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Predictive properti...
Predictive properties of the A-TAC inventory when screening for childhood-onset neurodevelopmental problems in a population-based sample
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- Larson, Tomas (författare)
- Gothenburg University,Göteborgs universitet,Lund University,Lunds universitet,Rättspsykiatri, Malmö,Forskargrupper vid Lunds universitet,Forensic Psychiatry, Malmö,Lund University Research Groups,Centrum för etik, juridik och mental hälsa,Extern,Centre for Ethics, Law, and Mental Health,External
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- Lundström, Sebastian (författare)
- Gothenburg University,Göteborgs universitet,Centrum för etik, juridik och mental hälsa,Centre for Ethics, Law, and Mental Health
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- Nilsson, Thomas, 1954 (författare)
- Gothenburg University,Göteborgs universitet,Centrum för etik, juridik och mental hälsa,Institutionen för neurovetenskap och fysiologi,Centre for Ethics, Law, and Mental Health,Institute of Neuroscience and Physiology
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Selinus, Eva Noren (författare)
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- Råstam, Maria (författare)
- Lund University,Lunds universitet,Barn- och ungdomspsykiatri,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Child and Adolescent Psychiatry,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Lichtenstein, Paul (författare)
- Karolinska Institutet
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- Gumpert, Clara Hellner (författare)
- Karolinska Institutet
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- Anckarsäter, Henrik (författare)
- Gothenburg University,Göteborgs universitet,Lund University,Lunds universitet,Rättspsykiatri, Malmö,Forskargrupper vid Lunds universitet,Forensic Psychiatry, Malmö,Lund University Research Groups,Centrum för etik, juridik och mental hälsa,Institutionen för neurovetenskap och fysiologi,Centre for Ethics, Law, and Mental Health,Institute of Neuroscience and Physiology
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- Kerekes, Nora, 1969 (författare)
- Gothenburg University,Göteborgs universitet,Centrum för etik, juridik och mental hälsa,Centre for Ethics, Law, and Mental Health
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(creator_code:org_t)
- 2013
- 2013
- Engelska.
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Ingår i: BMC Psychiatry. - 1471-244X. ; 13
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Abstract
Ämnesord
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- Background: Identifying children with childhood-onset neurodevelopmental problems (NDPs, defined here as autism spectrum disorders [ASDs], attention-deficit/hyperactivity disorder [AD/HD], tic disorders [TDs], learning disorders [LDs] and development coordination disorder), using easily administered screening instruments, is a prerequisite for epidemiological research. Such instruments are also clinically useful to prioritize children for comprehensive assessments, to screen risk groups, and to follow controls. Autism-Tics, ADHD, and other Co-morbidities inventory (A-TAC) was developed to meet these requirements; here the A-TAC's prospective and psychometric properties are examined, when used in a population-based, epidemiological setting. Methods: Since 2004, parents of all Swedish twins have been asked to take part in an ongoing, nation-wide twin study (The Child and Adolescent Twin Study in Sweden). The study includes the A-TAC, carried out as a telephone interview with parents of twins aged 9 or 12. In the present study, screen-positive twins from three birth year cohorts (1993-1995) were invited to a comprehensive clinical follow-up (blinded for previous screening results) together with their co-twins and randomly selected, healthy controls at age 15 (Total N = 452). Results: Sensitivity and specificity of A-TAC scores for predicting later clinical diagnoses were good to excellent overall, with values of the area under the receiver operating characteristics curves ranging from 0.77 (AD/HD) to 0.91 (ASDs). Among children who were screen-positive for an ASD, 48% received a clinical diagnosis of ASDs. For AD/HD, the corresponding figure was also 48%, for LDs 16%, and for TDs 60%. Between 4% and 35% of screen-positive children did not receive any diagnosis at the clinical follow-up three years later. Among screen-negative controls, prevalence of ASDs, AD/HD, LDs, and TDs was 0%, 7%, 4%, and 2%, respectively. Conclusions: The A-TAC appeared to be a valid instrument to assess NDPs in this population-based, longitudinal study. It has good-to-excellent psychometric properties, with an excellent ability to distinguish NDPs (mainly ASDs) from non-NDPs at least three years after the screening evaluations, although specific diagnoses did not correspond closely to actual clinical diagnoses.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- Mental disorders diagnosed in childhood
- Screening
- and other Co-morbidities inventory
- AD/HD
- Tics
- Autism
- A-TAC
- Co-morbidity
- Cohort
- studies
- Predictive value of tests
- Sensitivity and specificity
- Autism; Tics; AD/HD
- and other Co-morbidities inventory; A-TAC; Screening; Mental disorders diagnosed in childhood; Co-morbidity; Cohort studies; Predictive value of tests; Sensitivity and specificity
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Larson, Tomas
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Lundström, Sebas ...
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Nilsson, Thomas, ...
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Selinus, Eva Nor ...
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Råstam, Maria
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Lichtenstein, Pa ...
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Gumpert, Clara H ...
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Anckarsäter, Hen ...
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Kerekes, Nora, 1 ...
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