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Dr. Øvergaard et al. Reply.

Kristin Romvig Øvergaard1, Beate Oerbeck1, Svein Friis2

  • 1Oslo University Hospital, Norway.

Journal of the American Academy of Child and Adolescent Psychiatry
|September 11, 2018
PubMed
Summary
This summary is machine-generated.

Early screening for attention-deficit/hyperactivity disorder (ADHD) in preschoolers is crucial. A brief tool, like the SDQ hyperactivity-inattention subscale, can aid clinicians facing time constraints in identifying ADHD symptoms.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Behavioral Pediatrics

Background:

  • Early and accurate screening for attention-deficit/hyperactivity disorder (ADHD) is vital for effective intervention and management.
  • Clinician time constraints present a significant barrier to comprehensive behavioral disorder screening in pediatric settings.
  • The Strengths and Difficulties Questionnaire (SDQ) hyperactivity-inattention (HI) subscale offers a potential solution for efficient ADHD screening in preschoolers.

Discussion:

  • While a comprehensive ADHD diagnosis requires multi-informant data (parents, teachers, child), the developmental capacity of 3-year-olds limits their ability to provide reliable self-report information.
  • The SDQ HI subscale can serve as a valuable initial screening tool, prompting further, more detailed assessment when necessary.
  • Addressing clinician time limitations is key to improving early detection rates for ADHD and other behavioral disorders.

Key Insights:

  • The SDQ hyperactivity-inattention subscale demonstrates potential as a time-efficient screening tool for ADHD in preschool-aged children.
  • Preschoolers' limited capacity for self-reporting necessitates reliance on parental and teacher observations for ADHD screening and diagnosis.
  • Integrating brief screeners into clinical practice can help overcome barriers to timely ADHD identification.

Outlook:

  • Further research should validate the SDQ HI subscale's efficacy across diverse preschool populations.
  • Developing integrated screening protocols that balance brief assessments with comprehensive evaluations is essential.
  • Future efforts should focus on optimizing early detection pathways for ADHD to improve long-term outcomes for affected children.