillo M, Servera M. Valor predictivo de los criterios del DSM-IV en el diagnóstico del trastorno por déficit de atención/hiperactividad y sus diferencias culturales. Rev Neurol 2007; 44 (Supl. 2):S19-S22.
  • (12) DuPaul GJ, Anastopoulos AD, Power TJ, Reid R, McGoey KE, Ikeda MJ. Parent ratings of ADHD symptoms: factor structure, normative data, and psychometric properties. J Psychopathol Behav Assess 1998; 20: 83-102.
  • (13) Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab ME. Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV). Description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 2000; 39 (1): 28-38.
  • (14) Cardo E, Bustillo M, Riutort L, Bernad MM, Meisel V, García-Banda G, et al. ¿Cuál es la combinación de síntomas según padres y maestros más fiable para el diagnóstico de TDAH? An Pediatr (Barc.) 2009; 71(2):141–7.
  • (15) Nigg JT, Stavro G, Ettenhofer M, Hambrick D, Miller T, Henderson JM. Executive functions and ADHD in adults: evidence for selective effects on ADHD symptom domains. J Abnorm Psychol 2005; 114: 706-17.
  • (16) Stavro WM, Ettenhofer ML, Nigg JT. Executive functions and adaptive functioning in young adult attention-deficit/hyperactivity disorder. J Int Neuropsychol Soc 2007; 13: 324-34.
  • (17) Milich R, Balentine AC, Lynam DR. ADHD combined type and ADHD predominantly inattentive type are distinct and unrelated disorders. Clinical Psychology: Science and Practice 2001; 8:463-88.