Validation of the Diagnostic Interview Schedule for Children (DISC-5) Tic Disorder and Attention-Deficit/Hyperactivity Disorder Modules

Details

• Alternative Title:
  Evid Based Pract Child Adolesc Ment Health
• Personal Author:
  Bitsko, Rebecca H. ; Holbrook, Joseph R ; Fisher, Prudence W. ; Lipton, Corey ; van Wijngaarden, Edwin ; Augustine, Erika F. ; Mink, Jonathan W. ; Vierhile, Amy ; Piacentini, John ; Walkup, John ; Firchow, Bradley ; Ali, Akilah R. ; Badgley, Allison ; Adams, Heather R.
• Description:
  Effective methods to assess mental disorders in children are necessary for accurate prevalence estimates and to monitor prevalence over time. This study assessed updates of the tic disorder and attention-deficit/hyperactivity disorder (ADHD) modules of the Diagnostic Interview Schedule for Children, Version 5 (DISC-5) that reflect changes in diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (Fifth edition, DSM-5). The DISC-5 tic disorder and ADHD parent- and child-report modules were compared to expert clinical assessment for 100 children aged 6-17 years (40 with tic disorder alone, 17 with tic disorder and ADHD, 9 with ADHD alone, and 34 with neither) for validation. For the tic disorder module, parent-report had high (>90%) sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy, while the youth-report had high specificity and PPV, moderate accuracy (81.4%), and lower sensitivity (69.8%) and NPV (67.3%). The ADHD module performed less well: parent-report had high NPV (91.4%), moderate sensitivity (80.8%), and lower specificity (71.6%), PPV (50.0%), and accuracy (74.0%); youth-report had moderate specificity (82.8%) and NPV (88.3%), and lower sensitivity (65.0%), PPV (54.2%), and accuracy (78.6%). Adding teacher-report of ADHD symptoms to DISC-5 parent-report of ADHD increased sensitivity (94.7%) and NPV (97.1%), but decreased specificity (64.2%), PPV (48.7%), and accuracy (72.2%). These findings support using the parent-report tic disorder module alone or in combination with the child report module in future research and epidemiologic studies; additional validation studies are warranted for the ADHD module.
• Keywords:
  ADHD Clinical Interview Diagnostic Assessment DSM-5 Tourette Syndrome
• Source:
  Evid Based Pract Child Adolesc Ment Health. 9(2):231-244
• Pubmed ID:
  38883232
• Pubmed Central ID:
  PMC11177540
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U01 DD001007/DD/NCBDD CDC HHSUnited States/ ; U01DD001007/ACL/ACL HHSUnited States/
• Volume:
  9
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:aa0f05ffb457f3e6157f9bde88970fa5d71583e1095bc63d26c5c85d9ffcbfeb7cf99da76c1beab00fb7397f76ed031ca0652e7879a117174ea0686210e8522e
• Download URL:
  https://stacks.cdc.gov/view/cdc/157970/cdc_157970_DS1.pdf
• File Type:
  [PDF - 219.72 KB ]