Review of clinical validation of ADHD behavior rating scales.

Full Abstract

The purpose of this review is to assess the range of overall accuracies for Attention Deficit/Hyperactivity Disorder (ADHD) behavior rating scales evaluated in clinical validation studies. Studies were characterized according to the evidence standards of the American Academy of Neurology (AAN). Studies were excluded due to major design problems such as overfitting by discriminant analysis. The 13 included evaluations of rating scales revealed overall accuracy in the range of 59%-79% with a pooled mean of 69% (+/-7%, standard deviation) and a pooled sample size of 2228 subjects from nine studies. While some of the excluded studies demonstrated higher overall accuracies (>79%), these studies were observed to have factors in experimen tal design and statistics that are known to unduly inflate accuracy. We recommend further research following the full AAN standards, namely well-designed, blinded, pro spective studies of rating scales applied to clinically representative samples evaluated with a clinical standard.

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Author information

Author/s: Snyder, Steven M (SM); Hall, James R (JR); Cornwell, Sonya L (SL); Quintana, Humberto (H);

Affiliation: University of North Texas Health Science Center at Fort Worth, USA. ssnyder(-atsign-)hsc.unt.edu

Journal and publication information

Publication Type: Journal Article; Review

Journal: Psychological reports (Psychol Rep), published in United States. (Language: eng)

Reference: 2006-Oct; vol 99 (issue 2) : pp 363-78

Dates: Created 2006/12/12; Completed 2007/01/29; Revised 2007/11/15;

PMID: 17153805, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Attention Deficit Disorder with Hyperactivity - diagnosis; psychology
Bias (Epidemiology)
Guidelines as Topic
Humans
Personality Assessment - standards; statistics & numerical data

Personality Assessment - standards; statistics & numerical data
Psychometrics - statistics & numerical data
Reference Standards
Reproducibility of Results
United States

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