ArticleInternational journal of clinical and health psychology : IJCHP
Clinical utility of new cut-off scores for the world health organization ADHD self-report scale among adolescents in psychiatric outpatient care.
Article in International journal of clinical and health psychology : IJCHP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 5 citations in OpenAlex.
- Flying under the radar: a qualitative examination of self-diagnosed ADHD and identity formation in young women.BMC psychology · 2026Article
- Boys Score Higher Everywhere? Gender Differences in Parent-Reported ADHD Symptoms Across Age Groups and Four Countries.Child psychiatry and human development · 2026Article
- Visual orientation discrimination in adults with ADHD and ASD: the differential impact of clinical diagnosis and trait severity.Frontiers in psychiatry · 2026Article
- Between "normality" and diagnosis: strains between theFrontiers in psychiatry · 2026Article
- Validation of the Arabic ADHD rating Scale-5 for adolescents in Saudi Arabia using structural equation modeling.Scientific reports · 2025Article
- ADHD and Identity Formation: Adolescents' Experiences From the Healthcare System and Peer Relationships.Journal of attention disorders · 2025Article
- Subclinical attention-deficit hyperactivity disorder symptoms and unhealthy lifestyle behaviours.BJPsych open · 2024Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Previous analyses of the proposed cut-off score for the 18-item World Health Organization ADHD Self-Report Scale (ASRS-18) among psychiatrically referred adolescents have shown limited clinical utility. This prospective study examined the diagnostic accuracy and clinical utility of new cut-off scores of the ASRS-18 in a consecutive sample of 111 Swedish adolescent psychiatric outpatients. Using the Kiddie Schedule of Affective Disorders and Schizophrenia (K-SADS) as the reference standard and based on predefined sensitivity and specificity criteria, multiple new general and sex-specific cut-off scores were evaluated. Results showed that clinical utility was greater for sex-specific cut-off scores than for general cut-off scores. The greatest change in pre-test to post-test probability of ADHD diagnosis was observed with a balanced, high-specificity diagnostic cut-off score for girls, where the probability of ADHD increased from 40% pre-test to 82% post-test. The proposed new cut-off levels for the ASRS-18 are useful for the detection and identification of ADHD among adolescents in general psychiatric outpatient settings.
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