Our results suggest that CBCL-AP and CRS-R have comparable diagnostic performance in sensitivity, specificity, and DORs. (Short Forms) 20 min. While Pearson distributes the Conners 3, this assessment is developed and published by Multi-Health Systems, Inc. Measuring the accuracy of diagnostic systems. The satisfactory diagnostic utility of the ADHD index within CPRS-R:S and CTRS-R:S observed in the current study is consistent with those reported in previous reviews,10,57 suggesting that the ADHD index contains the most favorable set of items for distinguishing children with ADHD from those without ADHD. It includes the 10 best predictive items from the trusted market leader, the CRS–R™, parent and teacher rating scales The Conners 3GI is included in the full-length Conners 3™ or can be purchased separately. Because the number of included studies was low, analyses were not performed for other included diagnostic tools. DATA EXTRACTION: Bivariate random effects models were used for pooling and comparing diagnostic performance. Normative data for the revised forms comes from a large community-based sample of children and adolescents collected throughout the … Exploring the agreement between questionnaire information and DSM-IV diagnoses of comorbid psychopathology in children with autism spectrum disorders. We also excluded 4 studies that included various modified versions of CRS-R. In the current study, no difference was observed in the diagnostic performance of the 2 scales in detecting ADHD in children and adolescents. The extracted study characteristics are listed in Supplemental Table 3. Of the 25 studies, 11 were low risk and the rest were high risk. Not logged in Univariate Metaregression Analysis for Identifying Potential Sources of Heterogeneity in the Diagnostic Performance of CBCL-AP scale. The Conners Comprehensive Behavior Rating Scale is used to better understand certain behavioral, social, and academic issues in children between 6 and 18 years old. The Conners’ Rating Scales – Revised. A cross-cultural comparison between samples of Brazilian and German children with ADHD/HD using the Child Behavior Checklist. The following The Conners 3rd Edition-Teacher (Conners 3–T) is an assessment tool used to obtain the teacher’s observations about his/her student's behavior in a school setting. Figure 4 illustrates funnel plots with superimposed regression lines for each included diagnostic tool. The Conners’ Rating Scales—Revised (CRS-R) comprises a set of six standardized measures designed to evaluate behavioral symptoms of attention deficit hyperactivity disorder (AD/HD). These instruments are available in long or short versions for parent, teacher, and adolescent completion. Supplemental Table 3 shows a summary of the characteristics of the 25 studies. Our study has several limitations. Summarized Diagnostic Performance of ADHD Diagnostic Tools. Finally, to increase the number of included studies, the present analyses comparing different diagnostic tools were conducted using studies that have evaluated ≥1 of the tools. In addition, the Conners 3 also includes two auxiliary scales: the Conners 3 ADHD Index (Conners 3AI™) and the Conners 3 Global Index (Conners … In contrast to the conventional notion that ASQ is a global measure of psychopathology and not a specific indicator of ADHD diagnosis,58 we observed that ASQ had high diagnostic ability in distinguishing children and adolescents with and without ADHD. A consensus report of the WFSBP task force on biological markers and the World Federation of ADHD. Conners’ Scales Developed by Keith Conners PhD Available Tools: Conners’ Parent Rating Scale-Revised for parents/caregivers Conners’ Teacher Rating Scale-Revised for teachers Conners-Wells’ Adolescent Self-Report Scale for teenagers 3rd edition- contains parent, teacher, and self-report both full and short … 4) Conners C. K. (1997) Conners’ Rating Scales – Revised: Short Form. Different results may be observed when other potential sources of heterogeneity are simultaneously considered in regression models. Conversely, a higher heterogeneity was observed in specificity than in sensitivity for CTRS-R:S and ASQ. Multi-Heath Systems; North Tonawanda, NY. Thank you for your interest in spreading the word on American Academy of Pediatrics. Meta-DiSc: a software for meta-analysis of test accuracy data. Fourth, the pooled diagnostic performances of CPRS-R:S and CTRS-R:S were based on diagnostic parameters extracted from the ADHD index subscale. However, the moderate diagnostic values of CRS-R and CBCL reveal the importance of incorporating clinical examinations to eliminate other disorders and obtain information such as age of onset, intensity and pervasiveness of symptoms, and level of impairment during ADHD diagnosis. Relationships between the WISC-III and the Cognitive Assessment System with Conners’ rating scales and continuous performance tests. All CRS-R versions exhibited a favorable diagnostic performance, and ASQ demonstrated the highest sensitivity, specificity, and AUC, although the differences were not significant. The short forms of the Connors' Rating Scales-Revised (CRS-R) system are used for quick assessment of characteristics and behaviors that are indicative of Attention-Deficit/Hyperactivity Disorder. Regarding index tests, approximately half of the studies (n = 13) had a low risk of bias for not applying a prespecified threshold and interpreting the index test results without a knowledge of the reference standard results. Cross-sectional, cohort, and case-control studies were included. The relations between DISC-IV DSM diagnoses of ADHD and multi-informant CBCL-AP syndrome scores. This instrument is designed to assess Attention Deficit/Hyperactivity Disorder (ADHD) and its most common co-morbid problems in children and adolescents aged 6 to 18 years old. Diagnostic criteria for identifying ADHD are based on behavioral symptoms, because of the lack of reliable biological markers for diagnosing ADHD.9 Behavior rating scales, which comprise checklists that examine various behaviors and symptoms, are the most common ADHD assessment tools in schools and communities because of their uncomplicated administration and high time- and cost-efficiency.10 The Child Behavior Checklist (CBCL)11 and Conners Rating Scale–Revised (CRS-R)12 are commonly used diagnostic tools for identifying ADHD in children and adolescents because of their adequately established reliability and validity. Many symptoms of ADHD are not always observed in clinical settings; therefore, information provided by both scales can enhance clinicians’ understanding of children’s symptoms in different settings. However, the included studies were heterogeneous regarding study design and sample characteristics, which may have confounded the results. There are three Conners CBRS forms: 1. one for parents 2. one for teachers 3. one that’s a self-report to be completed by the childThese forms ask questions that help screen for emotional, behavioral, and academic disorders. The diagnostic utility of behavioral checklists in identifying children with ADHD and children with working memory deficits. Participants were not restricted to specific settings; specifically, participants from both clinical and community settings were included. Only 1 study had a high risk of bias in the reference standard domain. Together they help create a comprehensive inventory of a child’s behaviors. Supplemental Figure 6 shows methodological quality assessments of the reviewed studies according to the QUADAS-2 tool. DORs, defined as the odds of obtaining a positive test result in patients with a disease compared with the odds of obtaining a positive test result in participants without a disease, were computed as positive LRs (LR+) divided by negative LRs (LR−).21 Statistical differences in sensitivity, specificity, and DORs between different scales were further examined to compare the diagnostic performance of the selected diagnostic tools. The total number of participants ranged from 18 to 763, ages 5.50 to 14.59 years. Among the 25 analyzed studies, 10 recruited participants from clinical settings only, 11 recruited participants from community or school settings only, and the rest recruited participants from both communities and clinical settings. HSROC curves for the detection of ADHD in children and adolescents. The results of the bivariate model revealed substantial heterogeneity among studies for each diagnostic tool (all I2 > 50%). A brief screening tool for a prepubertal and early adolescent bipolar disorder phenotype. Studies were excluded if they failed to meet the inclusion criteria or if essential information was missing and could not be obtained from the authors. 5) David J. Purpura and Christopher J. Lonigan (2009) Conners’ Teacher Rating Scale for Preschool Children: A Revised, Brief, Age-Specific Measure. Studies evaluating CBCL-AP or CRS-R were included. Assessment of attention-deficit/hyperactivity disorder (ADHD): a comparative evaluation of five, commonly used, published rating scales. (Long Forms) The 2 reviewers individually conducted a quality assessment for each included study by using the revised version of the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. Because of the limited number of studies examining the diagnostic performance of CRS-R, diagnostic accuracy estimates were extracted and pooled only from the ADHD index within CPRS-R:S and CTRS-R:S. Information from other CRS-R subscales were not used for generating the pooled diagnostic performance. Expressions of ADHD symptoms vary among children and adolescents with different demographic characteristics; therefore, studies59,60 have reported that CBCL subscale scores varied according to age and gender. Finally, potential sources of heterogeneity were identified by adding covariates to the bivariate metaregression models. Conners 3 Short Parent, Teacher, and Self-Report forms closely parallel each other, and are a subset of items from the full-length forms. The child behavior checklist together with the ADHD rating scale can diagnose ADHD in Korean community-based samples. Fourteen and 11 studies reported accuracy estimates for CBCL-AP and CRS-R, respectively; 1 study applied CPRS-R:S alone, 2 applied CTRS-R:S alone, 5 applied ASQ alone, and 3 applied both CTRS-R:S and CPRS-R:S for ADHD assessment in children and adolescents. Each domain was assessed in terms of the risk of bias, and the first 3 domains were also assessed for concern regarding applicability to the research question. Table 2 shows the sources of heterogeneity in studies examining the diagnostic performance of CBCL-AP. Assessing ADHD and comorbid disorders in children: the Child Behavior Checklist and the Devereux Scales of Mental Disorders. Rating scales with a comparatively high accuracy can facilitate early detection of ADHD and ensure timely treatment. After we excluded this study and refitted the model for CBCL-AP, we observed no changes in specificity (0.75 vs 0.75); however, the sensitivity dropped from 0.77 to 0.74. The search results allowed us to conduct meta-analyses only for the Conners Parent Rating Scale–Revised Short Form (CPRS-R:S), Conners Teacher Rating Scale-Revised Short Form (CTRS-R:S), and ASQ, each of which was used in >3 studies. 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