Change search
ReferencesLink to record
Permanent link

Direct link
Screening for attention-deficit/hyperactivity disorder (ADHD): can high-risk children be identified in first grade?
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS). Uppsala University, Sweden.
2013 (English)In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 39, no 2, 268-276 p.Article in journal (Refereed) Published
Abstract [en]

Aim: Recent studies have demonstrated the beneficial long-term effects of an indicated parent support programme for acting out behaviour in pre-school children with attention-deficit/hyperactivity disorder (ADHD) traits. In this study we wanted to assess different thresholds for screening with the Conners scale for hyperactive–inattentive behaviours in first grade for ADHD in grade four.

Method: The study population consisted of 422 first graders (6- to 7-year-olds) in one municipality in Stockholm County who were screened with Conners 10-item scale and followed up by ADHD assessment in grade four. Sensitivity, specificity, likelihood ratios, and positive predictive value (PPV) of the screening by parents and teachers in first grade for being diagnosed with ADHD in fourth grade were calculated.

Results: The prevalence of pervasive and situational ADHD was 5.7% and 5.9% respectively. A score ≥10 on the Conners scale in first grade in teachers' reports identified 63% [95% confidence interval (CI): 43–79] of children diagnosed with pervasive ADHD in grade four (P < 0.001) with a PPV of 29% and a positive likelihood ratio (LR+) of 6.72. Parental reports of a score ≥10 yielded a lower sensitivity (29%; 95% CI: 15–49), PPV of 20% and LR+ of 4.24 for pervasive ADHD. The best predictor was a combination of parent and teacher scores ≥10 with a PPV of 50% and LR+ of 16.63. Associations with situational ADHD were weak with LR+ of 1.81 and 2.49, respectively, for teachers' and parental scores ≥10.

Conclusions: This study indicates a strong association between a teacher's report of a score ≥10 on the Conners scale in first grade and pervasive ADHD in grade four, while parental reports were less predictive.

Place, publisher, year, edition, pages
2013. Vol. 39, no 2, 268-276 p.
Keyword [en]
ADHD, behavioural screening, CD, Conners 10-item scale, parent and teacher ratings, school children
National Category
Health Sciences Psychology
URN: urn:nbn:se:su:diva-84043DOI: 10.1111/j.1365-2214.2012.01382.xISI: 000314127800015OAI: diva2:578140
Available from: 2012-12-17 Created: 2012-12-17 Last updated: 2016-03-17Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Hjern, Anders
By organisation
Centre for Health Equity Studies (CHESS)
In the same journal
Child Care Health and Development
Health SciencesPsychology

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 72 hits
ReferencesLink to record
Permanent link

Direct link