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KMID : 1118520140110030258
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Psychiatry Investigation
2014 Volume.11 No. 3 p.258 ~ p.265
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The Validities and Efficiencies of Korean ADHD Rating Scale and Korean Child Behavior Checklist for Screening Children with ADHD in the Community
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Park Jong-Il
Shim Shi-Ha
Lee Myeong-Mi
Jung Young-Eun
Park Tae-Won
Park Seon-Hee
Im Yong-Jin
Yang Jong-Chul
Chung Young-Chul
Chung Sang-Keun
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Abstract
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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 ≥90th percentile. The positive predictive value and specificity increased significantly when the total K-ARS-P scores were ≥90th percentile, T scores were ≥60 in the attention problems of K-CBCL, and T scores were ≥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.
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KEYWORD
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Attention deficit hyperactivity disorder, Child Behavior Checklist, ADHD rating scale, Diagnostic Interview Schedule for Children Version IV, DISC-IV
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