Imperial College London
Alternate

Rafael A. Gonzalez, PhD CPsychol

Faculty of Medicine, Faculty of Medicine Centre

Honorary Clinical Lecturer
 
 
 
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Contact

 

r.gonzalez

 
 
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Location

 

Sir Alexander Fleming BuildingSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@article{Young:2016:10.1017/S0033291716000039,
author = {Young, SJ and Gonzalez, RA and Mutch, L and Mallet-Lambert, I and O'Rourke, L and Hickey, N and Asherson, P and Gudjonsson, G},
doi = {10.1017/S0033291716000039},
journal = {Psychological Medicine},
pages = {1449--1458},
title = {Diagnostic accuracy of a brief screening tool forAttention Deficit/Hyperactivity Disorder in UK prison inmates},
url = {http://dx.doi.org/10.1017/S0033291716000039},
volume = {46},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: Attention Deficit/Hyperactivity Disorder (ADHD) is overrepresented in prison, makingit imperative to identify a screening tool that can be quickly applied to efficiently detect the disorder.We explored the discrimination ability of a widely used ADHD screen, the Barkley Adult ADHDRating Scale (BAARS-IV), against a clinical diagnostic interview. A brief version of the screen wasthen developed in order to simplify its use in the prison context, and maximise its diagnosticproperties. Methods: A cross-sectional study of 390 male prison inmates performed in the UnitedKingdom, who were all screened and interviewed via the Diagnostic Interview for ADHD in Adults2.0 (DIVA-2). Results: A total of 47 (12.1%) inmates screened positive for ADHD using the fullBAARS-IV, and 96 were clinically diagnosed (24.6%), for a sensitivity of 37.9 and specificity of96.3. Our models identified the six items that most predicted ADHD diagnosis, with adjusted OddsRatios (OR) ranging from 2.66 to 4.58. Sensitivity, specificity and accuracy were 0.82, 0.84 and 0.84for the developed brief scale, and 0.71, 0.85 and 0.81 for its validation, with weighted probabilityscores producing AUC of 0.89 and 0.82, respectively. Conclusions: The original BAARS-IVperformed poorly at identifying prison inmates with ADHD. Our developed brief scale substantiallyimproved diagnostic accuracy. The brief screening instrument has great potential to be used as anaccurate and resource effective tool to screen young people and adults for likely ADHD in thecriminal justice system.
AU  - Young,SJ
AU  - Gonzalez,RA
AU  - Mutch,L
AU  - Mallet-Lambert,I
AU  - O'Rourke,L
AU  - Hickey,N
AU  - Asherson,P
AU  - Gudjonsson,G
DO  - 10.1017/S0033291716000039
EP  - 1458
PY  - 2016///
SN  - 1469-8978
SP  - 1449
TI  - Diagnostic accuracy of a brief screening tool forAttention Deficit/Hyperactivity Disorder in UK prison inmates
T2  - Psychological Medicine
UR  - http://dx.doi.org/10.1017/S0033291716000039
UR  - http://hdl.handle.net/10044/1/28866
VL  - 46
ER  -
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