Division of Psychological Medicine and Clinical Neurosciences, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Wales, United Kingdom.
Division of Psychological Medicine and Clinical Neurosciences, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Wales, United Kingdom; Cwm Taf Morgannwg University Health Board, Wales, United Kingdom.
Psychiatry Res. 2021 Jul;301:113984. doi: 10.1016/j.psychres.2021.113984. Epub 2021 May 4.
Attention Deficit Hyperactivity Disorder (ADHD) symptoms typically onset early and persist into adulthood for many. Robust investigation of symptom continuity and discontinuity requires repeated assessments using the same measure, but research is lacking into whether measures used to assess ADHD symptoms in childhood are also valid in adulthood. The Strengths and Difficulties Questionnaire (SDQ) is widely used to assess ADHD symptoms in children, but little is known about its utility in adulthood. The aim of this study was to assess the validity of the SDQ hyperactivity/ADHD subscale to distinguish between cases and non-cases of DSM-5 ADHD at age 25 years in a UK population cohort (N = 4121). ADHD diagnosis was derived using the Barkley Adult ADHD Rating Scale-IV. Analyses suggested that the self-rated SDQ ADHD subscale had high validity in distinguishing ADHD cases/non-cases in young adulthood (area under the curve=0.90, 95% CI=0.87-0.93) and indicated a lower cut-point for identifying those who may have an ADHD diagnosis in this age group compared to that currently recommended for younger ages. Findings were similar for parent-reports. Our findings suggest that the SDQ is suitable for ADHD research across different developmental periods, which will aid the robust investigation of ADHD from childhood to young adulthood.
注意缺陷多动障碍(ADHD)的症状通常在早期出现,并持续到许多成年人。为了深入研究症状的连续性和不连续性,需要使用相同的测量方法进行重复评估,但目前缺乏研究来评估用于评估儿童 ADHD 症状的测量方法在成年期是否同样有效。《长处和困难问卷》(SDQ)广泛用于评估儿童的 ADHD 症状,但关于其在成年期的效用知之甚少。本研究的目的是评估 SDQ 多动/ADHD 分量表在区分 25 岁时英国人群队列(N=4121)中 DSM-5 ADHD 病例和非病例方面的有效性。ADHD 诊断采用 Barkley 成人 ADHD 评定量表-IV 得出。分析表明,自我评估的 SDQ ADHD 分量表在区分年轻人中的 ADHD 病例/非病例方面具有很高的有效性(曲线下面积=0.90,95%CI=0.87-0.93),并表明该分量表用于识别该年龄组中可能患有 ADHD 诊断的人的切点值低于目前推荐用于较年轻年龄的切点值。家长报告的结果相似。我们的研究结果表明,SDQ 适用于不同发育阶段的 ADHD 研究,这将有助于从儿童期到成年早期对 ADHD 进行深入研究。