Reliability and validity of the assessment of soft signs in children with and without Attention Deficit Hyperactivity Disorder

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Reliability and validity of the assessment of soft signs in children with and without Attention Deficit Hyperactivity Disorder

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Publication Article, peer reviewed scientific
Title Reliability and validity of the assessment of soft signs in children with and without Attention Deficit Hyperactivity Disorder
Author(s) Gustafsson, Peik ; Svedin, Carl Göran ; Ericsson, Ingegerd ; Lindén, Christian ; Karlsson, Magnus K ; Thernlund, Gunilla
Date 2010
English abstract
AIM: To study the value and reliability of an examination of neurological soft-signs, often used in Sweden, in the assessment of children with attention-deficit-hyperactivity disorder (ADHD), by examining children with and without ADHD, as diagnosed by an experienced clinician using the DSM-III-R. METHOD: We have examined interrater reliability (26 males, nine females; age range 5y 6mo-11y), internal consistency (94 males, 43 females; age range 5y 6mo-11y), test-retest reliability (12 males, eight females; age range 6-9y), and validity (79 males, 33 females; age range 5y 6mo-9y). RESULTS: The sum of the scores for the items on the examination had good interrater reliability (intraclass correlation [ICC] 0.95) and acceptable internal consistency (Cronbach's alpha 0.76). The test-retest study also showed good reliability (ICC 0.91). There were modest associations between the examination and the assessment of motor function made by the physical education teacher (ICC 0.37) as well as from the parents' description (ICC 0.39). The examination of neurological soft-signs had a sensitivity of 0.80 and a specificity of 0.76 in predicting motor problems as evaluated by the physical education teacher. INTERPRETATION: The reliability and validity of this examination seem to be good and can be recommended for clinical practice and research.
DOI http://dx.doi.org/10.1111/j.1469-8749.2009.03407.x (link to publisher's fulltext)
Host/Issue Developmental medicine and child neurology;4
Volume 52
ISSN 0012-1622
Pages 364-370
Language eng (iso)
Subject(s) Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/10743 (link to this page)

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