Table 1Inclusion and Exclusion Criteria for the Evidence Report

Inclusion CriteriaExclusion Criteria
Definition of ADHD/Comorbidities
ADHD with symptoms as listed in DSM-III, DSM-III-R, DSM-IV, and ICD (all editions)
Comorbid conditions: learning disabilities, depression, anxiety, conduct disorder, and oppositional defiant disorder
Combinations of the 5 listed comorbid conditions allowed in Questions 1 and 2 (prevalence questions)
Criteria other than DSM and ICD
Comorbid conditions other than the 5 listed
Combinations of the 5 comorbid conditions listed in Questions 3 and 4 (assessment questions)
Patient Population
Boys and girls
Ages 6–12 years
Representative population
North American studies for Questions 1 and 2 (prevalence questions)
Any countries for Questions 3 and 4 (assessment questions)
Preschoolers (ages 2–5)
Adolescents (ages 13–18)
Referral populations (for prevalence estimates)
Children with moderate to severe mental retardation (IQ<55)
Children with pervasive developmental disorders and/or severe psychiatric disorders
Any studies outside North America for Questions 1 and 2 (prevalence questions)
Setting/Provider Population
All settings allowed for Questions 3 and 4 (assessment questions)
Limited settings for Questions 1 and 2 (prevalence questions):
 General population (Question 1)
  School surveys
 Primary care setting (Question 2)
  Pediatrician’s office
  Physicians in family or general practice

Prevalence studies from:
 Mental health facilities or referral clinics
 Schools for developmentally disabled students
Behavioral Screening Tests for ADHD
Selected Behavior Checklists/Rating Scales (parent, teacher report forms only)

ADHD-Specific Checklists
 ADD-H: Comprehensive Teacher Rating Scale (ACTeRS)
 Attention Deficit Disorders Evaluation Scale (ADDES)
 Barkley Questionnaires (HSQ, SSQ, ADHDR)
 Children’s Attention and Adjustment Survey (CAAS)
 ADHD-Specific Conners Rating Scales (CATQ, CAPQ, CPRS:R-ADHD, DSM)
 SNAP Checklist (SNAP)
 Vanderbilt AD/HD Diagnostic Teacher Rating Scale (VADTRS)
Behavioral screening tests other than those listed under Inclusion Criteria to the left (others to be identified; if sufficient number of studies of additional tests are available, decision will be made whether to extract and analyze data from those tests)
Versions of the behavior checklists/rating scales designed for “youth self-report”
Tests for comorbid conditions (e.g., tests for learning disabilities or speech disorders)
Broad-Band Checklists
 Behavior Assessment System for Children (BASC)
 Burk’s Behavior Rating Scales, Grades 1–9 (BBRS)
 Child Behavior Checklists (CBCL)
 Broad-Band Conners Rating Scales (CPRS, CTRS)
 Devereaux Scales of Mental Disorders (DSMD)
 Ontario Child Health Study Scales (OCHS)
 Pediatric Symptom Checklist (PSC)
 Yale Children’s Inventory (YCI)
Outcomes of Interest for Behavioral Screening Tests (Question 3)
Accuracy for ADHD (for ADHD-targeted checklists only)
 Positive predictive value
Accuracy for referral population (for broad-band checklists only)
Effect size for discriminating referred from nonreferred samples
Treatment outcomes
Accuracy and reliability of tests for comorbid conditions
Medical Screening Tests for ADHD (Question 4)
Selected Medical and Neurological Screening Tests:
 Electroencephalography (EEG)
 Lead concentration level
 Thyroid hormone level
 Imaging tests
 Continuous performance tests
 Hearing and vision screening
 Neuroloaical screenina tests
Medical or neurological screening tests other than those listed under Inclusion Criteria to the left
Medical or neurological screening tests not commonly recommended as standard components of an evaluation of a child with suspected ADHD
Outcomes of Interest for Medical Screening Tests (Question 4)
Prevalence of abnormal findingsAccuracy and reliability of tests
Criteria for Admissible Evidence/Bibliographic Database Boundaries
Data from published studies
Literature published 1980–1997
English language
Non-English language literature
Data from unpublished studies
Nondiagnostic outcomes (e.g., treatment)

From: Methodology

Cover of Diagnosis of Attention-Deficit/Hyperactivity Disorder
Diagnosis of Attention-Deficit/Hyperactivity Disorder.
Technical Reviews, No. 3.
Green M, Wong M, Atkins D, et al.

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