Construcción y validación de una escala de cribado de TDAH para niños preescolares: Un estudio con población española
DOI:
https://doi.org/10.35670/1667-4545.v19.n2.25081Keywords:
attention-deficit/hyperactivity disorder, screening, preschoolers, psychometrics, measure developmentAbstract
La mayoría de los casos de TDAH suceden en niños menores de cinco años, y esta situación requiere de herramientas de cribado con elevada sensibilidad y especificidad para edades tempranas. Se presenta la ADHD-3P, una nueva herramienta de cribado desarrollada con población española para niños de preescolar. A partir de 151 ítems, se realizaron análisis de la validez aparente, análisis de los ítems y de la escala. Estos resultaron en una escala de 27 ítems (α = .95) compuesta por tres factores: hiperactividad(α = .92), inatención (α = .92) y otros síntomas (α = .81). El poder discriminativo de la escala fue elevado (89.7% para niños con TDAH y 88.3% para niños sin TDAH). La capacidad diagnóstica fue evaluada mediante curvas ROC y mostró una excelente sensibilidad (92.86%) y especificidad (89.86%). En suma, la ADHD-3P es una herramienta prometedora para ser utilizada por padres, profesores y pediatras.
Downloads
References
Abdekhodaie, Z., Tabatabaei, S. M., & Gholizadeh, M. (2012). The investigation of ADHD prevalence in kindergarten children in northeast Iran and a determination of the criterion validity of Conners’ Questionnaire via clinical interview. Research in Developmental Disabilities, 33(2), 357-361. doi: 10.1016/j.ridd.2011.10.006
Alda, J. A., & Serrano-Troncoso, E. (2013). Trastorno por déficit de atención con hiperactividad: Concordancia entre la impresión clínica y el cuestionario de cribado SNAP-IV (Estudio CONCOR). Actas Españolas de Psiquiatría, 41(2), 76-83. Retrieved from https://www.actaspsiquiatria.es
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. DSM-5 (5th ed.). Washington, DC: American Psychiatric Association. doi: 10.1176/appi.books.9780890425596
Berrocal, M., Peskin, V., Weiss, N., Schuler, J., Monge, S., McGough, J. J., ... Mathews, C. A. (2011). Prevalencia y tamizaje del trastorno por déficit de atención con hiperactividad en Costa Rica. Vertex, Revista de Psiquiatría, 22(99), 337-342. Retrieved from http://www.polemos.com.ar/vertex.php
Betts, D. J. (2003). Developing a projective drawing test: Experiences with the Face Stimulus Assessment (FSA). Art Therapy: Journal of the American Art Therapy Association, 20(2), 77-82. doi: 10.1080/07421656.2003.10129393
Brownlie, E., Lazare, K., & Beitchman, J. (2012). Validating a self-report screen for ADHD in early adulthood using childhood parent and teacher ratings. Journal of Attention Disorders, 16(6), 467-477. doi: 10.1177/1087054711398902
Bussing, R., Fernandez, M., Harwood, M., Wei Hou, Garvan, C. W., Eyberg, S. M., & Swanson, J. M. (2008). Parent and teacher SNAP-IV ratings of attention deficit hyperactivity disorder symptoms: Psychometric properties and normative ratings from a school district sample. Assessment, 15(3), 317-328. doi: 10.1177/1073191107313888
Comité Internacional para el Desarrollo y Estudio del Cuestionario para Escolares y Adolescentes Latinoamericanos con Trastorno por Déficit de Atención con Hiperactividad (CEAL-TDAH). (2009). Cuestionario para Escolares y Adolescentes Latinoamericanos con Trastorno por Déficit de Atención con Hiperactividad (CEAL-TDAH). Construcción, descripción del instrumento y datos sociodemográficos y clínicos de la muestra. Salud Mental, 32(Supl. 1), 55-62. Retrieved from http://revistasaludmental.mx
Cornelio-Nieto, J. O., Borbolla-Sala, M. E., & García-Valdovinos, S. (2010). Population-based diagnostic study to compare the DSM-IV and the Questionnaire for screening Latin American schoolchildren and adolescents for attention deficit hyperactivity disorder. Revista de Neurología, 50(3), 119-123. doi: 10.33588/rn.50S03.2010012
Costa-Dias, T. G., Kieling, C., Graeff-Martins, A. S., Moriyama, T. S., Rohde, L. A., & Polanczyk, G. V. (2013). Developments and challenges in the diagnosis and treatment of ADHD. Revista Brasileira de Psiquiatria, 35(1), 40-50. doi: 10.1590/1516-4446-2013-S103
Danner, D., Blasius, J., Breyer, B., Eifler, S., Menold, N., Paulhus, D. L. , … Ziegler, M. (2016). Current challenges, new developments, and future directions in scale construction. European Journal of Psychological Assessment, 32(3), 175-180. doi: 10.1027/1015-5759/a000375
Davari-Ashtiani, R., Jazayeri, F., Arabgol, F., Razjouyan, K., & Khademi, M. (2014). Psychometric properties of Persian version of Conners’ Adult Attention Deficit/Hyperactivity Disorder Rating Scale (screening form-self reporting). Iranian Journal of Psychiatry and Clinical Psychology, 20(3), 243-251.
Deb, S., Dhaliwal, A. J., & Roy, M. (2008). The usefulness of Conners’ Rating Scales-Revised in screening for attention deficit hyperactivity disorder in children with intellectual disabilities and borderline intelligence. Journal of Intellectual Disability Research, 52(11), 950-965. doi: 10.1111/j.1365-2788.2007.01035.x
Dumenci, L., McConaughy, S. H., & Achenbach, T. M. (2004). A hierarchical three-factor model of inattention hyperactivity-impulsivity derived from the attention problems syndrome of the teacher’s report form. School Psychology Review, 33(2), 287-301. Retrieved from https://www.nasponline.org/
Efstratopoulou, M., Simons, J., & Janssen, R. (2013). Concordance among physical educators’, teachers’, and parents’ perceptions of attention problems in children. Journal of Attention Disorders, 17(5), 437-443. doi: 10.1177/1087054711431698
Erhart, M., Döpfner, M., & Ravens-Sieberer, U. (2008). Psychometric properties of two ADHD questionnaires: Comparing the Conners’ scale and the FBBHKS in the general population of German children and adolescents - Results of the BELLA study. European Child & Adolescent Psychiatry, 17(1), 106-115. doi: 10.1007/s00787-008-1012-1
Field, A. P. (2000). Discovering statistics using SPSS for Windows. London, England: Sage.
Freelon, D. G. (2010). ReCal: Intercoder reliability calculation as a web service. International Journal of Internet Science, 5(1), 20-33. Retrieved from http://www.ijis.net
Goodwin, L. D., & Leech, N. L. (2003). The meaning of validity in the new standards for educational and psychological testing: Implications for measurement courses. Measurement and Evaluation in Counseling and Development, 36(3), 181-191. doi: 10.1080/07481756.2003.11909741
Hillemeier, M. M., Foster, E. M., Heinrichs, B., & Heier, B. (2007). Racial differences in parental reports of attention-deficit/hyperactivity disorder behaviors. Journal of Developmental and Behavioral Pediatrics, 28(5), 353-361. doi: 10.1097/DBP.0b013e31811ff8b8
Holmberg, K., Sundelin, C., & Hjern, A. (2013). Screening for attention-deficit/ hyperactivity disorder (ADHD): Can high-risk children be identified in first grade? Child: Care, Health and Development, 39(2), 268-276. doi: 10.1111/j.1365-2214.2012.01382.x
Hurtig, T., Taanila, A., Moilanen, I., Nordström, T., & Ebeling, H. (2012). Suicidal and self-harm behaviour associated with adolescent attention deficit hyperactivity disorder-A study in the Northern Finland birth cohort 1986. Nordic Journal of Psychiatry, 66(5), 320-28. doi: 10.3109/08039488.2011.644806
Kieling, R. R., Kieling, C., Aguiar, A. P., Costa, A. C., Dorneles, B. V., & Rohde, L. A. (2014). Searching for the best approach to assess teachers’ perception of inattention and hyperactivity problems at school. European Child & Adolescent Psychiatry, 23(6), 451-459. doi: 10.1007/s00787-013-0466-y
Kim, J., Kim, G., & Seo, S. (2014). Validation of the FSA as screening tool for children with ADHD. The Arts in Psychotherapy, 41(4), 413-423. doi: 10.1016/j.aip.2014.04.006
Kooij, S. J. J., Bejerot, S., Blackwell, A., Caci, H., Casas-Brugué, M., Carpentier, P. J., … Asherson, P. (2010). European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD. BMC Psychiatry, 10, 1-24. doi: 10.1186/1471-244x-10-67
Lampert, T. L., Polanczyk, G., Tramontina, S., Mardini, V., & Rohde, L. A. (2004). Diagnostic performance of the CBCL-Attention Problem Scale as a screening measure in a sample of Brazilian children with ADHD. Journal of Attention Disorders, 8(2), 63-71. doi: 10.1177/108705470400800204
Levin-Decanini, T., Connolly, S. D., Simpson, D., Suarez, L., & Jacob, S. (2013). Comparison of behavioral profiles for anxiety-related comorbidities including ADHD and selective mutism in children. Depression and Anxiety, 30(9), 857-864. doi: 10.1002/da.22094
Mikami, A. Y., Griggs, M. S., Lerner, M. D., Emeh, C. C., Reuland, M. M., Jack, A., & Anthony, M. R. (2013). A randomized trial of a classroom intervention to increase peers’ social inclusion of children with attention-deficit/hyperactivity disorder. Journal of Consulting and Clinical Psychology, 81(1), 100-112. doi: 10.1037/a0029654
Mulraney, M., Schilpzand, E. J., Hazell, P., Nicholson, J. M., Anderson, V., Efron, D. E., & Silk, T. J. (2016). Comorbidity and correlates of disruptive mood dysregulation disorder in 6-8-year-old children with ADHD. European Child & Adolescent Psychiatry, 25(3), 321-330. doi: 10.1007/s00787-015-0738-9
Netemeyer, R. G., Bearden, W. O., & Sharma, S. (2003). Scaling Procedures: Issues and Applications. Thousand Oaks, CA: Sage. doi: 10.4135/9781412985772
Newman, E., & Reddy, L. A. (2017). Diagnostic utility of the Pediatric Attention Disorders Diagnostic Screener. Journal of Attention Disorders, 21(5), 372-380. doi: 10.1177/1087054714526431
Norvilitis, J. M., Ingersoll, T., Zhang, J., & Jia, S. (2008). Self-reported symptoms of ADHD among college students in China and the United States. Journal of Attention Disorders, 11(5), 558-567. doi: 10.1177/1087054707308496
Overgaard, K. R., Aase, H., Torgersen, S., & Zeiner, P. (2016). Co-occurrence of ADHD and anxiety in preschool children. Journal of Attention Disorders, 20(7), 573-580. doi: 10.1177/1087054712463063
Posserud, M. B., Ullebø, A. K., Plessen, K. J., Stormark, K. M., Gillberg, C., & Lundervold, A. J. (2014). Influence of assessment instrument on ADHD diagnosis. European Child and Adolescent Psychiatry, 23(4), 197-205. doi: 10.1007/s00787-013-0442-6
Potter, A. S., Dunbar, G., Mazzulla, E., Hosford, D., & Newhouse, P. A. (2014). AZD3480, a novel nicotinic receptor agonist, for the treatment of attention-deficit/hyperactivity disorder in adults. Biological Psychiatry, 75(3), 207-214. doi: 10.1016/j.biopsych.2013.06.002
Power, T. J., Costigan, T. E., Leff, S. S., Eiraldi, R. B., & Landau, S. (2001). Assessing ADHD across settings: Contributions of behavioral assessment to categorical decision making. Journal of Clinical Child Psychology, 30(3), 399-412. doi: 10.1207/s15374424jccp3003_11
Raiker, J. S., Freeman, A. J., Perez-Algorta, G., Frazier, T. W., Findling, R. L., & Youngstrom, E. A. (2017). Accuracy of Achenbach scales in the screening of attention-deficit/hyperactivity disorder in a community mental health clinic. Journal of the American Academy of Child & Adolescent Psychiatry, 56(5), 401-409. doi: 10.1016/j.jaac.2017.02.007
Re, A. M., & Cornoldi, C. (2009). Two new rating scales for assessment of ADHD symptoms in Italian preschool children: A comparison between parent and teacher ratings. Journal of Attention Disorders, 12(6), 532-539. doi: 10.1177/1087054708323001
Reyes-Sandoval, A. M., & Acuña, L. (2012). Juicios de maestros sobre las conductas características del trastorno por déficit de atención e hiperactividad. Revista Latinoamericana de Psicología, 44(3), 65-82. Retrieved from https://editorial.konradlorenz.edu.co/rlp.html
Rowland, A. S., Umbach, D. M., Catoe, K. E., Stallone, L., Long, S., Rabiner, D., … Sandler, D. P. (2001). Studying the epidemiology of attention-deficit hyperactivity disorder: Screening methods and pilot results. The Canadian Journal of Psychiatry, 46(10), 931-940. doi: 10.1177/070674370104601005
Sayal, K., Letch, N., & El Abd, S. (2008). Evaluation of screening in children referred for an ADHD assessment. Child and Adolescent Mental Health, 13(1), 41-46. doi: 10.1111/j.1475-3588.2007.00463.x
Sikirica, V., Flood, E., Dietrich, C. N., Quintero, J., Harpin, V., Hodgkins, P., ... Haim-Erder, M. (2015). Unmet needs associated with attention deficit/hyperactivity disorder in eight European countries as reported by caregivers and adolescents: Results from qualitative research. The Patient-Centered Outcomes Research, 8(3), 269-281. doi: 10.1007/s40271-014-0083-y
Spencer, T. J., Biederman, J., & Mick, E. (2007). Attention-deficit/hyperactivity disorder: Diagnosis, lifespan, comorbidities and neurobiology. Journal of Pediatric Psychology, 32(6), 631-642. doi: 10.1093/jpepsy/jsm005
Sprafkin, J., Gadow, K. D., & Nolan, E. E. (2001). The utility of a DSM-IV-Referenced screening instrument for attention-deficit/hyperactivity disorder. Journal of Emotional and Behavioral Disorders, 9(3), 182-191. doi: 10.1177/106342660100900304
Swanson, J. M., Kraemer, H. C., Hinshaw, S. P., Arnold, L. E., Conners, C. K., Abikoff, H. B., ... Wu, M. (2001). Clinical relevance of the primary findings of the MTA: Success rates based on severity of ADHD and ODD symptoms at the end of treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 40(2), 168-179. doi: 10.1097/00004583-200102000-00011
Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Upper Saddle River, NJ: Pearson Allyn & Bacon.
Vaquerizo-Madrid, J. (2005). Hiperactividad en el niño preescolar: Descripción clínica. Revista de Neurología, 40(1), 25-32. doi: 10.33588/rn.40S01.2005037
Wehmeier, P. M., Schacht, A., & Barkley, R. A. (2010). Social and emotional impairment in children and adolescents with ADHD and the impact on quality of life. Journal of Adolescent Health, 46(3), 209-217. doi: 10.1016/j.jadohealth.2009.09.009
Willkut, E. G. (2012). The prevalence of DSM IV attention-deficit/hyperactivity disorder: A meta-analytic review. Neurotherapeutics, 9(3), 490-499. doi: 10.1007/s13311-012-0135-8
Wolraich, M. L., Lambert, E. W., Bickman, L., Simmons, T., Doffing, M. A., & Worley, K. A. (2004). Assessing the impact of parent and teacher agreement on diagnosing attention-deficit hyperactivity disorder. Journal of Developmental and Behavioral Pediatrics, 25(1), 41-47. doi: 10.1097/00004703-200402000-00007
World Health Organization. (2010). International Classification of Diseases, 10th revision. Geneva, Switzerland: World Health Organization.
World Health Organization. (2018). International Statistical Classification of Diseases and Related Health Problems, ICD-11. Geneva, Switzerland: World Health Organization.
Ziegler, M. (2014). Stop and state your intentions! Let’s not forget the ABC of test construction. European Journal of Psychological Assessment, 30(4), 239-242.
Downloads
Published
Issue
Section
License
Copyright (c) 2019 Manuel Rodríguez-Becerra, Luz María Fernández-Mateos, Cristina Jenaro-Río
This work is licensed under a Creative Commons Attribution 4.0 International License.
Revista Evaluar aplica la Licencia Internacional de Atribuciones Comunes Creativas (Creative Commons Attribution License, CCAL). Bajo esta licencia, los autores retienen la propiedad de copyright de los artículos pero permiten que, sin que medie permiso de autor o editor, cualquier persona descargue y distribuya los artículos publicados en Evaluar. La única condición es que siempre y en todos los casos se cite a los autores y a la fuente original de publicación (i.e. Evaluar). El envío de artículos a Evaluar y la lectura de los mismos es totalmente gratuito.