[The use of strength and difficulties questionnaire in psychosocial evaluation and attention deficit hyperactivity

Luis Bachiller-Carnicero1, Carmen Elia García-Soria1, Salvador Piris-Borregas1

  • 1Servicio de Neonatología, Hospital 12 de Octubre, Madrid, España.

Anales De Pediatria
|January 28, 2019
PubMed

Insights

Preterm infants show higher risks for emotional and peer relationship issues. The Strength and Difficulties Questionnaire (SDQ) can effectively screen for attention deficit hyperactivity disorder (ADHD) in these children.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Child Psychiatry

Background:

  • Behavioral and learning disorders are common in very low birth weight (VLBW) infants (<1,500g or <32 weeks).
  • Limited data exists on these outcomes in the Spanish population.
  • Preterm birth is a known risk factor for neurodevelopmental challenges.

Purpose of the Study:

  • To assess psychosocial disorders in preterm children at age 6 using the Strength and Difficulties Questionnaire (SDQ).
  • To compare SDQ scores in preterm children to a reference population.
  • To establish SDQ cut-off values for screening attention deficit hyperactivity disorder (ADHD) in preterm children.

Main Methods:

  • Prospective observational study of 214 preterm children assessed at 6 years.
  • Utilized the Strength and Difficulties Questionnaire (SDQ) for psychosocial assessment.
  • Collected perinatal data, neurodevelopmental information, and DSM-5 diagnosed ADHD.

Main Results:

  • Preterm children exhibited significantly higher scores in emotional symptoms and peer relationships compared to controls.
  • The hyperactivity scale (AUC=0.83) and total SDQ score (AUC=0.87) effectively predicted ADHD diagnosis.
  • Recommended SDQ cut-offs for ADHD screening: hyperactivity ≥6, total score ≥13, or combined hyperactivity ≥5 and total score ≥12.

Conclusions:

  • Preterm children face elevated risks for emotional and peer relationship difficulties.
  • The SDQ is a viable screening tool for identifying ADHD in preterm populations.
  • Early identification and intervention are crucial for managing developmental challenges in preterm infants.
Abstract

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