22/10/21 16:12 Pruebas comparativas de detección del comportamiento - UpToDate

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Comparación de las pruebas de detección del comportamiento comúnmente utilizadas en atención primaria

Edades y etapas: Lista de Lista de

social y verificación de verificación de Lista de verificación de Cuestionario de
[2]
  emocional, Conners - 3 síntomas síntomas síntomas pediátricos - fortalezas y
segunda pediátricos - pediátricos - Informe para jóvenes [4,7] dificultades [8]
edición [1] 17 [3,4] 35 [4-6]

Consideraciones relacionadas con la población de pacientes

Siglos 1 a 72 meses Cuestionarios 6 a 18 años 3 a 5 años (con 11 a 18 años 3 a 16 años

para padres y algunas preguntas
maestros  : de 6 a eliminadas)
18 años 6 a 18 años
Autoinforme  - 8 a
18 años

Dominios Autorregulación Inatención Problemas Problemas Problemas emocionales y de Síntomas

Cumplimiento Hiperactividad / emocionales y de emocionales y de comportamiento. emocionales
Comunicación impulsividad comportamiento. comportamiento. Conduce
Funcionamiento Problemas de problemas
adaptativo aprendizaje Hiperactividad /
Autonomía Funcionamiento falta de atención

Afectar ejecutivo Problemas de

Desafío / agresión relación con los
Interacciones con
Relaciones entre compañeros
la gente
pares / familiares Conducta
Escalas de prosocial
síntomas del
DSM-5:
TDAH
desatento
TDAH
hiperactivo-
impulsivo
Desorden de
conducta
Trastorno de
oposición
desafiante

Tiempo para 10 a 15 minutos 20 minutos 2 minutos Menos de 5 minutos 2 minutos 10 minutos

completar

Nivel de lectura Cuarto a sexto Padre y maestro  : Quinto a sexto – – –

grado cuarto a quinto
grado
Autoinforme  -
Tercer grado

Idiomas inglés inglés chino inglés inglés Inglés y varios

Disponibles Español Español inglés Español Español otros idiomas
francés francés Español Portugués brasileño- Criollo haitiano
vietnamita americano Setswana
chino
holandés
Portugués europeo
Filipino
francés
alemán
Criollo haitiano
hebreo
No.
Hmong
italiano
japonés
Jemer
Malayalam
Nepalí
Setswana
somalí

Información Se puede usar con – – Versión pictórica con Autoinforme de 17 preguntas –

adicional ASQ3 para una subtítulos disponible para jóvenes en
evaluación disponibles en inglés y español, pero no ha
integral del inglés, español y sido validado
filipino

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desarrollo y el
comportamiento

Consideraciones relacionadas con las características de la práctica

Descripción Aproximadamente Full length – 99 to 17 items 35 items 35 items (self-report) 25 questions

30 preguntas 115 items completed by
(varía con la edad) Short form – 41 to parent, teacher,
45 items or self-report in
11- to 16-year
ADHD index – 10
olds
items

Determination of Three results: Provides T-scores* Total score of 15 or For children ages 6 Cutoff score of 30 Classification
positive/negative No or low higher – Significant to 18 years, cutoff recommended system:
result risk – behavioral or score is 28. Close to
Development emotional problems For children ages 3 average
appears Internalizing to 5 years, the Slightly
appropriate subscale – Cutoff 5 scores on raised
"Monitor" or more items elementary school High
zone – Review Attention subscale – related items 5, 6,
Very high
concerns and Cutoff 7 or more 17, and 18 are
monitor items ignored and a total
score based on the
"Cutoff" – Externalizing
31 remaining items
Above the subscale – Cutoff 7
is computed. The
cutoff means or more items
cutoff score for
referral
younger children is
recommended
24.

Validity and test Concurrent Sensitivity and Total PSC-17 scale: Cutoff score of 28: Cutoff score of 30: Sensitivity – 63%
performance validity – 84% specificity vary Sensitivity – 82% Sensitivity – 95% Sensitivity – 94% to 94%
Test-retest based on Specificity – 88%
Specificity – 81% Specificity – 68% Specificity – 88%
reliability – 89% predictor scale to 98%
and target group
Sensitivity – 81%
(ADHD inattentive,
overall
combined,
Specificity – 83%
hyperactive-
overall
impulsive,
learning disorder,
disruptive
behavior
disorder) [2]
Sensitivity range –
55 to 96%
Specificity range –
22 to 91%

Who can deliver Professionals Anyone can Anyone can deliver Anyone can deliver Self-administered Self-
Paraprofessionals deliver Health care provider Health care provider Health care provider administered
Clerical staff Health care interprets results interprets results interprets results
provider
interprets results

Time to score 1 to 3 minutes 20 minutes 2 minutes 3 to 5 minutes 2 minutes 10 minutes (total

and interpret (administration administration
and scoring time) and scoring)

Cost to Starter kit in one Online Software Free from: Free from: Free from: Free (with
purchase ¶ language – $295 Kits with DSM-5 Massachusetts Massachusetts Massachusetts General permission) at
Update start at General Hospital General Hospital Hospital www.sdqinfo.org
$899 Brightfutures.org Brightfutures.org Brightfutures.org
Manual Scoring
Kits with DSM-5
Update start at
$499

Ease of Online Online software Online software Online software Online software available Online scoring
integration into management and available available available  and report
EMR questionnaire generation
completion available
options

DSM-5: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition; ADHD: attention deficit hyperactivity disorder; ASQ3: Ages & Stages Questionnaire - Third Edition; EMR:
electronic medical record.

* T-scores indicate how the patient's scores compare to the scores of others. Fifty represents the mean and one standard deviation is equal to 10 (a T-score of 40 is one standard
deviation below the mean; a T-score of 60 is one standard deviation above the mean).

¶ Prices verified on July 30, 2019.

Data from:
1. Ages & Stages Questionnaires: Social-Emotional, Second Edition (ASQ:SE-2). Paul H Brookes Publishing Co, Inc 2017. Available at: agesandstages.com/products-services/asqse-2 (Accessed on
January 13, 2020).
2. Conners CK. Conners 3 rd edition: The leading assessment of ADHD & comorbid disorders in children and youth ages 6 to 18. MHS Assessments. Available at: https://www.mhs.com/MHS-
Assessment?prodname=conners3 (Accessed on November 18, 2017).
3. Wasserman RC, Kelleher KJ, Bocian A, et al. Identification of attentional and hyperactivity problems in primary care: A report from pediatric research in office settings and the ambulatory
sentinel practice network. Pediatrics 1999; 103:e38.
4. Jellinek MS, Murphy JM. Pediatric Symptoms Checklist. The General Hospital Corporation 2017. Available at: https://www.massgeneral.org/psychiatry/treatments-and-services/pediatric-
symptom-checklist (Accessed on January 13, 2020).
5. Jellinek MS, Murphy JM, Robinson J, et al. Pediatric Symptom Checklist: Screening school-age children for psychosocial dysfunction. J Pediatr 1988; 112:201.
6. Jellinek MS, Murphy JM. The recognition of psychosocial disorders in pediatric office practice: The current status of the Pediatric Symptom Checklist. J Dev Behav Pediatr 1990; 11:273.

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7. Pagano ME, Cassidy LJ, Little M, et al. Identifying psychosocial dysfunction in school-age children: The Pediatric Symptom Checklist as a self-report measure. Psychol Sch 2000; 37:91.
8. Strengths & Difficulties Questionnaires: Information for researchers and professionals about the Strengths & Difficulties Questionnaires. Youthinmind Ltd. Available at www.sdqinfo.org
(Accessed on January 29, 2020).
Adaptado de: Academia Estadounidense de Pediatría. Abordar los problemas de salud mental en la atención primaria: un conjunto de herramientas para médicos (https://www.aap.org/en-
us/advocacy-and-policy/aap-health-initiatives/Mental-Health/Documents/MH_ScreeningChart.pdf) (Consultado el 27 de noviembre de 2017).

Gráfico 116107 Versión 5.0

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