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Reliability and validity of the assessment of neurological soft-signs in children with and without attention-deficit-hyperactivity disorder
Lund University.
Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry . Linköping University, Faculty of Health Sciences.
Malmö University.
Lund University.
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2010 (English)In: DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, ISSN 0012-1622, Vol. 52, no 4, 364-370 p.Article in journal (Refereed) Published
Abstract [en]

AIM To study the value and reliability of an examination of neurological soft-signs, often used in Sweden, in the assessment of children with attention-deficit-hyperactivity disorder (ADHD), by examining children with and without ADHD, as diagnosed by an experienced clinician using the DSM-III-R. METHOD We have examined interrater reliability (26 males, nine females; age range 5y 6mo-11y), internal consistency (94 males, 43 females; age range 5y 6mo-11y), test-retest reliability (12 males, eight females; age range 6-9y), and validity (79 males, 33 females; age range 5y 6mo-9y). RESULTS The sum of the scores for the items on the examination had good interrater reliability (intraclass correlation [ICC] 0.95) and acceptable internal consistency (Cronbachs alpha 0.76). The test-retest study also showed good reliability (ICC 0.91). There were modest associations between the examination and the assessment of motor function made by the physical education teacher (ICC 0.37) as well as from the parents description (ICC 0.39). The examination of neurological soft-signs had a sensitivity of 0.80 and a specificity of 0.76 in predicting motor problems as evaluated by the physical education teacher. INTERPRETATION The reliability and validity of this examination seem to be good and can be recommended for clinical practice and research.

Place, publisher, year, edition, pages
2010. Vol. 52, no 4, 364-370 p.
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-54508DOI: 10.1111/j.1469-8749.2009.03407.xISI: 000275205100012OAI: oai:DiVA.org:liu-54508DiVA: diva2:304588
Note
This is the Authors’ version of the following article: Peik Gustafsson, Carl Göran Svedin, Ingegerd Ericsson, Christian Linden, Magnus K Karlsson and Gunilla Thernlund, Reliability and validity of the assessment of neurological soft-signs in children with and without attention-deficit-hyperactivity disorder, 2010, DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, (52), 4, 364-370. which has been published in final form at: http://dx.doi.org/10.1111/j.1469-8749.2009.03407.x Copyright: Blackwell Publishing Ltd http://eu.wiley.com/WileyCDA/Brand/id-35.html Available from: 2010-03-19 Created: 2010-03-19 Last updated: 2010-03-25

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