Exploring the clinical utility of the Development And Well‐Being Assessment (DAWBA) in the detection of hyperkinetic disorders and associated diagnoses in clinical practice

Foreman, David; Morton, Stephanie; Ford, Tamsin

doi:10.1111/j.1469-7610.2008.02017.x

Cited by 44 publications

(44 citation statements)

References 38 publications

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“…Furthermore, although our sample was socioeconomically diverse, our sampling area was uniformly urban, and studies conducted in urban environments have been associated with increased parental reporting of ADHD [21]. The DAWBA has been shown to be highly accurate and reliable in detecting childhood psychiatric disorders, including ADHD [14, 22] and our prevalence and male-to-female ratio are similar to the numbers found in the 2011 USA National Survey of Children’s Health for children aged between 11 and 17 years [23]. …”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of ADHD among adolescents in a Beirut community sample: results from the BEI-PSY Study

Ghossoub

Ghandour

Halabi

et al. 2017

Child Adolesc Psychiatry Ment Health

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BackgroundThis study aims to investigate the prevalence, correlates and treatment seeking behavior related to ADHD among adolescents from Lebanon.MethodsFive hundred and ten adolescents were recruited through multistage stratified cluster sampling of households in Beirut, and separately interviewed along with one parent/legal guardian, using the DAWBA. All adolescents completed the PRQ and the SDQ; the parent/legal guardian also completed the SDQ and provided basic demographic information, including attitudes towards seeking mental health services.Results10.20% of the adolescents were diagnosed with ADHD. Having ADHD was associated with having academic difficulties and being involved in bullying. Adolescents with ADHD also had higher odds of drinking alcohol, smoking cigarettes, and having comorbid emotional and conduct disorders (compared to those without ADHD). Adolescents with ADHD and their parents reported a higher burden of illness and were more likely to consider seeing a mental health professional than healthy adolescents and their parents.ConclusionADHD among adolescents in Lebanon warrants closer attention, mainly increased awareness in the larger public, and stronger commitment to increase treatment resources to the community.

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Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of ADHD among adolescents in a Beirut community sample: results from the BEI-PSY Study

Ghossoub

Ghandour

Halabi

et al. 2017

Child Adolesc Psychiatry Ment Health

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“…[26]. However, most researchers and clinicians using the DAWBA rely on specially trained clinical expert raters; after reviewing the open-ended text comments and the coherence of different respondents’ answers, roughly 20 % of all diagnoses proposed by the DAWBA bands are revised by expert raters in an investigator-based process [11, 27]. In this study, the expert diagnostic ratings form the basis for one of the two key tests of validity: how well does each possible measure predict that the individual has at least one ICD-10 psychiatric disorder?…”

Section: Methodsmentioning

confidence: 99%

Effective Mental Health Screening in Adolescents: Should We Collect Data from Youth, Parents or Both?

Kuhn

Aebi

Jakobsen

et al. 2016

Child Psychiatry Hum Dev

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Youth- and parent-rated screening measures derived from the Strengths and Difficulties Questionnaire (SDQ) and Development and Well-Being Assessment (DAWBA) were compared on their psychometric properties as predictors of caseness in adolescence (mean age 14). Successful screening was judged firstly against the likelihood of having an ICD-10 psychiatric diagnosis and secondly by the ability to discriminate between community (N = 252) and clinical (N = 86) samples (sample status). Both, SDQ and DAWBA measures adequately predicted the presence of an ICD-10 disorder as well as sample status. The hypothesis that there was an informant gradient was confirmed: youth self-reports were less discriminating than parent reports, whereas combined parent and youth reports were more discriminating—a finding replicated across a diversity of measures. When practical constraints only permit screening for caseness using either a parent or an adolescent informant, parents are the better source of information.Electronic supplementary materialThe online version of this article (doi:10.1007/s10578-016-0665-0) contains supplementary material, which is available to authorized users.

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“…Good to excellent reliability between the rating clinicians has been reported in both British and Norwegian studies [2,24]. High levels of agreement between diagnoses assigned based on information solely from the DAWBA, and diagnoses based upon full clinical examination in addition to the DAWBA has been reported [25,26]…”

Section: Methodsmentioning

confidence: 99%

The strengths and difficulties questionnaire as a screening instrument for norwegian child and adolescent mental health services, application of UK scoring algorithms

Brøndbo

Mathiassen

Martinussen

et al. 2011

Child Adolesc Psychiatry Ment Health

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BackgroundThe use of screening instruments can reduce waiting lists and increase treatment capacity. The aim of this study was to examine the usefulness of the Strengths and Difficulties Questionnaire (SDQ) with the original UK scoring algorithms, when used as a screening instrument to detect mental health disorders among patients in the Norwegian Child and Adolescent Mental Health Services (CAMHS) North Study.MethodsA total of 286 outpatients, aged 5 to 18 years, from the CAMHS North Study were assigned diagnoses based on a Development and Well-Being Assessment (DAWBA). The main diagnostic groups (emotional, hyperactivity, conduct and other disorders) were then compared to the SDQ scoring algorithms using two dichotomisation levels: 'possible' and 'probable' levels. Sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio (ORD) were calculated.ResultsSensitivity for the diagnostic categories included was 0.47-0.85 ('probable' dichotomisation level) and 0.81-1.00 ('possible' dichotomisation level). Specificity was 0.52-0.87 ('probable' level) and 0.24-0.58 ('possible' level). The discriminative ability, as measured by ORD, was in the interval for potentially useful tests for hyperactivity disorders and conduct disorders when dichotomised on the 'possible' level.ConclusionsThe usefulness of the SDQ UK-based scoring algorithms in detecting mental health disorders among patients in the CAMHS North Study is only partly supported in the present study. They seem best suited to identify children and adolescents who do not require further psychiatric evaluation, although this as well is problematic from a clinical point of view.

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Exploring the clinical utility of the Development And Well‐Being Assessment (DAWBA) in the detection of hyperkinetic disorders and associated diagnoses in clinical practice

Cited by 44 publications

References 38 publications

Prevalence and correlates of ADHD among adolescents in a Beirut community sample: results from the BEI-PSY Study

Prevalence and correlates of ADHD among adolescents in a Beirut community sample: results from the BEI-PSY Study

Effective Mental Health Screening in Adolescents: Should We Collect Data from Youth, Parents or Both?

The strengths and difficulties questionnaire as a screening instrument for norwegian child and adolescent mental health services, application of UK scoring algorithms

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