| ORIGINAL ARTICLE
|Year : 2020 | Volume
| Issue : 2 | Page : 352--357
The Development and Validation of DSM 5-Based AIIMS-Modified INDT ADHD Tool for Diagnosis of ADHD: A Diagnostic Test Evaluation Study
Sheffali Gulati1, Lokesh Saini1, Jaya Shankar Kaushik1, Biswaroop Chakrabarty1, NK Arora2, Ravindra M Pandey3, Rajesh Sagar4, Savita Sapra5, Shobha Sharma5, Vinod K Paul5
1 Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, Delhi, India
2 The INCLEN Trust International, 2nd Floor, F-1/5, Okhla Industrial Area, Phase-I, New Delhi, India
3 Department of Biostatistics, All India Institute of Medical Sciences, Delhi, India
4 Department of Psychiatry, All India Institute of Medical Sciences, Delhi, India
5 Department of Pediatrics, All India Institute of Medical Sciences, Delhi, India
Background: The current study was planned at a tertiary centre in northern India to develop and validate a Diagnostic and Statistical Manual-5 (DSM-5)-based diagnostic tool and design a severity score for attention deficit hyperactivity disorder (ADHD) in children aged 6–18 years. An existing DSM-IV-based tool, INDT (International Clinical Epidemiology Network [INCLEN] diagnostic tool) for ADHD has been modified and named All India Institute of Medical Sciences (AIIMS)-modified INDT ADHD tool.
Method: The first phase was development of the tool and the second phase was validation of the same against the gold standard of diagnosis by the DSM-5. A severity score was developed for ADHD in concordance with the Conners rating scale.
Results: The tool was validated in 66 children with a sensitivity and specificity of 100 per cent and 90 per cent, respectively. A cut-off score of 12 was decided for labelling severity of ADHD, which corresponded to 63 in the Conners rating scale.
Conclusion: This diagnostic tool for ADHD based on DSM-5 has acceptable psychometric properties. The severity score will be useful for prognostication, monitoring treatment response, and designing intervention trials.
Dr. Sheffali Gulati
Professor and Chief of Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, Delhi - 110 029
Source of Support: None, Conflict of Interest: None
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