The Validities and Efficiencies of Korean ADHD Rating Scale and Korean Child Behavior Checklist for Screening Children with ADHD in the Community.
- Author:
Jong Il PARK
1
;
Shi Ha SHIM
;
Myeongmi LEE
;
Young Eun JUNG
;
Tae Won PARK
;
Seon Hee PARK
;
Yong Jin IM
;
Jong Chul YANG
;
Young Chul CHUNG
;
Sang Keun CHUNG
Author Information
1. Department of Psychiatry, Chonbuk National University Medical School, Jeonju, Republic of Korea. ptaewon@jbnu.ac.kr
- Publication Type:Original Article
- Keywords:
Attention deficit hyperactivity disorder;
Child Behavior Checklist;
ADHD rating scale;
Diagnostic Interview Schedule for Children Version IV;
DISC-IV
- MeSH:
Appointments and Schedules;
Attention Deficit Disorder with Hyperactivity;
Checklist*;
Child;
Child Behavior*;
Child*;
Diagnosis;
Humans;
Mass Screening*;
Republic of Korea;
Sensitivity and Specificity
- From:Psychiatry Investigation
2014;11(3):258-265
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The purpose of this study is to examine the validity of primary screening tools for attention deficit hyperactivity disorder (ADHD) in a community-based sample of children using the Korean version of the Child Behavior Checklist (K-CBCL) and the Korean version of the ADHD Rating Scale (K-ARS). METHODS: A large-scale community-based study for ADHD screening was conducted in the Jeollabuk province in the Republic of Korea. In 2010-2011, we surveyed a total of 49,088 first- and fourth-grade elementary school students. All of the participants in this study were assessed by the K-ARS-Parent version (K-ARS-P) and the K-ARS-Teacher version (K-ARS-T) as the primary screening instruments. The Diagnostic Interview Schedule for Children Version IV (DISC-IV) was used for confirming the diagnosis of ADHD. DISC-IV was administered to subjects who received top 10% scores in the K-ARS-P or K-ARS-T tests. RESULTS: Of the 3,085 subjects who completed the DISC-IV, 1,215 were diagnosed as having ADHD. A reasonable level of sensitivity, specificity, and negative predictive value were obtained when the total K-ARS-P scores were > or =90th percentile. The positive predictive value and specificity increased significantly when the total K-ARS-P scores were > or =90th percentile, T scores were > or =60 in the attention problems of K-CBCL, and T scores were > or =63 in the total problems of K-CBCL. CONCLUSION: These results suggested that the K-ARS-P could effectively serve as a primary screening tool to identify elementary school children with ADHD in the community. Also, there might be some increment in the effectiveness of K-ARS-P when combined with K-CBCL-A and K-CBCL-T as a secondary screening tool.
