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Psychometric properties of the Swedish version of the SNAP-IV rating scale parent form in a birth cohort of 11-year-old children

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  • Additional Information
    • Contributors:
      Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Child and Adolescent Psychiatry, LUNDD (LUnd Neurodevelopmental Disorders), Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Barn- och ungdomspsykiatri, Klinisk barn och ungdomspsykiatri, Originator; Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Child and Adolescent Psychiatry, Evidence based clinical methods, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Barn- och ungdomspsykiatri, Evidensbaserade kliniska metoder, Originator; Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Child and Adolescent Psychiatry, Child and Adolescent Psychiatric Conditions and Associated Risk Factors: CARE, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Barn- och ungdomspsykiatri, Barn- och ungdomspsykiatriska tillstånd och associerade riskfaktorer, Originator; Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Psychiatry (Lund), Clinical addiction research unit, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Psykiatri, Lund, Enheten för klinisk beroendeforskning, Originator
    • Abstract:
      OBJECTIVE: The primary aim of this study was to confirm the internal consistency and factor structure of the Swedish version of the Swanson-Nolan-Pelham scale fourth edition (SNAP-IV) for parents and to examine its clinical utility for identifying children diagnosed with attention deficit/hyperactivity disorder (ADHD). MATERIALS AND METHODS: Parents of 11-year-old children from a birth cohort in the Halland region of Sweden (N = 981) completed the SNAP-IV assessment. Background data on ADHD diagnoses and medical treatment with stimulants were obtained from the Swedish National Patient Registry. We assessed the factor structure of the SNAP-IV using confirmatory factor analysis with diagonally weighted least squares estimation, and its clinical utility using logistic regression and receiver operating characteristic curve analysis. RESULTS: A three-factor bifactor S-1 model of the Swedish SNAP-IV where all items load onto a general hyperactivity/impulsiveness factor and items specific to inattentiveness and Oppositional Defiant Disorder (ODD) load onto independent factors fit best and exhibited high internal consistency. Excluding ODD items, a similar two-factor bifactor S-1 model fit well. The SNAP-IV demonstrated robust clinical utility for identifying children diagnosed with ADHD as evidenced by significant associations between clinical diagnoses and the SNAP-IV subscales, as well as excellent classification accuracy for both the inattention and hyperactivity/impulsivity subscales when using continuous values. Taken together, the Swedish version of the SNAP-IV parent form was found to be a useful instrument with good criterion validity for assessing ADHD symptoms in 11-year-old children. The clinical application of cutoffs is discussed.