Objective

While early and accurate screening is required for the remediation of Attention-Deficit/Hyperactivity Disorder (ADHD), possible gender differences have not been extensively studied. We examined the classification accuracy of the parent and preschool teacher version of the Strengths and Difficulties Questionnaire (SDQ) hyperactivity-inattention (HI) subscale in girls and boys.

Method

The study was part of the Norwegian Mother and Child Cohort Study (MoBa). Parents and preschool teachers rated a total of 238 girls and 276 boys (mean age 3 ½ years) with the SDQ HI subscale. Blinded to the parent and teacher ratings, interviewers classified the children by ADHD diagnoses with the Preschool Age Psychiatric Assessment Interview.

Results

Areas under the curves for the parent HI subscale scores were good for both girls and boys (.87 and .80, respectively). Preschool teacher classifications were fair (.76) for girls and poor (.62) for boys, a significant difference (p = .017). The subscale accurately identified children without ADHD at low parent scores (≤4), and fairly accurately identified ADHD at high scores (≥9) with maximum probabilities of finding true cases were .75 in girls and .55 in boys. Intermediate scores gave the best balance between sensitivity and specificity with low probabilities of correctly identifying children with ADHD.

Conclusion

The parental SDQ HI subscale was useful for screening for ADHD in preschool girls and boys. For preschool teachers, the subscale was useful for screening girls.

中文翻译：

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学龄前儿童的注意力缺陷/多动症-短筛筛查的准确性

客观的

尽管需要早期和准确的筛查来矫正注意力缺陷/多动障碍（ADHD），但尚未广泛研究可能的性别差异。我们检查了男女生优势和困难问卷（SDQ）多动症（HI）子量表的父母和学龄前教师版本的分类准确性。

方法

该研究是挪威母婴队列研究（MoBa）的一部分。家长和学前班老师使用SDQ HI分量表对总共238名女孩和276名男孩（平均年龄3½岁）进行了评估。面试官对父母和老师的等级视而不见，并通过学龄前精神病学评估访谈对儿童进行了ADHD诊断。

结果

父母HI分量表得分的曲线下面积对女孩和男孩均良好（分别为.87和.80）。学龄前教师的分类对女孩来说是公平的（0.76），对于男孩来说是差的（0.62），差异有统计学意义（p = 0.017）。该分量表能够准确地识别出父母评分较低（≤4）时未患有ADHD的儿童，并且相当准确地识别了父母评分较低（≥9）时患有ADHD的儿童，发现真实病例的最大可能性是女孩为0.75，男孩为0.55。中级评分可在敏感性和特异性之间取得最佳平衡，而正确识别患有ADHD的儿童的可能性较低。

结论

父母的SDQ HI分量表可用于筛查学龄前男孩和女孩的ADHD。对于学龄前教师而言，该分量表对于筛查女孩非常有用。