[Interrater reliability for diagnosis in adults of attention deficit hyperactivity disorder and oppositional defiant disorder using K-SADS-E].
The diagnosis of attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in adults lacks adequate assessment instruments. The aim of this investigation is to evaluate the interrater reliability of the sections of K-SADS-E adapted for the diagnosis of these disorders among adults. The adaptations were limited to asking questions directly to the patient, investigation of a later onset of symptoms, and asking for adult specific symptoms. Six trained raters scored 16 recorded interviews. Kappa coefficients were 1.00 for ADHD diagnosis in the past, 0.91 for subtype in the past, 1.00 for ADHD diagnosis in the present, 0.95 for subtype in the present, 1.00 and 0.89 for ODD diagnosis in the past and present, respectively (all with p < 0.001). These results reveal excellent agreement for the ADHD and ODD diagnosis in adults using the adapted form of the Portuguese version of K-SADS-E.
Grevet
Eugenio Horácio
EH
Departamento de Psiquiatria e Medicina Legal, Faculdade de Medicina, Instituto de Biociencias, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil. grevet@terra.com.br
Bau
Claiton Henrique Dotto
CH
Salgado
Carlos Alberto Iglesias
CA
Ficher
Aline
A
Victor
Marcelo Moraes
MM
Garcia
Christiane
C
de Sousa
Nyvia Oliveira
NO
Nerung
Luciana
L
Belmonte-De-Abreu
Paulo
P
D000328:Adult; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*