Psychometric properties of the Persian version of preschool age psychiatric assessment (PAPA) for attention-deficit/hyperactivity disorder: Based on DSM-5

Mohammadbagher Hassanzadeh; Ayyoub Malek; Sanaz Norouzi; Shahrokh Amiri; Homayoun Sadeghi-Bazargani; Farshid Shahriari; Helen Link Egger; Brian Small

doi:10.1016/j.ajp.2021.102618

Psychometric properties of the Persian version of preschool age psychiatric assessment (PAPA) for attention-deficit/hyperactivity disorder: Based on DSM-5

Asian J Psychiatr. 2021 Apr:58:102618. doi: 10.1016/j.ajp.2021.102618. Epub 2021 Feb 22.

Authors

Mohammadbagher Hassanzadeh¹, Ayyoub Malek², Sanaz Norouzi¹, Shahrokh Amiri¹, Homayoun Sadeghi-Bazargani³, Farshid Shahriari¹, Helen Link Egger⁴, Brian Small⁵

Affiliations

¹ Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
² Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: maleka@tbzmed.ac.ir.
³ Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
⁴ NYU Langone Child Study Center, New York, NY, USA.
⁵ Research Program Leader, Center for Developmental Epidemiology, Duke University, Durham, NC, USA.

PMID: 33652288
DOI: 10.1016/j.ajp.2021.102618

Abstract

Childhood and adolescence psychiatric disorders affect subsequent stages; early diagnosis of these disorders, such as attention-deficit/hyperactivity disorder (ADHD), is necessary. There is no reliable and valid diagnostic interview for ADHD in Asian Persian or Farsi speaking countries. The DSM 5-based version of the interview was sent to the 14 child and adolescent and general psychiatrists to ensure the validity of the ADHD section of the PAPA interview through an online website. Out of 59 health centers, 15 centers were selected via systematic random sampling. Three hundred children participated in the study. ADHD questions of the PAPA had the power to differentiate, with a sensitivity of 0.92, a specificity of 0.01. It had positive diagnostic value = 95.83 %, negative diagnostic value = 98.91 %, negative correlation ratio = 0.12, overall diagnostic accuracy = 98.67 % and diagnostic chance ratio = 2085.35. ADHD questions of the PAPA diagnostic interview can diagnose ADHD in preschool as a reliable tool based on DSM-5.

Keywords: ADHD; Diagnostic interview; PAPA; Preschool age psychiatric assessment; Psychometric properties.

MeSH terms

Adolescent
Attention Deficit Disorder with Hyperactivity* / diagnosis
Child
Child, Preschool
Diagnostic and Statistical Manual of Mental Disorders
Humans
Psychiatry*
Psychometrics
Reproducibility of Results