PMID- 23400215
OWN - NLM
STAT- MEDLINE
DCOM- 20170214
LR  - 20211021
IS  - 1557-1246 (Electronic)
IS  - 1087-0547 (Print)
IS  - 1087-0547 (Linking)
VI  - 20
IP  - 8
DP  - 2016 Aug
TI  - Agreement Among Categorical, Dimensional, and Impairment Criteria for ADHD and 
      Common Comorbidities.
PG  - 665-73
LID - 10.1177/1087054712475083 [doi]
AB  - OBJECTIVE: To compare the results of categorically based versus dimensionally 
      based scoring algorithms for a Diagnostic and Statistical Manual of Mental 
      Disorders (4th ed.; DSM-IV)-referenced teacher rating scale for assessing ADHD 
      and commonly co-occurring conditions and to determine their relative agreement 
      with ratings of symptom-induced impairment. METHOD: Teachers completed Child and 
      Adolescent Symptom Inventory-4R (CASI-4R) ratings for 1,092 youth (ages 6-18 
      years) referred to a child and adolescent psychiatry outpatient service. Caseness 
      was determined according to DSM-IV symptom count (categorical model) and T-score 
      (dimensional model) criteria. RESULTS: Agreement between symptom count and 
      T-score cutoffs was generally good (kappa >/= 0.61) for ADHD-Inattentive, 
      ADHD-Hyperactive-Impulsive, ADHD-Combined (except adolescent females), 
      Oppositional Defiant Disorder, and Conduct Disorder, but this was not the case 
      for anxiety and depressive disorders where only 15% of kappas were good. 
      Agreement of impairment cutoff with T-score and symptom count cutoffs ranged from 
      poor to good. CONCLUSION: In general, although in many cases CASI-4R categorical 
      and dimensional scoring algorithms generated similar results, there was 
      considerable variability across disorders, age groups, scoring method, and in 
      some cases, gender. Moreover, symptom counts and T-scores are not a proxy for 
      assessing impairment suggesting that each scoring strategy likely provides unique 
      information for clinical decision-making.
CI  - (c) The Author(s) 2013.
FAU - Sprafkin, Joyce
AU  - Sprafkin J
AD  - Stony Brook University, NY, USA joyce.sprafkin@stonybrook.edu.
FAU - Steinberg, Elizabeth A
AU  - Steinberg EA
AD  - Temple University, Philadelphia, PA, USA.
FAU - Gadow, Kenneth D
AU  - Gadow KD
AD  - Stony Brook University, NY, USA.
FAU - Drabick, Deborah A G
AU  - Drabick DA
AD  - Temple University, Philadelphia, PA, USA.
LA  - eng
GR  - K01 MH073717/MH/NIMH NIH HHS/United States
PT  - Journal Article
DEP - 20130211
PL  - United States
TA  - J Atten Disord
JT  - Journal of attention disorders
JID - 9615686
SB  - IM
MH  - Adolescent
MH  - Algorithms
MH  - Attention Deficit Disorder with Hyperactivity/complications/*diagnosis
MH  - Attention Deficit and Disruptive Behavior Disorders/complications/diagnosis
MH  - Child
MH  - Conduct Disorder/complications/diagnosis
MH  - Diagnosis, Differential
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Dysthymic Disorder/complications/diagnosis
MH  - Female
MH  - Humans
MH  - Hyperkinesis/complications/diagnosis
MH  - Male
MH  - Retrospective Studies
PMC - PMC3875628
MID - NIHMS511622
OTO - NOTNLM
OT  - ADHD
OT  - DSM-IV
OT  - functional impairment
OT  - rating scales
COIS- Declaration of Conflicting Interests The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2013/02/13 06:00
MHDA- 2017/02/15 06:00
PMCR- 2016/08/01
CRDT- 2013/02/13 06:00
PHST- 2013/02/13 06:00 [entrez]
PHST- 2013/02/13 06:00 [pubmed]
PHST- 2017/02/15 06:00 [medline]
PHST- 2016/08/01 00:00 [pmc-release]
AID - 1087054712475083 [pii]
AID - 10.1177/1087054712475083 [doi]
PST - ppublish
SO  - J Atten Disord. 2016 Aug;20(8):665-73. doi: 10.1177/1087054712475083. Epub 2013 
      Feb 11.