Assessing the Accuracy of Diagnosing Hyperkinetic Disorders in England
Author Information
Author(s): David Foreman, Tamsin Ford
Primary Institution: Institute of Psychiatry at the Maudsley, King's College London
Hypothesis
The introduction of government guidelines in England has improved the diagnostic accuracy of hyperkinetic disorders.
Conclusion
The identification of children with hyperkinetic disorders by English CAMHS teams is generally consistent with a validated assessment standard, likely reflecting the impact of governmental guidelines.
Supporting Evidence
- Clinicians correctly identified more than 98% of cases with hyperkinetic disorders.
- Six cases of ADHD were missed by clinicians but identified by the DAWBA.
- Only one case was falsely identified as hyperactive by clinicians.
Takeaway
This study looked at how well doctors in England are diagnosing kids with attention problems, and it found that following new government rules helped them do a better job.
Methodology
The study assessed open cases in three CAMHS using the SDQ for screening and the DAWBA as a standard for diagnosis.
Potential Biases
Potential bias due to one of the raters being involved in clinical diagnoses.
Limitations
The study could not access closed cases, limiting direct demonstration of improved awareness.
Participant Demographics
Mean age 11 years, 77% male.
Statistical Information
P-Value
p<0.001
Confidence Interval
95% interquantile range 0.23%–1.2%
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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