Uso de una escala multidimensional para padres de niños de 6 a 11 años en el diagnóstico de deficiencia atencional con hiperactividad

Summary. Introduction. The BASC is a multidimensional approach to evaluate the child behavior and it has been validated on the diagnosis of ADD/+H in North American children. Objective. Validating BASC-PRS 6-11 on the diagnosis of ADD/+H. Patients and methods. We selected 25 male DSM IV-ADD/+H (combined type), 6 to 11-years-old children, and 25 age, gender, and socioeconomic status matched controls. Mean ages of both groups 8.16 (1.5), schooling of controls 2.64 (1.4), and cases 2.6 (1.9). Results. On the Clinical Scale ADD/+H children had significant (Anova p< 0.01) higher scores in hyperactivity, conduct problems, and attention problems. On the Adaptive Scale only significant differences on social skills and leadership were found, with lower score in the ADD/+H group. A crosstab analysis between group code and each rating variable transformed into categorical (0 and 1) variable, cut-off point= 85 percentile, found that the case children's parents qualified as clinically in higher risk the variables attention problems (OR= 24.4; 95% CI= 4.5-130), conduct problems (OR= 9.0; 95% CI= 1.7-46.9) and hyperactivity (OR= 6.8; 95% CI= 1.6-28.5) (p< 0.01). A discriminant analysis selected attention problems as discriminant function (p< 0.0001). Classification capability 84% for each group. Conclusion. Our results proved the validity of the BASC-PRS 6-11 questionnaire for the screening diagnosis of ADD/+H children in a Spanish speaking population (REV NEUROL 1999; 28: 952-9).