| [article] 
					| Titre : | Defining ADHD symptom persistence in adulthood: optimizing sensitivity and specificity |  
					| Type de document : | texte imprimé |  
					| Auteurs : | Margaret H. SIBLEY, Auteur ; James M. SWANSON, Auteur ; L. Eugene ARNOLD, Auteur ; Lily T. HECHTMAN, Auteur ; Elizabeth B. OWENS, Auteur ; Annamarie STEHLI, Auteur ; Howard B. ABIKOFF, Auteur ; Stephen P. HINSHAW, Auteur ; Brooke S. G. MOLINA, Auteur ; John T. MITCHELL, Auteur ; Peter S. JENSEN, Auteur ; Andrea L. HOWARD, Auteur ; Kimberley D. LAKES, Auteur ; William E. PELHAM, Auteur ; THE M. T. A. COOPERATIVE GROUP,, Auteur |  
					| Article en page(s) : | p.655-662 |  
					| Langues : | Anglais (eng) |  
					| Mots-clés : | Adult ADHD  DSM-5  diagnosis |  
					| Index. décimale : | PER Périodiques |  
					| Résumé : | Objective Longitudinal studies of children diagnosed with ADHD report widely ranging ADHD persistence rates in adulthood (5–75%). This study documents how information source (parent vs. self-report), method (rating scale vs. interview), and symptom threshold (DSM vs. norm-based) influence reported ADHD persistence rates in adulthood. Method Five hundred seventy-nine children were diagnosed with DSM-IV ADHD-Combined Type at baseline (ages 7.0–9.9 years) 289 classmates served as a local normative comparison group (LNCG), 476 and 241 of whom respectively were evaluated in adulthood (Mean Age = 24.7). Parent and self-reports of symptoms and impairment on rating scales and structured interviews were used to investigate ADHD persistence in adulthood. Results Persistence rates were higher when using parent rather than self-reports, structured interviews rather than rating scales (for self-report but not parent report), and a norm-based (NB) threshold of 4 symptoms rather than DSM criteria. Receiver-Operating Characteristics (ROC) analyses revealed that sensitivity and specificity were optimized by combining parent and self-reports on a rating scale and applying a NB threshold. Conclusion The interview format optimizes young adult self-reporting when parent reports are not available. However, the combination of parent and self-reports from rating scales, using an ‘or’ rule and a NB threshold optimized the balance between sensitivity and specificity. With this definition, 60% of the ADHD group demonstrated symptom persistence and 41% met both symptom and impairment criteria in adulthood. |  
					| En ligne : | http://dx.doi.org/10.1111/jcpp.12620 |  
					| Permalink : | https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=308 |  in Journal of Child Psychology and Psychiatry > 58-6  (June 2017) . - p.655-662
 [article] Defining ADHD symptom persistence in adulthood: optimizing sensitivity and specificity [texte imprimé] / Margaret H. SIBLEY , Auteur ; James M. SWANSON , Auteur ; L. Eugene ARNOLD , Auteur ; Lily T. HECHTMAN , Auteur ; Elizabeth B. OWENS , Auteur ; Annamarie STEHLI , Auteur ; Howard B. ABIKOFF , Auteur ; Stephen P. HINSHAW , Auteur ; Brooke S. G. MOLINA , Auteur ; John T. MITCHELL , Auteur ; Peter S. JENSEN , Auteur ; Andrea L. HOWARD , Auteur ; Kimberley D. LAKES , Auteur ; William E. PELHAM , Auteur ; THE M. T. A. COOPERATIVE GROUP, , Auteur . - p.655-662.Langues  : Anglais (eng )in Journal of Child Psychology and Psychiatry  > 58-6  (June 2017)  . - p.655-662 
					| Mots-clés : | Adult ADHD  DSM-5  diagnosis |  
					| Index. décimale : | PER Périodiques |  
					| Résumé : | Objective Longitudinal studies of children diagnosed with ADHD report widely ranging ADHD persistence rates in adulthood (5–75%). This study documents how information source (parent vs. self-report), method (rating scale vs. interview), and symptom threshold (DSM vs. norm-based) influence reported ADHD persistence rates in adulthood. Method Five hundred seventy-nine children were diagnosed with DSM-IV ADHD-Combined Type at baseline (ages 7.0–9.9 years) 289 classmates served as a local normative comparison group (LNCG), 476 and 241 of whom respectively were evaluated in adulthood (Mean Age = 24.7). Parent and self-reports of symptoms and impairment on rating scales and structured interviews were used to investigate ADHD persistence in adulthood. Results Persistence rates were higher when using parent rather than self-reports, structured interviews rather than rating scales (for self-report but not parent report), and a norm-based (NB) threshold of 4 symptoms rather than DSM criteria. Receiver-Operating Characteristics (ROC) analyses revealed that sensitivity and specificity were optimized by combining parent and self-reports on a rating scale and applying a NB threshold. Conclusion The interview format optimizes young adult self-reporting when parent reports are not available. However, the combination of parent and self-reports from rating scales, using an ‘or’ rule and a NB threshold optimized the balance between sensitivity and specificity. With this definition, 60% of the ADHD group demonstrated symptom persistence and 41% met both symptom and impairment criteria in adulthood. |  
					| En ligne : | http://dx.doi.org/10.1111/jcpp.12620 |  
					| Permalink : | https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=308 | 
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